Sedation for Dental Procedure

[jjaimes]

She’s getting checked because they believe she’s getting tooth decay and cavities and trying to take care of them before they get worse. Right now it’s in the air because she woke up with a slight cough and congestion so the doctor will have to check her out before proceeding with the dental procedure

[tdwinklr]

Agree!!!! Makes no sense and never heard of this

Sounds like people fall for this tho.

I have a 1.5 and 2.5 and never even been considered or talked about.

same here.

[Cullbuck]

Sedation for Dental Procedure

My 2 1/2 year old just had a tongue tie cut and stitched and they used Versed. They monitored her vitals the whole time. Overall was a good experience, pretty funny when the medicine started working.


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[ctom87]

I was sedated for wisdom teeth removal a few years ago. Dude didn't use enough. I woke up multiple times during the procedure and even when I was so tired I couldn't open my eyes, I still conscious enough to remember basically all of it.

[bboswell]

Yes, you should be concerned!

While the chance is small, there is little margin for error and the consequences are high, should something go wrong. In fact, I would insist that someone who specializes in PEDIATRIC anesthesiology be used were it my child.

this!

My wife is Pediatric Dental Hygienist in a practice that caters to children with special needs. They have much better (safer) methods that general sedation when dealing with minor dental procedures like the ones you describe.

[tjs011]

My wife is a nurse (17 yrs in pediatrics) that works with a local pediatric dental anesthesia group that coordinates with dentists that have patients who might need sedation. They go through an extensive medical history consult prior to any procedures - including discussions with parents, PCPs and other specialists, if needed. The anesthesiologist is on site in the dental office monitoring the patients throughout the procedure. Not sure if your daughters dentist is working with my wife's company - but feel free to Pm if you want to discuss further.

[jjaimes]

My wife is a nurse (17 yrs in pediatrics) that works with a local pediatric dental anesthesia group that coordinates with dentists that have patients who might need sedation. They go through an extensive medical history consult prior to any procedures - including discussions with parents, PCPs and other specialists, if needed. The anesthesiologist is on site in the dental office monitoring the patients throughout the procedure. Not sure if your daughters dentist is working with my wife's company - but feel free to Pm if you want to discuss further.

Hey I really appreciate it! I’ll send you a PM with the dentists information and clinic to see what your wife can help with thank you

[jjaimes]

this!

My wife is Pediatric Dental Hygienist in a practice that caters to children with special needs. They have much better (safer) methods that general sedation when dealing with minor dental procedures like the ones you describe.

Would you mind asking her what she suggests maybe PM if you can? Thank you!

[brokeno]

Does she need fillings? Is so how are they going to do them without sedating her. Quit giving her all that sugar filled juice and candy.

[Uncle_Milty]

We just have ours get numbing shots. If sedation is avoidable at all then I wouldn’t risk it. Too many variables and risks imo.

Kids don’t love the shots but they don’t freak out or anything.

[ByronB]

When discussing “monitoring” you need to make sure to ask and see they are monitoring for ETCO2. If a Dentist or Oral Doc is only monitoring for pulse oximetry that is a problem. Make dang sure they have an ETCO2 Monitor in that room and an ETCO2 cannula is running to the nasal cavity. This goes for adults as well. If not, do not let them put your child or yourself under. Having an Anesthesiologist at all oral surgeries is a pipe dream. It does not happen. If the location has an Anesthesiologist on site for each surgery all the better. Being able to monitor the ETCO2 waves allows Doctors to catch the waves of respiratory distress before it becomes a problem for the Patient. The American Dental Association and Max Oral Associations require ETCO2 monitoring for all sedated Patients. I spent ten years selling ETCO2 Cannulas and was never surprised when I found dental locations not using the machines. Some places did not want to spend money on the machines. They have gotten better but asking a bunch of questions is the right thing to do.

[jjaimes]

Does she need fillings? Is so how are they going to do them without sedating her. Quit giving her all that sugar filled juice and candy.

The cause of the problem was breast milk back when my wife was breastfeeding her not candy or sweets

[jjaimes]

When discussing “monitoring” you need to make sure to ask and see they are monitoring for ETCO2. If a Dentist or Oral Doc is only monitoring for pulse oximetry that is a problem. Make dang sure they have an ETCO2 Monitor in that room and an ETCO2 cannula is running to the nasal cavity. This goes for adults as well. If not, do not let them put your child or yourself under. Having an Anesthesiologist at all oral surgeries is a pipe dream. It does not happen. If the location has an Anesthesiologist on site for each surgery all the better. Being able to monitor the ETCO2 waves allows Doctors to catch the waves of respiratory distress before it becomes a problem for the Patient. The American Dental Association and Max Oral Associations require ETCO2 monitoring for all sedated Patients. I spent ten years selling ETCO2 Cannulas and was never surprised when I found dental locations not using the machines. Some places did not want to spend money on the machines. They have gotten better but asking a bunch of questions is the right thing to do.

I will be looking into this today I’m asking a lot of the questions you guys are advising. Thanks

[ThisLadyHunts]

When discussing “monitoring” you need to make sure to ask and see they are monitoring for ETCO2. If a Dentist or Oral Doc is only monitoring for pulse oximetry that is a problem. Make dang sure they have an ETCO2 Monitor in that room and an ETCO2 cannula is running to the nasal cavity. This goes for adults as well. If not, do not let them put your child or yourself under. Having an Anesthesiologist at all oral surgeries is a pipe dream. It does not happen. If the location has an Anesthesiologist on site for each surgery all the better. Being able to monitor the ETCO2 waves allows Doctors to catch the waves of respiratory distress before it becomes a problem for the Patient. The American Dental Association and Max Oral Associations require ETCO2 monitoring for all sedated Patients. I spent ten years selling ETCO2 Cannulas and was never surprised when I found dental locations not using the machines. Some places did not want to spend money on the machines. They have gotten better but asking a bunch of questions is the right thing to do.

Would this be in addition to entubación during anesthesia, or in addition to? I’m a little confused by the use of a nasal cannula for the purpose of measuring CO2.

[eastover53]

Would this be in addition to entubación during anesthesia, or in addition to? I’m a little confused by the use of a nasal cannula for the purpose of measuring CO2.

ETCO2 cannulas have a little “lip” that hangs down below the nose that registers the amount of CO2. It is a combo cannula with one providing O2 and the other measuring CO2.
Here’s an example of one. https://www.ebay.com/itm/12-x-Micros...edirect=mobile