Kids Dental Sedation

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Just Kids Dentistry – One amazing Pediatric Facility.

Having a practice that is limited to just children is unique and unprecedented.
We do not:

  • call someone in to our facility
  • travel to other general dental offices to provide pediatric dentistry or dental anesthesia services
  • provide medical sedation or anesthesia services for adult procedures in hospitals or surgical suites

This is our pediatric dental space where everything is specifically designed for children. From the 1500 sq. foot play area (not a kids corner… actually we have a grown up corner) to the pediatric benchs for check ups and cleanings, to the equipment designed for small mouths. Our doctors and staff understand pediatric dentistry and pediatric sedation/anesthesia. Your child receives the appropriate care under the appropriate conditions. That’s because we do *Just Kids Dentistry*.

We do NOT charge a facility fee
We do NOT charge an administrative fee
We do NOT charge a pre medication fee

While anxiety, fear and pain can be modified by behaviour management techniques, in many cases medications are required. Usually these children are younger and although procedures are not particularly uncomfortable, they require the child to lie still. Sedation and anaesthesia allow a child to cope better with dental treatment. This can lead to better clinical outcomes and help prevent injury from uncontrolled or undesirable movement.

There are four ways to manage behavior so that children can undergo medical/dental treatment:

  • Awake

    Awake is self explanatory and can involve any of the following; tell-show-do, voice control, non-verbal communication, positive reinforcement, distraction, parental presence or absence, protective stabilization. Some general dentists are naturally gifted in dealing with children. Pediatric dentists are formally trained in the above techniques.

    • What you see

      Movement and vocalization expected

    • Training

      Pediatric Dentist
      General Dentist

    • Method

      • Tell-show-do/voice control
      • Non-verbal communication
      • Positive reinforcement
      • Distraction
      • Parental presence/absence protective
      • Stabilization
    • Appointment, Freezing, Predictability

      • Multiple appointments if several areas need treatment
      • Requires local anesthesia (freezing)
      • Unpredictable; depends on age, pre-existing level of anxiety, type and amount of dental treatment
  • Conscious Sedation

    Conscious sedation is not asleep. It makes you feel different. Conscious sedation is commonly achieved with laughing gas, drinks or a combination of both. Conscious sedation can be unpredictable and results can vary from child to child.

    Older children (4–6 years of age) show six times more success for overall behavior than younger ones (2–3 years of age).

    An overall success rates of 54–73% have been reported.* General dentists can take training after dental school to administer medications that achieve conscious sedation. Pediatric dentists and dental anesthetists receive this training during specialty training.

    • What you see

      Movement and vocalization expected

    • Training

      Pediatric Dentist
      General Dentist

    • Method

      • Nitrous oxide (laughing gas) inhalation
      • Oral sedation (drink or pill)
      • Nitrous oxide plus oral sedation
    • Appointment, Freezing, Predictability

      • Multiple appointments if several areas need treatment
      • Requires local anesthesia (freezing)
      • Can be unpredictable; depends on age, type and amount of dental treatment, pre-existing level of anxiety
      • Some children may become agitated or distressed
  • Deep Sedation

    Deep sedation is asleep. Deep sedation is commonly achieved with incremental doses of a medication (the medication is effective for 3–5 minutes) through an intra venous (IV). Deep sedation is what adults experience to allow for colonoscopy procedures to be successful and comfortable. This same technique and medications can be used to treat children for restorative dental procedures. Deep sedation is extremely predictable. Placing an IV in an awake child can be challenging, therefore, children are initially sedated with an anesthetic vapor while they watch a movie prior to IV placement.

    A dentist anesthesiologist is the only dentist that has this level of training.

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    • What you see

      Some movement
      No vocalization

    • Training

      Dentist
      Anesthesiologist

    • Method

      Intra venous (IV) sedation

    • Appointment, Freezing, Predictability

      • Usually one treatment appointment
      • No local anesthesia (freezing) unless tooth is removed
      • Predictable; treatment will be completed
  • General Anesthesia

    General anesthesia is commonly used for operations in hospitals. General anesthesia involves placing an endotracheal (breathing) tube and using anesthetic vapors and other intra venous (IV) medications to keep a patient asleep. General anesthesia is extremely predictable. As with deep sedation, children are initially sedated with an anesthetic vapor while watching a movie prior to IV placement.

    Dentist anesthesiologists and medical anesthesiologists have this level of training.

    • What you see

      No movement
      No vocalization

    • Training

      Dentist Anesthesiologist
      Physician Anesthesiologist

    • Method

      Anesthetic vapour inhalation through an endotracheal tube

    • Appointment, Freezing, Predictability

      • One treatment appointment
      • No local anesthesia (freezing) unless tooth is removed
      • Predictable; treatment will be completed

*Effectiveness of premedication agents administered prior to nitrous oxide/oxygen. Baygin O, Bodur H, Isik B Eur J Anaesthesiol. 2010 Apr; 27(4):341-6.
*Outcomes of moderate sedation in paediatric dental patients B Ozen, SF Malamed, S Cetiner, N Ozalp, L Ozer, C Altun Australian Dental Journal 2012; 57: 144–150