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What is nitrous oxide and is it safe for children?

May 24th, 2013

Our team at Nick A. Prater, DDS, P.A. Pediatric Dentistry understand that the sights, sounds and sensations at a dental office can be unsettling for some children. One effective technique that we use to comfort your child is to offer the gas nitrous oxide. Nitrous oxide is a common anesthetic used during many dental procedures.

What is Nitrous Oxide?

Nitrous oxide is an oxide of nitrogen which has a slight sweet odor and taste. During medical or dental procedures, the gas is mixed with oxygen then inhaled through a mask that covers your child’s nose. Within minutes, your child should feel calm and experience an overall sense relaxation. Most children are enthusiastic about the administration of nitrous oxide and report feeling like they are dreaming. Children will be able to breathe on their own, move their limbs, and be conscious enough to hear and respond to our dentist’s questions such as, “Did you remember to brush your teeth today?” Of course they did! All our patients are great brushers! The effects of nitrous oxide disappear shortly after the mask is removed and the drug is quickly eliminated from their body.

Is Nitrous Oxide Safe?

Recreational use of nitrous oxide for its euphoric effects can be dangerous, however, the drug is combined with oxygen at dental offices. This ensures oxygen reaches the brain and prevents dangerous side effects or hypoxia. The American Academy of Pediatric Dentistry (AAPD) recognizes nitrous oxide inhalation as a “safe and effective technique to reduce anxiety, produce analgesia, and enhance effective communication between a patient and healthcare provider.”

Nitrous oxide is non-addictive and non-allergic, however, it may cause nausea in up to ten percent of patients. The drug is not recommended for children with some medical conditions such as chronic pulmonary disease. We recognize that all patients are different and encourage you to talk with Dr. Nick Prater about whether nitrous oxide would be a good option for your child.

Our team wants to help all patients in Olathe, KS to overcome dental anxiety, so please, give us a call at Nick A. Prater, DDS, P.A. Pediatric Dentistry.

What puts you at ease in our office?

May 17th, 2013


Dr. Nick Prater and our team understand not everyone is thrilled to see the dentist. But we strive to bring you the best and most comforting experience at each visit. We’d like to know: What is it about our Olathe, KS office that makes you comfortable or puts you at ease? Is it something about our pleasant office environment? Our friendly staff or doctors?

Let us know by posting below or on our Facebook page! Or tell us at your next scheduled visit!

Halitosis in Children – Causes and Treatment

May 10th, 2013

Halitosis is the scientific name for bad breath. It is one of the most common oral concerns, and it affects a large percentage of the population, including children. Having bad breath can be embarrassing and a nuisance. When considering what to do about halitosis, the team at Nick A. Prater, DDS, P.A. Pediatric Dentistry highlights that you need to focus on the cause, rather than just masking the problem.

Children commonly have bad breath because of an upper respiratory infection. This includes a common cold, postnasal drip, or allergies. When this is the case, treatment may be complicated if one or more of these issues is chronic.

Another cause of halitosis in children is a condition with their teeth or gums. Just as in adults, gum disease has a distinctive malodor. The quality of brushing and flossing in children directly influences the presence of gum disease. If there is a large untreated cavity, there will be a strong smell causing bad breath. Both of these issues need professional attention, including a visit to the dentist.

Tonsillitis can also cause halitosis in children. It happens because of a constricted airway, resulting in mouth breathing. Mouth breathing is a concern because of how much it dries the tissue in the mouth. This makes any bacterial infection in the mouth worse and causes an increased potency within the bacteria in the mouth.

Treatment of halitosis is as varied as the causes listed above. Beware of ingredients in products that mask bad breath. Sucking on a mint on a regular basis will cause more harm than good because of potential decay. Chew sugarless gum and mints.

If you have any other questions, feel free to call us at Nick A. Prater, DDS, P.A. Pediatric Dentistry or ask Dr. Nick Prater during your next appointment!

What Kind of Toothbrush and Toothpaste Should My Child Use?

May 3rd, 2013

Imagine that you sit down for some evening television, and during the course of the evening, you see five commercials regarding dental products. They all claim to be the best. Then remember your last visit to the dental aisle at a local grocery store. The choices are overwhelming and there seems to be no sure answer as to which would be the best choice for your child.

Nick A. Prater, DDS, P.A. Pediatric Dentistry recommends that parents break down the decision process. First, consider your child’s age and stage of development. Up until age ten to 12, your child cannot adequately brush or floss independently. It is not a maturity issue, but rather dexterity. Automatic toothbrushes are highly appropriate for all ages. Brushing quality improves when using a battery-powered toothbrush. Use it together with your child, and always play an active role in your child’s oral home care.

As a general rule, the brush head of the toothbrush should be a little larger than the child’s upper portion of the thumb. This will help ensure it will fit in all the places it needs to.

Flossers are great for children. These will have a horseshoe shape on one end with floss in-between. A particular brand name does not matter. Some have a higher quality and this should be evident when you use them. You can make a choice for individual preference with color, handle size, or shape, etc.

There are many brands of toothpaste and there are also differences in the ingredients. Some contain sodium fluoride, the standard ingredient in cavity prevention. Others have stannous fluoride, which is anti-bacterial and anti-cavity. Potassium nitrate is commonly found in anti-sensitivity, and triclosan is found in one particular brand for anti-bacterial properties. It is most common for children to be at a high risk for cavities. Therefore, our team at Nick A. Prater, DDS, P.A. Pediatric Dentistry recommends toothpaste with fluoride once your child is old enough to spit.

Before a child can spit, use toothpaste without fluoride. This is an ideal time to use toothpaste with xylitol. Xylitol should be listed as the first ingredient; this way you’ll get the almost medicinal property of this natural sweetener. After you have found the right type of toothpaste, consider its flavor. The best kind of toothpaste is one that will be used, so choose a flavor that your child will love!

If you have any other questions, our would like specific brand recommendation feel free to call us at Nick A. Prater, DDS, P.A. Pediatric Dentistry or ask Dr. Nick Prater during your next appointment!