The indication for the use of Nitrous Oxide is to facilitate safe and effective dentistry by reducing anxiety (anxiolysis) and by reducing discomfort (analgesia). Nitrous Oxide is a gas used in combination with pure oxygen and administered nasally. It has a long history of use in dentistry, and has been proven very safe and effective for anxiolysis.
Vital signs (blood pressure, oxygen level, heart rate) are frequently monitored during treatment with a pulse oximeter.
The most common side effects of Nitrous Oxide include drowsiness, dizziness, nausea, vomiting or headache.
I have discussed the risks and benefits of Nitrous Oxide anxiolysis with Dr. Blake and/or his staff, and all my questions concerning the anxiolysis and treatment have been answered.
I consent to the administration of nitrous oxide to myself, or my child, by Blake Dentistry, PC staff.
