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.
The following table illustrates the choices of anesthesia, a description of the anesthetic technique, and the usual indications for that technique.
MethodTypes of AnesthesiaDescription of TechniqueUsual IndicationsMethod
Method Method Office Based Deep Sedation/ 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. Medications most commonly used are Fentanyl (opiate), Versed (benzodiazepine), Ketamine, and Diprivan. Supplemental oxygen is delivered through a nasal breathing apparatus and the patient’s vital signs are closely monitored.Usual Indications Deep sedation/general anesthesia is available for all types of oral surgery. A patient may choose deep sedation/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 this. Deep sedation/general anesthesia may be necessary if local anesthesia fails to anesthetize the surgical site which often occurs in the presence of infection.
Method Hospital or Surgery Center Based General AnesthesiaDr. Lee operates two days a week at Mercy Anderson Ambulatory Surgery Center across the street from his office. At the Surgery Center, inhalation (gas) anesthesia is administered by an anesthesiologist or CRNA directly under their supervision.Usual IndicationsThe Outpatient Ambulatory Surgery Center is indicated for patients undergoing extensive oral surgery procedures such as nerve reconstruction, TMJ and arthroscopic surgery. It is indicated for patients with medical conditions such as heart disease or lung disease who require general anesthesia.
To administer deep sedation/general anesthesia in the office, an oral surgeon must have completed at least five months of hospital-based anesthesia training, and hundreds of hours of office-based anesthesia training.
When it comes to anesthesia, our first priority is the patient’s comfort and safety. If you have any concerns regarding the type of anesthesia that will be administered during your oral surgery procedure, please do not hesitate to discuss your concerns with your doctor at the time of your consultation.