-Preschool children who cannot understand or cooperate for definitive treatment
-Patients requiring dental care who cannot cooperate due to lack of psychological or emotional maturity
-Patients requiring dental treatment who cannot cooperate due to a cognitive, physical or medical disability
-Patients who require dental care but are fearful and anxious and cannot cooperate for Treatment
The AAPD recommends deep sedation or general anesthesia for:
-Patients with certain physical, mental or medically compromising conditions
-Patients with dental restorative or surgical needs for whom local anesthesia is ineffective
-The extremely uncooperative, fearful, anxious or physically resistant child or adolescent with substantial dental needs and no expectation that the behavior will improve soon
-Patients who have sustained extensive orofacial or dental trauma Patients with dental needs who otherwise would not receive comprehensive dental care
Dental Sedations are usually done in an outpatient dental clinic that is well-equipped. The whole procedure usually won't take more than 90 minutes for most procedures. Although some details vary depending on the dentist's practice among other things, in general the process will go like this:
-Initial assessment of the pediatric dentist and scheduling of the actual procedure.
-Consent signing by the parents
-Guidelines are given prior to the procedure - your child will be asked to go on a NPO (nothing per orem or mouth) diet 6-8 hours before the procedure. This is a standard operating procedure for any sedation process. It will aid in the proper ventilation of your child and will avoid any episodes of vomiting after the procedure is done.
-Sedation medication is introduced via injection, an IV line, rectal line (just like when you give suppositories for fever), orally or through inhalation.
-Dental procedures are done. Your child may or may not be strapped onto a papoose board. Papoose boards restrain the child's limbs and help in stabilizing your child during the procedure. Oxygen and pulse oximeters should be available and used if the need arises.
-Monitoring of the patient until sedative wears off.
Safety of Sedation
Sedation is an accepted standard of care. The 3 levels of sedation are all accepted and supported by the American Academy of Pediatric Dentistry, the American Dental Association, the American Medical Association, and the U.S. Department of Health and Human Services.
Pediatrics dentists are also trained and certified to perform sedation as part of their profession. Usually, dentists who specialize in treating pediatric patients are also well equipped to handle children with Autism Spectrum Disorder.