Understanding Conscious Sedation

The dental procedure termed "conscious sedation" doesn’t literally make sense. Is it possible to be sedated and remain conscious at the same time? Dental advertisements often refer to this procedure as "twilight sleep" which is supposed to soothe the patient into a calm state of mind during a dental procedure.

Some people do not fear a trip to the dentist at all, or do well with some relaxation techniques or open discussion with their dentist about what each procedure might involve. But, there are many who do not go to a dentist out of fear of pain or anxiety, even for the most primary of dental care.

Conscious sedation is usually performed using one of three methods - intravenous drugs, oral medications or inhaled gases. The type of sedation required depends on the specific dental treatment being administered and the patient’s overall level of comfort, and will be decided in consultation with the dentist. For example, the patient who doesn’t want to remember anything about the dental treatment would likely choose IV sedation because it frequently provides partial or full amnesia.

A patient who is more worried about the potential side effects of intravenous and oral medication can choose the inhalation technique in which the effects of the gas disappears from the system almost instantly. When somebody has a very deep fear about even the potential of dental treatment, the best possible method for them is IV or gas inhalation sedatives.

What are the negative aspects of choosing sedation? Patients who opt for oral or IV sedatives will need someone to accompany them to and from the appointment. IV sedation may not be recommended for those who get panicky at the sight of a needle, because the sedative is administered via a needle in the arm.

Oral medication can be administered in a variety of strengths and doses depending on the patient’s needs. Factors like health, body weight, and metabolism will affect the overall effectiveness of the oral sedative.

It is wise to discuss in detail with the dentist everything related to the treatment before deciding on a method of sedation.