ANESTHESIA

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In simple language anesthesia is the administration of certain medications that make your surgical procedures painless.  Several methods of anesthesia are available and their application depends upon the nature of the surgical procedure and the patient’s level of apprehension.

 

ANESTHESIA OPTIONS

 

The following are some choices of anesthesia, a description of the anesthetic technique, and the indications for that technique.

 

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LOCAL ANESTHESIA

 

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 most oral surgery procedures.          

 

Usually used for:

 

Simple oral surgery procedures such as minor soft tissue procedures and simple tooth extractions.

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Nitrous Oxide (Laughing Gas)

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A mixture of nitrous oxide (laughing gas) and oxygen is administered through a nasal breathing circuit. Patient remains conscious in a relaxed condition.  Nitrous oxide has a sedative and analgesic (pain- controlling) effect.  Nitrous Oxide Sedation is often used with Local Anesthetics.        

 

Usually used for:

 

Simple oral surgery procedures and more involved procedures such as removal of wisdom teeth and placement of dental implants.

 

Light/Moderate Sedation /Office based General Anesthesia: 

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Medications are administered through an intravenous line (I.V.). The patient falls asleep and is completely unaware of the procedure being performed. Medications most commonly used are Fentanyl (opiate), Versed (benzodiazepine), Ketamine, and Diprivan. Supplemental oxygen is delivered through a nasal breathing apparatus and the patient’s vital signs are closely monitored.   Please ask your doctor an questions you might have regarding your choice of anesthesia.         

 

Usually used for:

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 All types of oral surgery. A patient may choose general anesthesia for simple procedures depending on their level of anxiety. Most people having their wisdom teeth removed or having a dental implant placed will choose general anesthesia. General anesthesia may be necessary if local anesthesia fails to anesthetize the surgical site which often occurs in the presence of infection.