Oral Conscious Sedation may be offered for children who are pre-cooperative, special needs or extremely anxious. After an examination and review of the patients health history and current status, the child will be given oral medication. This medicine will take between 15-20 minutes to fully take effect. Because safety is our number one concern, during treatment under sedation the child will be monitored with a precordial stethoscope that is directly monitored by the doctor in addition to the pulse oximetry and capnography.
Nitrous Oxide, a very mild sedation, is ideal for anxious patients and those who need some extra help during treatment and for children undergoing treatment where the may need extra patience. The child is not put to sleep and although they may take a nap, generally they remain awake and are responsive. It takes approximately 3-5 minutes to begin to take affect and will wear off with the same amount of time at the end of treatment. The child breathes on their own without needing extra support and they are actually receiving more oxygen that is in the normal air that we breath! Nitrous oxide/oxygen mixture is breathed through a nose mask that we make smell great! This gas is often called ‘laughing gas’ because some people will relax and start to giggle.
For the child time will seem to go faster and treatment can be more comfortable. Even though nitrous oxide provides some analgesic properties, a local anesthetic often is still used to numb the area of treatment. Please tell us if your child has an ear infection or has had recent ear surgery as this may be one of the few contraindications for use of nitrous oxide. Additional contraindications include any nasal obstructions because the gas will not reach the child's lungs to be affected, eye surgery, and treatment with bleomycin sulfate. Please inform us of your child’s complete medical history. If your child is allergic to latex, there may be a need to change the nitrous nose.
We will only administer nitrous oxide to patients who are pregnant with a medical consult and never during the first trimester. Nitrous oxide is not contraindicated in patients with asthma, the gas is non-irritating. The anxiety felt during treatment is more likely to cause an attack than the gas itself.