Sedation

Choosing the safest modality to manage the behavior of young, immature and sometimes frightened children, as well as those who may have physical or mental limitations, is a challenge unique to pediatric dentists. It requires an understanding of child psychology, pharmacology and child development as well as a healthy dose of patience, love and discipline. In our office, we offer a variety of behavior management techniques tailored to your child’s specific needs. Our goal is to treat your child in the safest, least invasive manner possible, as the use of any medication always carries with it some risk of an adverse reaction. We make every attempt to use our best judgment in determining which children need some form of sedation.

Our decision to sedate or not sedate a child ​is​ ​made solely with the best interest of the child in mind. ​​Please keep in mind that we do not choose a treatment modality based on what is most convenient for the doctors or the parents/guardians.​ ​Our goal is to facilitate a pleasant experience that does not cause your child a lifetime of fear​ful ​dental visits. As pediatric dentists, we ​strive to make the dental experience easy ​and pleasant ​for​ the child first, and then as easy as possible for ​the parents and ourselves.

The majority of the time when the non-pharmacological techniques are not successful, all that is needed is some laughing gas (Nitrous Oxide). This involves simply resting a scented mask​ over the child​’​s ​nose​. The child is not “put to sleep,” however they do usually feel somewhat “tingly,” and “ticklish.”​ Occasionally, but not always, the nitrous oxide will cause children to become very “giggly”​, earning its namesake.
Beyond the use of nitrous oxide/laughing gas, there are several other methods of conscious sedation that can be used. They may be administered either orally in the form of a drink, or as an injection. The details of these forms of sedation are best discussed with the Doctors, as there can be additional risks in administering them to a child.

​Anesthetic medications will allow your child to “sleep” through the procedure in a safe, controlled, and monitored setting, thus allowing Dr. Larson or Dr. Buonocore to provide the highest quality, comprehensive, and pain-free treatment in the most ​efficient manner available to your child. The treatment is completed efficiently and in one treatment session rather than multiple sessions. Children report no memory of receiving their dental or surgical care. While ​no doctor is able to offer risk-free​ sedation​, we do ​everything in our power to ensure the safest possible environment for your child’s dental treatment. Our mission is to provide your child anesthesia services with the highest standard of patient care and safety, while in the comfort, convenience and familiar surroundings of our pleasant and child-friendly dental office. ​ ​
​Please keep in mind that if one of our Doctors recommend sedation for your child’s dental treatment, it is only because we feel strongly that the risks of performing dentistry while your child is awake would outweigh the inherent risks of sedation. ​

PRE-SEDATION INSTRUCTIONS:

If you child has a cough, fever, runny nose, etc. in the​ days ​leading up to the appointment, please call our office, as we may need to reschedule. For ​their safety, we will not sedate ​a​​ sick child. Your child may not have anything to eat ​or drink ​the morning of the procedure. ​ ​Please arrive for your appointment at the requested time. ​For more detailed pre-sedation instructions, please consult with Dr. Boorin {insert hyperlink to Dr. Boorin’s profile here when you click on his name} directly.

POST-SEDATION INSTRUCTIONS:

We will give you a comprehensive sheet of post-operative instructions on the day of your child’s appointment.

Following the appointment, you will be brought back to your​ child​ as he/she is “waking up”​ ​and you will be asked to remain in our office for a​​ period of time as we ​continue to monitor him/her ​​until it is safe to send your child home. They may remain sleepy until later in the day or early evening​. ​ I​f you plan to drive to the appointment​, you should bring along another responsible person to help watch ​your child in the car on the way home. ​ ​Your child ​may also need supervision at home to help prevent any accidental falls. If your child should fall asleep, make sure they are lying on their side, with their chin away from their chest. If they should vomit, be sure they are awake or lying on their side.

Depending on the specific procedures performed, your child ​may​ receive local anesthesia​ during the sedation​. ​ ​Please remind them to avoid biting or playing with their lips and cheeks. They can​ unintentionally​ cause serious trauma to themselves​ while their mouth ​remains ​numb​ for a period of time following the procedure​.
Please encourage your child to drink fluids as soon as they express the desire to do so. Avoid solid foods until your child completely recovers.

Your child should not experience any significant pain after he/she awakens. You may give them Children’s Motrin or Tylenol

​as ​needed for any ​post-op ​discomfort. If the Tylenol or Motrin ​is not enough to manage their discomfort, please call our office. If your child should become ill, or any other problem should arise, please notify our office. If​ you try calling the office outside of normal business hours, an emergency number​ will be provided and you will be put in contact with either Dr. Larson or Dr. Buonocore directly.

For more information please view Martin R. Boorin, DMD