V Sedation, also known as Deep Conscious Sedation is usually used by Oral Surgeons and dentists with specialized training and special certification. With this type of sedation, medications are administered directly into the blood stream. The greatest advantage of IV Sedation is that if someone is not sedated enough, the doctor can administer more medication and the effects are instantaneous. IV Sedation is not used commonly in most dental offices because of the specialized advanced training required and the requirements for certification by the State Board of Dentistry. The drugs used for IV Sedation are more effective then the same drugs taken orally. There is a more profound amnesia associated with this technique.
Dr. Benjamin Quenzer, M.D. is our Board Certified Anesthesiologist.
Oral Conscious Sedation
Children who are more anxious may need an oral medication that is stronger than nitrous oxide. Several medications have a significant calming effect. When choosing a medication, the dentist will consider your child's anxiety level, his or her ability to cooperate and the treatment required.
With oral sedation, your child may be sleepy but can be aroused if necessary and can respond to simple commands. Minor side effects such as nausea or vomiting can occur with some medications.
Before a visit in which your child is to receive oral sedation, you should receive instructions about eating and drinking, what to expect and what to watch for after treatment. You may need to carry your child home after sedation. Your dentist should also discuss how your child will be monitored while he or she is sedated. You will need to stay for a short time after dental treatment has been completed so your child can be observed for full recovery and possible complications.
Nitrous oxide, also known as laughing gas, is most often used for children who are mildly or moderately anxious or nervous. It eases their fears so that they can relax and receive treatment comfortably and safely. Nitrous oxide is administered by placing a small mask over your child's nose. Your child will be asked to breathe through his or her nose and not through the mouth. As the gas begins to work, the child becomes calm, although he or she is still awake and can talk with the dentist. When the gas is turned off, the effects of sedation wear off almost immediately. As the child gets older and becomes more comfortable with the dentist, nitrous oxide may not be needed.
Nitrous oxide is always delivered mixed with oxygen. To prevent overdose, nitrous oxide machines are designed to stop the flow of nitrous oxide if the oxygen concentration drops below 30 percent.
When the treatment has been completed, the nitrous oxide is turned off and pure oxygen is delivered for 5 to 10 minutes to help flush the child's body of the gas. The effects of nitrous oxide should disappear as oxygen is breathed.