SEDATION

WHAT IS CONSCIOUS SEDATION

In the UK the definition that is widely accepted is:

A technique in which the use of a drug or drugs produces as state of depression of the central nervous system enabling treatment to be carried out. During the procedure verbal contact with the patient is maintained throughout the period of sedation. The drugs and techniques used to provide conscious sedation for dental procedures should carry a margin of safety wide enough to render loss of consciousness unlikely.

It is of fundamental importance that the level of sedation is such that the patient remains conscious and is able to both understand and respond to verbal commands, either alone or accompanied by light tactile stimulus.

How is intravenous Sedation administered

Intravenous access is obtained through a small injection on either the back of the hand or fold of the arm.

A small plastic cannula remains in position for the duration of the procedure to allow the administration of a sedative drug or drugs. The sedative drugs will relax and possibly make you feel drowsy during the treatment.

Once vou are sedated, local anaesthetic in the mouth will be administered to prevent any painful experience. Thereafter vour mouth will be numb and without sensation in the area of the dental procedure

What are the benefits reason for sedation?

Sedation administered by injection helps to reduce/ overcome dental anxiety, it is recommended for long and/or uncomfortable procedures (like tooth extractions) as it creates a relaxed environment and prevents stress and anxiety.

What are the risks?

the drugs can affect your heart rate and breathing To prevent any adverse effects, we have prepared a comprehensive questionnaire regarding relevant medical history to assess any risks. It is important that you complete this and return to us as soon as possible.

During the procedure, you will be monitored closely by the anesthetist to recognize adverse events early and manage appropriately, Oxygen is available and resuscitation equipment is of the same high standard as you can expect in hospital. All staff are trained in resuscitation with annual recertification as required by the General Dental Council.

It is possible that the area where the cannula is inserted may bruise and be sore. This may last for a few days.

Alternatives to Conscious Sedation:

Local Anaesthetic without sedation or General Anaesthetic. The last mentioned is only available in hospital and by law cannot be administered in primary care (Dental surgery).

Treatment under local anaesthetic involves injections into the gums to prevent pain with treatment. Without the additional sedation, you will be more aware of the dental procedure, which can lead to anxiety and stress in some patents.

General anaesthesia is regarded as riskier and therefore is reserved for patients who are unable to cope with treatment under sedation due to a disability or who may need extensive treatments not deemed suitable under conscious sedation.