Sedation Options

Nitrous Oxide

Our team at DCPD may recognize that your child seems nervous before or during treatment. If this occurs, we may recommend nitrous oxide as a way to help make your child’s dental appointment more comfortable. Nitrous oxide is often called “laughing gas,” and is a blend of two gases-oxygen and nitrous oxide. It is inhaled through the nose, and after just a few minutes the child experiences a sense of calm relaxation. Throughout the sedation, your child will remain awake. At the end of the appointment, the nitrous leaves the body after a few minutes of breathing fresh air. Nitrous Oxide/Oxygen is perhaps the safest in-office sedative in dentistry.

Nitrous oxide/oxygen is not useful for some children, especially those who have severe anxiety, nasal congestion, or extensive treatment needs. For these patients, Dr. Korie can discuss the risk and benefits of other sedation methods that may be right for your child.

In-Office Oral Sedation

Oral Sedation is a liquid medication (Versed) that should make your child feel sleepy within minutes to an hour after in office administration. It is possible for some children to experience the opposite effect and become excited and/or irritable after taking the medicine. Your child will not be asleep during the procedure. The benefit for some children is that oral sedation can cause amnesia like effect. Your child will also have a local anesthetic delivered to the area being treated so they will have to be watched closely for 4 to 5 hours following the procedure to be sure they do not chew their lip, tongue, or cheek. Most children cry throughout the treatment and this should be anticipated. Protective stabilization is used to keep your child safe during the procedure. Children must be healthy and have had no food or drink after midnight the night before the appointment.


  • The child will have little to no memory of the appointment
  • Lessens the number of appointments the child will need to complete treatment


  • The child may be combative and may yell during treatment
  • It is generally more expensive than a nitrous appointment as most insurance companies will not cover sedation
  • The patient is numb and will need to be closely watched following the procedure

General Anesthesia in Hospital/Outpatient Setting

Anesthesia medicine delivered by a Board Certified Pediatric Anesthesiologist while Dr. Korie performs all necessary dental treatment in this one visit. There is generally no local anesthesia required, so there is no concern regarding your child chewing their lip or cheek following the appointment. We are able to take any necessary x-rays if we have been unable to get them in the past due to age or cooperation. This may result in a change in the original treatment plan given at the child’s examination visit but can benefit the child by reducing the need for additional future procedures. The child is given a pre-medication while sitting on his/her parent’s lap, once it takes effect, the child is moved to the operating room. After treatment is completed, the child wakes up with a nurse and parent in the room. They have no memory of the treatment.

Dear Derby City Pediatric Dentistry Families,
By now you are all aware of the measures being taken statewide to slow the spread of COVID-19. I’m writing to update you with the practice protocols Derby City Pediatric Dentistry will follow in the coming weeks or longer. We appreciate your understanding and patience as we determine the best way to keep our families, our team, and the greater population safe.

For now, Derby City Pediatric Dentistry will be closed from March 17, 2020, until further notice, in an effort to flatten the curve and prevent the spread of this virus. If your child has a scheduled appointment during this time, we will be in touch to get your child rescheduled once we have a better idea of when it’s safe to resume normal operations. We are developing strategies to accommodate future additional needs.

This decision was not made lightly, but necessary in order to protect our patients, our team and our doctors after reading updated recommendations by the CDC and OSHA. Dental procedures generate a large number of droplets and aerosols. The latest advice is that our standard personal protective equipment is not effective enough to prevent the spread of the COVID-19, especially when patients are in the incubation period and are unaware they are infected. This is especially unique to our profession as children are being found to be asymptomatic carriers. This means that screening is no longer considered effective in capturing all who may be infected with the virus. Continuing to provide dental treatment and cleanings at this time is just not appropriate when trying to limit this virus.

OSHA has placed dental professionals in the “very high exposure risk” category regarding COVID-19. Current recommendations are that dentists and team members wear N95 masks for dental treatment during this pandemic. However, not only are these masks extremely difficult to obtain at this time but most importantly, they need to be conserved for other professions that are at the forefront of fighting this virus.

If your child has a true dental emergency, there will be a doctor to assist you. Please do NOT go to any Emergency Rooms and call our office first at 502-254-6097.

Rest assured that we are reading scientific and government recommendations, talking with local colleagues, and taking direction from our national organizations. We are sorry for any inconvenience that this may cause, but it is imperative that as a community, we slow the spread of this virus, and that requires extreme measures. We are aiming to help flatten the curve by implementing this policy. We remain committed to the safety of you and your family! Please call us if you have any questions.

We appreciate your understanding as we all try to navigate through this situation.
Stay Home and Stay Healthy!

Dr. Korie Acord and the Derby Pediatric Dentistry Team