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Sedation may be needed, for example, if a 3-year-old requires root canals for badly decayed molars or has a throbbing abscess, said Dr.

Casamassimo, who sedates children at Nationwide Children’s Hospital in Columbus.

Enlarged tonsils may increase the chance of airway obstruction, for example.

Children younger than 6 may have a greater risk of adverse events, a 2009 study suggested, based on nearly 50,000 sedation/anesthesia procedures at 37 locations, mostly hospitals.

“If you are working in a hospital, you press a button, an alarm goes off and everyone comes to help with that kid,” Dr. But in an office, “you end up having to call 911 for help” and the dentist must begin resuscitation during the wait.

The Pediatric Sedation Research Consortium — which collects data mostly from hospitals, not dental offices — has found a low but persistent rate of life-threatening events associated with sedation, such as airway blockage, a drop in blood oxygen levels or a spasm of the vocal cords that makes breathing hard.

Her parents sued after dental experts found no evidence of cavities on her X-rays.

In June, Daleyza Hernandez-Avila, 3, went to a surgical center in Stockton, Calif., to have her teeth fixed and never woke up.The risk of having a crash due to drowsy driving is not uniformly distributed across the population. First, crashes tend to occur at times in keeping with one’s circadian rhythms when sleepiness is most pronounced, for example, during the night and in the mid-afternoon.Thus individuals who drive at night are much more likely to have fall-asleep crashes.Deborah Studen-Pavlovich, the director of the pediatric residency program at the University of Pittsburgh School of Dental Medicine.A sedative “doesn’t get metabolized as quickly as the drug is stored in fat cells so they have a longer recovery time,” she said.They may swallow a liquid sedative or inhale laughing gas and once it kicks in, they will be conscious but calmer, so the dentist can do extensive work.

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