Every day we have patients come into our office for their
normal cleaning and exam and we find decay. This is when we bring up the two
words that parents are always concerned about “Conscious Sedation.”
In today’s blog we are going to go over the most common
questions we receive from parents in regards to a conscious sedation. We have
heard every question under the sun and we are sure parents will have plenty
more questions. Hopefully this post will help you guys better understand!!
What is Conscious Sedation?
Unlike
general anesthesia, oral sedations do not make a patient unconscious. Conscious
Sedation reduces a child’s anxiety about treatment and helps them cooperate
during treatment. In our office, we use two different conscious sedation
medications; Demerol and Versed. While they are both used for in office
sedations, they do have different effects on children. Both medications are in
liquid form and are given orally. The dosage is based on your child’s weight. Every
child that we sedate is weighed before we dose out the medication.
Demerol sedation takes a full hour
for it to go into effect, during this time you will be with the child to
monitor them. You may or may not notice a difference in your child and this is
completely normal. Once the patient is in the restorative rooms for treatment,
we do place a nitrous oxide mask on them, which is when they usually begin to
relax. For those patients that do not fall asleep, we have TV’s on the ceiling
to keep them occupied.
Versed sedation has an amnestic
effect, meaning it helps with the child not remembering the procedure. It takes
only 15 minutes for it to go into effect.
You will notice a change in your child almost immediately. They will be
dizzy, unable to stand on their own, and very emotional. A small percentage of our patients may get irritable,
happy, or sad depending on how their body responds to the medicine.
Who is a good candidate for oral sedation?
Children
who have a heightened apprehension to dental treatment, injections, etc. are
prime candidates for sedation. Sedation
also helps with children who also are too young to understand how to
behave/cooperate during treatment.
A lot
of times we have children who do perfectly fine during a regular dental
check-up, but as soon as they hear the word “treatment” they become afraid.
They may be afraid of the situation, because it is unknown territory to them,
or they have had a bad experience elsewhere. The sedation will help with this
anxiety.
Sedations
are very beneficial for children with special needs. These patients may not understand that we
need them to sit still for 10 minutes to an hour depending on the amount of
treatment needed. They also have to have their mouths open for extended periods
of time, and this is something that may feel unpleasant, or simply something
that they are not typically used to. Sedations allow them to become more
relaxed, and less worried about the procedure.
We find these patients are, all around, leaving with a more pleasant
experience.
Why Sedation?
Sedation
is for the comfort and safety of your child during a dental procedure. There
are different tools that are used during treatment that could potentially harm
your child if they are constantly moving around, and trying to grab our hands
or instruments. Sedation allows your child to relax and be comfortable in an
otherwise unfamiliar environment.
Is it safe?
Dr.
Johnnie Hunt and Dr. Brooke Wood both follow the guidelines of the American
Academy of Pediatric Dentistry for sedation. They are Board Certified Pediatric
Dentists, meaning they went to school an extra two years, and continue to go to
lectures in order to stay up to date with the latest technology. Your child’s pulse and oxygen levels are
noted using a monitor before we dose out any medications in order to establish
a baseline. We also measure these vitals
throughout the procedure. If there were
any drastic changes, the necessary steps would be taken. There are also
reversals for both of these medications that are always within arm’s reach of
the doctors and assistants at all times in the case of an emergency.
We thoroughly
review the child’s medical history before administering the sedative to ensure
that there are no medical problems that we should be aware of. For any medical
conditions that a child has that are not conducive to sedation, we would then
present alternative options to the parent for completing the treatment. The parent ultimately will decide which route
they would feel most comfortable taking.
Pre Op Instructions
We ask
that your child not have anything to eat or drink 4 hours before the
appointment. If the patient does not have an empty stomach, he/she could become
extremely nauseous to the point of vomiting during the procedure.
Even
though most of our sedated patients are fairly young, they may be aware of
their parent’s anxiety. If a parent is afraid or anxious, the child may start
to become afraid or anxious. You are more than welcome to call our office with
any questions in order to make you feel more comfortable about the sedation
process. Dr. Hunt and Dr. Wood will also talk to you, and will answer any
questions you may have regarding the procedure.
Post Op Instructions
Each
child reacts to sedations differently, so do not judge your child’s recovery
process based on their sibling or other family members who have also been
sedated. Each and every experience is specific to each child. Both medications may stay in their system for
up to 8 hours after initial dosing, so they will need adult supervision for the
rest of the day. They are not to go back to school, participate in any after
school activities, etc. after a sedation.
We hope that this post was helpful and informative. As
always we are more than happy to answer any other questions you may have about
your children’s dental care!
