While the ADA advocates the use of sedation dentistry, increasing regulatory efforts by various groups make it harder for the average dentist to practice sedation techniques. In many states, it pays to seek a specialist when considering dental surgery, in order to have the most sedation options.

Conscious sedation is the method most often used for oral surgery. During conscious sedation, a patient remains awake and able to respond to commands, although very relaxed and free from pain.

There are several methods of conscious sedation dentistry, but three are the most commonly used. First, IV sedation involves the use of intravenous drugs which are controlled by the dentist. This method offers the most control, as the dentist can vary the amount of drug given very quickly and easily.

Oral conscious sedation, the type of treatment most commonly referred to as “sedation dentistry,” is achieved by swallowing a pill. Many patients fall asleep during these treatments, but some are awake throughout the procedure. This type of treatment is more difficult to individualize for the patient, but results are usually very good.

Finally, inhalation methods, utilizing nitrous oxide or some other type of gas, are often used for minor oral surgery. This is the oldest form of sedation techniques, and is very popular with many dentists.

As with any drug-based treatment, sedation techniques should only be administered by those who are properly trained and licensed to carry them out. They can offer a very relaxing and painless experience for the patient under the right circumstances and with careful control.