Nitrous Oxide  |  Conscious Sedation  |  I.V. Sedation  |  Outpatient General Anesthesia

Girl with flower in hair - Pediatric Dentist in Keller, Fort Worth and Southlake, TX - Bridget McAnthony, DDS

Pre-Sedation Instructions

  1. Nothing to eat or drink after 12:00 AM, if your child takes prescription medication they may take as directed by the physician.
  2. Your child will not be able to go back to school or daycare as they will be drowsy the rest of the day.
  3. If your child is running a fever, congested or has a runny nose, please call us because we will reschedule your appointment.
  4. Your child should wear loose, comfortable clothes with short sleeves or no sleeves to permit ready access to arms for a blood pressure cuff.

You will be in the office for at least 2 hours on the day of your appointment. PLEASE BE AWARE THAT YOUR CHILD WILL NOT BE COMPLETELY "UNDER."

Nitrous Oxide

Some children are given nitrous oxide/oxygen, or what you may know as laughing gas, to relax them for their dental treatment. Nitrous oxide/oxygen is a blend of two gases, oxygen and nitrous oxide. Nitrous oxide/oxygen is given through a small breathing mask which is placed over the child's nose, allowing them to relax, but without putting them to sleep. The American Academy of Pediatric Dentistry, recognizes this technique as a very safe, effective technique to use for treating children's dental needs. The gas is mild, easily taken, then with normal breathing, it is quickly eliminated from the body. It is non-addictive. While inhaling nitrous oxide/oxygen, your child remains fully conscious and keeps all natural reflexes.

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Conscious Sedation

Conscious Sedation is recommended for apprehensive children, very young children, and children with special needs. It is used to calm your child and to reduce the anxiety or discomfort associated with dental treatments. Your child may be quite drowsy, and may even fall asleep, but they will not become unconscious.

There are a variety of different medications, which can be used for conscious sedation. The doctor will prescribe the medication best suited for your child's overall health and dental treatment recommendations. We will be happy to answer any questions you might have concerning the specific drugs we plan to give to your child.

Prior to your appointment:

After the sedation appointment:

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I.V. Sedation

I.V. Sedation is recommended for apprehensive children, very young children, and children with special needs that would not work well under conscious sedation. The dentist performs the dental treatment in our office with the child anesthetized under I.V. sedation, which is administered and monitored by an anesthesiologist.

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After the sedation appointment:

Dr. Lorenda Grace

Dr. Grace's undergraduate studies were completed at the University of Houston. She received her dental education from Baylor College of Dentistry and her post graduate anesthesia residency at Loma Linda University Medical Center and its affiliated hospitals. Before matriculating at LLUMC, Dr. Grace practiced general dentistry in the Dallas area and taught clinical dentistry at Baylor College of Dentistry, Texas A&M University. She is a Fellow of the American Dental Society of Anesthesia and Diplomate of the National Dental Board of Anesthesiology. Membership in other professional organizations include the American Society of Dentist Anesthesiologists, American Dental Association, Dallas Country Dental Society, Texas Dental Association, Christian Medical and Dental Society and the Academy of General Dentistry

Outpatient General Anesthesia

Outpatient General Anesthesia is recommended for apprehensive children, very young children, and children with special needs that would not work well under conscious sedation or I.V. 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 only. While the assumed risks are greater than that of other treatment options, if this is suggested for your child, the benefits of treatment this way have been deemed to outweigh the risks. Most pediatric medical literature places the risk of a serious reaction in the range of 1 in 25,000 to 1 in 200,000, far better than the assumed risk of even driving a car daily. The inherent risks if this is not chosen are multiple appointments, potential for physical restraint to complete treatment and possible emotional and/or physical injury to your child in order to complete their dental treatment. The risks of NO treatment include tooth pain, infection, swelling, the spread of new decay, damage to their developing adult teeth and possible life threatening hospitalization from a dental infection.

Prior to your appointment:

After the appointment:

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