The aim of this literature review is to review the current care setting for conscious sedation for dentistry in the primary and secondary care sectors in the United Kingdom (UK) and to recommend a plan for setting up a service for the provision of conscious sedation in Malaysia based on the UK models. An electronic search using various databases and web-based search engines were conducted during the period from January to March 2016. Various combinations of keywords were used to help the literature search including dental care settings, conscious sedation, equipment for conscious sedation, referral pathway for sedation and training in sedation. The findings have shown that, although there are specific requirements for the facilities practising sedation, the majority of the requirements are common to all dental practices, such as health and safety, infection control, emergency drugs etc. The good integration between primary and secondary care in providing conscious sedation relies on the compliance with the referral pathway. It is recommended that the practice of conscious sedation in the dental setting in Malaysia begins at the Special Needs Dentistry (SND) Unit, Kajang Hospital because the unit has been partly equipped for conscious sedation and the specialist in charge has received appropriate training in Conscious Sedation for Dentistry at King’s College London Dental Institute. Ensuring safety, effectiveness and appropriateness of the sedation techniques used are the major aims when delivering care to fit individual needs. It is highly recommended to look into the country in which the service has been well established such as United Kingdom as a reference for future development of the conscious sedation service in Malaysia.