Conscious Intravenous Sedation in Dentistry: A Review of Current Therapy

Dent Clin North Am. 2016 Apr;60(2):309-46. doi: 10.1016/j.cden.2015.11.009.

Abstract

Several sedation options are used to minimize pain, anxiety, and discomfort during oral surgery procedures. Minimizing or eliminating pain and anxiety for dental care is the primary goal for conscious sedation. Intravenous conscious sedation is a drug-induced depression of consciousness during which patients respond purposefully to verbal commands. No interventions are required to maintain a patent airway, and spontaneous ventilation is adequate as well as cardiovascular function. Patients must retain their protective airway reflexes, and respond to and understand verbal communication. The drugs and techniques used must therefore carry a broad margin of safety.

Keywords: Airway assessment; Dental anxiety; Dental pain; IV conscious sedation; Moderate sedation; Monitoring; Pharmacotherapeutics; Sedation guidelines.

Publication types

  • Review

MeSH terms

  • Anesthesia, Dental*
  • Conscious Sedation*
  • Dentistry
  • Humans
  • Pain