Doctor insights on:
Does Nitrous Oxide Make You Sleepy
Yes: It should be more than enough since most adult patients get to that on 50/50 or less. ...Read more
Yes: People have died while using nitrous oxide recreationally. It is due to the lack of oxygen, not the danger inherent in the drug itself. Professionally administered it is extremely safe. Reducing anxiety actually can make dental procedures safer. Prolonged, excessive exposure to nitrous oxide can cause neurological problems. And it's use during pregnancy and by pregnant team members is unwise. ...Read more
Sleepiness, nausea: Nitrous oxide is a gas that can be used as a component of general anesthesia. It is a weak anesthetic in its own right, and is sometimes used in dental offices to supplement pain relief. Its main effect is drowsiness or sleep, and the most common side effect is nausea. Nitrous oxide is used much less in anesthesia today since we have other, more potent anesthetic gases in wide use. ...Read more
Yes.: I am assuming this is for a dental appointment or some similar medical reason and not for recreation. It is only safe under the supervision of a trained medico. Partying with nitrous oxide can result in brain damage or even death because no one is making sure you get enough oxygen! ...Read more
None: Nitrous oxide is a vapor with rapid onset and offset, poor anesthesia (amnesia) maintenance, and excellent analgesia in high concentrations. As such, it is unique in its properties. There are intravenous equivalents, but none that can be simply breathed. It's major side-effect is nausea and vomiting, so it's popularity as an anesthesia adjunct in diminishing ...Read more
Depends many factors: In my area very few people ask for it and the city regulations (san francisco) make it not worth the trouble. Patients do not want to pay for it out of pocket and ins will not reimburse the dentist. Today there are other options for anxious patients such as pre-medication with valium type drugs. Also now we can buffer the anesthetic for more profound anesthesia. ...Read more
Yes: If you are an anxious patient, nitrous oxide is well worth it. Some people are really nervous about the injection of local anesthetic, and nitrous oxide can ease that burden some for you. The use of nitrous oxide is a mild analgesic and a mild anxiolytic. If it makes the experience more pleasant for you, please use it. ...Read more
Some dentists may have a global fee which will include the cost of the nitrous oxide with the fee for the procedure you are having performed, rather than having a separate charge.
Other offices may have a separate charge for nitrous oxide. The fee can vary from office to office and from geographic regions. ...Read more
It's Up to You:
Using nitrous oxide during any dental procedure can certainly relax the patient. However, the vast majority of root canal treatments are done with only local anesthesia without any additional agents.
With that said, if you are very anxious or fearful, and if your dentist thinks it may be a good idea, by all means go for it! ...Read more
Nitrous Oxide: Is an anesthetic gas best known for its use in dentistry as a short-term analgesia and anxiolysis. As a mild analgesic, it has an action similar to morphine as it may act on opiate receptors and get you high. Outside of a medical setting, nitrous oxide can be dangerous. With regards to sharpies and paint the mechanism is idiopathic. ...Read more
You could: If that is what is keeping you from getting needed work done, I am sure there are dentists willing to use nitrous for as little as as much of the procedure as needed. As long as you are willing to pay the extra cost. ...Read more
Many: Allergic reactions to nitrous oxide are extremely rare. However, if a true allergy exists, there are many alternatives depending on the indication for anesthesia. Sedation can be achieved with intravenous agents and if general anesthesia is required, volatile anesthetics can be used. ...Read more
It'll Be Fun!: N2o, in the concentrations used for dental procedures, usually produces feelings of "flying, " or floating, often with accompanying laughter and overall relaxation. Enjoy the flight! ...Read more
I am extermely dental phobic. Need to have more work done but nitrous oxide did nothing. What are my options?
Dental phobic: Finding a good dentist that you will trust is helping many patients or sedation dentistry will definitely help. ...Read more
My 7 year old needs a pulpotomy. How long does it take? Will nitrous oxide make him sick? How soon after the procedure can he eat normally?
30-40 min n safe:
Nitrous oxide when administered is carefully titrated to make him comfortable and is continuously monitored so amounts given can be decreased as necessary to avoid sickness
Once he is comfortable and numb (still use novacaine) it takes about 30 min.
Once he's recovered from nitrous he can go home. There's chance car ride might make him sick. He can eat when novacaine has worn off ...Read more
Number of reasons:
Many reasons; here are a few.
Cost, risk factor, certification needed by practitioners to use it, facility space limitations, potential for misuse, increased difficulty to work when it is being used and is often in the way, extra time required to use and re-oxygenate the patient. Additionally, it has, sadly, become a crutch for many, although an almost bona fide necessity for some. Good Luck. ...Read more
Lack of Oxygen:
The damage is in the "lack of oxygen" part. The lack of n20 isn't in question here.
If too much n20 were to become part of that mixture, reducing the o2 concentration to less than 21%, that could lead to dangerous hypoxemia (lack of o2). This will compromise o2 delivery to your brain and other vital organs, putting them at risk for metabolic failure and even cell death. To be avoided! ...Read more
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