Conscious Sedation in Paediatric Dentistry- A Review


Conscious sedation is a combination of medicines to help to relax and block pain during medical or dental procedure.

Although behavioural management may need to be augmented with conscious sedation for some anxious children, pharmacological agents are not substitutes for effective communication and the persuasive ability of the operator.

It is important that a wide margin of safety between conscious sedation and the unconscious state provided by general anaesthesia is maintained.

In conscious sedation, verbal contact and protective reflexes are maintained, whereas in general anaesthesia these are lost. Recording of blood pressure is a part of assessment process of all patients having intravenous,oral, transmucosal sedation.

The drugs used for conscious sedation are Midazolam (oral sedative), laughing gas (nitrous oxide sedative),fentanyl (intravenous), sublimaze (injection).

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INTRODUCTION: All children expect painless, high quality dental care. Conscious sedation is defined as a technique in which the use of a drug or drugs produces a state of depression of the central nervous system enabling treatment to be carried out, but during which verbal contact with the patient is maintained throughout the period of sedation.

Reduction of pain and anxiety in child dental patients has been an issue for a long time. Although the majority of paediatric dental patients could be managed by conventional behaviour management methods, a fair number of them require pharmacological intervention.


° P.Savitha /J. Pharm. Sci. & Res. Vol. 7(9), 2015, 779-781
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