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Sedation methods in dentistry include inhalation sedation (using nitrous oxide), oral sedation, and intravenous (IV) sedation.Inhalation sedation is also sometimes referred to as relative analgesia.
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The American Society of Anesthesiologists defines the continuum of sedation as follows: Prior to any oral sedation methods being used on a patient, screening must be done to identify possible health concerns.
Before using sedation, doctors try to identify any of the following that may apply: known drug allergies and sensitivities, hypertension, heart defects, kidney disease, other allergens, such as latex allergy, history of stroke or transient ischemic attack (TIA) (certain oral sedation methods may trigger a TIA), neuromuscular disorders (such as muscular dystrophy), or a current list of medications and herbal supplements taken by the patient.
There are studies claiming that sedation accounts for 40 percent to 50 percent procedure-related complications, that is why this process has attracted attention.
Airway obstruction, apnea and hypotension are not uncommon during sedation and require the presence of health professionals who are suitably trained to detect and manage these problems.