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What are the Effects of Laughing Gas on Children?


Visiting the dentist is difficult for many young children, and adults for that matter. There is no need for this anxiety as dentistry can be done pain free. It is a necessary medical procedure to keep a nice smile and maintain a healthy life. Treating anxious children is also a challenge that many dentists face and they need to make sure to perform dentistry to the best of their ability. Besides filling cavities and sealing teeth, behavior management is the coordination of the whole dental team and the patient and patient's parents.

Inhalation sedation has proven to make the children feel more comfortable.
The Emergency Department at Royal Children's Hospital, has confirmed that nitrous oxide also seems safe in children aged 1 to 3 years.  The dentist generally gives nitrous at a concentration less much less than 50%. Even at a concentration of nitrous of 30%, a children will experience a slight limp feeling and it may give them a pleasurable feeling of flying around the room.

The child is still conscious and can hear everything taking place, as well as speak as usual. Nitrous oxide, or laughing gas as we call it, is a very controllable inhalation method.  The dentist can easily add more oxygen to the mixture or the child can open his or he mouth and breath air to reduce the relaxing feeling. The dentist must be in the room with the patient while the patient is inhaling the nitrous, so at any time of uneasiness, the nitrous oxide can be discontinued. The average recovery time to eliminate the nitrous oxide feeling is 20-34 minutes. Usually within a half hour of breathing oxygen or air, the nitrous oxide feeling has been eliminated. The dentist does not allow the child to leave the operatory if any of this relaxed feeling still exists.

As parents, the NCBI, National Center of Biotechnology Information is concerned about nausea and vomiting after operatory procedures, which continues to be a frequent and important cause of morbitity in children. Very seldom is there any postoperative effect to the child from nitrous. The American Heart Journal evaluated 330 children who underwent outpatient dental restorations. Their study indicated that nitrous oxide does not alter postoperative vomiting after halothane anaesthesia for dental restorations in children. Halothane is supplied as a liquid and is vaporized for use as an inhalation anesthetic. Even in a dental office, nitrous oxide-oxygen as a single agents provides safe and effective conscious sedation in the pediatric outpatient population, according to the Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology and Endodontology Journal

Nitrous oxide is very safe for children and very beneficial in the dental office.


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