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Sedation Dentistry

Sedation dentistry refers to the use of sedation during dental treatment. Sedation is most commonly used during extensive procedures, for patients with dental phobia or for patients who find it difficult to sit still. There are two different types of sedation: IV sedation and oral sedation. Sedation can range from the use of mild oral sedatives to much stronger IV medications used to put patients to sleep. In very young patients with dental phobia, low pain tolerance, physical handicaps or strong gag reflexes, who require major dental treatment, general anesthesia may be the preferred form of treatment. In older pediatric patients, procedures like fillings, crowns, bridges, root canals, extractions, cosmetic procedures and periodontal treatments often can be completed comfortably with local anesthesia and sedation. Sedation is endorsed by the American Dental Association and is an effective way to make many patients comfortable during their dental visit. Before using a sedative or anesthetic, it is important to tell your pediatric dentist about any medications or medical treatments your child is receiving. Before administering any sedative or anesthetic, your pediatric dentist will talk to you about the process of sedation and pre- and post-sedation instructions. "Laughing Gas" Nitrous oxide, more commonly known as laughing gas, is often used as an inhalation analgesic during a dental procedure. The gas is administered with a mixture of oxygen and has a calming effect that helps phobic or anxious patients relax during their dental treatment. Because it is a mild sedative, patients are still conscious and can talk to their pediatric dentist during their visit. After treatment, the nitrous oxide is turned off and the patient breaths oxygen for a few minutes to help allow any remaining gas to be exhaled. The effects wear off almost immediately. Nitrous oxide rarely has side effects, although some patients may experience minor nausea or vomiting. Your pediatric dentist will provide you with pre- and post-appointment instructions.