Sedation dentistry is most commonly used during extensive procedures for patients with dental phobia or for patients who find it difficult to sit still.  We use Nitrous Oxide, as well as General Anesthesia (hospital dentistry) at Barbee Dental.

Sedation is endorsed by the American Dental Association and is an effective way to make many patients comfortable during their dental visit.  Before using a sedative or anesthetic, it is important to tell Dr. Barbee about any medications or medical treatments your child is receiving.  Before administering any sedative or anesthetic, Dr. Barbee will talk to you about the process of sedation and pre-and post- sedation instructions.


General Anesthesia

What is general anesthesia?
General anesthesia provides a way of effectively completing dental care while a child is unconscious.

Who should receive general anesthesia?
Children with severe anxiety and/or the inability to relax are candidates for general anesthesia. Usually, these children are young or have compromised health issues and helping them control their anxiety is not possible using other methods.

Is general anesthesia safe?
YES! In addition, to ensure the best possible care of your child, Dr. Barbee requests that all of his general anesthesia cases be covered by a pediatric anesthesiologist. They are responsible for delivering the general anesthesia, monitoring and medical care of the child. Many precautions are taken to provide safety for the child during general anesthesia care. Patients are monitored closely during the general anesthesia procedure by anesthesia personnel who are trained to manage complications. Dr. Barbee will discuss the benefits and risks involved with general anesthesia and why it is recommended for your child’s treatment.

What special considerations are associated with the general anesthesia appointment? Most of the time, your child’s surgery will be done on an “outpatient” basis. This means they will have their surgery in the morning and be allowed to go home in the afternoon.

  • A physical examination – is required prior to a general anesthesia appointment to complete dental care. This physical examination provides information to ensure the safety of the general anesthesia procedure. Dr. Barbee will advise you about any evaluation appointments that may be requested.
  • Prior to surgery– Minimal discussion to your child about the appointment may reduce anxiety, Explain they are ‘going to go to sleep when their teeth are being fixed’.
  • Eating and drinking – It is important NOT to have a meal the night before general anesthesia. You will be informed about food and fluid intake guidelines prior to the appointment.
  • Changes in your child’s health – If your child is sick or running a fever, contact Dr. Barbee immediately! It may be necessary to arrange another appointment.

Usually, children are tired following general anesthesia. You may wish to return home with minimal activity planned for your child until the next day. After that, you can usually return to a routine schedule.

Nitrous Oxide

Many children are calm, comfortable and confident in Dr. Barbee’s pediatric dental office! Because Dr. Barbee specializes in treating children, he makes them feel special. His office is especially designed for children and adolescents) Sometimes, however, a child feels anxious during treatment. Your child may need more support than a gentle, caring manner to feel comfortable. Nitrous oxide/oxygen is a safe, effective technique that Dr. Barbee offers to calm a child’s fear of the dental visit.

What is nitrous oxide/oxygen?
Nitrous Oxide/oxygen is a blend of two gases – oxygen and nitrous oxide. When inhaled, it is absorbed by the body and has a calming effect. Normal breathing eliminates nitrous oxide from the body.

How will my child feel when breathing nitrous oxide/oxygen?
Dr. Barbee will give your child the opportunity to choose a “flavor” of air to breathe. Your child will smell this “flavored air” and experience a sense of well being and relaxation. If the sights, sounds or sensations of dental treatment worry your child, he or she may respond more positively with the use of nitrous oxide/oxygen.

How safe is nitrous oxide/oxygen? 
Very Safe! Nitrous oxide/oxygen is perhaps the safest sedative in dentistry. It is non- addictive. It is mild, easily taken, then quickly eliminated by the body. Your child remains fully conscious – keeps all natural reflexes – when breathing nitrous oxide/oxygen.

Are there any special instructions for nitrous oxide/oxygen?
First, give your child little or no food before the dental visit (occasionally, nausea or vomiting occurs when a child has a full stomach). Second, tell Dr. Barbee about any respiratory condition that makes breathing through the nose difficult for your child (a common cold, asthma, sinus problems, etc.). It may limit the effectiveness of nitrous oxide/oxygen. Third, tell Dr. Barbee if your child is taking any medication on the day of the appointment.

Will nitrous oxide/oxygen work for all children?
Dr. Barbee knows that all children are not alike! Every service is tailored to your child as an individual, Nitrous oxide/oxygen is not effective for some children, especially those who have severe anxiety, nasal congestion or extensive treatment needs, Dr. Barbee has comprehensive specialty training and can offer other sedation methods that are right for your child.

Get in Touch

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1830 Destiny Lane, Suite 119

Bowling Green, KY 42104

Tel: 270-393-9925