Reviewed By Dr. Robert Barron, DMD
Reading Time: 3 minutes
Dental sedation has changed the way patients experience oral surgery. From easing anxiety to ensuring a smooth, pain-free procedure, it allows for a more comfortable and controlled environment.
Understanding how sedation works and what to expect can help you feel calm and confident before your surgery. Here are the top questions patients are asking about dental sedation in 2025.
Table of Contents
What is twilight sedation and how does it work?
Twilight sedation, also called IV sedation, uses medication delivered through a vein to help patients stay deeply relaxed during surgery. It allows the oral surgeon to adjust the level of sedation throughout the procedure. Patients remain conscious enough to respond to instructions but often feel as though they are asleep. The medication reduces awareness, anxiety, and memory of the procedure.
Will I feel anything or be aware of anything while under twilight sedation?
Most patients feel no pain or discomfort. They are in a calm, dreamlike state and usually do not remember the procedure afterward. Local anesthesia is also used to numb the surgical area, so there is no sensation at the treatment site.
What is the difference between twilight sedation and general anesthesia?
Twilight sedation keeps patients conscious but deeply relaxed, maintaining their natural breathing. General anesthesia places patients in a fully unconscious state, requiring continuous monitoring by an anesthetist. At Concord Oral Surgery, general anesthesia is available in-office every six to eight weeks for more complex or lengthy procedures.
What does being sedated feel like?
Feeling sedated is often described as being in a pleasant state of calm and detachment. Patients remain aware of their surroundings in a minimal way but feel no fear, pain, or time passing. After the appointment, they may feel slightly drowsy or lightheaded until the medication wears off.
How does sedation work for patients who are anxious?
For patients who experience anxiety about dental procedures, sedation creates a peaceful and controlled experience. IV sedation reduces both physical tension and emotional stress, making it easier to complete treatment without discomfort or fear. Many anxious patients report feeling completely at ease from start to finish, with little or no memory of the procedure afterward.
How long does it take to wake up from IV sedation?
Most patients begin to wake within 20 to 30 minutes after the procedure. However, mild drowsiness can continue for several hours. A responsible adult must drive the patient home, as reflexes and coordination remain affected for the rest of the day. Normal activities usually resume the following day.
What are the risks of sedation?
Sedation is very safe when administered by a trained oral surgeon with proper monitoring equipment. Minor side effects may include temporary dizziness, nausea, or a dry mouth. Serious complications are rare. At Concord Oral Surgery, every patient’s medical history is carefully reviewed before treatment, and vital signs are continuously monitored throughout the procedure.
Can I eat or drink before my sedation appointment?
Patients should not eat anything for eight hours before their appointment. Patients can drink clear fluids in small quantities up to 2 hours before their procedure. This helps prevent nausea and ensures anesthesia is administered safely. If routine oral medications are part of daily care, patients should check with Dr. Barron for specific instructions before their surgical date.
When would I need general anesthesia instead of sedation?
General anesthesia is recommended for patients undergoing complex oral surgeries such as full-mouth implant placement, corrective jaw surgery, or extensive bone grafting. It is also useful for those with severe anxiety, strong gag reflexes, or medical conditions that make lighter forms of sedation unsuitable. Concord Oral Surgery provides this option in-office with a licensed anesthetist.
How can I prepare for my sedation appointment?
Follow your pre-surgery instructions closely, including fasting guidelines and arranging a ride home. Wear comfortable clothing, avoid makeup or jewelry, and arrive a few minutes early. Knowing what to expect helps your appointment go smoothly and stress-free.
Sedation Dentistry In Vaughan, ON
Advances in sedation and anesthesia have redefined the oral surgery experience. With expert care and precise monitoring, patients can relax knowing they’re in good hands.
To book an appointment at our oral surgery office in Vaughan, ON, call (905) 669-2616 or visit us at 3300 Highway 7 West, Suite 805 Vaughan, ON.
