5408 W. Friendly Ave., Greensboro, NC 27410 - 336-292-0411
Follow Us:   Follow Pediatric Dentist in Greensboro on Facebook Follow Pediatric Dentist in Greensboro on Google Pinterest button for Greensboro Pediatric Dentist in Greensboro, NC Instagram button for Greensboro Pediatric Dentist in Greensboro, NC Instagram button for Greensboro Pediatric Dentist in Greensboro, NC EZPedo Logo - Greensboro Pediatric Dentist in Greensboro, NC
Dr. Goldenberg, Dr. Pierce and Dr. Applebaum - Pediatric Dentists in Greensboro, NC

Sedation

Nitrous Oxide Conscious Sedation Outpatient General Anesthesia

Nitrous Oxide

Boy with nitrous oxide mask on - Pediatric Dentist in Greensboro, NCSome children are given nitrous oxide (laughing gas) to relax them for their dental treatment. Laughing gas is a blend of two gases, oxygen and nitrous oxide. It is administered through a small breathing mask which is placed over the child’s nose. It relaxes them without putting them to sleep. The American Academy of Pediatric Dentistry recognizes the use of laughing gas as a very safe, effective technique to relax children for dental care. The gas is mild, easily accepted and quick acting. It is quickly eliminated from the body after treatment.

Prior to your appointment:

  • Please inform us of any change to your child’s health and/or medical condition.
  • Tell us about any respiratory condition that makes breathing through the nose difficult for your child.
  • Let us know if your child is taking any medication on the day of the appointment.

Back to Top

Conscious Sedation

Conscious sedation involves the administration of a liquid sedative medication in our office to make your child drowsy. We use this for our very young patients who have dental cavities and would otherwise be uncooperative for treatment. It is best used when the treatment can be completed in one or two visits. More extensive treatment on an uncooperative child would be best done in the operating room under general anesthesia. (see below) Your doctor will discuss whether if conscious sedation is the best treatment option for your child.

Prior to your appointment:

  • Please notify us of any change in your child’s health and/or medical condition. Do not bring your child for treatment with a fever, ear infection or cold. Should your child become ill, contact us to see if it is necessary to postpone the appointment.
  • Please dress your child in loose fitting, comfortable clothing.
  • Your child can have nothing to eat or drink after midnight the night before the procedure.
  • The child's parent or legal guardian must remain at the office during the complete procedure.
  • Please watch your child closely while the medication is taking effect. Hold them in your lap or keep close to you. Do not let them "run around."
  • Your child will act drowsy and may become slightly excited at first.

After the sedation appointment:

  • Your child will be drowsy and will need to be monitored very closely. Keep your child away from areas of potential harm.
  • If your child wants to sleep, place them on their side with their chin up. Wake your child every hour and encourage them to have something to drink in order to prevent dehydration. At first it is best to give your child sips of clear liquids to prevent nausea. The first meal should be light and easily digestible.
  • If your child vomits, help them bend over and turn their head to the side to insure that they do not inhale the vomit.
  • Because we use local anesthetic to numb your child’s mouth during the procedure, your child may have the tendency to bite or chew their lips, cheeks and tongue. They may also rub and scratch their face after treatment. Please observe your child carefully to prevent any injury to these areas.
  • Please call our office for any questions or concerns that you might have.

Back to Top

Outpatient General Anesthesia

Outpatient General Anesthesia is recommended for apprehensive children, very young children, and children with special needs who are not candidates for conscious sedation.

General anesthesia renders your child completely asleep. This would be the same as if he/she was having their tonsils removed, ear tubes, or hernia repaired. This is performed in a hospital or outpatient setting under the care of a professional anesthesiologist.

If treatment in the operating room is recommended for your child our doctors will discuss with you in detail the risks and benefits of this option, as well as any other treatment options.

Prior to your appointment:

  • Please notify us of any change in your child’s health. Do not bring your child for treatment with a fever, ear infection or cold. Should your child become ill, contact us to see if it is necessary to postpone the appointment.
  • You must tell the doctor of any drugs that your child is currently taking and any drug reactions and/or change in medical history.
  • Please dress your child in loose fitting, comfortable clothing.
  • Your child should not have milk or solid food after midnight prior to the scheduled procedure and clear liquids ONLY (water, apple juice, Gatorade) for up to 6 hours prior to the appointment.
  • The child’s parent or legal guardian must remain at the hospital or surgical center waiting room during the complete procedure.

After the appointment:

  • Your child will be drowsy and will need to be monitored very closely. Keep your child away from areas of potential harm.
  • If your child wants to sleep, place them on their side with their chin up. Wake your child every hour and encourage them to have something to drink in order to prevent dehydration. At first it is best to give your child sips of clear liquids to prevent nausea. The first meal should be light and easily digestible.
  • If your child vomits, help them bend over and turn their head to the side to insure that they do not inhale the vomit.
  • Prior to leaving the hospital/outpatient surgical center, you will be given a detailed list of "Post-Op Instructions" and an emergency contact number if needed.

Back to Top

Pediatric Dentist in Greensboro, NC