Types of Sedation

Nitrous Oxide

Some children are given nitrous oxide/oxygen, or “laughing gas” in order to relax them for dental treatment. Nitrous oxide/oxygen is a blend of two gases, nitrous oxide and oxygen. Nitrous oxide/oxygen 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 American Academy of Pediatric Dentistry recognizes this technique as a very safe, effective technique to use for treating children’s dental needs. 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, your child remains fully conscious and keeps all natural reflexes.

Prior to Your Appointment:

Please inform us of any change in your child’s health and/or medical condition.

Tell us about any respiratory condition that makes breathing through the nose difficult for your child. It may limit the effectiveness of the nitrous oxide/oxygen.

Let us know if your child is taking any medication on the day of the appointment.

Your child should NOT have any food or drink at least 2 hours prior to their appointment.

Oral Sedation

Oral (conscious) sedation is recommended for apprehensive children, very young children and children with special needs. It is used to calm your child and to reduce the anxiety or discomfort associated with dental treatment. Your child may be quite drowsy and may even fall asleep but they will not become unconscious.

There are a variety of medications that can be used for conscious sedation. Our pediatric dentists will utilize the medication best suited for your child’s overall health and dental treatment recommendations. We will be happy to answer any questions you may have concerning the specific medication we plan to give your child.

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 our dentist of any drugs that your child is currently taking and any drug reactions and/or change in medical history.

Please dress your child in loose fitting, comfortable clothing.

Your child should not have solid food or liquids for at least 6 hours prior to their sedation appointment.

The child’s parent or legal guardian must remain at the office during the complete procedure.

Please watch your child closely while the medication is taking effect. Do not let them “run around.”

Your child will act drowsy and may become slightly excited.

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.

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.

Please call our office for any questions or concerns you might have.

General Anesthesia

Outpatient general anesthesia is recommended for apprehensive children, very young children, and children with special needs that would not work well under conscious sedation. General anesthesia renders your child completely asleep. This would be the same as if he/she was having their tonsils removed or ear tubes. This is performed in a hospital or outpatient setting only. While the assumed risks are greater than that of other treatment options, if this is suggested for your child, the benefits of treatment this way have been deemed to outweigh the risks. Most pediatric medical literature places the risk of a serious reaction in the range of 1 in 25,000 to 1 in 200,000 for better than the assumed risk of even driving a car daily. The inherent risks if this is not chosen are multiple appointments, potential for physical restraint to complete treatment and possible emotional and/or physical injury to your child in order to complete their dental treatment. The risks of NO treatment include tooth pain, infection, swelling, the spread of new decay, damage to their developing adult teeth and possible life threatening hospitalization from the dental infection.

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 our pediatric dentist of any drugs that your child is currently taking and any drug reactions and/or change in medical history.

Please dress your child in loose fitting, comfortable clothing.

Your child should not have solid food or liquids after midnight prior to their procedure.

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 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.

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My boys love going to the dentist, Dr. Bobby and all of his staff at the Williamsburg office are amazing!

- Crystal K.

Small BIG practice. They have several offices but they focus on the little things that small practices have and big don't. Like on-time appointments and taking time with little kids that panic. Have always impressed me.

- Campbell B.

Dr Bobby and his staff are wonderful. They were so patient with my 2 year old who has sensory issues!

- Jen G.

Dr.Bobby and Dr.Kari are amazing with my kids! We love y'all!!

- Chenelle V.

My kids were once terrified of dentists until we found Dr.Bobby. He is awesome with children and so patient. My kids actually like going to the dentist now.

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We love Dr. Bobby!! The staff was amazing as well!

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I love the staff and they are SUPER gentle with excitable kiddos.

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I absolutely LOVE this place. Being military it's always hard to find a place you can love like the last place you went to.

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They are awesome! Hard to find a patient Dentist with for a kid with Autism. The staff here was super friendly and patient.

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Our Locations

Chesapeake

(757) 547-2134

237 Hanbury Road E. Ste 30
Chesapeake, VA 23322

Hampton

(757) 838-0800

2113 Hartford Road
Hampton, VA 23666

Newport News

(757) 240-5711

220 Nat Turner Blvd
Newport News, VA 23606

Portsmouth

(757) 397-9801

446 Effingham Street
Portsmouth, VA 23704

Williamsburg

(757) 259-9703

5388 Discovery Park Blvd, Suite 240
Williamsburg, VA 23188

Gloucester

(804) 695-2575

6882 Main Street, Suite A
Gloucester, VA 23061