What is Intravenous Sedation
Intravenous sedation also referred to as ‘Twilight Sleep’, is a sedative drug (Midazolam) which is given to you by injection into a vein in the back of y
our hand or in your arm through a cannula. The sedation makes you drowsy and helps reduce anxiety.
Before your Surgery…
It is usual to have at least two appointments. The first appointment will be an assessment when your dental treatment under sedation will be planned and discussed with you. The dental treatment under sedation will take place at the second and subsequent appointments. If the treatment is needed as an emergency, it may be possible to have some treatment under sedation at the first appointment.
Your dentist and members of the dental team are trained to give sedation. They watch you closely and treat any problems that may develop. They are also required to use appropriate monitoring equipment during sedation. There will be a recovery area where you will be observed until you have made a full recovery from the sedation.
If you think you may be pregnant, you need to let the dentist know. You may need to come back to have your treatment at another time. You should let the dentist know if you are breastfeeding.
Your dentist will discuss with you and explain what you are able to eat and drink prior to your appointment. You will also be given this information in writing. It is important that these instructions are followed carefully.
The information provided here is a general guide for patients having dental treatment with sedation. As part of the face-to-face discussions with your dentist, you may be given advice that is specific to your treatment plan. This may differ in some areas to the general principles outlined here.
Before any treatment is started, the dentist will ask you to confirm consent. This means that you understand the planned treatment and how you will receive the sedation.
What to expect:
You will remain conscious during this kind of sedation.
You may experience a temporary loss of memory during the time that you are sedated. Many patients have no memory of the procedure at all. You may feel unsteady on your feet for some hours after the procedure. Your ability to think clearly and make judgements may be affected for the next 24 hours. You may experience some forgetfulness.
Once you are sedated, the dentist can use local analgesia (pain relief that numbs the site of the dental treatment). Local anaesthetic as a paste is sometimes used to numb the site of the treatment. Any injections that you may need can be given through this numbed area to reduce the chance of any discomfort.
You will spend some time in the recovery area following your treatment. You will be checked by the dentist before you can go home. You must be accompanied by an able-bodied adult who can take responsibility for you following your treatment. This person may need to stay with you overnight. If arrangements have not been made for someone to accompany you after treatment, you will not be able to have the sedation.
If you have any questions or are unclear about having your sedation, then do not hesitate to ask your dentist.
After the treatment…
Your judgement will be affected by the drugs, in some cases, this may be for as long as 24 hours. This is similar to the effects of consuming alcohol. You should not drive a car, ride a bicycle or operate machinery until the following day. You should also not take responsibility for the care of others, use sharp implements or cook. It would be unwise to make any irreversible decisions for up to 24 hours following your treatment. Owing to the after effects of the drugs used, care should be taken when using the internet for personal communication.
Before you are discharged, the dentist or dental nurse will give you and the adult accompanying you (escort) important information about your care. You will be given information relating to any local analgesia and the treatment you have received. The dentist will also provide details of pain relief as well as how and when to take other prescription medicines.
You will be given a telephone number of who to contact if you have any problems as a result of your treatment.