Sedation dentistry can make dental visits far more comfortable for patients who feel anxious or uneasy about treatment. One of the most common and gentle forms of sedation used today is nitrous oxide, often called laughing gas. Understanding what happens before, during, and after nitrous oxide sedation can help you feel more confident and relaxed heading into your appointment.

Understanding Nitrous Oxide Sedation
Nitrous oxide is a mild sedative gas mixed with oxygen and inhaled through a small mask placed over your nose. It has been used safely in dentistry for decades and is known for its calming effects. Unlike deeper forms of sedation, nitrous oxide does not put you to sleep. Instead, it helps you feel relaxed, comfortable, and less aware of stress while remaining awake and responsive throughout the procedure.
One of the biggest advantages of nitrous oxide is how quickly it works and how easily it can be adjusted. Your dental provider can control the level of sedation in real time, better ensuring you stay comfortable without feeling overly sedated.
Preparing for Your Appointment
Preparation for nitrous oxide sedation is typically minimal. Your dentist may recommend that you avoid heavy meals for a few hours before your visit, as a full stomach can sometimes contribute to nausea. Comfortable clothing is encouraged, and you should let your dental team know about any medical conditions or medications you are taking so they can ensure nitrous oxide is appropriate for you. Because nitrous oxide wears off quickly, most patients can drive themselves to and from the appointment, though your dentist may offer personalized guidance based on your comfort level.
What Happens During Treatment
Once you are seated comfortably, the dental team will place a small mask over your nose. You will be asked to breathe normally as the nitrous oxide and oxygen mixture begins to flow. Within a few minutes, you may notice a sense of calm, lightness, or warmth. Some patients describe a floating feeling or mild tingling in their arms and legs.
While under nitrous oxide, you remain fully conscious and able to communicate. You can respond to questions, follow instructions, and let your dentist know if you feel uncomfortable at any point. Anxiety and sensitivity tend to fade, making it easier to sit through procedures that might otherwise feel stressful. Local anesthesia is often still used to numb the treatment area, ensuring both physical comfort and relaxation.
How You May Feel During Sedation
Each patient’s experience with nitrous oxide is slightly different, but most report feeling deeply relaxed and unconcerned about the procedure. Time may seem to pass more quickly, and worries that normally accompany dental visits often feel distant. Importantly, nitrous oxide does not cause memory loss, so you will likely remember the appointment, but with far less emotional tension attached to it. If at any point you feel uncomfortable, the flow of gas can be adjusted immediately. This flexibility is one reason nitrous oxide is considered one of the safest sedation options in dentistry.
Recovery and Aftercare
Recovery from nitrous oxide is fast and smooth. At the end of your treatment, the gas is turned off and you breathe pure oxygen for a few minutes. This clears the nitrous oxide from your system, allowing you to return to normal alertness quickly. Most patients feel completely back to themselves before leaving the dental office.
After your appointment, you can usually resume normal activities right away, including driving, working, or attending school. Any lingering sensations are rare and typically mild, making nitrous oxide an excellent choice for patients who want anxiety relief without downtime.
Sedation Dentistry in Charleston, SC
At West Ashley Family Dentistry, we understand how debilitating dental anxiety can be. We offer nitrous oxide to help our patients get the treatment the need without the added stress. Contact our office today to schedule a consultation and see if sedation dentistry could be right for you.
