The most common form of anesthesia requested and offered at Kazemi Oral Surgery and Dental Implants is IV sedation which helps patients be asleep for common oral surgery procedures. IV sedation is a very safe and predictable option for healthy patients. During IV sedation, patient takes a short nap while all physiological functions are intact. It is different than general anesthesia which is provided in hospital setting. Dr. H. Ryan Kazemi is a board-certified oral and maxillofacial surgeon with hospital training in anesthesia. We follow strict anesthesia guidelines to assure total safety of anesthesia for every patient. . The patient is continually monitored with pulse oximeter, heart rate, EKG, Blood pressure, and Capnography during anesthesia and emergency equipment is kept on hand. The medications used have a long history of safety and are short-acting. Anesthesia is also safe In patients with respiratory problems or cardiovascular disease, providing that precautions are taken. To avoid possible airway compromise, patients with severe upper respiratory concerns, such as severe cold with stuffy nose and productive cough are advised to postpone the surgery until they feel better.
Anesthesia safety is our primary concern. 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 during his residency and has been providing office IV sedation, nitrous oxide, and local anesthesia for over 20 years with remarkable record of safety.
Our facility is equipped with emergency equipment and medications and the entire team is trained to manage any possible complications quickly and properly. The surgeon is CPR and ACLS certified and can effectively and quickly manage any complications that may arise. Our facility is licensed by State of Maryland to provide IV sedation anesthesia. Suburban Hospital is in close proximity in the event additional assistance is required.
Our monitoring also includes capnography, which became a requirement by AAMOS effective January 2014. We also use bluetooth technology for wireless precordinal stethescope allowing continued auditory monitoring of breathing and airway. Allergies to IV sedation medications are extremely rare.
Nitrous Oxide Sedation:
Laughing gas is extremely safe for both children and adults and has no long lasting side effects. It is always administered with a minimum of 30% oxygen.
Local anesthesia when administered properly, is very safe. People often use the term “novocaine” when talking about local anesthetics, even though novocaine has not been used in dentistry for decades (both because it wears off too quickly and because allergies to novocain and other ester-based -caines are relatively common). All the -caines used for local anesthesia these days are “amides” rather than “esters.”
True allergies to local anesthetics are extremely rare. only a few cases have been reported worldwide. Some people may be allergic to the preservatives in local anesthetics. In rare cases patients may experience heart palpitations, shaking, sweating, or feeling faint, which are not the symptoms of an allergy, but side effects that can be readily managed.