Relative analgesia has been known by a number of names: laughing gas, inhalation sedation, happy gas, gas and air, Nitrous Oxide - Oxygen.
Nitrous Oxide is simply a gas which you can breathe in, it has no colour or smell and is non-irritant. In relative analgesia it is used in combination with Oxygen. It is simply breathed in and out through a nasal mask. The concentration of Nitrous Oxide and Oxygen is carefully titrated until the correct level of sedation is achieved.
Local anaesthetic is used in the mouth during the relative analgesia to ensure your dental treatment is carried out painlessly and for your post-operative comfort.
The patient will initially feel a sense of light headedness, followed by a tingling sensation, especially in the arms and legs, this followed by a 'warm' feeling and then a sense of well-being, euphoria or floating. You are able to speak and communicate with the dentist throughout the procedure. The dentist will be regularly asking you 'how do you feel?' If at any time you experience unpleasantness, you are able to inform the dentist and the concentrations can be adjusted.
This is a very safe procedure and suitable for children over the age of 5yrs, young adults and adults who are anxious about dentistry. Children under the age of 5yrs should be referred to a hospital setting as recommended by the NHS.
Most general dental procedures can be carried out using Relative Analgesia.
Dr Puja Morgan | Dental Surgeon | GDC 176714
BDS (Wales 2009) Pg. Cert Implantology (Warwick) Pg.Cert Sedation (London)
Dr Puja Morgan gained her Bachelor of Dental Surgery from Cardiff University Wales College of Medicine in 2009. During her 11 year career as a dentist she realised her particular interest is in oral surgery and treating very anxious patients. Puja is a performer for advanced mandatory services under the NHS and provides oral surgery and sedation services on referral, for anxious adults and children. She gained postgraduate qualifications from the Society for Advancement of Anaesthesia in Dentistry (SAAD) in 2013 and has been practising sedation ever since. Puja passed with distinction her examinations for the Postgraduate Certificate in Sedation and Pain Management in 2019 from University College London (UCL). Puja recently accepted the invitation of the UCL director to mentor and assess dentists in relation to IV sedation and RA sedation. Puja provides mobile sedation services at a number of practices throughout England and Wales. Puja also has a postgraduate certificate in Implantology from Warwick University (2014).
Currently Puja’s time is dedicated to NHS and private practice in providing Oral Surgery and Sedation Services.