Sedation Dentistry

Nitrous Oxide (also known as laughing gas)

This safe and effective medicinal gas has been used for decades on patients old and young with great success. The patient breathe this gas via a closed circuit and typically within minutes they would feel more relaxed. They may feel that they are floating into the clouds or sinking into warm sand, and they may experience subtle tingling in their hands and feet. Not only does it reduce anxiety, but it also provides a mild anesthetic effect. It is administered with pure oxygen, typically at a 50/50 mix; and, at the end of the procedure, Pediatric Dentist, Dr. Hsu, will shut off the nitrous oxide and have your child be on 100% oxygen for five minutes to make sure all of the medicinal gas has been eliminated from the child's system.

Mild Oral Conscious Sedation (using midazolam, also known as Versed)

This mode of care delivery has one distinct advantage: the child is conscious and awake, but would have little to no memory of the appointment. This liquid medicine does a great job relaxing the child patient, and 80-90 percent of the time, the patient would be able to receive the needed dental work. The patient does need to be fasting prior to the appointment, and the specific instructions can be found here. The child would act pretty silly, and in general appears to be drunk. In their sedated state, they may appear sleepy, slap-happy, melancholy, or sad/angry on occasion. Depending on how the child behaves while sedated, there is about a 10-20% chance that needed dental work still cannot be carried out safely (due to excessive movement or active resistance, for example). However, regardless of the outcome, 95-99% of the time the patient would have no memory of it.

General Anesthesia

When all else fails, we offer families the option of having the patient be completely comfortable by having him or her be under general anesthesia. Storybook Dental works with the M2 Anesthesia (URL is group to provide this service. M2 is a group of 22 fully trained anesthesiologists, all of whom are medical doctors with additional specialty training in providing anesthesia. They bring with them all of the knowledge, experience, and most importantly, hospital grade equipment to keep our young patients safe and comfortable. As with any hospital operating room protocols, there are certain rules we also follow here at Storybook Dental.
We are more than happy to answer any questions you may have and to address all of your concerns. We understand that it is upsetting when children cannot cope with procedures that they need to have done and we want to work with you to come up with the best course of action. Please don't hesitate to call us!