
A child who cries through every cleaning, freezes at the sight of the dental chair, or refuses to open their mouth is not being difficult, they are anxious, and that anxiety is real. Dental fear affects a significant portion of children, and when left unaddressed, it can lead to missed appointments and preventable oral health problems down the road. Fortunately, there are safe, well-established options that help children stay calm during dental care, and understanding them can make a meaningful difference for your family.
At Johns Creek Dental Associates, we see children regularly and know how important it is to make every visit feel manageable. Dr. Choi and our team take the time to build trust with young patients, and we offer nitrous oxide sedation for children who need a little extra support to stay comfortable throughout their appointment.
What Is Dental Sedation?
Dental sedation involves the use of medication to help patients feel relaxed during dental procedures. For children, it is most commonly considered when a procedure requires the child to remain still for an extended period, when anxiety runs high enough to interfere with care, or when a child has had a difficult experience in a dental setting before. Not every type of sedation is appropriate for every child or practice setting, which is why understanding the options matters.
Common Types Used in Dentistry

There are a few different approaches to sedation dentistry, each producing a different level of effect.
- Nitrous oxide: Often called laughing gas, this inhaled option works quickly and clears the body just as fast. Children breathe it through a small nose mask, stay fully awake, and feel calm and at ease throughout the visit
- Oral sedation: A liquid or pill taken before the appointment that creates deeper relaxation. It requires more preparation and a longer recovery window compared to nitrous oxide
- IV sedation: Delivered directly into the bloodstream for more significant sedation, typically reserved for complex cases or children with high medical needs. This option requires a specialist and advanced monitoring
We offer nitrous oxide at our Johns Creek office, which is the most widely recommended sedation method for children in a general dental setting.
Is Nitrous Oxide Safe for Children?
Yes, and the research clearly backs that up. Nitrous oxide has one of the longest safety records of any sedation method used in pediatric dentistry, and it is endorsed by leading dental and medical organizations. A retrospective study published by the National Institutes of Health found that nitrous oxide-oxygen sedation in pediatric patients was associated with no adverse events across all treatment sessions, supporting its well-established favorable safety profile.
One of the biggest advantages of nitrous oxide is how quickly it leaves the body. Within minutes of removing the mask, your child is back to their normal self, with no lingering grogginess, no extended recovery period, and no need for special transportation home. For parents managing school schedules and busy afternoons, that matters.
When Sedation May Be a Good Fit
Not every child needs sedation, but it may be a helpful tool in certain situations. Children who have had difficult past experiences, those with a sensitive gag reflex, or those who genuinely struggle to stay still during preventive dental treatments such as sealants or fluoride applications may benefit from the added comfort that nitrous oxide provides. It is also a reasonable option for children with special health care needs who require additional support during dental visits.
If your child has shown signs of dental anxiety, mention it when scheduling. Our team will assess their specific needs and walk you through whether sedation makes sense for their care plan. You can also review our full approach to sedation dentistry before your visit, so you arrive with your questions ready.
Schedule a Comfortable Visit at Johns Creek Dental Associates
At Johns Creek Dental Associates, Dr. Hah Neul Choi brings advanced training in comprehensive dental care and a genuine commitment to making every patient feel at ease, especially the youngest ones. Dr. Choi is fluent in both Korean and English, allowing us to serve the diverse families across Johns Creek, Alpharetta, Duluth, and Suwanee with personalized, attentive care. We accept most major insurance plans, including Delta Dental PPO, Blue Cross Blue Shield, Cigna Dental, MetLife, Aetna Dental, and many others.
We also offer flexible financing through Cherry and Sunbit, along with in-house membership plans, to make care accessible for every family we see. If dental anxiety has been holding your child back from the routine care they need, we are here to help make it easier. Contact us today to schedule an appointment and find out whether nitrous oxide sedation is right for your child.