Anesthesia

We prioritize your comfort and safety during every procedure. Our oral surgeons offer a range of anesthesia options tailored to your individual needs—from local anesthesia to IV sedation—ensuring a stress-free and pain-free surgical experience.

Comfort-Focused Sedation Options for Every Patient

Whether you’re undergoing a simple extraction or complex jaw surgery, our team will help determine the most appropriate anesthesia method for your case. We’re extensively trained in both in-office and hospital-based anesthesia to deliver safe, effective, and personalized care.

Anesthesia Options

Local Anesthetic

Description of Technique: 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 Indications: Minor oral surgeries like soft tissue procedures and simple tooth extractions.

Nitrous Oxide Sedation with Local Anesthetic

Description of Technique: Nitrous oxide (laughing gas) and oxygen are inhaled through a nasal mask. The patient remains conscious but relaxed.

Usual Indications: Procedures ranging from simple extractions to wisdom teeth removal and implants.

IV Sedation / Office-Based General Anesthesia

Description of Technique: 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 Indications: Often chosen for moderate to advanced procedures such as multiple extractions or implant placements.

Hospital-Based General Anesthesia

Description of Technique: Administered by an anesthesiologist in a hospital or surgical center for more extensive procedures.

Usual Indications: Used for jaw reconstruction, TMJ surgery, or patients with complex medical conditions.

Safety and Training

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.

Intravenous Sedation (“Twilight Sedation”)

This sedation method allows patients to remain in a deeply relaxed state throughout their procedure, often with no memory of the experience. Administered and monitored in-office by your surgeon, it avoids the need for a hospital setting. A small IV is placed in the arm or hand, and medications are adjusted as needed for maximum comfort.

Patients may drift in and out of sleep and still respond to verbal cues. IV sedation is considered very safe and allows for quick reversal if needed.

Nitrous Oxide (Laughing Gas)

Nitrous oxide is a safe, commonly used sedative inhaled through a mask. It relaxes patients within minutes and has minimal side effects. The sedation level is easily adjusted, and it wears off quickly, often allowing patients to drive themselves home afterward.

Advantages of Nitrous Oxide

Rapid onset and quick recovery
Minimal side effects
Effective at reducing anxiety and gag reflex
Can be used alone or with local anesthetic

When Nitrous Oxide May Not Be Recommended

Patients with respiratory issues such as emphysema, colds, or multiple sclerosis may not be suitable candidates. A short trial may help determine tolerance and comfort with this method.

Your Safety Is Our Priority

Your safety and comfort are our top priorities. Please don’t hesitate to ask your doctor about any aspect of your anesthesia plan during your consultation.