For many people, just hearing the word “dentist” causes anxiety. As a primarily pediatric practice, we aren’t just prepared for anxious patients, we expect them. Unlike many practices, parents are always welcome to come back during treatment. Dr. Jones and her experienced assistants have dealt with butterflies in the tummy, full-fledged meltdowns, and everything in between. We find that the majority of children respond well to the ”show, tell, do” approach. It simply means that we show the patient the unthreatening things we will use, such as the mirror, suction, etc. Tell the patient what to expect, always in gentle terms, (“we will tickle your tooth to get the sugarbug out”). Finally, we will do what has been discussed in the easiest possible way. Often parents are surprised when children willingly allow dental treatment using this method. Unfortunately, there are some instances when the patient is too frightened, upset or strong-willed cooperate. For those patients, we offer the following:
NITROUS OXIDE
Or “laughing gas” is recommended for patients ages 3 years and up. It helps soothe nerves and creates a general sense of well-being. The patient will wear a “bunny nose” to breathe in a mix of oxygen and nitrous oxide regulated according to patient size. It is very safe and is quickly expelled from the system in about 5 minutes after removal.
ORAL SEDATION
Versed, a sedative is given to the patient on an empty stomach 15 minutes prior to the procedure. The benefits include heavier relaxation and less resistance, reduced memory of the visit. It is quick acting with a reversal agent in the event of an emergency. This optrion works well on children under 55 lbs. Other options are available for older patients.
PAPOOSE
We prefer the use of parent hand-holding as a primary tool when restraint is needed to safely do the treatment. Dr Jones will only suggest using the papoose after exhausting other methods of management. Parental consent is always required prior to restraining any patient.