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 Indications
Method Local AnestheticDescription of Technique The patient remains totally conscious throughout the procedure. A local anesthetic (e.g. lidocaine) is administered in the area where the surgery is to be performed. Local anesthetic is used in conjunction with the other methods of anesthesia in all oral surgery procedures.Usual Indications Simple oral surgery procedures such as minor soft tissue procedures and simple tooth extractions.Method
Method Office Based Deep Sedation 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.Sedation is available for all types of oral surgery. A patient may choose sedation for simple procedures depending on their level of anxiety. Most people having their wisdom teeth removed or having a dental implant placed will choose sedation. Sedation 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 AnesthesiaDescription of Technique A patient is admitted to a hospital or surgery center where anesthesia is administered by an anesthesiologist.Usual Indications Indicated for patients undergoing extensive procedures such as face and jaw reconstruction and TMJ surgery. Also indicated for patients with medical conditions such as heart disease or lung disease who require general anesthesia.
Our office takes pride in providing you with a comfortable and safe experience. During your consultation appointment, your surgeon will review various anesthetic options with you. Our surgical office is fully accredited by our provincial dental regulatory body (College of Dental Surgeons of B. C.) to safely provide intravenous sedation and general anesthesia. To maintain accreditation, our facilities is regularly inspected and must follow guidelines and protocols for patient safety and emergency management.
Undergoing surgical treatment in our office is similar to having your surgery in a hospital setting, but with some important differences. Most patients find the office environment much more personal and less stressful. In most cases, anesthetic techniques we use allow for a quicker recovery after surgery, as well as a decreased likelihood for nausea. The equipment used to monitor patients under anesthesia is very similar to that use in a hospital.