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What to Expect When Going Under IV Sedation

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IV sedation delivers medication directly into your bloodstream through a tiny needle placed in your hand or arm.

Many patients choose IV sedation for dental procedures, but the prospect of receiving intravenous medication can add to existing anxiety. Understanding what happens before, during, and after IV sedation can help put your mind at ease.

Contact us today to schedule a consultation and take the first step toward stress-free dental care.

iv for dental sedation
I have NEVER had a positive experience with dentist…until now!! I was mind blown how kind the staff was, not just to me but to everyone! I have debilitating anxiety when it comes to dentists because of bad previous experiences, so I was very nervous. But, all the staff, including Dr. Thom, were very gentle, kind, and understanding. They took time to listen to all my concerns and address them, helping to put me at ease. I was also amazed how professional the whole office ran and how completely reliable they were. They easily guided me through the process and everything went so smoothly, including my sedation. I have never been treated so kindly by any dental office before, I was struggling to believe I wasn’t in some kind of dream. But. They really were that nice.

My recovery from sedation and all
The dental work they did to save my tooth was amazing, not a single issue! Dr. Thom even called personally to check on me a day later.

Coming back to put my permanent crown in was the same experience. They were all so kind,
Good about explaining everything they were doing and make the experience light and dare I say…fun.

I would drive 2.5 hours again in a heartbeat to do my work here. Best dental experience I’ve ever
had hands down!!!!!!! Thank you Dr. Thom for giving my life and tooth back. I’m so excited to not be in so much excruciating pain anymore!
Response from the owner:We can’t thank you enough for your kind and heartfelt words. Our entire team is dedicated to creating a gentle, supportive, and positive experience for every patient, so it means the world to hear your visit felt that way. We’re so glad you felt cared for and comfortable throughout the process, and we truly appreciate you making the trip to see us. Thank you for trusting us—it’s an honor to care for patients like you!
Dr. Hoffmann and his team takes great care of my special needs daughter. We have been coming here for over 20 years. The staff is so kind and patient with her and explains everything to help her stay calm.
Response from the owner:Thank you so much for sharing your kind words and for trusting our team for so many years. We’re honored to care for your family and appreciate the opportunity to make each visit a positive experience.
I have had the best experience with Dr Behl and her staff! I have awful dental anxiety from some past experiences and they are so kind and supportive. Rebecca is incredible to work with. I highly recommend them to everyone I know!!
Response from the owner:Thank you so much for sharing your kind words! We’re happy to know you felt supported and comfortable during your visit. Our team strives to create a welcoming environment for everyone, and we truly appreciate your recommendation.
We always receive excellent care at the Dental Anesthesia Center.
Response from the owner:Thank you for your kind words! We truly appreciate your trust in our team and are grateful for the opportunity to provide care.
Our adult daughter has cerebral palsy and requires being fully sedated when having anything done. The DAC was such a positive experience. Dr Hoffmann and his staff were kind and did great explaining things. As a mom, I had a lot of questions about how certain things would be done as usually she’s in her chair when getting examined at her local dentist and they had everything under control including transferring from her chair to the dentist chair and keeping her secured in the dentist chair as well as keeping her neck and legs comfortable. Many thanks to them!
Response from the owner:Thank you so much for your kind words. We’re grateful for your trust and happy to hear that you had such a positive experience with our team. Our goal is always to provide compassionate, attentive care in a safe and comfortable environment. We truly appreciate you taking the time to share your experience.

What is IV Sedation?

IV sedation, also known as intravenous sedation, delivers medication directly into your bloodstream through a tiny needle placed in your hand or arm. This method allows for precise control of your sedation level throughout your procedure. Unlike general anesthesia, you’ll remain conscious but in a deeply relaxed state, often with little to no memory of the procedure afterward.

Before Your Appointment

Your journey with IV sedation begins well before you sit in the dental chair. During your initial consultation, your dentist will review your complete medical history. They’ll need to know about:

  • Some of your current medications and supplements may need to be temporarily adjusted. Be sure to mention any vitamins or herbal supplements, as these can sometimes interact with sedation medications.
  • Previous experiences with sedation or anesthesia, including any adverse reactions or complications. This information helps your dental team prepare for your specific needs.
  • Medical conditions that might affect sedation, such as heart problems, respiratory issues, or diabetes. These conditions don’t necessarily rule out IV sedation but may require additional precautions.

Preparation Guidelines

The night before and the morning of your procedure require specific preparation. You’ll need to fast for a certain period before your appointment – typically 6-8 hours for solid foods and 2-4 hours for clear liquids. This safety measure prevents complications during sedation.

Wear comfortable, loose-fitting clothing to your appointment. Short sleeves are ideal as they allow easy access to monitoring equipment and the IV line. Leave jewelry at home, and avoid wearing makeup, nail polish, or contact lenses.

Arrange for a responsible adult to drive you to and from your appointment. They should plan to stay with you for several hours afterward as the sedation effects gradually wear off.

Arrival and Initial Steps

Upon arriving at the dental office, your vital signs will be checked, including:

  • Blood pressure
  • Heart rate
  • Oxygen levels
  • Temperature

The dental team will review your pre-procedure instructions and ensure you follow all guidelines. They’ll answer any last-minute questions about the procedure or sedation process.

Starting the IV Sedation

Many patients worry about the IV placement, but most find it much easier than anticipated. A small needle creates access for the IV line, typically in your hand or arm. The area is numbed with a topical anesthetic, making the process more comfortable.

Once the IV is placed, the sedation medication begins flowing. You’ll start feeling its effects within a few minutes. Most patients describe a warm, relaxed sensation spreading through their body. Some people feel a bit light-headed or tingly – these are normal reactions.

During Your Procedure

While under IV sedation, you’ll remain in a twilight state. Although technically conscious, you’ll be deeply relaxed and likely won’t remember much of the procedure. You can still respond to simple commands, which helps the dental team work efficiently.

Throughout your treatment, a trained professional continuously monitors your vital signs. The sedation level can be adjusted at any time to ensure your comfort and safety. Multiple monitors track you:

  • Heart rhythm
  • Blood pressure
  • Oxygen saturation
  • Breathing rate

Waking Up

As your procedure concludes, the sedation medication is stopped. You’ll gradually become more alert, though the full effects take several hours to wear off completely. During this initial recovery period, you might feel:

  • Drowsy or groggy
  • Slightly dizzy
  • Slight disorientation

These feelings are normal and will fade with time.

Following Days

Most patients can return to their everyday routines the day after IV sedation. However, you might notice some lingering effects for up to 48 hours, such as mild grogginess or feeling slightly “off.” This is normal and will resolve on its own.

Long-term Benefits

Many patients find that their experience with IV sedation changes their perspective on dental procedures. Completing necessary dental work without anxiety or discomfort often leads to better oral health maintenance in the future.

When to Contact Your Dentist

While complications from IV sedation are rare, know when to seek help. Contact your dental office if you experience:

  • Prolonged nausea or vomiting
  • Severe headache
  • Unusual bleeding
  • Signs of infection at the IV site
  • Breathing difficulties
  • Prolonged sedation effects
Updated: January 9, 2025