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St. Petersburg
Pediatric dental sedation
I have an anxious kiddo. What are my options?
Some visits can feel a little big for small hearts. When your child feels nervous about dental care or needs more involved treatment, sedation can help their experience feel calm and easy. At Shiny Happy Smiles, we offer safe, age-appropriate options that help kids relax while protecting their sense of trust and comfort.
From mild nitrous oxide to IV sedation with a licensed anesthesiologist, we tailor every plan to your child’s needs and personality. Our focus is always on blending advanced care with genuine connection, so every visit feels steady, supported, and safe.
Less stress, more smiles
Reduces fear and anxiety
Sedation can help children feel calm and at ease, especially if they’ve had difficult experiences in the past or struggle with dental anxiety.
Improves safety and efficiency
When children feel comfortable and still, we can complete treatment more effectively and with less stress for everyone involved.
Supports neurodivergent and sensitive patients
For kids with sensory sensitivities or special healthcare needs, sedation provides a pathway to receive the care they deserve without trauma or fear.
Our sedation options
Nitrous oxide is a mild, inhaled sedative that helps children relax during treatment while staying fully awake and responsive. Sometimes called “happy air,” it’s delivered through a small mask and wears off quickly after the visit. It’s an ideal option for children who need just a little help staying calm in the chair.
For children with extensive treatment needs or severe dental anxiety, IV sedation may be the best choice. This deeper level of sedation is provided in-office by a board-certified dental anesthesiologist, ensuring your child’s safety and comfort from start to finish. It allows us to complete multiple treatments in one visit, so your child can rest peacefully while we restore their smile.
Sedation is only one tool in our approach. At Shiny Happy Smiles, we believe emotional safety is just as important as physical safety. We take time to explain, connect, and guide children through treatment using techniques grounded in trust and empathy. Our behavior guidance philosophy helps kids feel seen, supported, and respected throughout their care journey.
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What you can expect
from start to finish

Explaining what to expect
We introduce the “happy air” mask in a friendly, non-intimidating way and explain how it works in simple, age-appropriate language. Most kids are curious and excited to try it.
Administering nitrous oxid
Once your child is comfortable, we place a small mask over their nose and begin the gentle flow of nitrous oxide mixed with oxygen. Your child will stay awake and responsive, but feel calm and relaxed.
Performing treatment
With your child feeling more at ease, we proceed with their dental treatment. Throughout the appointment, we monitor them closely to ensure they’re safe and comfortable.
Quick recovery
As soon as treatment is complete, we turn off the nitrous and provide 100% oxygen. The effects wear off quickly, and most children are ready to return to normal activities shortly afterward.
Have questions? We've got answers.
Yes. All of our sedation methods are designed specifically for pediatric patients and follow strict safety guidelines. IV sedation is administered by a licensed anesthesiologist, and we carefully monitor your child throughout their visit to ensure a safe and comfortable experience.
That depends on the type of sedation. With nitrous oxide, your child remains awake and aware but more relaxed. With IV or general anesthesia, your child will be asleep throughout the procedure and monitored by a dedicated anesthesia provider the entire time.
We’ll walk you through each option during your consultation, explain the benefits and risks, and help you decide what’s best based on your child’s age, treatment needs, comfort level, and medical history. Our goal is to make sure you feel informed, confident, and supported.
Still have questions? Give us a call!
Stories from parents like you
Love this dentist! My kids always look forward to their appointments. Honestly would not take them anywhere else!!
The entire staff is so friendly and professional. I have an anxious child and they do a great job at calming her down to get her teeth clean and cared for!
Our experience is always good. Dr Josh, Ashley, and the entire staff are excellent with children. They even went the extra mile to accommodate us during our visit. It's hard to get good service in any field these days. So, I am happy to leave this review.
Dr Josh and his team are A+! We’re honored to be able to be a part of this practice family and are so grateful for the care that they share with our kids. Finding a dentist that you trust is important— you won’t go wrong with this great practice!
The entire team here is amazing! Tiffany gave me great advice that completely changed the way we floss for my 5 year old. Flossing is now easy! Dr. Joshua has also been great . He is so gentle and knowledgeable. I feel so blessed to have my children here.
From scheduling to check out was so smooth and stress free! All the staff were super sweet and you can tell they love kids. Thank Alexandria, Catrina and Dr Josh for being gentle, patient and compassionate to my daughter and a 1st time mom❤️
Dr. Josh and Ashley were AMAZING!! Extremely patient and they talked my daughter through the whole procedure. In and out and she left with a huge smile because it was painless. Hands down A+ and highly recommended!!
"Dr. Josh doesn't treat you like just another person in his chair. We've developed a nice relationship and it's just really important to be able to know that we're being taken care of really well."
