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Sedating children for dental work

Injectable anesthetics may be used in such procedures as filling cavities, preparing teeth for crowns or treating gum disease.

Depending on the procedure, you may need a pain reliever after treatment.

In fact, if there is so much work that several sedative appointments will be required to complete the treatment, then the option of general anesthesia is usually discussed.

One problem with sedation in pediatric dentistry is that you can only give what is considered a "safe" dosage.

The younger the child, the more unpredictable the medication's effect.

A certain dosage on one child may make them quite sleepy and sedated, while the same exact dose will not seem to do anything for the next child.

The best and most often used are verbal techniques like positive reinforcement, tell-show-do, and voice tone control. Often additional medications are needed to help kids to be comfortable and cooperate to accomplish treatment.

Often, pharmcologic methods are necessary to comfortably accomplish treatment. Sometimes it is even necessary to do treatment under General Anesthesia in the Hospital.Things can be unpredictable as medications elicit different responses in different children.Different medications (usually oral medications) are used for different situatuions.Those chidren who do not respond to that dosage, well, you don't just give twice the dose and hope it will take. Whatever is used, you monitor vital signs in accordance with the AAPD guidelines.The whole process is some what of an art as much as a science.Your dentist may apply a topical anesthetic to numb an area in preparation for administering an injectable local anesthetic.Topical anesthetics also may be used to soothe painful mouth sores.There might be a three year old getting a filling doing just fine sitting next to a twelve year old who is extremely anxious or defiant.You can get them used to coming to the dentist with regular early visits.How the media reports dental tragedies by Jennifer S.Sherry, RDH, MSEd Preventing or reducing the chance of death due to dental anesthesia remains on the minds of most practitioners.

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