Nitrous Oxide/Oral Sedation/ IV Sedation:
Many patients could become anxious and uncomfortable with dental treatments, particularly with oral surgery procedures. Our specialists will evaluate each particular case and offer the best anesthesia technique according with the type and complexity of procedure.
Dental sedation techniques include nitrous oxide (laughing gas), oral conscious sedation, and intravenous sedation. Many patients prefer
nitrous oxide, which is a gas that is mixed with oxygen and inhaled through a small nosepiece during a planned procedure. With oral conscious sedation, the patient takes a small pill before an appointment, which produces a delightful feeling of relaxation and, often, minimal memory of the procedure. For patients with special needs or those requiring lengthy visits, we provide intravenous sedation. Intravenous sedation is anesthesia administered through a vein during your visit to ensure your comfort and maximum relaxation.
In most cases, the removal of wisdom teeth is performed under IV sedation or general anesthesia. Your doctors will normally administer
nitrous oxide via a nasal mask to make you relaxed and comfortable once monitoring equipment has been applied. After you become
sleepy, a numbing spray or medicine is applied to the skin and an IV is started. Most patients are not aware of the IV being started. At this point medicine is administered through the IV to put you “to sleep” or obtain the level of anesthesia discussed in your consultation. Numbing shots are then placed in your mouth after you are a sleep
and your teeth are removed. Once the teeth are removed, the gum is sutured, normally with a self-dissolving suture or stitch. To help control bleeding, bite down on the gauze placed in your mouth. You will then be awakened from the anesthetic, the IV will be removed and you will be escorted to a recovery room. Your family or ride will then be brought into the room and post-operative instructions will be given. The recovery room time can vary from 5-30 minutes but once
you are stable you will be released from the office and escorted to your car in a wheelchair. Upon discharge, you will be given some gauze with your post-operative instructions and a follow-up
appointment in one week for reassessment.
Before IV sedation:
• You may not have anything to eat or drink (including water) for eight (8) hours prior to the appointment.
• No smoking at least 12 hours before surgery. Ideally, cut down or stop smoking as soon as possible prior to the day of surgery.
• A responsible adult must accompany the patient to the office, remain in the office during the procedure, and drive the patient home.
• The patient should not drive a vehicle or operate any machinery for 24 hours following the anesthesia experience.
• Please wear loose fitting clothing with short sleeves and low-heeled shoes that lace. Our office is very cold in the morning, so wear long pants and bring a jacket or sweater for the waiting room.
• Contact lenses, jewelry, and watches must be removed at the time of surgery.
• Do not wear lipstick, excessive makeup, or nail polish on the day of surgery.
• If you have an illness such as a cold, sore throat, stomach or bowel upset, please notify the office. This will allow the doctor to assess
the situation on the morning of surgery. In most cases, this will not cancel the surgery.
• If you take routine oral medications, the office should have informed you which medications to take during the initial consultation. If you are unsure of the medications you should be taking, please call the office prior to your surgery date. In most cases, pre-operative antibiotics will be given the patients and these should be taken before as prescribed. All medications taken before surgery should be taken with a minimum of water.