Here at The Guild Practice we are trained and equipped to provide our anxious patients with sedation. Intra-venous Conscious Sedation or I/V sedation is performed using Midazolam. This is usually administered through a site on the inside of the patient’s elbow directly into the bloodstream during dental treatment.
I/V sedation is recommended for nervous patients who do not want to feel fear before or during their dental procedure that they need to undergo. Members of our dental team who are qualified to provide intravenous sedation will be present throughout the procedure. They will oversee, manage the administration of the sedative and ensure that everything about the I/V sedation is in place – and perfectly safe. Nervous patients will feel completely relaxed and calm with I/V sedation; this will allow the dentist to carry out the necessary dental treatments without any difficulties.
- IV sedation tends to be the method of choice if you don’t want to be aware of the procedure – most often patients have no recollection of the dental procedure whatsoever.
- The onset of action is very rapid (approximately 3 or 4 minutes) and the drug dosage and level of sedation can be tailored very accurately to meet every individual patients needs. This is a huge advantage compared to sedation when given as a solution to drink where the effects can be very difficult to maintain and the length of time of action of the sedation before it wears off is unreliable to determine. I/V sedation, on the other hand, is both highly effective and highly reliable.
- The maximum level of sedation which can be reached with I/V is deeper than with oral or inhalational sedation.
- Benzodiazepines produce amnesia for the procedure.
- Unlike General Anaesthesia or Deep Sedation, conscious IV sedation rarely introduces any compromises in terms of carrying out the actual procedures. Because patients are conscious they can cooperate with instructions.
In reality, you remain ‘conscious’ during conscious IV sedation. You will be able to understand and respond to requests from your dentist.
However, you may not remember much (or anything at all) about what went on because of two things:
- I/V sedation induces a state of deep relaxation and a feeling of not being bothered by what may be happening.
- The medicine used for I/V sedation produces either partial or full memory loss (amnesia) for the period of time when the drug first takes effect until it wears off. As a result, time will appear to pass very quickly and you will not recall much of what happened. Many people remember nothing at all. It may, therefore, appear as if you were “asleep” during the procedure.
There is no need to be concerned that memory will be lost for long periods after the treatment. This does not happen. The patient always feels that the time in the surgery is much shorter than it really is. Intravenous sedation usually has no unpleasant side effects. Intravenous sedation is the most controllable way of determining the exact level of ideal sedation needed for a particular individual Depending on the technique used sedation can be controlled to last for anything between just a few minutes to a number of hours. Most people think it is fantastic!