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Anesthesia &
Sedation
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A Better Experience

Anxiety related to dental work is not uncommon. Most oral procedures are tolerated quite well by patients especially if the dentist practices modern approaches, technology, good pain management, and of course, a gentle touch. However, oral surgery procedures vary and a proper anesthesia approach can make the experience more pleasant and comfortable.

IV sedation

IV sedation involves administration of several medication intravenously. Initially, nitrous oxide gas is given to relax you, and then a very small IV needle or catheter is placed with minimal discomfort. Patients are monitored as the medications are slowly given to achieve the right level of sleepiness. This takes no more than two to three minutes. Once you are asleep, the surgeon will start the procedure.

 

Nitrous Oxide (Laughing Gas)

Nitrous oxide, also known as ‘laughing gas’, provides some relaxation while the patient is still awake and aware of the procedure. This approach may be adequate for simple procedures or for those who are less anxious. It may also be used in children having simple extractions of primary teeth.

 

Local Anesthesia

This is the ‘numbing’ only approach. The patient is fully awake. Although he or she is numbed sufficiently so there is no pain, there are other sensations that may be uncomfortable, such as pressure, vibrations, or sounds.

Anesthesia Safety

Anesthesia safety is our primary concern and the number one priority. Whether an IV sedation, nitrous oxide sedation, or local anesthesia, we take all precautions in dosage, administration, and monitoring to assure a safe and predictable outcome. Dr. Kazemi has received extensive training in anesthesia and has been providing office IV sedation, nitrous oxide, and local anesthesia for over 20 years with remarkable record of safety.

Medical Precautions

Precautions and special considerations are necessary in patients with certain medical conditions. You may consult with your physician or speak to the oral surgeon for specific recommendations.

 

Pre-Operative Instructions

If having IV sedation:

  • Avoid food or drinks (including water) for eight hours before surgery.
  • Arrange to have someone at least 18 years old accompany you to your surgery appointment and drive you home afterward. You may be drowsy for a while after anesthesia, and driving yourself is unsafe.
  • Wear loose, comfortable clothing with sleeves that can be rolled up easily.
  • Avoid smoking for at least 48 hours before surgery.
  • Remove fingernail polish to allow for oxygen monitoring.

Medications:

Adhere to any medications you normally take as recommended by your physician or prescribed by Dr. Kazemi prior to surgery. Any medications taken on a daily basis may be taken on the morning of surgery with a small sip of water.

  • Blood thinners: If you are on Coumadin, it is best to stop it 72 hours prior to surgery (with approval of your Physician); If on Plavix or baby aspirin, there is no need for modification.
  • Asthmatic patients: Please bring your inhaler with you on the day of surgery.
  • Diabetic patients: If you are insulin-dependent, please take 1/2 of your normal dosage the morning of surgery.
  • Steroid medications: On the morning of surgery, please double your normal dosage of medications.
  • Heart murmur: For patients with a heart murmur requiring antibiotic prophylaxis, take the prescribed antibiotics 1 hour before surgery (please note that guidelines have changed and most antibiotics are no longer required for many types of heart murmurs- Call us for clarification or review current recommendations in the FAQ section.)

Learn more about other medical conditions and associated precautions.Adhere to any medications you normally take as recommended by your physician or prescribed by Dr. Kazemi prior to surgery. Any medications taken on a daily basis may be taken on the morning of surgery with a small sip of water.

Prescriptions:

  • For convenience we will give you necessary pain and antibiotic medications as part of your treatment and save you a trip to the pharmacy. Although for some medications, you will be given prescriptions. It is best to get such prescriptions at your consultation and have them filled prior to surgery. If you have existing pain or infection, you may be recommended to start the antibiotic and pain medications right away.

Food:

  • Prepare some foods beforehand, such as soups, shakes, ice cream, mashed potatoes, eggs, yogurt, and pasta, or rice. Drinks or shakes with high protein, carbohydrates, and vitamins will provide you with the adequate nutrients for a smooth recovery. Have plenty of juice on hand and ginger ale, which can help with nausea.See “Nutrition for better healing” for diet recommendations

Other Essentials:

  • It’s a good idea to place essential things you might need near your bed so you don’t have to get up frequently following surgery. This is especially important if you live alone. Some items to keep close by include: medications, gauze, tissues, water, drinks, a phone, a good book, your laptop, TV remote control, and DVDs.

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