Anesthesia

At AOMS, patient safety and quality of care are our top priorities. Our surgical team includes skilled oral and maxillofacial surgeons, supported by registered nurses who provide expert care for patients undergoing anesthesia, ensuring strict adherence to the highest safety standards.

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.

Anesthesia Options

The following table illustrates the choices of anesthesia, a description of the anesthetic technique, and the usual indications for that technique.

  • Types of Anesthesia
  • Method Local Anesthetic
    Description of Technique The patient remains totally awake throughout the procedure. A local anesthetic (e.g. lidocaine) is administered in the area where the surgery is to be performed.
    Usual Indications Simple oral surgery procedures such as minor soft tissue procedures and simple tooth extractions.
  • Method Nitrous Oxide Sedation with Local Anesthetic
    Description of Technique A mixture of nitrous oxide (laughing gas) and oxygen is administered through a nasal breathing apparatus. The patient remains awake in a relaxed condition. Nitrous oxide has a relaxing and analgesic (pain- controlling) effect.
    Usual Indications Simple oral surgery procedures to more involved procedures such as removal of wisdom teeth and placement of dental implants. Though there are no major contraindications to using nitrous oxide, you may not want to use it if you have emphysema, exotic chest problems, M.S., a cold or other difficulties with breathing. If pregnant you should not have nitrous oxide.
  • Method Office Based General Anesthesia with Local Anesthetic*
    Description of Technique Medications are administered through an intravenous line (I.V.). The patient falls asleep and is completely unaware of the procedure being performed. 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.