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Child patient
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Treatment with nitrous oxide

Ošetření dětského pacienta s rajským plynem
MDDr. Matúš Leitner

Nitrous oxide treatment uses a mixture of nitrous oxide and oxygen (laughing gas), which the child inhales through a mask. With the Baldus device, the gas concentration can be regulated from 40 to 70%, ensuring continuous sedation throughout the procedure. This method is suitable for cooperative treatment, that would otherwise be difficult during longer procedures. Sedation can be used in children from 4 years of age, or in well-prepared and cooperative children from 3 years of age. The child sits alone in the chair, and the parent can sit next to them to ensuring that the mask fits snugly over the nose.

Indications

  • Composite fillings on adjacent teeth in one quadrant,
  • treatments that take longer and require cooperation, (e.g., pulpotomy),
  • in children who can handle simple examinations and X-rays but cannot handle longer procedures due to fear or lack of patience.

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How does nitrous oxide treatment work?

  • The child sits in a chair and inhales the gas mixture through a mask placed over their nose.
  • The effect lasts for the entire duration of the procedure, and the gas concentration can be adjusted as needed.
  • The inhalation is followed by a “recovery phase” during which the child inhales pure oxygen to help remove any residual gas from the body.
  • The child is then examined and discharged home approximately 10–15 minutes after the end of the inhalation.

Contraindications

  • inability to breathe through the nose (rhinitis, sinusitis),
  • severe mental disorders or behavioral disorders,
  • problems with middle ear ventilation or acute otitis media,
  • recent eye surgery using an intraocular bubble,
  • vitamin B12 and folic acid deficiency or imbalance,
  • 1st or 2nd trimester of pregnancy of the patient or accompanying person,
  • severe systemic disease (e.g., multiple sclerosis, ileus).

Post-procedure observation

After the gas inhalation is completed, a recovery phase follows with inhalation of pure oxygen. The child is then examined and discharged home after 10–15 minutes.

Price list

Painless Care

Midazolam

Midazolam is a drug that keeps the patient calm and relaxed during treatment. It often makes the patient sleepy and unable to remember the procedure, while allowing them to breathe on their own.

from 3,500 CZK / 143 €

Baldus nitrous oxide

Baldus is a modern system for administering nitrous oxide, which ensures maximum safety and precision during sedation. The patient remains calm and relaxed throughout the procedure, breathing independently while remaining conscious. The effect sets in quickly and wears off immediately after sedation ends. It is an ideal and very well-tolerated method, especially for children.

from 2 500 CZK / from 102 €

General anesthesia

General anesthesia allows treatment to be performed in complete peace, as the patient sleeps throughout and is unaware of anything. It is suitable for more demanding procedures or where treatment under local anesthesia is not possible. The price quoted applies only to the anesthesiology part of the treatment.

from 15,000 CZK / from 612 €

Analgesic sedation

Analgesic sedation is a combination of sedatives and painkillers that keeps the patient relaxed and sleepy during the procedure and prevents them from remembering the treatment. It is a sedative state in which the patient breathes independently throughout the procedure. It is suitable for anxious patients and more complex procedures.
The price quoted applies only to the anesthetic part of the treatment.

from 9,000 CZK / from 367 €