66 MDG offers conscious sedation for select dental procedures

  • Published
  • By Gail Murray
  • 66th Medical Group
HANSCOM AFB, Mass. --  The 66th Medical Group is now offering conscious sedation services with select dental procedures for active-duty servicemembers. In addition to updating written protocols, procuring software programs, obtaining new equipment and renovating treatment areas, dental personnel have been receiving comprehensive state-of-the-art training to hone their skills in this protocol.

"The addition of conscious sedation in the newly renovated surgical suite allows us to expand the range of services provided to our active-duty patients," said Col. Jackson Dobbins, 66th Medical Group Commander. "The vast majority of conscious sedation protocols include the removal of wisdom teeth. In the past this type of procedure had to be referred 'downtown' to our civilian counterparts, entailing long commutes for multiple visits to private dental offices. "

Through conscious sedation, also known as 'twilight sleep' or 'moderate sedation,' a patient is given medication through an intravenous line in the arm or back of the hand. The provider adjusts the medication to achieve the desired level of sedation, which usually takes effect quickly. Most patients feel very relaxed and may lightly doze. During the procedure, the patient will be connected to a monitor that will continuously record their blood pressure, heart rate, respiration and oxygen level.

This type of sedation is extremely safe when administered and monitored by qualified medical and dental professionals. It induces a modestly depressed level of consciousness that minimizes pain and discomfort through the use of pain relievers and sedatives. While in conscious sedation, patients are able to maintain an open airway and respond normally to tactile stimulation and verbal cues throughout the procedure, communicating to the provider any discomfort they may experience.

"Conscious sedation allows patients to recover quickly, thus returning them to normal duties and activities in a short period of time. It is a safe and effective new option for our patients," said Lt. Col. (Dr.) John Coke, Dental Services chief.

Intravenous conscious sedation for dental procedures is performed on an out-patient basis. Patients are required to fast from liquids and solid food for an eight hour period prior to the procedure. An escort must be present in the clinic to drive the patient home. As with any medical procedure, there are some situations where conscious sedation is discouraged. These can include certain medical conditions, particular medications, history of allergic reactions to certain medications and pregnancy.

For more information, call (781) 377-3396.