A pediatric medical anesthesiologist will make every effort to call you the night before the procedure to discuss your child's medical history and preparing your child for IV sedation dentistry.
Preparing Your Child for IV Sedation Dentistry and General Anesthesia
Please follow the fasting (NPO) instructions carefully to avoid cancellations:
- The day before and the morning of the procedure all patients need to have the nasal decongestant Afrin® (Oxymetazoline) sprayed into each nostril.
- No food or milk is allowed after midnight. It is extremely important that you observe your child continuously from their awakening in the morning to the time of their procedure.
- Between midnight and until 2 hours before arrival time: Your child may have water, Pedialyte®, clear juice without pulp, clear sport drinks (e.g. Gatorade®), and non-dairy popsicles without fruit particles.
- Please give your child the recommended dose of acetaminophen (Tylenol®) 1-2 hours before your scheduled arrival time.
- Regular prescribed medications may be taken with water up to two hours before arrival time. No non-steroidal anti-inflammatory medications, for example, Motrin®, Advil® should be taken within 2 days of the procedure. It is fine to give your child acetaminophen (Tylenol®) up to 3 hours before arrival time.
- Patients on prescribed pulmonary inhalers or nebulizers should begin twice daily treatments two days before the procedure even if they are not symptomatic.
- Pediatric patients may benefit from wearing a "pull-up" if they wear one while sleeping.
- Please bring a small lightweight blanket and a comfort item for your child.
- Please bring a second adult to assist in the drive home. One individual should be able to observe the child’s breathing without any distractions, especially if the patient falls asleep while in the car or safety seat. Please follow DPS Guidelines regarding car seats.
- If your child develops an illness in the days prior to their procedure, please have him/her examined by a physician and fax the evaluation to our office.
Prior to the dental procedure, your child will be given sedation medication by mouth or nose drops. During the dental procedure, your child will be given sedation intravenously (IV). During the treatment, your child will be asleep and monitored throughout the entire process. A sedation team is present to ensure your child’s safety.
Th patient will be awakened after the procedure and can return home shortly thereafter. Your child may feel groggy for the remainder of the day, so resting at home is recommended.
Preparation for IV sedation is similar to that of conscious/oral sedation. Your child may want to bring a comfort item to the appointment, and you may be with your child until he/she falls asleep. It is important for parents to remain calm to encourage the child and keep a relaxed atmosphere.
Your doctor will give you specific instructions for before, during, and after your child’s procedure.
General Anesthesia in Pediatric Dentistry
In some rare instances, the best option for dental sedation is general anesthesia administered in a hospital setting.
General anesthesia may be recommended if:
- The required dental treatment is extremely extensive or lengthy
- Oral surgery is also necessary
- The patient has special medical needs
- The procedure cannot be performed safely otherwise
Your doctor will discuss pre-op and post-op instructions with you if general anesthesia is necessary for your child’s dental treatment.
After Pediatric Dental Sedation
Depending on the type of dental sedation your child undergoes, your child may feel tired or groggy for a few hours. Some children come out of sedation confused or fussy, while others seem to be just fine. Some children experience nausea or dizziness. Taking it easy the rest of the day while the medication wears off is usually all that is needed. Serve soft, cool foods for the first couple of hours after treatment, as your child’s mouth will be numb. Use over-the-counter pain medicines, such as Tylenol or Motrin for sore mouth and gums.
While side effects are rare after dental sedation, you should contact your doctor if your child experiences:
- Vomiting after the sedation medication has worn off
- Intense pain
- Excessive bleeding of the gums
At Discovery Kids Pediatric Dentistry, your child’s dental care and safety are of the utmost importance. If you have questions regarding dental sedation or are looking for a dental home, please contact Dr. Zarmin Lalani and her team at Discovery Kids Pediatric Dentistry Frisco, Texas, by completing an online appointment request or phone 469-365-5437.