Dentist uses Nitrous Oxide?

"Dr Steve" wrote in message . com...
Personally,,,,, (this has no reflection on the case being discussed),,,,,,
the kids I refer out and refuse to treat, is because of the parents every
time. Difficult children (as regards to dental patients), are made that way
by their parents.

In general, I agree. My father, after he got sick of hear parents in
the waiting room say to their misbehaving children "if you don't be
good, I'm going to have Dr. Byland pull one of your teeth," he
actually stops work, goes out to the waiting room, and tells the
parent off for saying such a stupid thing. A) it's a lie, B) Dr.
Byland wouldn't remove a good tooth without good reason and C) PLEASE
DON'T SCARE THE CHILDREN!!!

However, it's not always the case that the parents are at fault in
creating fearful kids.

When my husband was 4 or thereabouts, he need some sort of oral
surgery. He was given a general anesthetic, but it didn't "take", and
he was immobilized by it, but fully aware. When he "woke" up, he told
the dentist that it had hurt, and the dentist didn't believe him, so
my husband proceded to tell the dentist exactly what he had done, and
the dentist, to his credit was horrified. My husband remembers it to
this day, nearly 30 years later. And he takes a valium before seeing
the dentist. He's getting better though, and my father has helped in
that regard - in general, skillful dentistry really doesn't hurt.

Cathy Weeks
Mommy to Kivi Alexis 12/01

..... and some kids are so great ... better than their parents ever
are!

This is how the world works ......... if it is a problem tooth or
problem patient, get to a specialist who is an expert at solving THAT
problem.


Joel

On 12 Sep 2003 15:22:14 -0700, (Cathy Weeks)
wrote:

Joel M. Eichen D.D.S. wrote in message . ..
He could be a very intelligent kid ,,, after all who LIKES the
dentist?

My stepson likes his pediatric dentist, and asks when he gets to go
back. The guy has a wonderful sense of humor.

Cathy Weeks
Mommy to Kivi Alexis 12/01

--
Joel M. Eichen, .
Philadelphia PA

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You fill it in

Good advice Kathy!

It is ALWAYS best to avoid trauma at all costs! 30 years later the
TRAUMATIZED will not go to the dentist!


Joel

On 12 Sep 2003 09:03:45 -0700, (Cathy Weeks)
wrote:

Mxsmanic wrote in message . ..
Karen DeMent writes:

Sorry but I think your child may be spoiled and knows how
to get your attention and avoid situations he doesn't
enjoy. While he may have been anxious, you could have
helped more than you did. Nitrous didn't have anything
to do with this incident.

Agreed. These are not the effects of nitrous oxide. And Valium would
be a step in the wrong direction.

Disagreed. They MIGHT be (however unlikely) the effects in NO. And
though I think avoiding drugs when possible is a good idea, why is
Valium a bad idea? If the child is truely scared, it could prevent
further fear. I'm not sure it *is* the right choice (maybe is, maybe
isn't) but it's for her, and a competent pediatric dentist to decide.

As the daughter of dentists, and the wife of a man who has had a
life-long dental phobia due to horrible frightening experiences when
he was about the OP's son's age, I can say that trying to avoid a
dental phobia, especially when one looks about to start, is a really,
really good idea.

And a good pediatric dentist knows how to treat the little ones
without scaring them.

Cathy Weeks
Mommy to Kivi Alexis 12/01

--
Joel M. Eichen, .
Philadelphia PA

STANDARD DISCLAIMER applies:
You fill it in

On Fri, 12 Sep 2003 18:24:30 GMT, "Dr Steve" wrote:

Personally,,,,, (this has no reflection on the case being discussed),,,,,,
the kids I refer out and refuse to treat, is because of the parents every
time.

We agree. It is often a constellation of events and attitudes that
PREVAIL in that family ~ of course I cannot change that, I am simply
reporting it.

Joel

Difficult children (as regards to dental patients), are made that way
by their parents. This does not take into account very young children, and
I think I remember the child being discussed as only being 4 yrs old.
Children this young needing extensive treatment often need to go the
hospital. And, dental decay in children this small is the fault of the
parents EVERY time. Children cannot be held responsible for their own
dental home care until 5-7 years of age. Even at those ages, they HAVE to
be monitored every brushing session by a parent. Then, we can discuss the
habits of many parent of putting kids to sleep with bottles (or the breast),
giving kids milk or drinks right before bed, various snacks, etc.

--
Joel M. Eichen, .
Philadelphia PA

STANDARD DISCLAIMER applies:
You fill it in

Some teeth rot due to Design Defects by the Master Designer .......


*
CRACK!!!! (Lightning!!)


ME: "Oh sorry, I did not mean to be disrespectful!"


Joel


On Fri, 12 Sep 2003 19:11:55 GMT, Wendy Marsden wrote:

In misc.kids Dr Steve wrote:
Those are associated with very sick children.

The child in question had an episode just before he turned three in which
his intestines developed several small ruptures resulting in peritonitis
and an ileus. Emergency surgery and aggressive antibiotics saved his
life, but during his hospitalization I didn't think to brush his
teeth. (Neither did his 14 doctors or 20 nurses.) I don't even know how I
would have brushed his teeth around his GI tube.

Other than that, he has had his teeth brushed by a parent every day since
before he GOT teeth. He also gets regular dental care, fluoride pills and
flouride treatment at the dentist. His siblings are 10 and 12 and have
one cavity between them.

He rarely eats candy, and doesn't drink soda or take a bottle, to bed or
otherwise.

This child showing up with 5 cavities all at once (about a year after his
critical episode, just when he was turning 4) seems to me to be related to
something other than parental neglect.

I might just be fooling myself, though. The dentist certainly didn't
believe me.

Wendy

--
Joel M. Eichen, .
Philadelphia PA

STANDARD DISCLAIMER applies:
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Good post! I agree. The same parents usually tell the kids that the
policeman will take them away too. Unfortunately this part is mostly
true. The van leaves the dental office and travels to Leavenworth
every Tuesday at 10am.


On 12 Sep 2003 15:30:35 -0700, (Cathy Weeks)
wrote:

"Dr Steve" wrote in message . com...
Personally,,,,, (this has no reflection on the case being discussed),,,,,,
the kids I refer out and refuse to treat, is because of the parents every
time. Difficult children (as regards to dental patients), are made that way
by their parents.

In general, I agree. My father, after he got sick of hear parents in
the waiting room say to their misbehaving children "if you don't be
good, I'm going to have Dr. Byland pull one of your teeth," he
actually stops work, goes out to the waiting room, and tells the
parent off for saying such a stupid thing. A) it's a lie, B) Dr.
Byland wouldn't remove a good tooth without good reason and C) PLEASE
DON'T SCARE THE CHILDREN!!!

However, it's not always the case that the parents are at fault in
creating fearful kids.

When my husband was 4 or thereabouts, he need some sort of oral
surgery. He was given a general anesthetic, but it didn't "take", and
he was immobilized by it, but fully aware. When he "woke" up, he told
the dentist that it had hurt, and the dentist didn't believe him, so
my husband proceded to tell the dentist exactly what he had done, and
the dentist, to his credit was horrified. My husband remembers it to
this day, nearly 30 years later. And he takes a valium before seeing
the dentist. He's getting better though, and my father has helped in
that regard - in general, skillful dentistry really doesn't hurt.

Cathy Weeks
Mommy to Kivi Alexis 12/01

--
Joel M. Eichen, .
Philadelphia PA

STANDARD DISCLAIMER applies:
You fill it in

True, teens often come over for a cleaning and request the nitrous but
SKIP the cleaning!

N2O ~ nitrous oxide ........

Legally dispensed at the Vet during concerts .... They sell it in
balloons .... can you believe that?

Joel
Philadelphia PA


On Fri, 12 Sep 2003 17:18:55 +0200, (madiba) wrote:

Joel M. Eichen D.D.S. wrote:

I'm thinking of finding a dentist that does NOT use nitrous oxide but who
will prescribe a valium before the visit. What do you think?


Yup, or in the bad old days we slipped the kid a Mickey Finn. That was
chloral hydrate ~ today we have much better!

We still used chloral hydrate supps for restless kids in the early 90's.
I wouldn't use valium on small children but perhaps one of the valium
derivatives with less respir. depression. As a child I remember getting
NiOx at the dentist and it was great.

--
Joel M. Eichen, .
Philadelphia PA

STANDARD DISCLAIMER applies:
You fill it in

I dunno ... beat the crap outa him??

joking, sorry


On 12 Sep 2003 08:59:59 -0700, (Cathy Weeks)
wrote:

Karen DeMent wrote in message ...

Sorry but I think your child may be spoiled

My aren't you the helpful one? Any useful suggestions?

and knows how
to get your attention and avoid situations he doesn't
enjoy.

You just described all young children. And adults, for that matter.
We ALL seek to avoid situations we don't enjoy, and it's stupid for
adults to assume children shouldn't do this or are spoiled if they do.
How many children do *you* know sit quietly and smile and say "thank
you" when they are about to get an injection, or other possibly
unpleasant situations?

While he may have been anxious, you could have
helped more than you did.

Suggestions please! Sanctimonious finger pointing isn't helpful, and
merely makes you look judgemental and unhelpful.

Nitrous didn't have anything
to do with this incident.

Whereas I agree that it's likely that the nitrous didn't have anything
to do with it, neither you nor I were there, and neither of us can
make this kind of diagnosis.

Next time, when someone asks for advice, give it. You didn't. You
merely criticized without providing suggestions.

Cathy Weeks
Mommy to Kivi Alexis 12/01

--
Joel M. Eichen, .
Philadelphia PA

STANDARD DISCLAIMER applies:
You fill it in

Cool post but there's a bit of confusion. How does a Yahoo! e-mail
account help prevent cavities?


Joel


On Sat, 13 Sep 2003 05:21:20 GMT, "Linda"
wrote:

Well flamed Cathy.
If I could add to the discussion about routinely kicking out parents. My
son had a foot injury when he was age three. In the ER, the Dr was trying
to admin LA and then stitch up his foot. I gently held my son, and spoke
calmly to him, explaining what was happening. I had him look in my eyes and
breath nice and slow with me. I kept him quiet and calm. The doctor still
sat back and said to me: "He needs to go under GA, I can't get him frozen
properly, I can tell he is still feeling it." Jamie didn't cry, but I guess
he was still flinching. Anyhow, the point is, sometimes the parent is a
help, not a hindrance. If some strange nurse was trying to hold him still,
it probably would not have worked as well.
Maybe a large percentage of parents are a problem in the operatories, but
there is a percentage of us who are very helpful. I would be offended by a
doctor who would tell me I cannot assist if my son is distressed. Kick me
out if my presence doesn't help, but at least give me a chance.

You wrote:

Linda - hygienist mom of two teens (no restorative so far - yahoo!)

"Cathy Weeks" wrote in message
. com...
Karen DeMent wrote in message
...

Sorry but I think your child may be spoiled

My aren't you the helpful one? Any useful suggestions?

and knows how
to get your attention and avoid situations he doesn't
enjoy.

You just described all young children. And adults, for that matter.
We ALL seek to avoid situations we don't enjoy, and it's stupid for
adults to assume children shouldn't do this or are spoiled if they do.
How many children do *you* know sit quietly and smile and say "thank
you" when they are about to get an injection, or other possibly
unpleasant situations?

While he may have been anxious, you could have
helped more than you did.

Suggestions please! Sanctimonious finger pointing isn't helpful, and
merely makes you look judgemental and unhelpful.

Nitrous didn't have anything
to do with this incident.

Whereas I agree that it's likely that the nitrous didn't have anything
to do with it, neither you nor I were there, and neither of us can
make this kind of diagnosis.

Next time, when someone asks for advice, give it. You didn't. You
merely criticized without providing suggestions.

Cathy Weeks
Mommy to Kivi Alexis 12/01




On 12 Sep 2003 08:59:59 -0700, (Cathy Weeks)
wrote:

Karen DeMent wrote in message ...

Sorry but I think your child may be spoiled

My aren't you the helpful one? Any useful suggestions?

and knows how
to get your attention and avoid situations he doesn't
enjoy.

You just described all young children. And adults, for that matter.
We ALL seek to avoid situations we don't enjoy, and it's stupid for
adults to assume children shouldn't do this or are spoiled if they do.
How many children do *you* know sit quietly and smile and say "thank
you" when they are about to get an injection, or other possibly
unpleasant situations?

While he may have been anxious, you could have
helped more than you did.

Suggestions please! Sanctimonious finger pointing isn't helpful, and
merely makes you look judgemental and unhelpful.

Nitrous didn't have anything
to do with this incident.

Whereas I agree that it's likely that the nitrous didn't have anything
to do with it, neither you nor I were there, and neither of us can
make this kind of diagnosis.

Next time, when someone asks for advice, give it. You didn't. You
merely criticized without providing suggestions.

Cathy Weeks
Mommy to Kivi Alexis 12/01

--
Joel M. Eichen, .
Philadelphia PA

STANDARD DISCLAIMER applies:
You fill it in

This post hints at my advice. Check out another children's dentist.
There are several children's dentists in Kansas City (one hour from my
office).

After trying about all of them, guess how many I refer to.

ONE!

I would also express to your child that the dental work is absolutely
necessary and is going to be done. This next dental visit will be the
last chance he has to avoid the hospital.

Good Luck,
Fawks

BTW, working with kids is tough. One minute everything seems perfectly
normal and they are cooperative. The next minute they may be squirming
and whimpering. It's almost like working with a time bomb ticking down
and you can't even see the clock (but you know it's still ticking).
Distractions, gentleness, and speed come in handy (and often nitrous).


My stepson likes his pediatric dentist, and asks when he gets to go
back. The guy has a wonderful sense of humor.

Cathy Weeks
Mommy to Kivi Alexis 12/01