Summary   * Background: In this paper, attention is paid to the discussion of nitrous oxide and its benefits over general anesthesia in dentistry in the United Arab Emirates. Pediatric patients experience anxiety and fear when they have to treat their caries or other dental problems. Therefore, the goal of healthcare workers is to reduce the level of pain and panic among children and improve the quality of dental care. Nitrous oxide is discussed through the prism of three items – the level of care quality, implementation costs, and patient satisfaction.   * Methods: A scoping review of 20 peer-reviewed articles is used to gather the material and analyze recent findings. The initial number of the articles found was 2,527; after the removal of duplicates and exclusion of non-eligible articles, 5 primary studies and 15 review articles were chosen.   * Results: Overall satisfaction and the possibility to control pain during dental services with the help of nitrous oxide inhalation sedation with or without ketamine is proved to be an effective treatment modality compared to general anesthesia for pediatric patients.   * Conclusion: Nitrous oxide inhalation has its advantages over general anesthesia, and modern UAE dentists find it effective to choose this modality regularly to enhance patient satisfaction and positive attitudes toward dental care. Increased care quality and patient satisfaction are the two key benefits of using nitrous oxide sedation in pediatric patients. The potential reduction of care costs is likely to be achieved due to lower levels of complications and faster recovery. Introduction The United Arab Emirates (UAE) has one of the best health care systems in the world. The country has achieved in reforming private health insurance and care services (Koornneef et al., 2017). Dental caries is one of the most critical public problems that influence the health of the population (Elamin et al., 2018). Children are in need of regular and safe dental care services. The American Academy of Pediatric Dentistry (2018) defines nitrous oxide inhalation as a safe technique to reduce anxiety among children and establish communication between a patient and a medical worker. Considering that anxiety and pain are the key concerns faced by many pediatric children, proper sedation serves as a viable solution to the identified problem (Gazal et al., 2016). In this connection, the importance of the chosen topic is associated with understanding the current sedation practices in pediatric dentistry and revealing any tendencies and opportunities for its further improvement. This paper aims at reviewing current academic resources to understand the worth of this practice for children with dental problems of different levels. A scoping review is a research strategy to analyze the effectiveness of nitrous oxide in UAE dental hospital management. PICOT and research are discussed in Section 2, Sections 3 and 4 explain dental services, and Section 5 evaluates three items about nitrous oxide (quality, satisfaction, and cost). Section 6 concludes that compared to general anesthesia, nitrous oxide inhalation has its benefits, threats, and impact on care quality, patient/staff satisfaction, and cost polici