Intravenous conscious sedation involves administering a sedative directly into the bloodstream, producing sedation with a very rapid onset that is easily controlled throughout the procedure. If the patient is not adequately sedated, more medication can be administered and the effects are nearly instantaneous. Compared to oral conscious sedation, intravenous conscious sedation is more controlled, produces more profound amnesia, and has a much faster onset. However, just like oral conscious sedation, the protective reflexes (gag response) and spontaneous breathing are maintained. While your level of consciousness is depressed, you will never be unconscious.
This form of conscious sedation is excellent for shorter procedures (1 to 2 hours in length) that tend to produce anxiety in patients, such as extractions and other surgical procedures, but can also be used for more routine work such as filling, crowns, and root canals. It is also a great option for patients who are fearful of dental visits, or for patients with special needs.
Intravenous conscious sedation is not commonly used in most dental offices because of the advanced training needed and special permits required by the State Dental Board. Dr. Kevin Fielding received his training and certification in oral and intravenous conscious sedation through a residency program in the United States Air Force, and civilian continuing education courses. He is licensed by the Maryland State Board of Dental Examiners to perform both oral and intravenous conscious sedation. Dr. Kevin Fielding is also certified in both Basic Life Support, and Advanced Cardiac Life Support. In addition to the required Basic Life Support certification, our assistants have also received training to closely monitor you throughout your appointment.