Relaxation Treatments

Relaxation Treatments

 
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Some patients may experience nervousness, anxiety, or discomfort during dental procedures. To ensure each child is comfortable, Dr. Kuba is extensively trained in and can offer the following techniques:

 

“Laughing Gas” 
Nitrous oxide/oxygen, also known as laughing gas, is a mild agent that helps to relax a child for their dental treatment. Nitrous oxide/oxygen is a blend of two gases, oxygen and nitrous oxide. It is given through a small breathing mask which is placed over the child’s nose, allowing them to relax, but without putting them to sleep. The gas is mild, easily taken, then with normal breathing, it is quickly eliminated from the body. It is non-addictive. While inhaling nitrous oxide/oxygen, a child remains fully conscious and keeps all natural reflexes.

 

Non-IV Conscious Sedation
Conscious sedation is used to help calm a child and to reduce the anxiety or discomfort associated with dental treatments. A child may be quite drowsy, and may even fall asleep, but they will not become unconscious; therefore, they are still aware of what is going on around them. There are a variety of medications which can be used for conscious sedation. The doctor will prescribe the medication best suited for the child’s overall health and dental treatment.

 

Prior to your appointment:

 

  • Please notify us of any change in your child’s health and/or medical condition. Do not bring your child for treatment with a fever, ear infection or cold. Should your child become ill, contact us to see if it is necessary to postpone the appointment.
  • You must tell the doctor of any drugs that your child is currently taking (prescribed, over-the-counter, or herbal medications) and any drug reactions and/or change in medical history.
  • Your child should not have anything to eat or drink 8 hours prior to the appointment
  • Please watch your child closely while the medication is taking effect. Hold them in your lap or keep close to you. Do not let them “run around.”
  • Your child will act drowsy and may become slightly excited at first.

 

After the sedation appointment:

 

  • Your child will be drowsy and will need to be monitored very closely.
  • If your child wants to sleep, place them on their side with their chin up. Wake your child every hour and encourage them to have something to drink in order to prevent dehydration. At first it is best to give your child sips of clear liquids to prevent nausea. The first meal should be light and easily digestible.
  • If your child vomits, help them bend over and turn their head to the side to insure that they do not inhale the vomit.
  • Because we use local anesthetic to numb your child’s mouth during the procedure, your child may have the tendency to bite or chew their lips, cheeks, and/or tongue and/or rub and scratch their face after treatment. Please observe your child carefully to prevent any injury to these areas.

 

IV Sedation
IV Sedation is recommended for apprehensive children, very young children, and children with special needs that would not work well or safely under conscious sedation. The treatment is performed in our office with the child anesthetized under IV sedation, which is administered and monitored by a dental anesthesiologist brought in specially for this procedure.

 

Prior to your appointment:

 

  • Please notify us of any change in your child’s health and/or medical condition. Do not bring your child for treatment with a fever, ear infection or cold. Should your child become ill, contact us to see if it is necessary to postpone the appointment.
  • You must tell the doctor of any drugs that your child is currently taking and any drug reactions and/or change in medical history.
  • Your child should not have milk or solid food after midnight prior to the scheduled procedure and clear liquids ONLY (water, apple juice, Gatorade) for up to 6 hours prior to the appointment.
  • The child’s parent or legal guardian must remain at the office during the complete procedure.

 

After the sedation appointment:

 

  • Your child will be drowsy and will need to be monitored very closely. Keep your child away from areas of potential harm.
  • If your child wants to sleep, place them on their side with their chin up. Wake your child every hour and encourage them to have something to drink in order to prevent dehydration. At first it is best to give your child sips of clear liquids to prevent nausea. The first meal should be light and easily digestible.
  • If your child vomits, help them bend over and turn their head to the side to insure that they do not inhale the vomit.
  • Please call our office for any questions or concerns that you might have.

 

Hospital Dentistry

Treatment in a hospital setting with general anesthesia is indicated for the following:

 

  • Extremely apprehensive children
  • Very young children
  • Children with extensive treatment needs
  • Children with special needs

Dr. Kuba has operating room privileges at Children’s Medical Center at both Dallas and Plano Legacy Campuses.

 

Prior to your appointment:

 

  • Please notify us of any change in your child’s health. Do not bring your child for treatment with a fever, ear infection or cold. Should your child become ill, contact us to see if it is necessary to postpone the appointment.
  • You must tell the doctor of any drugs that your child is currently taking (prescribed, over-the-counter, or herbal medications) and any drug reactions and/or change in medical history.
  • Your child should not have anything to eat or drink 8 hours prior to the appointment
  • The child’s parent or legal guardian must remain at the hospital or surgical site waiting room during the complete procedure.

 

After the appointment:

 

  • Your child will be drowsy and will need to be monitored very closely. Keep your child away from areas of potential harm.
  • If your child wants to sleep, place them on their side with their chin up. Wake your child every hour and encourage them to have something to drink in order to prevent dehydration. At first it is best to give your child sips of clear liquids to prevent nausea. The first meal should be light and easily digestible.
  • If your child vomits, help them bend over and turn their head to the side to insure that they do not inhale the vomit.
  • Prior to leaving the hospital/outpatient center, you will be given a detailed list of “Post-Op Instructions” and an emergency contact number if needed.