We invite our patients to take advantage of an innovative and safe method of dealing with stress and pain associated with visiting the dentist’s office – inhalation anesthetic with nitrogen dioxide N2O, commonly known as laughing gas. It is one of the best stress management methods for children as well as for adult patients.Contact Now 586-775-4260
By inhalation sedation, the patient experiences substantial pain relief. Contact with the patient is maintained at all times – it is essential for your own safety. Controlling the dose of nitrous oxide by deepening or reducing the depth of sedation as needed is virtually effortless. N2O effectively minimizes the patient’s anxiety. Laughing gas helps you become more calm, passive, indifferent to the surrounding reality. Children also have an unusual tendency to dream. They dream of swimming in the water, flying in a plane, balloon, space rocket, or spinning around on a carousel.
Nitrous oxide, or inhalation sedation called laughing gas, is a method of reducing stress, anxiety, and pain associated with visiting a dentist in both adults and children. The technique is performed by putting on a small rubber nose mask and inhaling a mixture of nitrous oxide and oxygen. The patient lies in the chair, inhales the gas for a few minutes, goes into a state of physical relaxation, pleasant daze, calm, light anesthesia, which also helps to relieve the gag reflex.
The use of inhalation sedation often results in the so-called retrograde amnesia, which additionally reduces the unpleasant sensations associated with the procedure, especially in the youngest patients. The planned treatment with a mixture of nitrous oxide and oxygen should be performed at least three hours after the last meal. Patients often do not remember the course of the visit.
Before starting the procedure, we perform the preliminary qualification of the child, primarily in terms of age. Inhalation sedation is very rarely successful in children under three years of age due to the lack of cooperation. A piece of vital information is whether the child has been “forcibly” treated with the gas in the past; a specific group of children suffers from a severe psychological trauma that further dental treatment is possible only under general anesthesia.
A child qualified for sedation should not eat at least three hours before the procedure. After obtaining written consent for the treatment, we proceed to familiarize the little patient with the N2O administration apparatus. It is not always possible to get your child’s approval to put a mask on their tiny nose the first time they come for a visit. The treatment may have to be postponed. The process of becoming familiarized with the strange device may take a while, but it’s the best way to avoid traumatizing experiences. Demonstrating and explaining the procedure at home before the dentist’s visit will boost the chances of cooperation on the day of the treatment.
N2O has an anesthetic effect. Many treatments for superficial or even moderate caries (depending on the child’s sensitivity) can be performed without anesthesia. The length of the procedure is then significantly shortened. If the child complains of pain, we stop the procedure and perform anesthesia. Once the appropriate level of sedation is achieved, other pain control measures can be applied.
Inhalation sedation with nitrous oxide is an extremely safe method that can be used by most people. In the gas mixture administered to the patient, the nitrous oxide content is a maximum of 70%. The remaining 30% is pure oxygen – this is even more than the amount of oxygen in the atmospheric air. In the event of any complications, the treating dentist can give the patient oxygen therapy at any time by shutting off the nitrous oxide supply, which automatically starts the delivery of pure oxygen to the patient. Nitrous oxide contained in the mixture quickly diffuses into plasma through the alveoli; it does not combine with hemoglobin and is not transformed in the body. This gas is present in the blood and tissues on the basis of saturation; therefore, unchanged, it is quickly excreted through the respiratory tract and in a negligible amount through the skin. 95% of nitrous oxide is removed from the body after 5 minutes, and the remaining 5% disappear after another 20 minutes.
Some of the contraindications to nitrous oxide sedation include: