Sedated Smiles: Is Nitrous Oxide Safe for My Child?

October 6, 2025

Kid in dental chair with pink laughing gas mask over nose

Did you know that sources estimate anywhere from 10% to 37% of children in the U.S. experience anxiety around dental visits? It’s normal for kids to feel a little nervous about new or unfamiliar experiences, but if your child is overly afraid, they may struggle to sit still during their appointment.

Many pediatric dentists offer nitrous oxide (laughing gas) that can help them feel relaxed throughout their visit, regardless of the reason for it. However, you might not approve this medication for your child if you’re scared it’s unsafe. Continue reading to learn why you can set your concerns aside!

How Does Nitrous Oxide Work?

This is generally considered the least invasive option for dental sedation and is administered through a gas mask that’s placed over your child’s nose while their dentist works. The effects of the medication kick in moments after your child starts inhaling it, and thankfully, they usually dissipate just as quickly when the mask is removed after their examination or procedure.

Nitrous oxide works by slowing down your child’s central nervous system by displacing oxygen to their brain, which reduces their body’s ability to respond to external stimuli. This often induces a deep sense of relaxation or euphoria, but doesn’t ‘knock them out’. It’s intended to help them feel calmer but aware enough to respond to their provider’s questions or directions.

Does Nitrous Oxide Cause Any Side Effects?

Would you be surprised to learn that nitrous oxide has been used successfully since the late 1800s? That means experts have had ample time to study this medication and its impact on different individuals. Thankfully, there’s a very low risk of experiencing negative effects when it’s administered by a licensed professional.

With that said, an estimated 5% of patients might experience mild to moderate symptoms from this sedative, including:

  • Dizziness or lightheadedness.
  • Headaches.
  • Nausea or vomiting.
  • Tingling sensation in the limbs.
  • Excessive sweating or shivering.
  • Fatigue or grogginess.

Fortunately, your dentist can provide oxygen to your child after removing their nitrous oxide mask to quickly resolve any potential side effects.

Is Nitrous Oxide Sedation Safe for Children?

Prestigious organizations, such as the American Academy of Pediatric Dentistry, recognize that laughing gas can be an effective way to help kids with everything from routine preventive care to more complex dental procedures. However, that’s only as long as it’s provided by a licensed professional with the right training and technology to ensure your child remains safe and secure while sedated.

If you’re still unsure whether nitrous oxide is safe for your child, you can learn more by consulting their pediatric dentist!

Meet the Author

Dr. Ivan Huynh (known to patients as “Dr. Ivan”) is passionate about helping children build and maintain happy, healthy smiles. He earned his Doctor of Dental Medicine degree from the University of Kentucky College of Dentistry, where he remained to complete his advanced pediatric training. Today, he’s a Board-Certified Diplomate of the American Board of Pediatric Dentistry, so you can trust that your little one is in good hands. He understands that some kids feel anxious and offers nitrous oxide sedation to help soothe their frayed nerves. You can request an appointment on the website or call (636) 265-6073.