Oral sedation has many of the same effects as IV Sedation however, the time it takes to get these effects is less predictable and the effects may linger much longer. If a patient has serious anxiety, oral sedation may not be the appropriate option. Oral sedation is administered by the patient 1 hour prior to their dental appointment and they bring a second pill with them to the appointment where Dr. Michael evaluates them to see if they need the second pill. At times, adequate sedation is observed and other times the second pill and nitrous oxide are administered to gain a comfortable level of sedation. Regardless, no treatment is initiated until the patient is comfortably sedated.