One of our main goals is to provide you with a surgical experience that is as comfortable as it is effective. That’s why we offer several methods of sedation. Your oral surgeon will work with you to decide on a personalized sedation plan that will give you the care you need while ensuring your comfort and safety every step of the way.
The most common type of local anesthetic is lidocaine, which is administered by injection into the surgical area. The use of a local anesthetic alone is recommended only for simple surgical procedures, such as gum treatments and tooth extractions. Local anesthetic will always be used in conjunction with any other methods of sedation you require.
Nitrous Oxide Sedation with Local Anesthetic
For simple oral surgical treatments, such as extractions, wisdom tooth removal, and implant placement, a combination of local anesthetic and nitrous oxide may be recommended.
Nitrous oxide, or laughing gas, is administered through a small mask that fits over your nose. It is an effective way to calm anxiety and raise your pain threshold. At the end of your surgery, you’ll resume breathing regular oxygen, and all the effects of nitrous oxide will disappear, so you can resume your normal activities immediately.
In-office IV Sedation or General Anesthesia
Patients who receive IV sedation go between consciousness and unconsciousness during their surgical procedure. They often have no recollection of the treatment and are unable to respond to commands even if they are awake at times during the process. It is recommended that patients who receive deep sedation have a parent, spouse, or friend accompany them to appointments because it can take several hours for the sedative to wear off. Thus, driving may be unsafe.
Your oral surgeon is also licensed by the state to administer general anesthesia, so you can receive the care you need in the comfort of our office. We provide general anesthesia for patients who need all types of oral surgery. Because of the anxiety related to dental procedures, you may choose general anesthesia for procedures as simple as wisdom tooth removal and implant placement, or as complex as full-mouth reconstruction.
Hospital-Based General Anesthesia
In some cases, we recommend oral surgery in a hospital setting. This is generally for facial and jaw reconstruction, TMJ surgery, and patients who have complex medical conditions, such as cardiovascular disease. General anesthesia administered in a hospital setting is done by an anesthesiologist, who will also monitor your vital signs throughout the procedure.
Pre- and Post-Sedation Care
Unless instructed otherwise by your doctor, do not eat or drink eight hours prior to your surgical appointment, with the exception of daily medications taken with a small amount of water.
Because general anesthesia causes drowsiness for several hours after it is administered, you will be required to have a family member or friend drive you to and from your appointment. After your treatment, you should not drive, drink alcohol, or operate machinery.
Dental Surgery-This video provides an overview of dental surgery, the kinds of anesthesia used, and general preoperative information and instructions for patients who will undergo a surgical procedure.
General Anesthesia (IV Sedation)- This video provides an overview of the use of IV sedation for a dental procedure, including what to expect before, during and after a procedure using general anesthesia. It also covers is needs for women who are, or may be, pregnant and for children under the age of 18.
Local Anesthesia- This video provides patients an overview of what to expect before, during and after using local anesthesia and/or oral sedatives for a dental procedure.
Patient Escorts / Drivers
PLEASE NOTE: We cannot release you to an Uber, Lyft, Taxi service or have you walk home when sedation has been administered.
Please make sure your escort is prepared to remain at our office for the duration of the following procedures:
- The patient is receiving general anesthesia or sedation
- The patient is under the age of 18 (must be a parent or legal guardian)
- If there is a legal POA
As an escort you should anticipate:
- Checking in at the front desk with the patient
- Remaining at the office for the duration of the appointment
- Providing court documentation if you are a POA or Legal Guardian
- Reviewing post-operative instructions
- Driving the patient home
- Assisting them for the remainder of the day
We make it a priority to stay on schedule and minimize your wait time. Due to the fact that Coal Creek Oral Surgery & Dental Implant Center provides surgical services, various circumstances may lengthen the time allocated for a procedure. Emergency cases can also arise and cause delays. We appreciate your understanding and patience.