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Some children need additional support to feel comfortable and safely complete dental treatment. Age, anxiety, developmental needs, previous dental experiences, the type of treatment needed, and a child's medical history can all influence how dental care is approached.
Little Rockies Kids Dental offers pediatric sedation options for appropriate patients, including nitrous oxide/oxygen during dental treatment. For children whose needs cannot be managed comfortably with routine behavior guidance or lighter approaches, outpatient general anesthesia may also be considered.
Sedation is not automatically necessary for a particular procedure. Our pediatric dental team evaluates each child individually and discusses the goals, benefits, risks, alternatives, and appropriate treatment setting with parents before recommending an approach.
The goal is to provide the dental care your child needs while supporting their safety, comfort, and overall experience.
Helping Children Feel More Comfortable With Dental Care
Every child responds to dental treatment differently. When additional support is appropriate, we can discuss options based on your child's age, medical history, comfort level, and dental needs.

Nitrous oxide/oxygen, sometimes called laughing gas, is an inhaled form of anxiety management commonly used in pediatric dentistry. It is delivered through a small mask placed over the child's nose while they breathe normally.
Nitrous oxide does not typically put a child to sleep. The child remains awake and able to communicate while the gas may help reduce anxiety and make dental treatment easier to tolerate.
One advantage of nitrous oxide is that its effects begin quickly and are easily adjusted during treatment. The effects are also rapidly reversible after the nitrous oxide is stopped and oxygen is administered.
Nitrous oxide is not appropriate for every child. Before treatment, we consider your child's medical history, current health, ability to breathe comfortably through the nose, medications, dental needs, and other individual factors.
If your child develops a cold, congestion, respiratory illness, or another change in health before an appointment involving nitrous oxide, please contact our office so we can determine whether treatment should proceed as scheduled.
Sedation is based on the individual child rather than the name of the procedure. Depending on age, anxiety, medical and developmental considerations, treatment complexity, and the amount of care needed, additional behavior guidance or sedation may be discussed for procedures such as these.
Children who need fillings, crowns, or multiple restorative procedures may benefit from additional support when anxiety, age, treatment length, or other factors make routine treatment difficult.
Restorative DentistryWhen a tooth needs to be removed, the appropriate comfort and behavior-guidance approach depends on the child, the tooth involved, and the complexity of the extraction.
Tooth ExtractionsChildren with extensive decay, infection, or teeth requiring more involved treatment may need longer or more complex appointments. Sedation or anesthesia may be considered when appropriate for the individual patient.
Pediatric Tooth InfectionsSome children need treatment on several teeth. When completing multiple procedures would otherwise require numerous difficult appointments, the dental team may discuss whether another treatment approach is appropriate.
Cavity TreatmentFor some children, nitrous oxide and routine behavior guidance may not provide enough support to complete necessary dental treatment safely and comfortably. In selected situations, general anesthesia may be considered.
Under general anesthesia, the child is unconscious during treatment rather than awake and relaxed as with nitrous oxide. This is a substantially different level of anesthesia and requires appropriate anesthesia personnel, monitoring, equipment, recovery procedures, and preoperative evaluation.
General anesthesia may be considered for children who are too young to cooperate with necessary treatment, children with certain medical or developmental needs, patients with significant dental anxiety, children requiring extensive dental care, or patients undergoing procedures that cannot reasonably be completed with less intensive approaches.
At Little Rockies Kids Dental, general anesthesia is performed in an appropriate hospital or outpatient setting. The pediatric dental and anesthesia teams review the child's medical history and planned dental treatment and provide parents with specific instructions before and after the procedure.
Instructions regarding eating, drinking, medications, illness, arrival time, recovery, and other precautions can vary. Parents should follow the specific instructions provided by the anesthesia team and treatment facility rather than relying on general online guidance.

The Right Approach for Your Child
Nitrous oxide and general anesthesia serve different purposes, and neither is necessary for every child. Our pediatric dental team can evaluate your child's dental needs, medical history, age, and comfort level and discuss appropriate options with your family.
Pediatric sedation dentistry includes techniques that can help appropriate children tolerate dental treatment when routine behavior guidance alone is not sufficient. The appropriate approach depends on the child's age, medical history, development, anxiety, treatment needs, and other individual factors.
No. Nitrous oxide/oxygen used for routine dental anxiety management generally allows the child to remain awake, responsive, and able to communicate during treatment. It is different from general anesthesia, during which the patient is unconscious.
Nitrous oxide/oxygen has a long history of use in pediatric dentistry and can be a safe and effective option when appropriately selected, administered, and monitored. Before recommending it, the dental team considers the child's health history, medications, respiratory status, dental needs, and other relevant factors.
Nitrous oxide has a rapid onset and its effects are also rapidly reversible. After treatment, the nitrous oxide is discontinued and oxygen is administered. Your dental team will make sure your child has recovered appropriately before leaving the office.
No. Pediatric dentists use many age-appropriate communication and behavior-guidance techniques to help children through dental visits. Sedation is considered when the child's individual needs, anxiety, development, medical considerations, or required dental treatment make additional support appropriate.
General anesthesia may be considered for selected patients who cannot safely or reasonably complete necessary dental treatment with less intensive approaches. Factors may include very young age, significant anxiety, developmental or medical needs, extensive treatment, or the complexity and urgency of the dental care required.
No. With nitrous oxide used for routine dental anxiety management, the child generally remains awake and responsive. General anesthesia produces a controlled state of unconsciousness and requires a different level of anesthesia care, monitoring, personnel, and recovery.
Eating and drinking instructions depend on the type of sedation or anesthesia being used and your child's individual situation. Follow the specific fasting and medication instructions provided by our dental team, anesthesia provider, or treatment facility. Contact us before the appointment if you are unsure about the instructions.
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