Sedation dentistry
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.
The four types of anesthesia we offer:
- Local anesthetic
- Nitrous oxide sedation with local anesthetic
- Office based general anesthesia with local anesthetic
- Hospital or surgery center based general anesthesia.
Description of Each Technique
Local Anesthetic: 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.
Nitrous Oxide Sedation with Local Anesthetic: 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.
Office Based General Anesthesia with Local Anesthetic: 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.
Hospital or Surgery Center Based General Anesthesia: A patient is admitted to a hospital or surgery center where anesthesia is administered by an anesthesiologist.