Uptown Cosmetic and Implant Dentistry

What Types of Anesthesias Are Available to Me?

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Here is a question that many of clients ask time and time again. What types of anesthesias are available to me, if I am getting a dental implant or full mouth reconstruction? Is it safe? Like many others, these are probably some of the questions that go through head when you think about getting an implant.

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

Local Anesthetic

The patient remains totally conscious throughout the procedure. A local anesthetic (e.g. 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 basic tooth extractions. Patients may elect to have wisdom teeth removed with local anesthetic.

Nitrous Oxide Sedation with Local Anesthetic

A mixture of nitrous oxide (laughing gas) 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 dental implants.

Office Based Intravenous Anesthesia with Local Anesthetic*

Medications are administered through an intravenous line (I.V.). The patient falls asleep and is completely unaware of the procedure being performed. The medication most commonly used is propofol, the anesthesia is administered by an anesthesiologist. Supplemental oxygen is delivered through a nasal breathing apparatus and the patient’s vital signs are closely monitored.

Usual Indications:
Intravenous anesthesia includes I.V. sedation and general anesthesia for all types of oral surgery. A patient may choose intravenous 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 intravenous anesthesia. General anesthesia and/or I.V. sedation may be necessary if local anesthesia fails to anesthetize the surgical site which often occurs in the presence of infection.


Have questions about a procedure and not sure whether or not to go through with it? Come in for a free consultation and we’ll walk through the process.

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