Pros and Cons of Laughing Gas: Sedation Dentistry at Its Finest

From all I have read on HubPages and other internet sites, I feel I should start this article with a warning that I am not a dental expert, nor am I offering dental or medical advice, and this article should not be construed as such. This article is about MY personal experience with pediatric dentistry. If you are considering using a new dentist, sedation dentistry, or any other dental or medical procedure, you should seek the advice of a qualified dental physician, and I am NOT one, nor do I play one on HubPages.

This is Part Two Of What Started as a Dental Horror Story

We live in metropolitan Phoenix, Arizona and my daughter is morbidly afraid of the dentist. And it's a fear that defies reason. She isn't merely anxious about going to the dentist, she is terrified. Poor thing, she tries to be brave. Our last attempt to take her to the dentist is detailed in my hub entitled

Laughing Gas and the Dentist: a Horror Story

.

Last time she went to the dentist, we took her to a reputable dentist certified in the latest and greatest cosmetic dentistry techniques. The office was clean, inviting, and full of many of the same distractions as at the Pediatric Dentist we visited later. But we were all unprepared for what happened there. I'll let you read about it by following the link to my other hub. But to hurry the story along, we were referred to a pediatric dentist.

Our visit to the pediatric dentist was a lot more successful than I expected, I'm glad to report. We first made an appointment to meet the dentist, have my daughter's needs assessed, and decide what to do next.

Our First Visit to the Pediatric Dentist was Reassuring

A pediatric dentist is a dental specialist who is trained to deal with children who have moderate to severe anxieties about going to the dentist. Though it is arguable that most children have at least moderate anxieties about dental treatment, I'm referring to anxiety that causes stressed behavior such as alterations in breathing and heart rate in the dental patient. My daughter experienced a higher level of anxiety than normal, and because she is slow to react to numbing agents like Novocaine, she always worries that the dentist will inflict unintentional pain during dental work.

I noticed that the dentist was positive, reassuring, and careful to keep my daughter in the dental chair for a minimum amount of time. The dentist's recommendations were minimally invasive. Although she spoke with us for quite some time assessing her situation, the dentist actually didn't spend too much time probing into her mouth at the first visit.

My daughter's adult teeth were erupting without the baby teeth coming loose, and she had a mouth full of double-decker teeth. The dentist assured my daughter that she could help her "wiggle out" those baby teeth and take care of an enormous cavity that she had in one of her adult teeth, although the dentist never once scolded my daughter's dental hygiene, something that sometimes happens in dentist-patient interviews. Although these dental issues were on the serious side, while the dentist didn't minimize the need for care, she explained her treatment plan in way that wasn't frightening or threatening. She focused on being able to provide a solution to my daughter, and explained the details to me. The dentist left it up to me to decide how much information to share with my daughter about the treatment plan.

Though the dental office was clean, it did not have an overly-sanitized hospital-like quality. Instead it felt more like a pediatrician's office, with brightly painted walls and soft chairs. The examination rooms were in an open, public setting that didn't make my child feel like a patient in an operating room, with bench seating for parents so they could be fully in the child's view without getting in the way.

Although she was still anxious, after this initial visit, my daughter was willing to go back. I have to add that the dental problems she had were becoming urgent, so this was a good thing.

Oral Sedation Was the Recommended Treatment Plan

The dentist recommended that we try

oral sedation

.

Oral sedation is a mild form of sedation dentistry that using oral medications to ease the feeling of fear and anxiety, and to to produce a mild form of temporary memory loss surrounding the dental experience.

We went home armed with about 12 pages of instructions telling us how to prepare for the day, what to expect, what her treatment would entail, and how to go about preparing her.

Several other HubPages writers have written excellent descriptions about the pros and cons of sedation dentistry, and types of dental sedation. The type of sedation our dentist's office used was a drug cocktail (Halcyon) used with laughing gas mixed with oxygen. If you are going to use this form of dental treatment for yourself or a child, I strongly recommend that you do your research. You will want a well-qualified dentist who has specialized training in emergency techniques associated with negative drug reactions, including allergic reactions to the medication. Ask if the dentist has emergency equipment on site and find out if they have ever revived a patient in a dental emergency. I am not a doctor and I don't play one on HubPages. This is serious stuff and there are some real risks.

On the day of treatment, my daughter came into the office fasting. She was given the dose of oral sedative, and she was led into a dark room with her dad. They sat in the room and waited for an hour for the sedative to take effect. After an hour she still showed some anxiety, and my husband said that when they strapped her into the papoose restraint, she looked worried.

Note the dentist's written instructions said that the sedative will sometimes make a child sleep, but one should not expect this to happen with every child. It didn't happen in our case.

At this point my husband was required to wait with the other anxious parents in the waiting room, and she was worked on by the dental staff. It is difficult to know exactly what took place in the dental chair. My daughter remembered most of her treatment as when she came home, and I could tell that the medicine had not alleviated all of her anxieties. The only way to do this, I believe, is to fully sedate a child, but that carries risks that should be discussed with a doctor. And in most cases, this extreme step is unnecessary.

Recovering from Sedation Dentistry at Home

Our daughter returned from the dentist out of sorts. She complained that she had been anxious and that she had felt out of control. Because the sedation medication she ingested was powerful stuff, we kept her home from school during the rest of the day.

She was unable to stand for about an hour after the procedure, so she rested quietly. Though she was awake when she arrived home, I could tell by the tone of her voice that she was still under the effects of the sedation. She was also extremely suggestible to what we told her. After napping for an hour or two, she began to ask us questions about what had happened at the dentist. I could tell that she no longer remembered much of what happened. As instructed by the dental office, we told her that her visit had been overwhelmingly positive. She agreed very easily with our reassurances at this stage.

I felt a bit guilty being so overwhelmingly positive because when she came home she made several comments about having a high level of anxiety while she was in the dentist's chair. But within four hours of her dental treatment, she remembered very little of it. She had five teeth removed and a cavity filled, and she said she had a good experience and would go back.

Now that she has had the dental work she so desparately needed, we can proceed with working on her dental hygiene and taking her to regular visits to the dental office for cleanings.

Costs of Pediatric Dentistry

Because we have dental insurance through my husband's employer, we were able to afford the costs of this dental procedure. Even with our out-of-pocket costs, this procedure cost about as much as a middle-of-the-road big screen television. Going into this, we were concerned that it would be much more expensive than at the "regular" dental practice we had visited first.

Comparing our Pediatric Dental Visit to the "Regular" Dentist

Instead, the cost was a little less, because philosophically, the pediatric dentist was focused on treating the problem of the child, knowing that some of the treatment they offered would be temporary. Their philosophy of dental treatment was to do the least invasive dental procedure because the child's mouth would be growing and changing significantly over time, so they warned us that additional cosmetic treatments like putting a crown on the tooth with the big cavity could wait until she had her "adult mouth."

In contrast, the other dentist had recommended a new cosmetic treatment called an on-lay which would create a crown that would bond to her adult tooth. I now feel that this recommended treatment was based on that dental office's use of cosmetic dentistry as a significant source of income, and just the fact that the dentist was used to dealing with adult patients. I don't feel that the first dentist was dishonest, but I also think that that pediatric dentist offered a more appropriate treatment plan for a growing child.

Pros and Cons of Laughing Gas: Sedation Dentistry at Its Finest 1

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Future of Global Dental Chair Industry Analyzed by Top Research Firm
Future of Global Dental Chair Industry Analyzed by Top Research Firm
Xpodence research updated data for competitive structure of the Global Dental Chair Industry to devise effective growth strategies and facilitate better decision-making.Dental chairs are compact and helps to save space owing to a unique concept that support a practitioner/dentist to streamline their daily tasks. A dental chair has various control units that possess ergonomic features based on sophisticated engineering technologies. Owing to the technological advancements and design, the next-generation dental chairs have come to the market that has latest upgradable features. The instruments that are linked to a dental chair include foot switch, X-ray viewer, imaging system, operating light balance arm and extended tray.The dental chair is anticipated to increase at a high rate during the forecast period. Factors such as remarkable increase in the oral disease prevalence is considered to have a large impact on the dental equipment demand, among which dental chair are vital. 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K2 Dental Chair  Dental Equipment Manufacturers | Airel India | Showcase India
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New Released 2017: Global Dental Chair Market Analysis, Statistics, Industry Reviews and Forecast 20
New Released 2017: Global Dental Chair Market Analysis, Statistics, Industry Reviews and Forecast 20
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Flossing removes particles and plaque from areas between teeth that the toothbrush cannot reach. Floss gently but effectively. Get between each tooth.If the teeth have tight space, use a pick. These can slide in lower and remove particles.With proper cleaning, you will have a healthier mouth overall. If you still feel like the breath gets stinky too easily, then it could be the time for a teeth cleaning procedure.Though brushing and flossing works to keep the mouth clean and prevent cavities, plaque can still grow.If the plaque remains on the teeth for too long, it can turn into an even harder version of itself, tartar.You should visit a dentist for teeth cleaning procedure at least once a year, but two visits yearly are recommended. Using professional dental tools, the dentists would remove the plaque, tartar, and other harmful bacteria buildup that you cannot access with at-home care. Oral hygienists effectively clean the entire mouth, which can help you improve the bad breath. 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Dental Chair Market USD 2,165.5 Million by 2025, Growing at a CAGR of 5.0% From 2019 to 2025
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Further Process : Shot Blasting Production Capacity : 50 pcs per day The casting methods are considered based on the quantities of components, required hardness, timing factor and financial viability. Manufacturing Facilities Available : We have adopted Tool room, Laboratory & Testing, Shot blasting, Impregnation, Machining facilities to cast any kind of challenging3. Dental Chair Warranty - Annual Awards - Best Brand May Surprise You!By Jayme Amos. Get free updates of posts here This is about to feel like an awards show with a clear, obvious loser and winners. First, take a guess what dental chair warranty might be the best? Seriously - pause for just a second- do not skip ahead! Ok, now I will list them from best to worst... Arguably the Most Important Equipment in Your Office: Which Company Has The Best Dental Chair Warranty? Pelton and Crane's dental chair warranty rings in at 5 years. That's huge. That means that your typical loan for dental equipment will have parts and labor covered for the whole loan. Very impressive! The upholstery is covered with just 1 year or warranty, however, and it seems the upholstery warranty length is the same among all manufacturers of dental chairs. What I really like about a 5 year warranty is that we normally see clients have loans that extend for 5 years. If you are considering having a loan for your equipment, it only seems wise to have a warranty that lasts the entire length of the loan, right? Marus' dental chair warranty tied for first place with a 5 year warranty! While this is technically a tie, we are putting them in 2nd place for a reason most doctors never consider...but might want to.... One observation that stood out to us was the issue of market share. In the business world, market share means who sold the most. Marus' market share is considerably lower than Pelton and Crane - for that reason alone, Marus is not at the top of the list, even though the warranty is the same. Market share might not seem like the most important issue but it is one to consider seriously. Why? When you have a chair stop working, you and your patients are stuck. Market share of a dental chair becomes important when you want fast access to parts, service technicians who are deeply familiar with the product and a representative from the manufacturer who is close enough to come help out when you are in a bind. The bigger the market share, the more access to cheaper, better, faster response. Market share is NOT a primary determining factor but it is one you should consider on your search of the right brand. For that reason, we give a slight disadvantage to Marus on our awards list. But hey, a tie for 1st place is pretty dang good. But do not be fooled...the 5 year dental chair warranty are more rare than you might think. Dentists deserve to let go of a little stress and a 5 year dental chair warranty is a nice bonus when you are trying to fall asleep at night, worry free. Forest chair warranties also tie with a 5 year warranty as described on their website. We found this to be interesting as Forest has a perception of being the "up and comer" in the industry. Their market share is considerably lower than the other 2 brands at the top of our list. Where do you fit in? Are you an adopter of the "underdog" or are you more likely to purchase based on larger market share? If you like the underdog and want a 5 year dental chair warranty, Forest Dental Chairs are for you. The Midmark dental chair warranty comes in at 2 years, as described on their website. Their number 2 ranking shows they are not in the same 5-year-league as the others but #4 in line any way you look at it. Not a bad spot to sit in when you consider all the various options of dental chairs. If you are like most dentists, this comes as a surprise! Did you "guess" that Adec would be near the top of this dental chair warranty list? The winners of this list have a dental chair warranty that extends through the entire length of your loan, giving you peace of mind. Meanwhile, the brand that many "think" is the best, has the weakest warranty by far. That surprised us. We will see if things change in the coming years and we will make sure to update you as things change!
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