Our office offers our patients the option of Intravenous Sedation or Anesthesia. Although we always use local anesthesia (to “numb” the area), there are many benefits of sedation. The purpose of IV Sedation or General Anesthesia is to keep our patients comfortable throughout the procedure as well as to make it easier and safer for us to perform the procedure. In additional benefit of IV anesthesia in our office is eliminating the costly expense of having your treatment performed in an operating room within a hospital or surgery center.
Oral and Maxillofacial Surgeons have extensive training in anesthesia within their residency programs. Aside from learning to provide office sedations throughout the four years of additional training, they also have five months of dedicated anesthesia rotations where they are supervised and trained by board certified anesthesiologists. Dr. Rentschler and Dr. Bruksch are both board certified by the National Dental Board of Anesthesiology and also members of the American Dental Society of Anesthesiology.
Intravenous Moderate Sedation or “twilight sleep” helps you to be comfortable when undergoing oral surgery. You may not always be asleep but you will be calm and relaxed. Typically you would be able to respond to commands but not remember everything. This is ideal for relieving anxiety from a procedure that does not cause any pain due to adequate local anesthesia. It also helps with the injections of local anesthesia within the oral cavity. This is a very safe technique, and there are reversal agents available for the drugs that are used.
Deep Sedation or General Anesthesia
These techniques use drugs that reach a deeper level of anesthesia, where patients are maintained “asleep” throughout the procedure. Typically wisdom teeth are removed in this fashion. With these techniques, the patient is asleep and does not respond to commands. We have ACLS certified assistants that manage the airway during the procedure. Monitors are used to continuously evaluate the vitals, which include the blood pressure, the pulse, an EKG for heart rhythm, a pulse oximeter for oxygen saturation and capnography for breathing. Not all patients are candidates for general anesthesia in the office setting. If there is a concern for safety or a complicated past medical history then we have to see you for a pre-operative consultation.