Anestesia

Several methods of anesthesia are available. The method of anesthesia that is chosen for or by a patient depends upon the nature of the surgical procedure and the patient’s level of apprehension.

Anesthesia Options

The following table illustrates the choices of anesthesia, a description of the anesthetic technique, and the usual indications for that technique.

  • Types of Anesthesia
  • Method Local Anesthetic
    Description of Technique The patient remains totally conscious throughout the procedure. A local anesthetic (por ejemplo. lidocaine) is administered in the area where the surgery is to be performed. Local anesthetic is used in conjunction with the other methods of anesthesia in all oral surgery procedures.
    Usual Indications Simple oral surgery procedures such as minor soft tissue procedures and simple tooth extractions.
  • Method Nitrous Oxide Sedation with Local Anesthetic
    Description of Technique A mixture of nitrous oxide (gas de la risa) and oxygen is administered through a nasal breathing apparatus. The patient remains conscious in a relaxed condition. Nitrous oxide has a sedative and analgesic (pain- controlling) effect.
    Usual Indications Simple oral surgery procedures to more involved procedures such as removal of wisdom teeth and placement of implantes dentales.
  • Method Office Based General Anesthesia with Local Anesthetic*
    Description of Technique Medications are administered through an intravenous line (I.V.). The patient falls asleep and is completely unaware of the procedure being performed. Medications most commonly used are Fentanyl (opiate), Versed (Benzodiazepine), Ketamine, and Diprivan. Supplemental oxygen is delivered through a nasal breathing apparatus and the patient’s vital signs are closely monitored.
    Usual Indications General anesthesia is available for all types of oral surgery. A patient may choose general anesthesia for simple procedures depending on their level of anxiety. Most people having their wisdom teeth removed or having a dental implant placed will choose general anesthesia. General anesthesia may be necessary if local anesthesia fails to anesthetize the surgical site which often occurs in the presence of infection.
  • Method Hospital or Surgery Center Based General Anesthesia
    Description of Technique A patient is admitted to a hospital or surgery center where anesthesia is administered by an anesthesiologist.
    Usual Indications Indicated for patients undergoing extensive procedures such as face and jaw reconstruction and TMJ surgery. Also indicated for patients with medical conditions such as heart disease or lung disease who require general anesthesia.

To administer general anesthesia in the office, a periodontist must have completed at least three months of hospital based anesthesia training. Qualified applicants will then undergo an in office evaluation by a state dental board appointed examiner. The examiner observes an actual surgical procedure during which general anesthesia is administered to the patient. The examiner also inspects all monitoring devices and emergency equipment and tests the doctor and the surgical staff on anesthesia related emergencies. If the examiner reports successful completion of the evaluation process, the state dental board will issue the doctor a license to perform general anesthesia. The license is renewable every two years if the doctor maintains the required amount of continuing education units related to anesthesia.

Again, when it comes to anesthesia, our first priority is the patient’s comfort and safety. If you have any concerns regarding the type of anesthesia that will be administered during your oral surgery procedure, please do not hesitate to discuss your concerns with your doctor at the time of your consultation.

La sedación intravenosa (“Crepúsculo Sedación”)

Our office offers our patients the option of La sedación intravenosa or Dental Intravenous Anesthesia or to some it is referred to as “Crepúsculo Sedación” para su tratamiento dental. La sedación intravenosa o “sueño crepuscular” le ayuda a estar cómodo y tranquilo cuando se someten a procedimientos dentales. Your treatment can be completed under intravenous sedation. La sedación intravenosa o "Sedación IV” (sedación crepúsculo) está diseñado para permitir mejor que someterse a los procedimientos dentales mientras estás muy relajado; it will enable you to tolerate as well as not remember those procedures that may be very uncomfortable for you. Sedación IV esencialmente ayudará a aliviar la ansiedad asociada con su tratamiento. No siempre se puede estar dormido, pero usted se sienta cómodo, tranquilo y relajado, entrando y saliendo del sueño - un "sueño crepuscular".

If you choose the option of intravenous sedation your IV sedation/anesthesia is administered and monitored by the doctor therefore eliminating the costly expense of having your treatment carried out in an operating room or same day surgical facility.

How is the IV sedation administered?

Una aguja fina se introduce en una vena del brazo o la mano. La aguja se adjuntará a un tubo intravenoso a través del cual se le dará medicamento para ayudarle a relajarse y sentirse cómodo. At times a patient’s vein may not be maintainable, in these situations the medications will be administered and the needle retrievedboth scenarios will achieve the same desired level of conscious sedation. Una vez más, algunos pacientes pueden estar dormido mientras que otros deslizarse dentro y fuera del sueño. Algunos pacientes con condiciones médicas y / o de los regímenes específicos de drogas sólo pueden ser ligeramente sedado y no pueden dormir en absoluto.

El objetivo de la sedación IV es usar la menor medicación posible para hacer el tratamiento completado. It is very safe, much safer than oral sedation. With IV sedation a constant “drip” is maintained via the intravenous tube. En cualquier momento un antídoto se puede administrar a revertir los efectos de los medicamentos si es necesario. Along with IV sedation there are also other different “levels” of sedation available to you in our office. There is nitrous oxide analgesia.

El óxido nitroso (Gas de la risa)

El óxido nitroso is a sweet smelling, non irritating, gas incoloro que se puede respirar. El óxido nitroso ha sido el principal medio de sedación en odontología durante muchos años. El óxido nitroso es seguro; el paciente recibe 50-70% oxígeno con no menos de 30% óxido nitroso. Patients are able to breathe on their own and remain in control of all bodily functions. The patient may experience mild amnesia and may fall asleep not remembering all of what happened during their appointment.

Hay muchas ventajas al uso de óxido nitroso

  • La profundidad de la sedación puede ser modificada en cualquier momento para aumentar o disminuir la sedación.
  • There is no after effect such as ahangover”.
  • Sedación de la inhalación es segura sin efectos secundarios sobre el corazón y los pulmones, etc.
  • Sedación de la inhalación es muy eficaz en minimizar el reflejo nauseoso.
  • Trabaja rápidamente cuando alcanza el cerebro dentro de 20 segundos. In as few as 2-3 minutos su relajación y dolor matando propiedades desarrollar.

Reasons to Not use Nitrous Oxide

Though there are no major contraindications to using nitrous oxide, no puede utilizarlo si usted tiene enfisema, problemas de pecho exóticas, M.S., un resfriado u otras dificultades con la respiración. You may want to ask your dentist for a “5 minute trial” a ver cómo te sientes con este tipo de método de sedación antes de proceder.