Several methods of anesthesia are available at our office. The method of anesthesia that is chosen by a patient depends upon the nature of the procedure and the patient’s level of apprehension.
The following table illustrates the choices of anesthesia, a description of the anesthetic technique, and the usual indications for that technique.
MethodTypes of AnesthesiaDescription of TechniqueUsual Indications
Method Local AnestheticDescription of Technique The patient remains totally conscious throughout the procedure. A local anesthetic (e.g. lidocaine or similar) 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 procedures.Usual IndicationsEndodontics, implant surgery, most periodontal procedures, and tooth extractions.
Method Nitrous Oxide Sedation with Local AnestheticDescription 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 IndicationsFor patients that request it, this can be used for any of the above procedures, in addition during periodic maintenance or teeth cleaning appointments.
Method Office based I.V. sedation anesthesia with local anesthetic.Description of Technique Medications are administered through an intravenous line (I.V.). The patient falls into a “twilight sleep” 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.Usual Indications General anesthesia is available for 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.
MethodOffice based general anesthesiaDescription of TechniqueWe will have an anesthesiologist (an M.D.) come into the office to administer the necessary drugs and monitor all of your vitals.Usual IndicationsThis is indicated for patients with extensive anxiety when it comes to most dentally related procedures. Also it can be indicated for patients with medical conditions such as heart disease or lung disease who require general anesthesia.