IV sedation dental

[hairydairyfairy]

Hi my DC requires an extraction and fillings with crowns DC is 5.
Anyone has had experience with this? Best to get it all done at once or break it up into two/three sessions?
Child does have proper oral hygiene but there have been some habits like drinking milk after brushing and other factors that affected the teeth before anyone starts giving me advice on that or judgement.

Do you mean the metal caps that can be used to cover a decayed baby tooth to protect it until the adult tooth comes in?

Ds1 had one of these and it was a very easy procedure. Nothing like getting a crown for an adult. If I remember rightly (it was over 10 years ago) it was a push fit thing. You likely wouldn't need sedation for it.

Again, extraction of a baby tooth if they need to do it should be easy and not tok traumatic since they have shallow roots.

Have they advised sedation? If so, can you get it done at a children's hospital?

Toothbeary private practice in Richmond were amazing.

Thanks for reassurance @ditalini. I hear good things about them @Backtothe90ties have you been?

You would not give a child that age IV sedation as it has very variable effects .

This treatment might be done with injection only , RA (gas and air) sedation or if co operation is not good or treatment very extensive with a general anaesthetic.

The dentist will assess how good the child's co operation is and make the decision about how best to proceed with treatment. The number of appointments will depend on how good a relationship the dentist can establish and how good the child's co operation is.

Hi why would you say wouldn't give IV @Lollygaggle?

@Lollygaggle sorry I rushed with my reply. You mention variable effects what do you mean? It's not always clear how well it would work - is that what you mean?
Isn't GA too strong?

Iv is only given to older teenagers as its effects on young children can be to make them more excitable. It's ideal for adults with anxiety etc but not for dentistry in children .
Nitrous oxide (RA) is used in small children or general anaesthetic if co operation cannot be obtained for whatever reason.

We've been to a dentist consultation and we've been advised IV or RA but then that'd have to be done in several sessions. However they were leaning towards IV as more advisable

IV sedation can be used on older children but not , in dentistry, in this age group.

Dentists will avoid GA (general anaesthetic) if at all possible and if it is done it will have to be in a hospital. Also because they do not want to repeat the GA teeth are likely to be extracted rather than filled because they will not want to repeat the GA again.

If you have been advised IV then follow the dentists , who has seen your child, advice.
They know the medical history , can see the extent of the work needed and can best advise.
However is work is very extensive then several sessions will be necessary.

Thanks @Lollygaggle I'll look more into it. They did advise IV for DC but as they weren't sure DC would be cooperative enough after the assessment. However don't think they do GA (sounds scary tbh).

I'll do some reading then before I can consent to either one

Are you in the UK?
IV sed for dentistry in 5 years isn't used for the reasons @lollygaggle says. This sounds most odd.

Slightly different case as DD was 15 when she had stubborn baby teeth extracted and cleaning done. She absolutely hates the dentist and refuses to open her mouth (she has SN). They used RA and DD liked the feeling it gave her. The only thing she found unpleasant was when the anaesthetic that they gave her after the RA took effect wore off and she had that funny numb feeling.

Her dentist is fantastic but we were referred to community dentistry because of her history of dental refusal so the dentist was very sensitive (unlike her usual dentist!) and used to dealing with children who were reluctant or nervous. DD calls her the gentle dentist which is quite something. She has had a couple of sessions but that was because she needed four teeth out and still has a couple of stubborn ones which might have to be extracted if they don't come out soon.

@bsfgham yes I am. I wonder why they advised it then (private). Could those recommendations depend on the child's weight? My DC is big (tall and more than average weight but not overweight).

It is used but only a couple of places can do it safely - I think guys hospital and toothbeary in Richmond which are Pediatric specialists, toothbeary only does Pediatric dentistry. My son had it aged 5 and the sedation was fine, they fall asleep as you read a story. Honestly it was totally fine and it took one sedation. I would phone them and discuss it. Or get a referral to guys hospital if you can?

Hi @ladybirdees did your child have IV sedation!

@ladybirdees that's meant to be a question mark at the end instead of an exclamation:)

Yes he had IV sedation for this procedure.

Feel free to PM if you want to ask me anything more. I honestly think the worst part was me having to watch him fall asleep. He's now 12 and says all he can remember is having a funny feeling in his lips so I'd say that's a win!

It's nothing to do with safety and having paediatric dental specialists on team as a pp says; IV sed for dentistry in children as young as 5 is simply not mainstream treatment in either salaried services -Community- where most specialised paediatric dental takes place in the UK (on referral) or within the UK dental schools. Usually children are at least 12 before IV sed for dentistry is considered in the UK -again for the reasons lollygaggle has outlined.
No idea about the private clinic you mention.

My DD had IV sedation at toothbeary DM if you want more information.