Who is responsible for titrating nitrous oxide during a procedure?

The responsibility for titrating nitrous oxide during a procedure rests with the dentist. Titration refers to the careful adjustment of the concentration of nitrous oxide to achieve the desired level of sedation for the patient. This process requires specialized knowledge and training to ensure the safety and effectiveness of the sedation being administered.

The dentist, as the licensed professional, is trained in the pharmacology and physiological effects of nitrous oxide. They make real-time decisions based on factors such as the patient’s response to the sedation, their medical history, and the specific requirements of the procedure. The dentist is ultimately accountable for the patient's safety and well-being while managing anesthesia protocols.

While other dental professionals, such as dental assistants, nurses, or hygienists, may assist in various capacities during a procedure, they do not have the authority or the scope of practice to independently titrate medications like nitrous oxide. Thus, the dentist’s role is crucial for ensuring that the use of nitrous oxide is both safe and effective.