Pediatric dentistry under sedation: treatment without unnecessary stress
from 2 200 ₽
Service description
Pediatric sedation at MediLavia is a controlled, protocol-based way to reduce a child's anxiety and pain, built as a complete clinical pathway with a pediatrician and an anesthesiologist and a focus on the safety and quality of treatment.
A medical procedure, not just “calming down”
We treat pediatric sedation not as a way to “calm the child down” but as a medical procedure with clear indications, contraindications and monitoring standards. Before sedation, every child is assessed by a pediatrician and an anesthesiologist: we review the medical history, chronic conditions, allergies, episodes of bronchospasm, quality of night sleep, body mass index, the risk of sleep apnea and other factors.
The type of pain relief (nitrous oxide, medication sedation or general anesthesia) is chosen not “on request” but on the basis of risk stratification and the planned procedure: a short minimally invasive procedure, a long and painful treatment, or ENT or dental surgery.
Continuous monitoring and observation
During every type of sedation, the child is continuously monitored (oxygen saturation, heart rate, breathing, blood pressure, level of consciousness), and the MediLavia team follows standardized protocols for responding to any change in condition. After the procedure, the child is observed in a day-hospital room until fully awake, oriented and responsive, and parents receive step-by-step recommendations on food, activity and monitoring well-being during the first 24 hours.
A clear distinction: nitrous oxide, sedation, general anesthesia
- Treatment under nitrous oxide is used for short procedures (minor ENT procedures, dentistry) when anxiety and muscle tension need to be controlled but the child can stay conscious and cooperate. Nitrous oxide is given mixed with oxygen through a mask; the effect starts quickly and wears off just as quickly once inhalation stops.
- Medication sedation is used for longer or more sensitive procedures when the child needs to stay still and free of fear but there are no indications for deep anesthesia. The child enters light or moderate sleep while breathing independently and keeping protective reflexes; the depth of sedation is adjusted by dosage and monitoring.
- General anesthesia is chosen for operations (for example, FESS, tympanostomy tubes in young children, tonsillectomy) where guaranteed stillness, precise pain relief and full control of breathing are required. The anesthesiologist manages the anesthesia, breathing (via an endotracheal tube or laryngeal mask if needed) and the child's circulation, following protocols adapted to pediatric practice.
Why parents trust MediLavia
- A transparent pathway: from the first consultation with the pediatrician and the specialist to the end of observation after the procedure.
- The principle of “minimal sufficient intervention”: we choose the gentlest form of pain relief that keeps your child safe and comfortable.
- A focus on the day hospital: most procedures under sedation and anesthesia are performed without an overnight stay, while meeting all monitoring requirements and discharge criteria.
Rehabilitation
Recovery after anesthesia
- Recovery from general anesthesia takes the first 2–6 hours under observation in the day hospital
- First-line pain relief: ibuprofen and/or paracetamol on a schedule during the first 24–48 hours
- Codeine and tramadol are strictly contraindicated for children
- Do not force the child to eat: nausea and poor appetite in the first hours are normal
Food and oral hygiene
- Start with clear liquids, then soft food; avoid hard, hot and acidic food for the first 48 hours
- From day 2, brush with a soft brush; from days 3–5, brush as usual twice a day
- Rest on the day of the operation; return to school or kindergarten after 2–3 days
Follow-up and caries prevention
- First dental check-up after 2 weeks
- Regular check-ups every 3–6 months with fluoride treatment
- Fissure sealing is critical for preventing caries from returning: a simple, painless and safe procedure with proven effectiveness
Who it’s for
Nitrous oxide (N₂O)
Ideal for cooperative children aged 4 and older with a small amount of treatment and clear nasal breathing.
Oral and intranasal sedation
An intermediate option between nitrous oxide and general anesthesia, for moderate negativity and short procedures.
General anesthesia
Required for ENT surgery and extensive treatment, where complete stillness and control of breathing matter.
Contraindications
Contraindications
To nitrous oxide (N₂O)
- Inability to breathe through the nose (adenoids, severe nasal congestion)
- Conditions with closed air cavities: otitis media with effusion
- Severe behavioral disorders or no contact at all
- Claustrophobia or refusal to wear the mask
- Age under 3 (children usually cannot cooperate)
- Vitamin B₁₂ or methylenetetrahydrofolate reductase (MTHFR) deficiency
To general anesthesia
- A recent respiratory infection (within the previous 2–3 weeks): higher risk of laryngospasm, bronchospasm and desaturation
- A personal or family history of malignant hyperthermia: a contraindication to inhaled anesthetics
- Obstructive sleep apnea: increased sensitivity to sedatives (requires special assessment)
- Decompensated chronic diseases
The final indications, contraindications and type of pain relief are decided by the pediatrician and the anesthesiologist together after reviewing the medical history, the airway and anesthetic risks.
Protocol “One Visit — Full Treatment Strategy”
This section is under construction
We are preparing the materials — content will appear here soon.
Useful materials
Pediatrics12 minIs sedation safe for children?
A systematic approach to the safety of pediatric sedation: pre-procedure assessment, monitoring, staff, choice of drug and readiness for emergencies.
Read
Pediatrics10 minWhat types of sedation are used in pediatric dentistry?
What sedation is, why it is needed and what levels exist: from nitrous oxide to intravenous sedation and general anesthesia. A clear explanation for parents.
Read- Pediatrics8 min
What side effects can nitrous oxide have?
The most common side effect of nitrous oxide in children is vomiting. Serious adverse events are extremely rare. We review data from large registries.
Read - Pediatrics9 min
What are the effects of sedation and anesthesia in children?
The key finding of current data: a single short sedation or anesthetic does not cause significant neurocognitive impairment. We look at risk modifiers and recommendations.
Read 
Pediatrics7 minWho is responsible for your child during general anesthesia or sedation at MediLavia?
The safety of pediatric sedation and anesthesia is built into the clinic as a system: patient selection, protocols, a skilled team and reliable infrastructure.
Read- Pediatrics9 min
Pain relief for ENT procedures in children at the otolaryngologist’s office
How to reduce a child’s pain and fear during ENT procedures: non-drug methods, local anesthesia and light sedation with independent breathing preserved.
Read - Pediatrics9 min
Pain relief methods in pediatric ENT surgery
Why ENT surgery in children needs a special approach: the role of general anesthesia, combined endotracheal anesthesia, premedication and prevention of postoperative pain and nausea.
Read
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Get the «Unified Quality and Safety Protocol» — how the clinic protects the patient along the whole route
The document explains how MediLavia's safety system works: the questionnaire and doctor's preparation before the visit, mandatory risk screening by the general practitioner, a single case coordinator, multidisciplinary treatment-plan approval, pre-procedure checklists and a reinforced standard in paediatric practice.
Frequently asked questions
Under nitrous oxide, the child stays conscious, breathes independently and feels relaxed and less anxious. General anesthesia is medication-induced sleep: the child feels no pain and does not remember the procedure, while breathing and vital functions are controlled by the anesthesiologist.
Light sedation or nitrous oxide suits short, mildly painful procedures (diagnostics, minor procedures) when the child can generally cooperate. General anesthesia is indicated for operations and long procedures where complete stillness, adequate pain relief and a controlled depth of sleep are essential.
Before any sedation or anesthesia, the child is always examined by a pediatrician and an anesthesiologist, and test results and other conditions are reviewed. During the procedure we use continuous monitoring and response protocols, and until discharge the child is observed in the day hospital. This reduces the risk of unexpected reactions and allows a timely response to any change.
During sedation and anesthesia, the anesthesiologist is responsible: they manage the depth of pain relief and monitor vital functions. After the procedure, the pediatrician and the specialist (ENT, dentist and others) look after the child together, sharing responsibility for the child's overall condition and the result of treatment.
After the procedure, the child stays in a day-hospital room until fully awake, with normal vital signs and no complaints of severe dizziness, nausea or pain. Only when the criteria for safe discharge are met does the family go home, with written recommendations and the doctor's contacts.
Yes. For children with strong fear, hyperactivity or a negative treatment experience, sedation is often the best solution. It allows the necessary treatment without psychological trauma or struggle, and the child develops a more neutral or positive attitude toward medical care.
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Contacts
Clinic location
Address
10 Parshina St., premises 23N, entrance 9, Moscow
Opening hours
Mon–Sat 08:00–20:00
Map
MediLavia — 10 Parshina St., premises 23N, entrance 9, Moscow
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The text contains no guarantees of outcome. Final indications, contraindications and the treatment plan are determined by the doctor after an in-person consultation and diagnostics.