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Conscious Sedation: An Integral Part of Dentistry

Anika Mittal , Anika Mittal , Shilpa Khullar , Jai Hans Aggarwal , Bhupesh Gupta

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Indian Journal of Dental Education 6(3):p 147-153, July - September 2013. | DOI:

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Abstract

Conscious sedation has become an increasingly important subject in recent years. Its use in dentistry for reconstructive surgery, some cosmetic surgeries, removal of wisdom teeth, or for high anxiety patients has been documented but not widely accepted in day to day practice. It helps establish communication between dentist and patient which is important for establishing trust, easing a patient’s pain, and allowing them to feel they are in control of procedure. The aim is to provide a safe and comfortable anaesthesia while maintaining the patient’s ability to follow commands..The introduction of new anaesthetic applications enables patients to undergo lengthy and complex procedures as outpatients and then promptly and safely be discharged home. The choice and route of anaesthesia administration is paramount to the patient’s overall surgical experience. If, upon discharge, the patient is alert, has minimal pain, and has no nausea or vomiting, then the surgical experience was a positive one. This level of sedation is used for medical procedures in which it is necessary for the patient to be responsive, and also for minor procedures which do not merit the use of general anaesthesia, and for procedures involving patients who cannot cooperate with care providers. Like any form of anaesthesia and sedation, there are some risks to conscious sedation, but it is significantly less dangerous than general anaesthesia.

Keywords: Anxiety; Conscious sedation; Dentistry, Pain.

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