• Local Anesthetic: The patient remains awake. A local anesthetic (e.g., lidocaine) is injected in the treatment area to block sensation. Often combined with other sedation methods.
  Usual Use: Minor oral surgeries like soft tissue procedures and simple tooth extractions.


• Nitrous Oxide Sedation with Local Anesthetic: Nitrous oxide (laughing gas) and oxygen are inhaled through a nasal mask. The patient remains conscious but relaxed.
  Usual Use: Procedures ranging from simple extractions to wisdom teeth removal and implants.


• IV Sedation / Office-Based General Anesthesia: Medications like Versed and Fentanyl are administered via IV. The patient sleeps lightly or deeply and is unaware of the procedure. Vital signs are monitored throughout.
  Usual Use: Often chosen for moderate to advanced procedures such as multiple extractions or implant placements.


• Hospital-Based General Anesthesia: Administered by an anesthesiologist in a hospital or surgical center for more extensive procedures.
  Usual Use: Used for jaw reconstruction, TMJ surgery, or patients with complex medical conditions.

To provide general anesthesia in-office, oral surgeons undergo extensive hospital-based anesthesia training and must pass a state board evaluation.
They are required to maintain up-to-date equipment and complete continuing education in anesthesia safety every two years.