Sedation Dentistry refers to the use of pharmacological agents to calm and relax a patient prior to and during a dental appointment. The pharmacological agents usually belong to a class of drugs called sedatives, which exert their action by depressing the central nervous system, specifically those areas concerned with conscious awareness.


Before the Procedure (under sedation):

1. To kindly inform the consultant about any medical illness like asthma, diabetes, hypertension,

cardiac illness etc..

2. Treatment history for any long term illness.

3. History of any drug allergies.

4. History of any previous anesthetic exposure.

5. Patient should be on fasting for 6 hours prior to the procedure. Water can be taken up to 2

hours before the procedure but keep it minimal.

After the Procedure (under sedation):

1. He/she should not drive 2/4 wheeler or travel in a 2 wheeler for 24hrs.

2. He/she should not work with fast moving machinery for 24hrs.sedation dentistry12

3. Patient should have a responsible adult stay with them for at least 12 hours following the


4. Patient should not consume alcoholic beverages the evening prior to or for 48 hours following the



1.  The purpose of conscious sedation is to receive the necessary care more comfortably.  Conscious sedation is not always necessary to provide the necessary

dental care.  Conscious sedation has limitations & risks & absolute success cannot be guaranteed.

2. Conscious sedation is a drug induced state of reduced awareness & decreased ability to respond.  Conscious sedation is not sleep. Patient will be able to respond

during the procedure.  Patients ability to respond normally returns when the effect of sedatives wears off.

3. Conscious sedation will be achieved by intravenous route & will be administered by a person who is properly trained to manage even deep sedation.

4. The alternatives to conscious sedation are:

Without sedation: Procedure done under local anesthetic with the patient fully conscious.

Anxiolysis:  Taking a pill to reduce anxiety & fear.

General anesthesia.

5. There are risks or limitations to all procedures.  For sedation these


Paradoxical sedation:  Where Patient will get more excited rather than sleepy.

Hiccups & itching at the site of injection.

Thrombophlebitis (inflammation of the vein).

A typical reaction to  drugs that may require emergency medical attention  such as altered mental states, physical reactions, allergic reactions and other sicknesses.

6. Patient must notify the doctor if if pregnant, or lactating.  Patient must notify the doctor if allergic to any medication, present medical & physical condition, if recently consumed alcohol & presently on psychiatric mood altering drugs or other medications.


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