
Cheerful gas at the dentist
Visiting the dentist is often associated with some degree of anxiety, both among children and adults. Dentophobia, or fear of the dentist, is a real problem that can effectively hinder regular oral health care. However, modern dentistry has a number of methods that help reduce the stress and discomfort associated with dental treatment. One such method is to use a cheering gas, also known as nitrous oxide. How does this method of sedation work and why is it a popular choice not only for the youngest patients?
How does the cheering gas work at the dentist (inhalation sedation)?
Cheering gas, also known as nitric oxide or inhalation sedation, is often used in dental offices, such as during root canal treatment or dental surgery, as a way to calm and relax patients during procedures. Cheerful gas is administered to the patient through a nose mask. The patient inhales a mixture of nitric oxide and oxygen. After a few minutes of inhalation of gas, the patient begins to feel a state of relaxation and calm. Some may also experience a slight feeling of euphoria, hence the name “cheering gas”. The dose of gas can be easily adjusted, allowing dentists to adjust the level of sedation to the patient's needs and comfort. Root canal treatment does not require as large portions of sedation as, for example, removal of the occiput. The effects of nitric oxide quickly subside when you stop inhaling the gas. Patients usually quickly return to a normal state of consciousness and do not experience long-term side effects. After the procedure, patients are usually allowed to rest for a short time before leaving the dental office to ensure that they no longer feel the effects of the gas. Cheerleading gas is considered a safe method of sedation, especially for children and people with anxiety about dental procedures.
Does nitric oxide sedation relieve pain?
Nitric oxide sedation, often called cheering gas, mainly relieves anxiety and helps with relaxation, but also has some analgesic properties. Nitric oxide has moderate analgesic properties — it helps reduce the sensation of pain, but it is not as potent as other painkillers used in medicine. The main role of nitric oxide in dentistry is to reduce anxiety and stress in patients. Soothing and relaxation make the patient less aware of the pain and discomfort during the procedure. In dental practice, nitric oxide sedation is often used in combination with local anesthetics that directly block the sensation of pain in the area of the procedure. Different patients may respond differently to nitric oxide sedation — for some it can significantly reduce the sensation of pain, while others experience mainly sedative effects. For procedures that can cause more pain, additional methods of local anesthesia are usually used.
Cheerful gas — indications, for whom?
Cheering gas, or nitrous oxide, is widely used in dentistry and other areas of medicine because of its sedative and slightly analgesic properties. It is especially recommended in the following cases:
- Fear of dental procedures — helps patients reduce stress and feel more comfortable.
- Children — It is safe and effective in calming children who may be nervous or anxious during visits to the dentist.
- Patients with intellectual or physical disabilities — facilitates collaboration and will remain immobile during procedures.
- People with gag reflex — helps patients with a strong gag reflex, which makes it easier to carry out oral procedures.
- Long-term or complex treatments — allows the patient to remain calm and relaxed during longer procedures.
- Patients with certain medical conditions, such as heart disease, hypertension, asthma or diabetes — the gas is safe and mild, making it an appropriate sedative.
A doctor or dentist should always be consulted to determine whether nitric oxide sedation is appropriate for the individual patient and their individual health needs.
Cheerful gas in children
Cheerful gas is often used in pediatric dental care because of its effectiveness in calming children during procedures. It helps them relax, which makes it easier to carry out the necessary procedures. Nitric oxide is considered a safe method of sedation in children — it is mild and its effects quickly pass when the administration is stopped. Gas is administered through the nose mask, and children are instructed to breathe normally through the nose, which allows you to quickly feel the relaxing effects. Nitric oxide sedation can increase cooperation and decrease mobility in some children, which is especially important during precision treatments. Most children do not experience serious side effects, although some may experience slight nausea, however, such cases are rare. The effects of gas quickly subside, which allows children to quickly return to normal, without the need for a long recovery period. It is important for parents to prepare the child for the procedure, explaining to him what will happen in a friendly and understandable way.
How long does the cheering gas last?
The effect of the cheering gas is short-lived, which is one of its main advantages. Nitric oxide begins to act very quickly after the start of inhalation, usually within a few minutes. The effects last only during inhalation. After the cessation of gas administration, its effect subsides very quickly, usually within 3-5 minutes. This allows patients to quickly return to their normal state of consciousness and can safely drive vehicles or return to daily activities. The duration of action and the rate of resolution of the effects may vary slightly depending on individual factors, such as the patient's sensitivity, health status or age.
How much does cheerleading gas cost at the dentist?
Typically, the use of cheering gas is treated as an additional service and charged separately from the main dental procedure. The cost of inhalation sedation is usually around 200-300 PLN for every half hour of treatment. In some cases, the cost may exceed 1000 PLN, depending on the duration of the procedure and the dentist's rates. Despite the additional cost, for many patients, especially children and people with severe dental anxiety, the benefits of using cheering gas far outweigh the costs.
Is Cheerful Gas at the Dentist Safe?
Cheerful gas is considered one of the safest sedatives used in dentistry. Its safety is due to several factors:
- Mild action — Patients usually remain conscious and can respond to commands, although they feel relaxed and less aware of pain.
- Short-term effects — the effect of the gas is reversible and quickly subsides after discontinuation of administration.
- Dosage control — easy adjustment of the level of sedation allows you to adjust it to the needs of the patient.
- Minimal side effects — most patients tolerate gas well, and side effects such as mild nausea or dizziness are rare and pass quickly.
- Safety in different patient groups — gas is safe for most people, including children.
- Does not interact with other drugs - nitric oxide usually does not interact with drugs.
Despite these advantages, there are situations in which the use of a cheering gas may not be advisable.
Cheerful gas at the dentist — contraindications
The use of cheering gas may not be advisable in the following cases:
- Pregnancy — especially in the first trimester, the use of gas is usually discouraged.
- Mental disorders — such as schizophrenia, severe depression, or anxiety can cause an abnormal reaction to gas.
- Respiratory diseases — such as chronic obstructive pulmonary disease (COPD), which make it difficult to breathe through a mask.
- Drug or alcohol dependence — can increase the risk of negative reactions or nitrous oxide abuse.
- Problems maintaining communication — the patient must be able to cooperate and follow instructions.
- Allergies or intolerances — although rare, allergic reactions are possible.
- Impaired absorption of vitamin B12 — nitric oxide can affect its metabolism.
- Recent surgical procedures — especially related to the eyes (e.g. retinal operations).
It is always advisable to consult a dentist or doctor before using a cheering gas to rule out contraindications.
Cheerful gas at the dentist - side effects
While cheering gas is generally safe, it can cause some side effects, usually mild and short-lived:
- Dizziness
- Nausea and vomiting
- Headaches
- Feeling euphoric or sleepy
- Tingling in the arms and legs
- Rarely hallucinations
- Emotional reactions, such as laughing or crying
- Short-term loss of motor coordination
- Discomfort in the mouth, such as dryness or irritation around the mask
Reactions to gas can vary depending on the individual sensitivity of the patient. Medical personnel monitor the patient during sedation to ensure safety and comfort.
How to prepare?
Preparation for the procedure with the use of cheering gas requires several important steps:
- Consultation with a dentist — discuss medical history, medications taken, allergies, pregnancy, and fear of procedures.
- Food and drink recommendations — usually you should not eat or drink for a few hours before the procedure; details are given by the dentist.
- Clothing — wear comfortable, loose clothing, avoid tight and restrictive wardrobe items.
- Transport — plan to have someone drive you home after the procedure, as you are not allowed to drive after sedation.
- Mental preparation — relaxation techniques such as deep breathing or meditation can help reduce anxiety.
- Medical advice — ask your dentist about taking medication on the day of surgery, especially if you are using anticoagulants.
- Plan to rest after your procedure — even if you feel well, give your body time to recover.
Content author

Dr. Wojciech Gącienica-Ciułacz
Dr. Wojciech Gącienica-Ciułacz is a dentist for whom dentistry is a true vocation. In his practice, he stands out for his extraordinary ability to listen carefully to patients, thanks to which he is able to precisely adjust the treatment plan to the individual needs and expectations of each person. His approach is based on the deep conviction that effective dental therapy must take into account not only the medical aspect, but also the comfort and well-being of the patient.

Start treatment already today!
Make an appointment and discover why our patients recommend us to their loved ones. We will take the utmost care of your smile.