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.
When it comes to anesthesia, our top priority is our patient’s comfort and safety. If you have any questions or concerns regarding the type of anesthesia that will be administered during your oral surgery procedure, please discuss your concerns with your oral surgeon at the time of your consultation.
Should you choose this option IV sedation anesthesia will be administered and monitored by one of our oral surgeons, eliminating the expense of having your treatment carried out in an operating room or day-case facility.
Our practice offers our patients the option of Intravenous Sedation or Dental Intravenous Anesthesia. Some might know it as “Twilight Sedation.” Intravenous Sedation or “twilight sleep” helps you to feel more comfortable and calmer when undergoing dental procedures.
Intravenous sedation or “IV sedation” (twilight sedation) is designed to enable you to undergo your dental procedures while you are very relaxed; it will enable you to tolerate as well as not recall the procedure which would otherwise be very uncomfortable for you. IV sedation can help alleviate the anxiety associated with your treatment.
How is the IV sedation administered?
A thin needle will be placed into a vein in your hand or arm. The needle will be attached to an intravenous tube through which medication will be given to help you relax and feel comfortable. Once again, some patients may be asleep while others will slip in and out of sleep. Some patients with medical conditions and/or on specific drug regimens may only be lightly sedated and may not sleep at all.
The goal of IV sedation is to use as little medication as possible to get the treatment completed. It is very safe, much safer than oral sedation. With IV sedation a constant “drip” is maintained via an intravenous tube. At any time, an antidote can be administered to reverse the effects of the medications if necessary. Along with IV sedation there are also other different “levels” of sedation available to you in our office. There is nitrous oxide analgesia.
Nitrous Oxide (Laughing Gas)
Nitrous Oxide iNitrous Oxide is a sweet smelling, non-irritating, colorless gas which you can breathe. Nitrous Oxide has been the primary means of sedation in dentistry for many years. It is safe and the patient receives 50-70% oxygen with no less than 30% nitrous oxide. Patients can breathe on their own and remain in control of all bodily functions. You may experience mild amnesia and may become sleepy.
There are many advantages to using Nitrous Oxide
- The depth of sedation can be altered at any time to increase or decrease sedation.
- There is no after effect such as a “hangover”.
- Inhalation sedation is safe with no side effects on your heart and lungs, etc.
- Inhalation sedation is very effective in minimizing gagging.
- It works rapidly as it reaches the brain within 20 seconds. In as few as 2-3 minutes its relaxation and pain killing properties develop.
Disadvantages of Nitrous Oxide:
Though there are no major contraindications to using nitrous oxide other than pregnancy, you may not be able to to use it if you have emphysema, chest problems, a cold or any type of respiratory difficulty. Please consult with one of our oral surgeons for a “5-minute trial” so that you can see how you feel with this type of sedation before proceeding further.