Pediatric Dentistry of Round Rock
Kelsey Bookmyer D.D.S
Board Certified Pediatric Dentist


Sedation Dentistry in Round Rock TX

There are several ways to manage the anxiety or fear of dental treatment.

Nitrous Oxide

            Nitrous oxide, (or laughing gas as it is sometimes called), is a common and very safe way to ease anxiety.  It’s given by breathing the “laughing gas” through a brightly colored mask that is placed on the child’s nose.  The mask is scented with different flavors; like bubblegum, strawberry and others.  Nitrous Oxide is not a sedative, and it does not put your child to sleep.  It does give a feeling of relaxation and can sometimes make the kids giggle.  It is quickly eliminated (in less than 5 minutes), not addictive, and kids can resume their regular activities immediately after treatment.  Nitrous Oxide does not work on extremely apprehensive children, or children who can’t breathe through their nose due to congestion. Sometimes, although very seldom, Nitrous Oxide can cause a child to become nauseous.  It is best to only eat a light meal prior to treatment.  Also keep us updated on your child’s medication, as well as changes in their health. 

For this appointment

  • Let us know of any medical changes or medication changes.
  • Let us know if your child can not breathe through their nose.
  • Only have your child eat a light meal before their appointment.

Oral Sedation

            Dr. Bookmyer provides an oral sedation option that is done in the office.  It is a “conscious sedation”, in that your child is sedated, but is not put to sleep.  The child remains awake and breathing on their own throughout the treatment.  Every child responds slightly different to the medication.  Some children are very sleepy, and can even fall asleep on their own, but are easily awoken.  Others are sedated, but still so anxious that they are not cooperative enough for treatment to be possible. 

            There are several medications Dr. Bookmyer uses depending on which is the most appropriate for your child.  If conscious sedation is recommended, the medication used, the expectations, and the risks will be explained thoroughly.

For this appointment

  • Let us know if your child becomes ill before this appointment or any changes in their medical history.  This may warrant rescheduling the appointment.
  • Have your child use the restroom prior to taking the medication.
  • The medication will be taken at the office. Watch that your child doesn’t “run around”, as they can be very dizzy and could fall and get injured.
  • A parent or guardian needs to stay in the office during treatment.
  • Your child can not eat or drink anything after midnight the night before the appointment.     

After this appointment

  • Have your child drink something like water or juice after the appointment. If not nauseous, then have them eat something that they don’t have to “chew”, like applesauce, mashed potatoes, or yogurt.
  • If your child is nauseous and can’t keep food or drink down, call the office as a medication (an antiemetic) can be taken to alleviate this problem.
  • If your child wants to sleep, have them do so on their side with their chin up and nothing obstructing their breathing, (like a blanket or a stuffed animal).  Make sure your child has eaten and drank prior to falling asleep.
  • Keep your child home on the day of the sedation.  Only allow them to do quiet activities like watching TV or coloring.  Your child may be dizzy for 4 or 5 hours after treatment and we don’t want them to loose their balance and fall and hurt themselves.
  • If your child’s mouth is numb, watch that they are not biting or pushing on their cheeks or tongue.  They can not feel what they are doing, and when the area is no longer numb it will be painful and the tissues torn.