Anesthesia

Several methods of anesthesia are available. The method of anesthesia that is chosen for or by a patient depends upon the nature of the surgical procedure and the patient’s level of apprehension. 

Anesthesia Options

The following table illustrates the choices of anesthesia, a description of the anesthetic technique, and the usual indications for that technique.

  • Types of Anesthesia
  • Method Local Anesthetic
    Description of Technique The patient remains totally conscious throughout the procedure. A local anesthetic (e.g. lidocaine) is administered in the area where the surgery is to be performed. Local anesthetic is used in conjunction with the other methods of anesthesia in all oral surgery procedures.
    Usual Indications Simple oral surgery procedures such as minor soft tissue procedures and simple tooth extractions.
  • Method Nitrous Oxide Sedation with Local Anesthetic
    Description of Technique A mixture of nitrous oxide (laughing gas) and oxygen is administered through a nasal breathing apparatus. The patient remains conscious in a relaxed condition. Nitrous oxide has a sedative and analgesic (pain- controlling) effect.
    Usual Indications Simple oral surgery procedures to more involved procedures such as extractions and placement of dental implants.
  • Method Office Based IV Sedation with Local Anesthetic
    IV sedation ensures you remain very relaxed and at ease during your procedure. Through an intravenous (I.V.) line, sedative medications are administered to help you feel calm and comfortable. Most patients have little to no memory of the procedure, allowing you to experience the treatment without any stress or discomfort. Supplemental oxygen is provided through a nasal breathing device, and your vital signs are closely monitored throughout to ensure your safety and well-being. This option is available for the right candidates, as determined during your consultation
    IV Sedation is available for all types of oral surgery. A patient may choose IV Sedation for simple procedures depending on their level of anxiety. Most people having more complex procedures, such as having their wisdom teeth removed or multiple dental implants placed will choose IV Sedation. IV Sedation may be necessary if local anesthesia fails to anesthetize the surgical site which can occur in the presence of infection.
  • MethodOffice Based General Anesthesia with a second provider
    Description of Technique An Anesthesiologist or Certified Registered Nurse Anesthetist (CRNA) administers a general anesthetic, much like they would in an operating room. This can be done in office for those patients who qualify medically and are deemed safe for in office treatment. 
    Usual Indications Indicated for patient who are undergoing more complex procedures, or who have needs that make them poor candidates for IV sedation alone.
  • Hospital or Surgery Center Based General Anesthesia (Operating Room)
    Description of Technique A patient is admitted to a hospital or surgery center where anestheia is administered by an anesthesiologist or CRNA in an operating room.
    Indicated for patients undergoing extensive procedures such as face and jaw reconstruction.  Also indicated for patients with medical conditions that present challenges to safe treatment in an office environment.

Again, when it comes to anesthesia, our first priority is the patient’s comfort and safety. If you have any concerns regarding the type of anesthesia that will be administered during your oral surgery procedure, please do not hesitate to discuss your concerns with your doctor at the time of your consultation.