About Sedation Dentistry Grand Rapids Conscious sedation is indicated when both patient and dental indications are present. It is the combined assessment of these two types of indications that should be the basis for suggesting whether a certain type of oral examination or treatment should be done conventionally or under some type of sedation or general anesthesia. Children with low coping ability (e.g., immature children) or high dental anxiety, and with extensive or complicated treatment needs, should be treated under deep sedation or general anesthesia, which requires anesthesiology staff. This is probably most appropriate from the perspective of the child, parents, and dental staff, and may also be cost-effective since the majority of treatment may be done in one sedation dentistry Grand Rapids session. For the preoperative assessment of the patient, particularly whether there are any contraindications for use of sedation, the American Society of Anesthesiologistsâ€™ (ASA) classification system of the patientâ€™s physical status should be used. The dentist is expected to take the responsibility for treating patients in Classes 1 and II under conscious sedation, while treatment of patients in Classes III and IV should be decided on in consultation with a physician/anesthesiologist. Sedation of children below 2 years of age is connected with increased risks and should therefore be done in collaboration with an anesthesiologist. Sedation dentistry Grand Rapids of children with any kind of acute general disease should also be avoided. Other contraindications are allergy to any of the drugs, neuromuscular diseases, and if an interaction with other medications is suspected.