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Nitrous oxide is a gas, and is commonly known as happy gas or laughing gas. Giving nitrous oxide is a way to help reduce a child's pain and anxiety during dental treatment. The gas is given through a small nosepiece, and your child will be awake throughout the procedure. Children
usually recover quickly from the effects of the gas after their dental treatment has been completed.
As the parent or carer, you must give your consent to use sedation and consent for the dental procedure. You need to understand the reasons for sedation and the following risks:
Your child can have a light meal, such as jelly, soup or toast, and a drink two hours before the procedure. After that, they should have nothing to eat or drink until after the procedure.
Nitrous oxide sedation is given in the dental chair. Your child will breathe the sedation gas through a small nosepiece that sits on their nose. It does not cover their mouth.
Your child will recover from the effects of the nitrous oxide very quickly once their dental treatment has been completed. They will be observed for a brief period following the sedation.
Some children may feel a little sick or nauseated. If they feel sick or vomit, give your child some water to drink. If they refuse water, try clear liquids, such as diluted fruit juice, or icy poles, jelly or clear soup to help keep your child hydrated.
If your child has had a local anaesthetic as well, they need to be careful not to bite their lip or cheek while it is numb.
Contact your treating dentist if your child vomits more than twice in the first hour after treatment, or if you have any questions about their recovery.
Will nitrous oxide make my child laugh?
Some people experience a euphoria (intense excitement or
happiness) when they receive nitrous oxide, which is why it is often referred
to as laughing gas. However, instead of hyping up your child and making them
laugh, it is far more likely to calm them and make them quite drowsy.
What are the alternatives to nitrous oxide?
Not all children need sedation for dental procedures.
Familiarisation visits, distraction techniques and play therapy are helpful
alternatives. For some children, sedation may not be effective and other
alternatives such as general anaesthesia may need to be considered.
Developed by The Royal Children's Hospital, Dentistry, Anaesthesia and Pain Management departments. We acknowledge the input of RCH consumers and carers.
Reviewed July 2018.
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