Who is responsible for initiating the use of nitrous oxide during dental procedures?

The licensed dentist is responsible for initiating the use of nitrous oxide during dental procedures because they have the requisite training and legal authority to assess a patient's needs and determine the appropriate type of sedation for various treatments. The dentist's role involves evaluating the patient's medical history, understanding any contraindications, and ensuring that nitrous oxide is suitable for the patient’s specific situation.

Furthermore, the dentist must monitor the patient throughout the procedure to ensure safety and effectiveness, adjusting levels of sedation as necessary. This responsibility aligns with the dentist’s scope of practice and licensure, which includes providing comprehensive care and managing pain and anxiety during dental treatments. Other dental team members, like dental assistants and hygienists, play important supportive roles, but they do not have the authority to initiate or administer nitrous oxide independently unless explicitly permitted under particular jurisdictional regulations. Meanwhile, the patient can express their preferences and concerns, but the decision to use nitrous oxide rests ultimately with the licensed dentist, emphasizing the importance of professional judgment in the delivery of dental care.