Dr. Blake has recommended nitrous oxide anxiolysis to facilitate you (or your child’s) dental treatment. Here is some important information:
The patient cannot eat within four hours of the appointment
If the patient becomes ill, call to reschedule
There is no guarantee Nitrous Oxide will be effective
Vital signs may be monitored with a pulsoximeter
A risk of serious side effects exists, but is very small.
Vomiting may occur if the patient eats too soon before the appointment. Vomiting creates the potential for aspiration, a serious respiratory complication. Therefore, no food or drink less than four hours before the appointment.
All dental team members are trained to handle an emergency.
A separate fee is charged for each Nitrous Oxide appointment. Many insurance companies do not reimburse you for this expense.
Kindly give at least 48 hours notice if you are unable to keep your appointment.
Your signature below indicates that a Blake Dentistry, PC staff member has reviewed and explained the above information, all of your questions have been answered and that you have received a copy of these pre-treatment instructions.
