Sedation

When you come in for your surgery, you will have a few different options for anesthesia. Dr. Matthew Schacht can help you make the decision regarding which type of sedation would best benefit you during your surgical procedure.

Local anesthetic

With local anesthetic, you would remain awake and conscious throughout your procedure. You would be administered a medicine, called lidocaine, directly into the area where the surgery will be performed.

This type of anesthetic is usually used during simple oral surgeries, such as basic tooth extractions or minor gum procedures.

Nitrous oxide sedation with local anesthetic

You would be given the local anesthetic as described above, except in this scenario, a mixture of nitrous oxide (also known as “laughing gas”) and oxygen would also be administered to you through a mask or nasal apparatus. You would remain conscious, but in an extremely relaxed state.

This type of sedation can still be used in simple procedures, but also can be used in more involved procedures like wisdom tooth extraction or in the placement of dental implants.

Office based intravenous anesthesia with local anesthetic

This level of sedation involves medications being administered through an IV. You would fall asleep shortly after receiving the IV and would remain asleep throughout your entire procedure. Oxygen would also be administered and your vital signs would be closely monitored.

IV anesthesia can be used for all types of oral surgery, even simple procedures depending on your anxiety regarding the surgery. Most people having wisdom teeth removed or dental implants placed will choose this option over any other.

Hospital/surgical-center-based general anesthesia

This type of sedation occurs when you are admitted to a hospital or a surgical center and are administered anesthesia by an anesthesiologist.

This option is reserved for patients who are undergoing more extensive procedures, such as TMJ surgery or entire face and jaw reconstructions, or for patients with certain medical conditions who cannot benefit from any of the other options.