Conscious Sedation

Conscious sedation is a combination of medicines to help you relax (a sedative) and to block pain (an anesthetic) during a medical or dental procedure. You will probably stay awake, but may not remember having the procedure.

We are prepared to travel with all the equipment needed for sedation to most areas in London, Essex, Bedfordshire, Hertfordshire, Suffolk, Norfolk and surrounding areas.

If you decide that you would like conscious sedation, please ask your dental practice to contact us to discuss this further.

 

 

Contact Us

Our Statistics

14500

Sedations performed

15

Years of Experience

99

Customer Satisfaction

Who can benefit from Conscious Sedation?

Adults
Children
Clinicians

Pre-Sedation Instructions

If you suffer from any medical conditions or take any acute or chronic medicine, please inform your dentist/surgeon or myself before the procedure. Please bring a list of any medications you take with you on the day of your procedure

If you feel sick or unwell, please contact your dentist/surgeon or myself so that we can decide if it is necessary to postpone your treatment.

Please wear comfortable clothes with loose fitting sleeves and flat shoes, and remove any nail varnish or false nails.

Please ensure you have nothing to eat or drink 4 hours prior to the procedure, not even water. This is very important.

If you take regular medication please take this on the day of the procedure unless advised not to by your dentist/surgeon or myself. Diabetics need to discuss with me what medication/insulin they take on the sedation day.

Please arrive in good time for your appointment with a responsible adult to accompany you home.

A Patient Journey

1

SAF Medical emails the patient’s pre and post-operative information, and a consent form. The patient will receive a telephone call for a consultation before their appointment.

2

The patient attends the surgery, having starved for four hours, for the procedure with a suitable adult to escort them home.

3

The sedation equipment will be set up in the surgery. The patient is greeted and any questions regarding the sedation will be answered.

4

The patient is cannulated and given some intravenous drugs to make them relax.
The patient is closely monitored throughout the whole procedure.

5

Optional IV drugs can be administered as necessary:
IV Paracetamol,  IV Voltarol and or/IV Dexamethasone

6

Post-operative instructions will be explained to the escort while the patient recovers after the procedure.

7

Once Dr Swart is satisfied that the patient is safe, they will leave in the care of their escort. The patient will have amnesia from the procedure.

8

The patient will be emailed the day after the treatment for feedback.

For Parents

We offer IV sedation to suitable children. IV sedation is successful for the majority of anxious children, but dentists usually offer gas and air as a first option.

The other option is being treated in hospital under GA (general anaesthesia), but there is usually a long waiting list for hospitals and some parents feel this is too invasive for their child, who only needs a minor dental or surgical procedure.

You may request IV sedation, but the decision will be joint between the treating dentist/surgeon and the sedation doctor, as we need to consider the National Guidelines.

When it is agreed that your child would need sedation, we will phone you at a suitable time to discuss the procedure.

Our nurse will meet you and your child an hour before the procedure to apply the numbing cream and to get to know your child.

The sedatives and pain relief medication is then administered through the butterfly. Sedation is not dangerous as your child can still breathe, cough, move and react. 

Your child will be closely monitored during and after the procedure. After the procedure, your child will be in a recovery area and ready to go once they are strong enough to walk.

Recovery is usually within an hour after the procedure, which is much quicker than after a GA in hospital.

It will not be safe for your child to go home in public transport as they will be unsteady on their feet.

We advise going home by car/taxi and staying home for the rest of the day until your child is fully recovered from the IV medication.

IV sedation involves placing a small “butterfly” (cannula) which most children find painless with distraction techniques and numbing cream.

Post-Sedation Instructions

Accompanied by an adult

A responsible adult must take the patient home after the sedation, and remain with them for the next 12 hours.

Do not operate machinery

We advise the patient not to drive, operate machinery or have any alcohol for 24 hours following the procedure. We also advise them not to use anything electrical, e.g kettle, iron, drill…

Light food

On arriving home, we advise the patient to have a small drink of water or squash. If they can tolerate this, then they may progress onto something bland to eat e.g scrambled egg.

Do not sign paperwork

We advise the patient not to make any irreversible decisions or sign any legal documents for 24 hours following the sedation.

No symptoms after surgery

The patient should not experience any nausea or vomiting after sedation. If they do vomit more than once, we advise them to contact myself or their surgeon/dentist.

Consult on your existing medication dosage

If the patient is taking regular medication, we advise them to ask myself or their dentist/surgeon when they should take their next dose after the sedation.

Temporary amnesia

The sedation will result in some amnesia. This is temporary and sometimes lasts for a few hours.

Contact us directly

We do not anticipate that you will have any adverse effects or complications. Should you become concerned about anything, please contact us directly.
Got a question?
No problem.

Patients who would like sedation are welcome to ask their doctor or dentist to contact us for more details.

Dentists, doctors or oral surgeons who wish to perform minor procedures under sedation are welcome to contact us for more details.

Learn More

Frequently Asked Questions

What procedures can be done with conscious sedation?

Any procedure can be done under conscious sedation:
• Dental: extractions, root canal treatment, implants, fillings, periodontal treatment and crown preparations.
• Non-dental: any minor or non-invasive procedure
The length of sedation is tailored to suit the length of appointment. This can be anything from one to eight hours.

Can anyone have sedation?

Patients who are healthy and have well controlled medical conditions e.g. diabetes, hypertension, and asthma are suitable for sedation (ASA I and II).
Patients with significant or uncontrolled conditions e.g. severe heart disease, morbid obesity need to be assessed on a case-by-case basis.
Please contact us if you are unsure or in unusual cases and we will advise appropriately.

Will I be asleep?

No, but you might think that you were. With conscious sedation you are able to communicate throughout the procedure but afterwards you will have amnesia.

Will I remember anything?

Although it is possible to remember following a conscious sedation, advanced sedation involves administration of analgesia and amnesics, which prevents patients having any unpleasant memories.

How safe is conscious sedation?

Conscious sedation is completely safe. Dr Swart has done over 20,000 sedations and there has never been an incident following sedation.

Will I be sick after sedation?

No, this is very rare. It is very unlikely that you will feel sick after the sedation, but by starving for four hours prior to the sedation it will make this even less likely.

How much do you charge for conscious sedation?

Charges are per hour and vary depending on duration and distance. We are happy to send an instant quote upon request. It is advisable to add 15 minutes to the treatment time for recovery time when calculating the appointment time. Recovery could be longer with procedures longer than four hours.

How will payments be processed?

Payment can be made to SAF Medical directly or, if your dental surgery prefers you can pay them and we can invoice the dental surgery

How much experience has Dr Swart in conscious sedation?

Dr Swart has 10 years experience doing sedations on over 20,000 people.

What qualifications does Dr Swart have?

Dr Swart gained his medical degree from the University of Stellenbosch in South Africa in December 2000. He is registered with GMC, Society for the Advancement of Anaesthesia in Dentistry (SAAD), a member of the Society of Paediatric Sedation (SPS), and a council member of the Association of Dental Anaesthetics (ADA). He has also been a lecturer on the UCL post-graduate sedation diploma for dentists.

Do I need to bring anyone with me?

After the procedure, it is essential to have an adult present to take you home. During the first few hours, please do not sign any legal documentation or operate heavy machinery.

 Make an enquiry today!

Let your dentist/surgeon know about us or send us their information to speak with them on your behalf.

Check This Out

Our Clients Absolutely Adore Us

I was so worried as I have never had anything like this done and she made me feel so much better and answered all my questions highly recommend

Ms S FThe Harrow Dental Practice, Hornchurch (February 2020)

10 out of 10 from start to finish. Would definitely recommend this to anybody and will definitely do the same without any hesitation

Mr G NBrickstables- August