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Relative Analgesia

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 Vinika Patel

Dr Vinika Patel | Dental Surgeon | GDC 229169

BDS Birm 2012, MJDF RCS (Eng) 2013

Dr Patel graduated from the University of Birmingham in 2012 and 2013 obtained her MJDF RCS.

She obtained further postgraduate training at Kings College Hospital London, in Oral Maxillofacial Surgery, Intravenous sedation, relative analgesia, dental emergencies, paediatric trauma and the management of nervous patients. Dr Patel has undertaken further postgraduate training in treating nervous patients with sedation and is a member of the (SAAD) Society for the Advancement of Anesthesia in Dentistry.

As part of her role as dental seditionist she carries out a variety of restorative treatments and minor oral surgery under intravenous and inhalation sedation, logging over 1000 cases, the past 10 years.

Dr Patel completed modules in respect to receiving a Postgraduate Diploma in Dental Education in 2017 and has been involved with dental training and assessment at postgraduate level since that time. She also went on to complete a Graduate Diploma in Law in 2016 to further her interests in Dento-Legal matters.

Dr Puja Morgan

Dr Puja Morgan | GDC 176714

BDS (Wales) 2009 PGCert. Sedation (London) UCL 2019

Puja gained her Bachelor of Dental Surgery from Cardiff University Wales College of Medicine in 2009. During her 12-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). Following this Puja accepted the invitation from the UCL director to mentor and assess dentists in relation to IV sedation and RA sedation.

Puja recently accepted a role at Guys Dental hospital to mentor final year oral surgery undergraduate dentists. 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 and teaching Oral Surgery and Sedation Services.