Nitrous oxide is commonly called laughing gas and provides relaxation through inhalation. Nitrous oxide is administered through a mask and makes your child more comfortable to receive the necessary dental care with less pain and/or anxiety.

The use of nitrous oxide has been fully explained to me, including the risks involved. I have been fully informed that temporary complications/risks may include, but are not exclusive of: a tingling sensation or a feeling of heaviness, followed by a lighter floating feeling; warm feeling throughout the body, with flush cheeks, laughter or giddiness; detachment from the environment may occur; lightweight or floating sensation, sluggishness and slurring and/or repetition of words; feeling of nausea; vomiting or agitation. All these complications are temporary.

I have had the opportunity to discuss nitrous oxide use in conjunction with my child's dental care and have had the opportunity to ask questions and am fully satisfied with the answers received.

I have informed the doctor of my child's complete medical history including any recent surgeries, mood altering medications, or changes in my child's medical history involving lung, respiratory, ear infection, or common cold. I also accept and understand that I must notify the doctor of my child's present mental and physical condition.