For some people, an upcoming oral surgery procedure can make them nervous, particularly when it involves anesthesia. Yet, the expertise of a certified oral and maxillofacial surgeon ensures that anesthesia is not only safe but also significantly eases the discomfort and anxiety associated with oral procedures.
Oral surgery incorporates three primary anesthesia options to cater to various procedures and patient needs: local anesthesia, IV sedation, and general anesthesia. Adhering to your oral surgeon’s pre- and post-surgery guidelines is crucial for a smooth and safe surgical experience.
Local Anesthesia: A Closer Look
Local anesthesia is quite common in dental procedures, such as filling cavities. It involves the administration of a numbing agent directly into the treatment area, typically the gums surrounding the tooth in question. This type of anesthesia allows you to stay awake without feeling pain during the procedure, although you might sense some pressure from the dental tools.
In some cases, local anesthesia is combined with nitrous oxide, also known as “laughing gas.” This mixture, inhaled through a mask, helps you stay calm and comfortable without the pain. The effects of nitrous oxide dissipate quickly once the mask is removed, making it a popular choice for minor dental work.
Local anesthesia is renowned for its safety and minimal side effects, such as temporary numbness in the cheeks, lips, and gums. It’s important to be cautious and avoid biting down too hard while you’re still numb.
Nitrous Oxide
Nitrous 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. Nitrous oxide is safe; the patient receives 50-70% nitrous oxide with no less than 30% oxygen. Patients are able to breathe on their own and remain in control of all bodily functions. The patient may experience mild amnesia and may fall asleep not remembering all of what happened during their appointment.
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.
Reasons to not use Nitrous Oxide
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. You may want to ask your dentist for a trial before, to see how you feel with this type of sedation method before proceeding.
IV Sedation: Deep Relaxation
IV sedation offers a deeper level of anesthesia through an intravenous catheter, allowing for a brief yet effective sedation period. Patients often recall snippets of conversation from before and after the surgery but have little to no memory of the procedure itself.
General Anesthesia: For More Complex Procedures
General anesthesia is what most think of as “being put to sleep” for surgery. It involves IV sedatives that induce a deep state of unconsciousness, ensuring you have no memory of the surgery. This method is typically reserved for more extensive oral surgeries, such as wisdom tooth extraction, dental implant placements, or other significant procedures.
Undergoing general anesthesia means you’ll need someone to drive you home, so plan to have a friend or family member accompany you.
Choosing a certified and experienced oral surgeon is paramount for a safe and successful oral surgery. Their expertise in administering the appropriate type of anesthesia will ensure your comfort and well-being throughout the procedure.