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Abstract
Surgical procedures that carried out under local or regional anesthesia are usually associated with patient discomfort and apprehension.
Conscious sedation for minor oral surgery procedures is becoming increasingly popular as general anesthesia becomes less so. In combination with local anesthesia it potentially forms a pain-free technique for both the patient and the surgical team.
Intravenous sedation is suitable for most patients who require sedation during procedures carried out under local analgesia, particularly the stressful short procedures such as minor surgical treatment.
Midazolam is a short-acting, water-soluble benzodiazepine with sedative, anxiolytic, hypnotic, and anterograde amnesic effects. It has been shown to be an effective pre-anesthetic sedative in both pediatric and adult populations.
Propofol is also an intravenous sedative-hypnotic, which produces dose-dependent depression of central nervous system function.
The present study was conducted on forty patients from those who attended the outpatient clinic of the oral surgery department. Faculty of Dentistry October-6-university. They were scheduled to undergo surgical extraction of bony impacted mandibular mesio-angular third molar under inferior alveolar nerve block and conscious sedation. All selected patients were ASA class I. aged between 18 – 40 years of both sexes.