As mothers and pediatric dentists, our team only recommends deep sedation or general anesthesia as the last possible option. Our pediatric dentists in Durham are experts in behavior management and handling kids with minor anxiety without sedation. With their caring, gentle attitude and unique techniques, they can help your kids cope with dental anxiety during dental treatment.
We use numbing gel and injections to provide pain-free local anesthesia for kids of all ages during their treatments at Smile First Dentist. Local numbing is often all that’s required for minor treatments like fillings. Our doctors are experienced children’s dentists, and can deliver injections with care, even if your child is afraid of needles.
We offer three types of dental sedation at Smile First Dentist, as follows:
This type of mild sedation is best for kids with minor-moderate anxiety. Our Durham team will use a comfortable nose mask with the scent of your child's choosing. It can help your child relax, feel giddy, euphoric, and more comfortable during their treatment.
This type of sedation is best for the kids that are very young, medically compromised, have severe anxiety, or have other special needs. We work with an exceptional team of pediatric anesthesiologists Duke Children’s Hospital. While the child is completely asleep and comfortable, we complete all dental treatment necessary in the operating room at Duke Hospital.
This type of sedation is best for the kids that have severe anxiety or have special needs. We work with board certified anesthesiologists that are expertly trained to work with children. Similar to hospital anesthesia, all work will be completed while your child is asleep. Parents find it comforting to know that our dentists are on call and will be able to help with any concerns that may arise after the procedure.
Sedation dentistry reduces feelings of fear and anxiety and allows children to feel more comfortable at Smile First Dentist. It also helps kids stay still and cooperate during their treatment, which speeds up the process. Sedation can even help with things like the fear of needles and strong gag reflex, which are both common complications when treating young kids.
Yes. General anesthesia is only recommended if the risk of treatment outweighs the risk of exacerbated pain, infection, and potentially life threatening dental hospitalization. We work with board certified anesthesiologists that are fully trained in sedation and working with children. The anesthesiologists will discuss your child’s health with you before their procedure to ensure they’re a good candidate for sedation. If your child is not a candidate for in-office sedation, we have the option of working with a team of pediatric anesthesiologists and completing treatment at Duke Children's Hospital.
Laughing gas usually wears off after just a few minutes, and very rarely does a child experience any side effects. Typically nitrous side effects are limited to headaches, nausea, confusion, and dizziness. Your child can get back to their day-to-day routine right away.
The after-effects of IV sedation and general sedation usually last at least 4-6 hours and can linger for up to 24 hours. They may include drowsiness, temporary amnesia, nausea or vomiting, and impaired motor skills.


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