Conscious sedation is a depressed level of consciousness in which a patient retains the ability to maintain his or her airway independently and respond verbally. Conscious sedation techniques may be indicated for an American Society of Anesthesiologists classification I or II patient who is healthy at the time of the appointment and unable to cooperate due to disability or immaturity and whose need for care is consistent with the risks of sedation and can be completed in one or two appointments. Many states require additional training and endorsements on the dentist’s license for the provision of conscious sedation, and some require permits even for nitrous oxide. Safety net dental clinics should check with their state dental boards before deciding to add sedation to their scope of services.