One source of fear or anxiety for children is the unknown. We make a significant effort to show every child what is going to be done beforehand. Whether that means showing them the equipment/tools, or whether it means walking them through the office before their first appointment, small steps like these help to alleviate any concerns a child may have about their visit.
We feature “Smart Sedation Options” for all of our important young patients. Since two-thirds of our patients who visit our practice statistically won’t need sedation, we are dedicated to finding other ways to make your child comfortable. For the one-third who need sedation, we typically choose nitrous oxide (laughing gas) as the first primary option of sedation to make the visit more comfortable for your child. Most of the time nitrous oxide does not cause them to fall asleep but it makes the uncomfortable parts of treatment much less noticeable. The TV’s on the ceiling also help our patients to focus less on the treatment being completed.
We take a staged approach, meaning that depending on the child’s level of anxiety and the amount of treatment needed, that helps us decide what can be done to help the child. We try to be as conservative as possible. We have TV’s on the ceiling for patients to watch; distraction plays a big part in helping a child stay calm during dental work. We could also start with something as simple as using nitrous oxide, also known as laughing gas, which helps lower the level of anxiety and mildly blocks pain. If a child is more anxious and is having more treatment done, for example two or three cavities, we can use a mild, or conscious, sedation. To do this, we have the child drink a mild sedative, or there is an option to squirt this medication in the child’s nose if they refuse to drink it (it does taste a little funny). These sedatives can cause amnesia so although their eyes may be opened during the procedure, they typically do not remember it afterward. If your child is young and this strategy is not age appropriate, or if your child requires more Sedation treatment, there is another option. This option is sometimes referred to as IV sedation or general anesthesia. This treatment will allow your child to go completely asleep for the treatment. Often, we have this done in a hospital setting by an anesthesiologist, but there are times when the anesthesiologist comes to our office and treatment is completed here. Typically this option is reserved for the youngest children who are unable to cooperate for treatment or for those patients whose treatment needs are too significant for the treatment to be completed with just laughing gas (nitrous oxide).