Method: Local

Description: Patient maintains consciousness throughout the entire procedure. The anesthetic (in this case; Lidocaine) is given directly to the area where the surgery will be taking place. This type of anesthesia is used in conjunction with other methods of sedation in all oral surgery procedures.

Usual Indications: Simple in-office oral surgery procedures, such as non-complex tooth extractions and minor soft tissue procedures.


Method: Nitrous Oxide Sedation with Local Anesthetic.

Description: A blend of nitrous oxide and oxygen is given through a nasal breathing apparatus. The patient remains in a relaxed, conscious state.

Usual Indications:Simple in-office oral surgery procedures, removal of wisdom teeth or placement of dental implants.


Method: Office & Surgery Center Based General Anesthesia with Local Anesthetic*

Description: Administered through an intravenous line or by inhalation of anesthetic gases. Patients fall asleep and are completely unaware of any procedures being performed in the mouth. Supplemental oxygen is given through a nasal breathing apparatus or an endotracheal tube with vital signs closely monitored.

Usual Indications: Reserved for all types of oral and maxillo-facial surgeries. Patients may opt for general anesthesia for simple procedures, pending their levels of anxiety. Most patients having wisdom teeth removed or having a dental implant placed go with the general anesthesia option. This option also may be called upon if the local anesthetic fails to anesthetize the surgical site, which can occur if the area is infected.


Method: Hospital-Based General Anesthesia.

Description: Patient is admitted to a hospital where anesthesia is administered by the anesthesiologist on staff.

Usual Indications: Usually reserved for patients undergoing facial and jaw reconstruction or surgeries having to do with TMJ disorder. This option is also called upon if the patients experiences medical conditions such as heart disease, lung disease or other anomalies that may require general anesthesia.


In order to administer general anesthesia in-office, the oral and Maxillo-facial surgeon are required to have completed at least 4 months of anesthesia training in a hospital, with two years of ambulatory anesthesia training. Applicants who qualify may then undergo evaluation, in their office, by a state dental board appointed examiner. While in your office, the state board appointed examiner will observe a real surgical procedure, in which general anesthesia will be given to the patient. The state board appointed examiner will also observe and review all monitoring devices along with emergency equipment. in order to obtain their license, the doctor and surgical staff will be tested on anesthesia related emergencies. If the state board appointed examiner reports completion, the state dental board will then issue the practicing doctor license to administer general anesthesia to their patients.

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