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Dr. Elliott A. Schwartz
& Associates

Certified Specialist in Children's Dentistry

106 Sheppard Ave West,
Toronto

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  TTC Access

Oral Conscious Sedation

Conscious Sedation

Conscious sedation is a drug induced management technique to help our patient cope with fear and anxiety.

Dr. Elliot Schwartz has been providing sedation services since 1974. He is the past president of the Conscious Sedation Study Club and served for many years as a member of the Adhoc Committee on Anaesthesia and Sedation at the Royal College of Dental Surgeons of Ontario.

Dr. Schwartz and Dr. Thaci both provide

  • Nitrous Oxide and Oxygen Conscious Sedation
    and Dr. Schwartz is also licenced to provide advanced sedation including:
  • Oral Conscious Sedation (multiple drugs)
  • Oral Conscious Sedation combined with Nitrous Oxide-Oxygen
  • All patients receiving sedation should have nothing to eat for 8 hours prior to their appointment and can have clear liquids such as water, ginger ale or juice (without pulp) up to 2 hours before their appointment.

    Nitrous - Oxide Oxygen Conscious Sedation

    Nitrous - Oxide (often called Laughing Gas) is a colourless tasteless gas that has both sedative (calming) and analgesic (pain Killing) properties. Nitrous-Oxide is also beneficial for patients who have a strong Gag Reflex. It is the safest drug that we use in the office. We can make this experience even more pleasurable by giving your child the ability to add one of many popular scents to the gas.

    Nitrous-Oxide is a very safe but not a potent drug and so a strong willed child can fight its affects. Once the gas has been turned off, Nitrous-Oxide is exhaled through normal breathing and is not detectable in the body after 5 minutes.

    For your child's safety, especially if he or she is very nervous, they should come to the office with nothing to eat 8 hours before their appointment and only clear fluids such as water, ginger ale or juice (without pulp) up to 2 hours before the appointment.

    Oral Conscious Sedation

    Oral Sedation in our office is used as a combination of several drugs. Combining drugs usually allows for lower amounts of each drug to be used and potentially a quicker recovery time. Oral Conscious Sedation is more potent than Nitrous-Oxide. Dentist using this advanced technique must be specially licenced by the Royal College of Dentists of Ontario.

    The right amount of each drug for each patient is found by trial and error. Since safety of the patient is of utmost importance, the child patient is usually awake and restless during his/her first encounter with oral sedation. In most cases the drugs wipe out recall of the appointment as if it never happened.

    Oral drugs must be metabolized and then excreted from the body and this usually takes 3 hours. Side effects can be prolonged drowsiness, crankiness and agitation. All these side effects pass as the drugs are metabolized and excreted with time.

    For your child's safety, especially if he or she is very nervous, they should come to the office with nothing to eat 8 hours before their appointment and only clear fluids such as water or juice without pulp up to 2 hours before the appointment.

    It takes 30 minutes for oral drugs to become effective and the child must be given the drugs a half hour before their dental appointment.

    The major precaution when a patient is orally sedated is during the trip back home. The child must be observed not to slump over and block his/her breathing. We strongly suggest that 2 people accompany the child for an oral conscious sedation appointment. One person to observe the patient and the other to drive the car.

    The oral drugs used in our office for Oral Conscious Sedation are:

    • VERSED (Midazolam) is a short acting Valium derivative that gives both sedation (calming) and short term amnesia (Forgetfulness)
    • ATARX (Hydroxyzine) is an antihistamine with sedative (calming) and anti-emetic (control vomiting) properties
    • ADVIL (Ibuprofen) is an over the counter liquid pain killer that is used to give a familiar flavour to the sedation drugs as well as raise the patients pain threshold
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