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Oral sedation is one of the available methods of conscious sedation dentistry, along with inhalation sedation (e.g., nitrous oxide) and conscious intravenous sedation. [citation needed] Benzodiazepines are commonly used, specifically triazolam. [1] Triazolam is commonly selected for its rapid onset and limited duration of effect. [1]
Dental anesthesia (or dental anaesthesia) is the application of anesthesia to dentistry. It includes local anesthetics , sedation , and general anesthesia. Local anesthetic agents in dentistry
Sedation dentistry refers to the use of pharmacological agents to induce relaxation and often sleep in a patient prior to and during a dental appointment. The pharmacological agents used differ depending on patient, level of sedation desired and medical professional administering the sedation medications.
Total intravenous anesthesia (TIVA) refers to the intravenous administration of anesthetic agents to induce a temporary loss of sensation or awareness. The first study of TIVA was done in 1872 using chloral hydrate , [ 1 ] and the common anesthetic agent propofol was licensed in 1986.
Any deviation from the normal values should prompt the dental clinician to lighten the sedation.The dental clinician can recognise and deal with the following sedation related complications: Vasovagal attack (faint). It is more common in severely anxious patients and can be indicated by nausea and vomiting, pallor and a rapid pulse.
These include allergic reactions, over-sedation, respiratory depression, and hemodynamic effects. These typically depend on the sedative agent used. Some agents are more likely to cause complications than others, but all sedative agents can cause complications if not used properly. Titration is a common technique used to reduce these complications.
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The most common standard conscious sedation technique for adults is intravenous sedation using Midazolam. This requires a needle to be put into a vein to deliver the medication; this is known as an IV cannula. [citation needed] Indications: [citation needed] Reduced dental anxiety and phobia; Traumatic or prolonged dental procedures