8804 Hawbuck St., Trinity, FL 34655
Phone: 727.478.3210

4156 Woodlands Parkway, Suite A Palm Harbor, FL 34685
Phone: 727.626.2676
Pediatric Dentist

Sedation

Nitrous Oxide Conscious Sedation IV Sedation

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 different types of sedation, including nitrous oxide ("laughing gas"), IV sedation, conscious sedation and general anesthetic.

Sedation is endorsed by the American Dental Association and the American Association of Pediatric Dentistry. It is an effective way to make many patients comfortable during their dental visit. Before administering any sedative or anesthetic, Dr. Chuong will talk to you about the process of sedation and pre- and post-sedation instructions.

Nitrous Oxide/Oxygen

What is nitrous oxide/oxygen?

Nitrous oxide/oxygen ("Laughing Gas") is a blend of 2 gases, oxygen and nitrous oxide. When inhaled, it is absorbed by the body and has a calming effect. Normal breathing eliminates nitrous oxide/oxygen from the body. Nitrous oxide is available at both our Trinity / New Port Richey and Palm Harbor offices.

How will my child feel when breathing nitrous oxide/oxygen?

Your child will feel calm and relaxed. Your child will also be fully awake.

How safe is nitrous oxide/oxygen?

It is perhaps the safest sedative in dentistry. It is easily administered and also quickly eliminated from the body.

Are there any lingering effects or special care after nitrous oxide/oxygen?

No. All the nitrous oxide is completely out of your child's system by the time the appointment is over. At the end of the appointment the child is given 100% oxygen to breath for several minutes. After the appointment no special care is required.

Are there special instructions prior to having nitrous oxide/oxygen?

Tell Dr. Chuong about any respiratory condition that makes breathing through the nose difficult for your child. Also tell Dr. Chris of any medications your child may be taking.

Will nitrous oxide/oxygen work for all children?

Dr. Chuong know that not all children are alike! Some children will not need or benefit from the use of nitrous oxide/oxygen, although most do. Dr. Chuong has undergone comprehensive training to administer nitrous oxide in a safe environment for your child.

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Conscious Sedation

What is conscious sedation?

Conscious sedation is a management technique that uses medication to help the child cope with fear and anxiety in order to receive dental care.

Who should be sedated?

Children who have a level of anxiety that prevents good coping skills should be sedated. The very young child that does not understand how to cope in a cooperative fashion for the safe delivery of dental care should be sedated. It is also helpful for some children with special needs.

Why utilize conscious sedation?

Conscious sedation aids in allowing a child to cope better with dental treatment. This can help prevent injury to the child from sudden patient movements and promotes a better environment for providing dental care.

Is sedation safe?

Sedation is safe when administered by a trained pediatric dentist (like Dr. Chuong) who follows the sedation guidelines of the American Academy of Pediatric Dentistry. Dr. Chuong will discuss sedation options and patient monitoring for the protection of your child. As with any type of anesthesia, there are risks that Dr. Chuong will discuss with you.

Will my child be asleep?

No, your child will be awake during the procedure. The benefit for some children is that conscious sedation can cause an amnestic effect. Most children cry throughout the treatment and this should be anticipated. Protective stabilization is used to keep the child safe during the procedure.

What special instructions should I follow before the sedation?

Dr. Chuong recommends minimal discussion of the dental appointment with your child. This will help alleviate any anxiety. Should your child become ill, contact Dr. Chris within 48 hours of your appointment to determine if it is necessary to postpone. Also remember the NPO instructions - nothing to eat or drink 6 hours prior to your appointment. Oral sedation is available at our Trinity / New Port Richey location. We are working to provide this same service to our Palm Harbor location.

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IV Sedation

We are very excited to offer our patients the option of having their treatment done with the benefit of in-office IV sedation. Dr. Vila, a Board Certified Anesthesiologist with a focus on pediatrics, will be present and perform the sedation while Dr. Chuong will perform all necessary dental treatment. IV sedation is currently offered in our Trinity / New Port Richey office. We are working to provide this same service to our Palm Harbor location.

There are many benefits to having your child’s treatment performed under IV sedation.

  • All dental work can be done in one day.
  • The child is asleep during the IV sedation. They are not aware of the treatment being done.
  • They do not need to be numb for treatment. Young children do not understand this feeling and can potentially chew the inside of their cheek and lip.
  • In some cases, medical insurance will pick up some or all of the costs associated with the anesthesia. Parents will need to contact their medical providers to see if this is a covered expense. Once the appointments are booked, the pediatric anesthesiologist can assist in the paperwork concerning this aspect.
  • We can take necessary dental x-rays when they are asleep, which allows us to see if there are more areas affected and treat at the same time. This may result in a change in the original treatment plan given at the child’s examination visit.

Treatment Options


Option 1: Traditional dental appointments with no sedation

Without sedation, Dr. Chuong can only treat one quarter of the mouth at a time, which means treatment may need to be done in multiple appointments.

This may not be an option for a very young child that is not able to lie still. The use of a papoose stabilization board may be required to ensure the safety of the child throughout the procedure. Nitrous oxide analgesia (laughing gas) may be used to help the child relax. The child will also have a local anesthetic delivered to the area being treated. The child will have to be watched closely for 4 to 5 hours following the procedure to be sure they do not chew their lip, tongue, or cheek.

    Pros:
  • Can have an amnesia effect, child may have little to no memory of the procedure.
  • Lessens the number of appointments required to complete treatment.
    Cons:
  • Children can still be combative and may struggle during treatment.
  • Is generally more expensive than option 1 and most insurance will not cover sedation.
  • Patient is numb and will need to be watched closely following procedures.

Option 2: Conscious sedation appointments

This can reduce the number of the appointments needed, most of the time in half. Conscious sedation is a medication given to the child by mouth as a drink, or administered nasally, before the procedure. It can have an amnesia effect, but the child is awake throughout the procedure. The child will also have a local anesthetic delivered to the area being treated. The child will have to be watched closely for 4 to 5 hours following the procedure to be sure they do not chew their lip, tongue, or cheek.

    Pros:
  • Can have an amnesia effect, child may have little to no memory of the procedure.
  • Lessens the number of appointments required to complete treatment.
    Cons:
  • Children can still be combative and may struggle during treatment.
  • Is generally more expensive than option 1 and most insurance will not cover sedation.
  • Patient is numb and will need to be watched closely following procedures.

Option 3- IV sedation appointment

All treatment can be completed in one IV sedation visit. There is generally no local anesthesia required, so there is no concern regarding the child chewing their lip or cheek following the appointment. We are able to take any necessary x-rays if we have been unable to get them in the past due to age or cooperation. These xrays allow us to create a more accurate treatment plan.

All treatment is completed in one visit. The child is given medication while sitting on his/her parent’s lap, once it takes effect, the child is moved to the dental operatory. After treatment is completed, the child wakes up with a parent in the room. They have no memory of the treatment.

    Pros:
  • All treatment is completed in one visit.
  • Children will have no memory of the treatment.
  • Xrays previously not taken due to cooperation can be obtained.
    Cons:
  • Most expensive option and the sedation portion may not be covered by insurance.
  • If x-rays are not obtained prior to the sedation appointment, the full extent of the decay may not be known. Once x-rays are taken and new decay is found, it needs to be treated at the sedation appointment. This may result in greater costs at the treatment visit than previously planned.
  • Dental insurance may not cover all procedures completed in this visit, depending on your maximum benfits per calendar year.

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