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Anesthesia

For some people, an upcoming oral surgery procedure can make them nervous, particularly when it involves anesthesia. Yet, the expertise of a certified oral and maxillofacial surgeon ensures that anesthesia is not only safe but also significantly eases the discomfort and anxiety associated with oral procedures.

Oral surgery incorporates three primary anesthesia options to cater to various procedures and patient needs: local anesthesia, IV sedation, and general anesthesia. Adhering to your oral surgeon’s pre- and post-surgery guidelines is crucial for a smooth and safe surgical experience.

Local Anesthesia: A Closer Look

Local anesthesia is quite common in dental procedures, and the most commonly used form of anesthesia in our office. It involves the administration of a numbing agent like Novacaine directly into the treatment area, typically the gums surrounding the tooth in question. This type of anesthesia allows you to stay awake without feeling pain during the procedure, although you might sense some pressure from the dental tools.

Nitrous Oxide (Sweet Air)

In some cases, local anesthesia is combined with nitrous oxide, also known as “laughing gas.” This mixture, inhaled through a mask, helps you stay calm and comfortable without the pain. The effects of nitrous oxide dissipate quickly once the mask is removed, making it a popular choice for minor dental work.

Local anesthesia is renowned for its safety and minimal side effects, such as temporary numbness in the cheeks, lips, and gums. It’s important to be cautious and avoid biting down too hard while you’re still numb.

IV Sedation: Deep Relaxation

IV sedation offers a deeper level of anesthesia through an intravenous catheter, allowing for a brief yet effective sedation period. Patients often recall snippets of conversation from before and after the surgery but have little to no memory of the procedure itself.

General Anesthesia: For More Complex Procedures

General anesthesia is what most think of as “being put to sleep” for surgery. It involves IV sedatives that induce a deep state of unconsciousness, ensuring you have no memory of the surgery. This method is typically reserved for more extensive oral surgeries, such as wisdom tooth extraction, dental implant placements, or other significant procedures.

Undergoing general anesthesia means you’ll need someone to drive you home, so plan to have a friend or family member accompany you.

Choosing a certified and experienced oral surgeon is paramount for a safe and successful oral surgery. Their expertise in administering the appropriate type of anesthesia will ensure your comfort and well-being throughout the procedure.

Instructions before anesthesia

  1. Do not eat or drink anything, including water, eight hours prior to appointment. If your appointment is the first thing in the morning, do not eat or drink anything past midnight.
    • Any medications which must be taken (blood pressure, antibiotic, premed, etc.) can be done with a small sip of water
  2. All patients with a history of asthma must bring their inhaler to the appointment.
  3. An adult driver must accompany you and drive you home after the procedure.
  4. Notify the doctor if you have a cold, sore throat, or other illness prior to procedure.
  5. Prior to the procedure, remove dentures, contact lenses and nail polish.
  6. Wear comfortable clothes, loose arm sleeves or short sleeves with flat shoes.
  7. After the procedure, you should not drive or operate machinery until the following day.
  8. The day of surgery, someone should be with you at home to assist you and to help prevent falls.
  9. All cell phones are to be turned off in the operatory as they can affect monitoring equipment.