IV (Intravenous) Sedation-Sleep Dentistry
Intravenous Conscious Sedation (IV sedation) is when a drug administered into the blood system during dental treatment.
Many Dental Office, refer to the term Dentistry or Twilight Dentistry, While applying, IV Sedation, patient remain conscious during IV sedation. He/she can be able to understand and respond. But, the patient may not remember much about what went on because it induces a state of deep relaxation. It produces a feeling of not being bothered by what?s going on. This is because the drugs used for IV sedation put the patient in a state of (partial amnesia for short time) or a condition of partial or full memory loss for the period of time. Time will appear to pass very quickly to the patient and he/she will not recall much of what happened.
Administration of drug
Usually, you feel a tiny pinch in the hand and in some times you feel sleepy, and the time passes like a magical hours and by the time you wake up, everything is done
Do I need to undergo Local Anesthesia though I?m under IV Sedation?
The drug which is used for IV Sedation is generally to put you asleep from fear and anxiety and not a anesthetic drug.you will be numbed under STA(single tooth anesthesia) in which the local anesthesia will be achieved without any pain during your magical sleep hours.once your awake, you will be absolutely out of anxiety and pain.if you have a fear of injection, doctor will wait until you are fully sedated, and then give you local anesthesia.
Are you still feared of needle ? IV Injection?
Local Anesthetic cream eg: Ametop numbing cream, can be applied before Venflon is placed and the area will become numb where, you won?t even know the venflon placement in hand.
Medicines & different type of IV sedation
Mostly, the drug used for IV sedation is a short acting benzodiazepine, commonly know as reduce anxiety and /relax you. It makes you sleepy and it put you in a amnesia condition (make you forget what happened during the procedure).
The other most commonly used drug for IV sedation is Midazolam. Total amnesia is more common with midazolam. Midazolam may be the first choice as it?ll be out of your system faster. Some anaesthetists use Propofol instead of benzodiazepines. The advantage of this is the very rapid recovery time, less than 5 minutes.
strong pain-killers or Opioids can be used as an add-on to either benzodiazepines or barbiturates.
Opioids may be the first choice because of the pain-killing factor. But, in reality, this usually only comes into play for post-treatment pain, because local anaesthesia will take care of any pain during treatment. However, should the local anesthetic effect begin to lessen, an Opioid will help to alter the experience of pain.