This is a term highly confusing and arguably misleading to the public, and frowned upon by most anesthesiologists. Most dentist anesthesiologists and oral surgeons do not utilize this technique. With this method of sedation, dentists with very little to no training administer a single pill, or multiple “stacking doses” of pills to the patient, sometimes in conjunction with nitrous oxide laughing gas. The patient is informed that they will be “asleep” but this is usually not the case. This type of sedation technique on its face appearing very harmless is highly unpredictable and arguably unsafe, as the sedation is not reversible.