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Some children, because of fear or uncooperative behaviour, are
only able to receive their dental treatment while they are sedated.
We use a variety of different types of sedation including
inhalation of nitrous oxide and oxygen (laughing gas), oral
sedation, intramuscular (IM) sedation and intravenous
(IV) sedation.
Our intent is provide care that is safe and pleasant for each
and every child. Not all children require sedation for dental
treatment. However, children who have had an unpleasant
experience with medical or dental care are often much more anxious
if they require dental treatment. They may not understand how or be
unwilling to cope in a cooperative fashion for the delivery of
dental care. Sedation medications can be provided which will reduce
a child's anxiety and eliminate pain during treatment. Our aim is
to produce cooperative and appreciative patients who look forward
to their dental appointments not dentally fearful ones who avoid
dental offices until they experience severe pain or infection.
You will be given verbal and written instructions by one of our
staff about the treatment your child requires including
detailed information about sedation recommendations. We will
answer any and all questions you may have. If not, please call
us.
Our office is fully equipped and staffed to provide procedural
sedation according to the latest guidelines for pediatric sedation
published by the Canadian and American Academies of Pediatric
Dentistry and the American Academy of Pediatrics. Our staff are
fully trained in sedation procedures and, in the event of a rare
emergency, management of pediatric sedation emergencies. All
staff are certified in basic life support (BLS) and Dr. Milnes is
certified in advanced life support (PALS) in addition to BLS. RNs
on staff have critical care nursing training and work
experience.
Dr. Milnes has received education and training in procedural
sedation and advanced life support techniques from the University
of Toronto, the American Dental Society for Anesthesia, Miami
Valley Hospital in Dayton, Ohio and The Hospital for Sick Children
in Toronto. He is certified by the College of Dental
Surgeons of British Columbia to provide inhalational, oral, IM and
IV sedation. As well, Dr. Milnes is a founding faculty member
of the pediatric sedation program "Contemporary
Sedation of Children for the Dental Practice - Enteral and
Parenteral Techniques" offered by the American Academy of
Pediatric Dentistry. He has lectured in and taught this
program to hundreds of pediatric dentists in numerous centres in
the United States and lectured on pediatric sedation at national
and international pediatric meetings. Dr. Milnes has also
conducted a variety of research projects in pediatric sedation and
published papers on pediatric sedation in a variety of dental
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