My personal opinon on this.
Sedation is overused in children.
My guess is maybe 20% of the pediatric dentists have NO bussines being pediatric dentists. These are guys who no adult would put up with but can get away with it with kids. Most pedo guys I know are great, but the bad ones stand out.
Sedation is a way of avoiding dealing with children. When I was doing my pedo rotation, I never used sedation once. I also did pedo in a general dental office while in ortho training. Most kids you can talk to as an adult and do ok with. Guys who try to 'ambush' a kid with a needle or pulling a tooth really piss me off. The kid won't trust another dentist again, and when I see adults who are afraid of the dentist its almost ALWAYS due to a bad experiance as a kid.
Hell not long ago I had a parent tell me that the local group practice wanted to give NO2 to a 15 year old for a normal filling. The kid was not afraid and had no reason for it. When I was doing my pedo training, my section had a guy who didn't do sedation and we had no problems. The other side was a instructor who had ALL of the kids on NO2, and his personality put him in that 20% who shouldn't be pediatric dentists.
That being said there are reasons for sedation. IV sedation is not done lightly and normally reserved for difficult children. Some kids NEED the work and behavior wise its not possible to work on them. Also while most parents do not want sedation a sizable minority do want it, and almost insist upon it.
I have no facts to this story as none have been given beyond the coma, but I'm sure there is more too it.
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