
Inhalation sedation
Inhalation sedation is the delivery of a calming gas through a mask. The child remains conscious but relaxes. The method is suitable for children who are afraid of treatment.
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Sedation in children is a method of calming a child before dental treatment using nitrous oxide. The child remains conscious but relaxed and calm. The procedure is safe and helps avoid stress. In Almaty, many clinics offer treatment under sedation, making a visit to the dentist comfortable.
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Dental treatment under sedation for children
The cost of treating children under sedation depends on the scope of work and the chosen method. The exact amount will be named by the doctor after examination. Book a consultation to calculate the plan.
Different methods of administering the drug are designed for different depths of penetration and different volumes of intervention.

Inhalation sedation is the delivery of a calming gas through a mask. The child remains conscious but relaxes. The method is suitable for children who are afraid of treatment.

Intravenous sedation is used for complex interventions. The drug is administered via an IV, and the child falls into superficial sleep. The presence of an anesthesiologist is required.

Contraindications are determined by the doctor. These include some diseases of the respiratory and cardiovascular systems. An examination is mandatory before the procedure.
The clinic's doctors who see patients for this service. A treatment plan is drawn up after the examination.
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Sedation is a method that helps a child calmly undergo dental treatment. In pediatric dentistry, sedation is used to reduce anxiety and fear. It does not completely turn off consciousness, but only relaxes the little patient.
The drug, administered via a mask or intravenously, inhibits the transmission of nerve impulses in the central nervous system. As a result, the child is in a state of light sleep but retains the ability to breathe independently and respond to the doctor's words. Sedation is not general anesthesia: it does not completely disable protective reflexes. During the procedure, the doctor continuously monitors pulse, blood pressure, and blood oxygen levels. Treatment with nitrous oxide is one of the most gentle options: the gas is delivered through a nasal mask, and the child inhales it along with oxygen. Within a few minutes, they feel warmth and relaxation but remain conscious. After the gas supply is stopped, the effect wears off within a few minutes, and the child quickly returns to their normal state.
Sedation and general anesthesia are different states. Parents often confuse them, but the difference is fundamental: the depth of consciousness depression, respiratory control, and recovery after the procedure.
| Parameter | Sedation | General anesthesia |
|---|---|---|
| Consciousness | Preserved | Absent |
| Breathing | Spontaneous | Requires support |
| Depth | Light | Deep |
| Recovery | Rapid | Gradual |
| Equipment | Minimal | Anesthesia machine |
The choice depends on the clinical picture and age. Sedation in pediatric dentistry is suitable for calm procedures when the child can sit in the chair and respond to the doctor's requests. General anesthesia is indicated for complex interventions, lengthy treatment, or pronounced anxiety. The decision is made by the doctor after examination and assessment of health status. Treatment under sedation is performed while consciousness is preserved, which reduces risks but requires contact with the young patient. If the child is very young or uncooperative, the doctor may suggest a deeper option. Parents should discuss all options and ask questions before the procedure begins.
Sedation is not indicated for everyone. The decision is made by the doctor after examination and discussion with parents. There are conditions under which treatment under sedation becomes a reasonable choice.
Pediatric dentistry under sedation often turns out to be the only way to provide treatment without psychological trauma. If a child has already had a negative experience at the dentist, they may panic even at the sight of an examination. In such cases, sedative dental treatment for children allows the doctor to work calmly, and the child does not remember unpleasant moments. Sedation also helps when a lengthy procedure is ahead, such as pulpitis treatment or crown placement. The child sleeps or dozes, and the doctor is not distracted by their movements. However, the decision about sedation is always made by the doctor based on health status and psychological characteristics. Sometimes a simple conversation and adaptation are enough, and sedation is not required. If the child is tense and uncooperative, sedation becomes a reasonable way out.
Preparation for sedation begins at home. It is important for parents to understand what exactly will happen and to set the child at ease. Tell them about the visit in advance, in a playful manner. Below are specific steps.
Do not give the child heavy food for 6 hours before sedation — the stomach must be empty, otherwise vomiting may occur during sleep. Exclude sugary drinks and milk for 4 hours; water is allowed for 2 hours. Do not talk about the treatment as something scary and do not discuss your own worries in front of the child. Do not promise gifts for 'bravery' — this increases anxiety. If the child takes medications, coordinate their intake with the doctor: some drugs are incompatible with sedatives. On the day of the procedure, avoid active games and emotional stress — let the child be calm. Remember that pediatric dentistry with nitrous oxide requires the same preparation rules as other types of sedation. If in doubt, call the clinic and clarify — better to ask again than to take risks.
Nitrous oxide is a colorless, odorless gas with a slightly sweet taste. In dentistry, it is used for sedation: the child relaxes but remains conscious.
The gas is known as "laughing gas" — a name that stuck because of the mild euphoria it causes. It does not participate in metabolism, does not accumulate in tissues, and is eliminated through the lungs within a few minutes after administration is stopped. Its effect is easy to control: the doctor adjusts the concentration and depth of sedation. When treating children, nitrous oxide is used in a mixture with oxygen — usually 30 to 50 percent. The child can hear the doctor, answer questions, and follow instructions, but feels no fear or anxiety. Pain sensation remains, so local anesthesia is used for pain relief. The gas is suitable even for young children if there are no contraindications. Pediatric dentistry under general anesthesia differs in that consciousness is completely switched off, whereas here it is merely dulled. Importantly, the gas is not addictive and has no toxic effect on the body.
Choosing a place for treating a child under sedation is a responsible step. It is important that the clinic has experience working with children and the necessary equipment. Let's consider the key criteria.
Pediatric dental clinics differ from adult ones not only in interior design. They have waiting areas with games to help children feel calmer. Doctors use special techniques for explanation and distraction, often employing cartoons or toys. For treating teeth under nitrous oxide in Almaty, such clinics are equipped with separate rooms with a system for supplying nitrous oxide and oxygen. This allows the child to remain conscious but relaxed. It is important that the staff has experience working with children of different ages and temperaments. Some clinics offer dental treatment for children under general anesthesia, which can be an alternative for complex cases. When choosing, pay attention to how the process of adapting the child to treatment is organized.
Baby teeth are treated under sedation when the child does not allow the doctor to work. The method helps to carry out the procedure without tears and fear. We will tell you about the specifics.
Baby teeth differ from permanent ones: they have thinner enamel and dentin, wider canals, and roots form and resorb at certain times. Inflammation develops faster here, so you cannot delay a visit. Sedation with nitrous oxide helps the doctor work calmly, while the child remains conscious but relaxed. Treatment under gas is carried out for caries, pulpitis, and even extraction if necessary. It is important that the procedure is performed by a pediatric dentist who knows the anatomy of baby teeth and knows how to connect with young patients. Without such an approach, even light sedation will not give the desired effect. Parents should discuss all details and possible risks with the doctor in advance to feel more confident.
General anesthesia is a deep medication-induced sleep in which the child does not feel pain and does not remember the intervention. It is used in complex cases when other methods are not suitable.
General anesthesia is indicated when a large amount of work is planned: extraction of several teeth, treatment of pulpitis or periodontitis, placement of crowns. It is necessary for children under three years old who physically cannot sit still, for children with increased anxiety, hyperactivity, neurological disorders, or allergies to local anesthetics. Anesthesia is also chosen for a pronounced gag reflex or when the child has already had a negative treatment experience. The decision on the method is made by the doctor after examination and assessment of health status. Unlike sedation, in which the child remains conscious, anesthesia completely switches off consciousness, allowing all procedures to be performed in one session. Dental treatment under nitrous oxide is a lighter option, but it is not suitable for long and traumatic interventions. General anesthesia requires the presence of an anesthesiologist and special equipment, so it is performed only in a hospital setting or a well-equipped clinic.
| Criterion | Sedation | General anesthesia |
|---|---|---|
| Consciousness | Maintained | Lost |
| Depth | Superficial | Deep |
| Breathing | Spontaneous | Requires support |
| Recovery | Quick | Longer |
| Use | Short procedures | Prolonged operations |
| Equipment | Minimal | Specialized |
Nitrous oxide sedation is a method that helps a child relax and calmly undergo treatment while remaining conscious. It does not replace pain relief but complements it. The choice of method depends on the clinical picture: for minor procedures and moderate anxiety, sedation is sufficient; for complex interventions or pronounced fear, the doctor may recommend general anesthesia. The decision is always made by the doctor after examination and discussion with the parents. Sedation does not solve the problem of caries by itself; it only creates conditions for high-quality dental work. Oral hygiene and regular check-ups remain the cornerstone of prevention. It is important for parents to understand that sedation is a tool, not a panacea, and should be used only when indicated.
Before the visit, tell your child what to expect in a calm tone, without intimidation or unnecessary details. Avoid words like 'needle,' 'drill,' or 'pain' – replace them with neutral terms: 'the doctor will look at your teeth,' 'we will breathe some fun air.' The day before treatment, do not overload the child with impressions; ensure a full night's sleep and a light dinner. On the day of the procedure, follow the doctor's recommendations regarding food and drink – usually, no food is given for two hours before sedation. After treatment, the child may be drowsy and fussy, so plan a quiet day at home. Listen carefully to the doctor: they will explain how to behave after the procedure and when eating is allowed. If the child has chronic diseases or allergies, be sure to inform the doctor before treatment begins.
Dental treatment for a child under sedation is a method in which the child is in a state of light medicated sleep but retains the ability to breathe independently and respond to the doctor's commands, which is especially important in cases of severe fear of the dentist, an increased gag reflex, or a large amount of treatment needed in one visit. In our clinic, this procedure is performed under the supervision of an anesthesiologist, ensuring safety and comfort, and after waking up, the child does not remember unpleasant moments. This is a good alternative to general anesthesia when there is no need for complete loss of consciousness, and it allows treatment to be carried out without stress for the child.
Treating baby teeth under sedation differs from general anesthesia in that under sedation the child is in a state of superficial sleep, maintaining spontaneous breathing and reflexes, whereas under general anesthesia the child is completely unconscious and placed on a ventilator, making sedation less deep, safer, and easier for children to tolerate. Sedation allows procedures to be performed without stress, and the child can follow simple commands from the doctor; however, for complex and lengthy interventions, general anesthesia may be required, and the decision on the method is made by the anesthesiologist after examination.
Dental treatment for children under general anesthesia is indicated in cases where a large volume of dental interventions is planned that cannot be completed in one visit under local anesthesia, or when the child categorically refuses treatment and does not cooperate. General anesthesia is also used for children with neurological disorders or allergies to local anesthetics. In our clinic, dental treatment for children under general anesthesia is performed in an operating room using modern equipment and under the constant supervision of an anesthesiologist. This is a safe method that allows all teeth to be treated in one session without causing psychological trauma to the child.
Treating baby teeth under general anesthesia requires special caution due to thin enamel and closely located nerve endings, but under anesthesia the doctor can work calmly and thoroughly without fear that the child will move. In our clinic, this procedure is performed using a microscope with 25× magnification, which allows for the most precise removal of affected tissue while preserving healthy tissue, and after waking up, the child already has treated teeth and no negative memories, which is important for forming a positive attitude toward dentistry in the future.
Sedation is safe when performed by an anesthesiologist-resuscitator using modern equipment and medications approved for children. Before the procedure at our clinic, the child is always examined by a doctor, indications and contraindications are assessed, and during sedation pulse, blood pressure, and blood oxygen saturation are continuously monitored. This is a state of superficial sleep in which the child retains reflexes and can breathe independently, so it is suitable for most children, but the final decision is made by the anesthesiologist after consultation.
The warranty on dental treatment at our clinic is up to 5 years depending on the type of work. If any problems arise with the treated tooth or the installed restoration during this period, we will fix them free of charge. This applies to therapeutic treatment, restorations, crowns, and other types of work. It is important to follow the doctor's care recommendations and attend regular preventive check-ups. The exact warranty terms for your case will be provided by your attending physician after the examination.
For sedation, we use modern equipment, including vital sign monitors to track pulse, blood pressure, and oxygen levels, as well as special dosing devices for administering the sedative, which allows precise dosing and monitoring of the child's condition. For diagnostics, we use a cone-beam computed tomography scanner and an intraoral scanner by 3Shape, providing accurate 3D images of the teeth and jaw. All instruments are sterilized in Class B autoclaves, ensuring safety, and the equipment is regularly checked and updated.
Before treatment under sedation, a consultation with an anesthesiologist is required, who will give recommendations, usually including fasting for 4-6 hours and no water for 2 hours before the procedure, as well as reporting all illnesses and medications taken. At our clinic, an examination is performed and, if necessary, additional tests are prescribed. The child must be healthy on the day of the procedure, without signs of a cold. It is important to set the child up positively, explaining that they will simply sleep and feel nothing. After the procedure, drowsiness may persist for several hours, so do not plan active activities.
For sedation in children, medications based on midazolam or nitrous oxide with oxygen are most often used. Nitrous oxide is administered through a mask and causes relaxation and mild euphoria while maintaining consciousness. Midazolam is given intravenously or orally for deeper sedation. The choice depends on age, weight, health status, and complexity of treatment. At our clinic, sedation is performed by an experienced anesthesiologist who calculates the dosage individually. All medications are approved for children and have minimal side effects.
The duration of sedation depends on the extent of treatment and can range from 30 minutes to 2 hours. After stopping the medication, the child wakes up within 10-15 minutes, but full recovery takes about an hour, during which they may be drowsy and slightly lethargic. At our clinic, after the procedure, the child is under medical supervision until fully awake. Parents are advised not to leave the child alone in the first hours due to possible residual drowsiness, but usually within 2-3 hours the child returns to normal activity.
We are open daily from 9:00 AM to 8:00 PM, no days off. The clinic is located in Almaty, at 133/6 Kanyesh Satpayev Street, JAZZ Residential Complex. Phone for appointments: +7 747 093 89 86. Initial examination and treatment plan: 0 KZT.
Address: Almaty, 133/6 Kanyesh Satpayev Street, JAZZ Residential Complex. Free parking for patients. Phone for appointments: +7 747 093 89 86. We are open daily from 9:00 AM to 8:00 PM.
Warranty up to 5 years. The clinic has been operating since 1995 and has a rating of 4.9 based on 247 reviews on 2GIS, Google and Yandex. Initial examination and treatment plan: 0 KZT. We are open daily from 9:00 AM to 8:00 PM.
Installment plan for 24 months with Alatau City Bank or 12 months with Kaspi. Initial examination and treatment plan: 0 KZT. We are open daily from 9:00 AM to 8:00 PM. Phone for appointments: +7 747 093 89 86.
Initial examination and treatment plan: 0 KZT. There is no separate fee for the first visit. Warranty on work: up to 5 years. Installment plan for 24 months with Alatau City Bank or 12 months with Kaspi.
Parking is free. The clinic is located in Almaty, at 133/6 Kanyesh Satpayev Street, JAZZ Residential Complex. We are open daily from 9:00 AM to 8:00 PM. Phone for appointments: +7 747 093 89 86.
The tooth doesn't bother me, no sensitivity to cold. I'm one of those people who asks again three times — they were patient with me. They treated a cavity on a chewing tooth. I didn't think they'd manage it in one visit)
Perleechivali kanal pod mikroskopom, za odin vizit, said srazu skazal, chego zhdat. Zapisali na udobnoe vremya, bez «prihodite k devyati i zhdite», kak i dogovarivalis)
Zub nyl po nocham obezbolivayuschee uzhe ne pomogalo, a lechili pulpit, dva vizita, s anesteziey, nichego ne pochuvstvovala. Plombu ne vidno, cvet sovpal. Spasibo. Napisali v messendzher na sleduyuschiy den, sprosili pro samochuvstvie — tut otdelnaya istoriya —. Dogovor i chek vydali bez napominaniy, meloch, a priyatno.
My previous dentist moved away, so I had to find a new one. To be honest, I'm still surprised it was painless. I came on a colleague's recommendation. I had a cavity treated on a molar.
Posle pandemii ne byla u stomatologa goda tri Ni razu ne pozhalela. Nochnye boli proshli srazu posle pervogo vizita. Postavili plombu, podobrali cvet, polirovali, poka ne perestalo ceplyatsya)
The root canal was retreated under a microscope, and the filling was polished at the end. The nighttime pain stopped right after the first visit. The anesthesia worked completely—I felt nothing. They scheduled me at a convenient time, no "come at nine and wait"—thanks for that too!
I had my tooth treated, and they didn't hide that there were options. It turned out better than I expected. I'm grateful. The next day they called to check on how I was doing. They didn't charge more than the estimate. It didn't hurt. The office is bright, and the equipment is new.
Another clinic said it had to be extracted, but I wanted to save it. I was surprised that everything was shown on the screen — and that was exactly what I was afraid of. They treated pulpitis, two visits, polished until it stopped catching.
At first I just wanted to look around and compare prices. I booked through the website, and they called back about ten minutes later. I had pulpitis treated, two visits. They arranged the installment plan on the spot, no running around to banks. I'll keep coming here. The hallway doesn't smell like a hospital, but like something neutral — that's how it should be. And that's it. The office is bright, the equipment is new, just as agreed. Shoe covers, a cup, a napkin — little things, but everything was there.
I had root canal treatment for pulpitis, two visits, and they took a follow-up X-ray at the end. No nerves involved. The tooth doesn't bother me, no sensitivity to cold, which is exactly what I wanted. They scheduled me at a convenient time, no "come at nine and wait," just as we agreed.
We chose the clinic based on reviews; they placed a filling and matched the color. No stress. Alisher stays in touch even after the appointment.
I spent a long time choosing a clinic and read reviews all over the city (my family laughed about it later). They placed a filling, matched the color, and took a follow-up X-ray at the end. The night pain was gone right after the first visit, and that's the main thing. They scheduled me at a convenient time, without the "come at nine and wait" routine, just as we'd agreed. The office is bright, the equipment is new...
The filling isn't visible, the color matched perfectly. They placed the filling, matched the color, and polished it at the end. It seems like a small thing, but that's exactly what stuck with me. I booked through the website and they called back about ten minutes later.
I needed a second opinion. They placed a filling and matched the color. Zhanel is the kind of doctor you come back to. They arranged an installment plan right there on the spot, no running around to banks — a small thing, but a nice one!
I spent a long time choosing a clinic, reading reviews all over the city. I came on a colleague's recommendation. Just like that. I'll put it this way: the only scary part was before I got in the chair. Madina is the kind of doctor you come back to. I had a cavity treated on a molar, and the canal was irrigated thoroughly and for a long time.
I made an appointment on the recommendation of a colleague from work, and the filling isn't visible — the color matches perfectly. No stress at all (I couldn't believe it myself). They retreated the root canal under a microscope and polished it until it stopped catching.
I had root canal treatment for pulpitis, two visits, with anesthesia, and I didn't feel a thing. They scheduled me at a convenient time, no "come at nine and wait." I recommend the clinic. Sterility is visible, instruments were opened in front of me, and that's what won me over. I have nothing to compare it to, but it felt like everything was done right.
I was dreading it, to be honest. Really dreading it. I had a cavity treated on a molar, with anesthesia, and I didn't feel a thing.
I spent a long time choosing a clinic and read reviews all over the city. One small complaint: the SMS about my appointment arrived an hour late. We came from another district. To be honest, I expected worse. I was treated for pulpitis, two visits.
It got to the point where I couldn't sleep at night. They treated the root canal and didn't hide that there was a choice. We just had to wait a bit long in line. They didn't ask for extra money beyond the bill)
I spent a long time choosing a clinic and read reviews all over the city. I had a cavity treated on a molar, with anesthesia, and I didn't feel a thing. They answered my questions even after the appointment, via messenger, and I want to mention that specifically. I recommend this clinic. They saw me right on time, no waiting. Sterility is visible, instruments were opened in front of me. It seems to me that the people here simply love what they do. Shoe covers, a cup, a napkin — little things, but everything was there, which I hadn't seen anywhere before.
I hadn't been to the dentist for about three years after the pandemic. I have a low pain threshold, and they took that into account. I was scared until the very last moment. Ernar explained why I shouldn't put it off. They treated a cavity on a molar and took a follow-up X-ray at the end.
Came from another district. . . Had pulpitis treated, two visits, with anesthesia, felt nothing. Nurlan didn't rush and gave me time to think. Sterility is visible, instruments were opened in front of me — that's a whole separate story —. I booked my family here too. They messaged the next day to ask how I was feeling, a small thing but nice. The receptionist called back when she promised. Shoe covers, a cup, a napkin — small things, but everything was there. They answered questions even after the appointment, via messenger
I made the appointment on the recommendation of a colleague at work (I couldn't believe it myself). The tooth doesn't bother me, no sensitivity to cold. They placed a filling, matched the color, with anesthesia, I didn't feel a thing!
The tooth ached at night, and painkillers no longer helped. I was treated for pulpitis over two visits, and the canal was irrigated thoroughly and at length. The nighttime pain stopped right after the first visit, and I had already gotten used to the idea that it was all behind me. The anesthesia worked completely—I felt nothing. Sterility was evident; the instruments were opened in front of me. They showed me the X-ray before and after root canal filling—a small thing, but nice. The contract and receipt were provided without me having to ask. They arranged an installment plan on the spot, with no running around to banks—I'd never seen that anywhere before.
After the pandemic, I hadn't been to the dentist for about three years... In short: good. It took me a long time to make up my mind. They redid a root canal under a microscope and polished until it stopped catching. The tooth doesn't bother me, no reaction to cold, so far no complaints. I recommend the clinic. They scheduled me at a convenient time, no "come at nine and wait" — that's how it should be. The anesthesia worked completely, I felt nothing, just as we had agreed.
Honestly, I went in feeling like I was headed for execution. It didn't hurt at all. They placed a filling and matched the color. Alisher stays in touch even after the appointment. I would come back here for my second tooth too.
Had a cavity treated on a molar, done in a single visit. The night pain stopped right after the first visit, and that's the main thing. The anesthesia worked completely, I felt nothing, which had never happened anywhere before. They saw me right on time, no waiting (I double-checked twice). They showed me the X-ray before and after the root canal filling, thanks for that too. The hallway doesn't smell like a hospital, but like something neutral, the way it should be. They used a rubber dam, so my mouth stayed dry and calm. The contract and receipt were given without me having to ask.
I put it off for a long time. They placed a filling, matched the color, and irrigated the canal thoroughly and for a long time. Nurlan told me right away what to expect. The office is bright, the equipment is new, and that wins you over. The night pain stopped right after the first visit. They scheduled me at a convenient time, no "come at nine and wait." They answered my questions even after the appointment, via messenger.
Didn't think they'd manage it in one appointment — they treated a cavity on a molar in a single visit.
I came on my sister's recommendation, and the root canal was redone under a microscope, and the filling was polished at the end. The tooth doesn't bother me, and there's no sensitivity to cold. I've already recommended it to friends. The office is bright, the equipment is new, just as it should be. Shoe covers, a cup, a napkin — little things, but everything was there, no complaints about that. I'll put it this way: I was only scared until I sat in the chair!
V drugoy klinike skazali tolko udalyat, a hotelos sohranit, perelechivali kanal pod mikroskopom, kanal promyvali dolgo i tschatelno. Rabotali s kofferdamom, vo rtu bylo suho i spokoynno. Nochnye boli proshli srazu posle pervogo vizita, chego i hotel. Administrator perezvonila, kogda obeschala, meloch, a priyatno. Napisali v messendzher na sleduyuschiy den, sprosili pro samochuvstvie, kak i dogovarivalis. Pokazali snimok do i posle plombirovki kanalov, kak i dogovarivalis. Zapisali na udobnoe vremya, bez «prihodite k devyati i zhdite», k etomu pretenziy net...
I had my tooth treated and it was all done in one visit. It was quick. The hallway is a bit cramped. There was no pain...
I wanted a second opinion. The filling isn't visible, the color matches, which is what I wanted. Zhanel didn't pressure me and gave me time to think. I had a cavity treated on a chewing tooth.
The root canal was treated, and the image was shown on the screen. Everything is fine now. The appointment time was kept precisely.
Had a cavity treated on a molar, polished until it stopped catching. On the downside, the parking lot was full, but that didn't affect my impression. The night pain stopped right after the first visit. My previous experience was worse, so I have something to compare it to.
They placed a filling and matched the color in a single visit. The filling isn't visible—the color is a perfect match. Honestly, I'm still surprised it was completely painless.
I spent a long time choosing a clinic and read reviews all over the city. In short: it was good. I had a cavity treated on a molar, with anesthesia, and felt nothing. In my opinion, the price is fair for that kind of work. Nurlan is the kind of doctor you come back to!
I hadn't been to the dentist for about three years after the pandemic. The pulpitis treatment took two visits. Ernar is a thorough doctor, attentive to every detail.
I didn't think they'd manage it in a single visit (we had a good laugh about it at home afterwards). They placed a filling, matched the color, and irrigated the canal thoroughly and for a long time. I have a low pain threshold, and they took that into account. Zhanel explained why it's not worth putting it off.

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