Sedation dentistry
For people who put off the dentist out of fear, a bad past visit, or a strong gag reflex.
There are three levels here, not one: nitrous oxide through a nose mask, a tablet taken before you arrive, or IV sedation given in the chair. Most general practices offer only the first. Which suits you depends on how anxious you are and how long the appointment needs to be.
Any of these sound familiar?
- You have not seen a dentist in years because the thought of it makes you anxious.
- A past visit hurt or felt rushed, and you have not been back since.
- You gag easily, so X-rays, impressions or cleanings are hard to get through.
- Needles or the sound of the drill make you tense up or feel faint.
- You have a lot of work to do and want to get through longer visits calmly.
Start to finish.
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01
A first look
Your first visit can be just that: Dr. Malik looks, you talk, nothing gets drilled, and you leave knowing what needs doing and what can wait.
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02
Health check first
Dr. Malik goes over your medical history and any medications before offering nitrous oxide. Most adults and children can have it; a few health conditions rule it out, and he tells you if yours does.
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03
Breathing the gas
You breathe through a small mask on your nose for a few minutes. Dr. Malik gives the nitrous oxide himself and adjusts the level until you feel relaxed but still awake and able to talk.
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04
Working at your pace
We agree on a hand signal before we start. Raise your hand and Dr. Malik stops, whether you need a rinse, a breath or a minute.
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05
Clearing and going home
When the work is done you breathe plain oxygen for a few minutes and the gas wears off. We check you feel clear before you leave.
What it costs, and who pays.
Nitrous oxide is billed on top of whatever treatment you are having, so the number of visits depends on the work, not the sedation. Many dental plans cover part of the cost of nitrous oxide; some do not.
Ask for a written estimateSedation dentistry, answered.
What does laughing gas feel like?
Most people feel warm, a bit floaty and less bothered by what is going on around them. You stay awake, hear everything and can answer questions. Some people notice a tingle in their hands or feet; it passes once the mask comes off.
Can I drive after nitrous oxide?
In most cases, yes. The gas leaves your body within minutes of breathing oxygen at the end, so most people do not need a driver. If you feel off, you sit until you feel clear, and the LRT is out front if you would rather not drive.
Can my child have laughing gas?
Usually, yes. It is commonly used with children, and Dr. Malik decides with you based on your child's age, health and how they manage the mask.
Do I have to be sedated to be treated as a nervous patient?
No. Many nervous patients never use the gas. Going slowly, explaining each step, agreeing on a stop signal and taking breaks is often enough.
