Anesthesia

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 (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 simple tooth extractions.
  • Method Nitrous Oxide Sedation with Local Anesthetic
    Description of Technique 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.
  • 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, an oral surgeon 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.

Do You Have Questions Or Concerns About Anesthesia?

Call today and our caring & dedicated staff will help get you the answers you need.

Call us: 563-359-1601

Intravenous Sedation (“Twilight Sedation”)

Our office offers our patients the option of Intravenous Sedation or Dental Intravenous Anesthesia or to some it is referred to as “Twilight Sedation” for their dental treatment. Intravenous Sedation or “twilight sleep” helps you to be comfortable and calm when undergoing dental procedures. Your treatment can be completed under intravenous sedation. Intravenous sedation or “IV sedation” (twilight sedation) is designed to better enable you to undergo your dental procedures while you are very relaxed; it will enable you to tolerate as well as not remember those procedures that may be very uncomfortable for you. IV sedation will essentially help alleviate the anxiety associated with your treatment. You may not always be asleep but you will be comfortable, calm and relaxed, drifting in and out of sleep – a “twilight sleep”.

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?

A thin needle will be introduced into a vein in your arm or hand. The needle will be attached to an intravenous tube through which medication will be given to help you relax and feel comfortable. At times a patient’s vein may not be maintainable, in these situations the medications will be administered and the needle retrieved – both scenarios will achieve the same desired level of conscious sedation. Once again some patients may be asleep while others will slip in and out of sleep. Some patients with medical conditions and/or on specific drug regimens may only be lightly sedated and may not sleep at all.

The goal of IV sedation is to use as little medication as possible to get the treatment completed. It is very safe, much safer than oral sedation. With IV sedation a constant “drip” is maintained via the intravenous tube. At any time an antidote can be administered to reverse the effects of the medications if necessary. Along with IV sedation there are also other different “levels” of sedation available to you in our office. There is nitrous oxide analgesia.

Nitrous Oxide (Laughing Gas)

Nitrous Oxide is a sweet smelling, non irritating, colorless gas which you can breathe. Nitrous Oxide has been the primary means of sedation in dentistry for many years. Nitrous oxide is safe; the patient receives 50-70% oxygen with no less than 30% nitrous oxide. 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.

There are many advantages to using Nitrous Oxide

  • The depth of sedation can be altered at any time to increase or decrease sedation.
  • There is no after effect such as a “hangover”.
  • Inhalation sedation is safe with no side effects on your heart and lungs, etc.
  • Inhalation sedation is very effective in minimizing gagging.
  • It works rapidly as it reaches the brain within 20 seconds. In as few as 2-3 minutes its relaxation and pain killing properties develop.

Reasons to Not use Nitrous Oxide

Though there are no major contraindications to using nitrous oxide, you may not want to use it if you have emphysema, exotic chest problems, M.S., a cold or other difficulties with breathing. You may want to ask your dentist for a “5 minute trial” to see how you feel with this type of sedation method before proceeding.

Spring Park Oral & Maxillofacial Surgeons

5 out of 5 stars based on 42 Anesthesia reviews

Our Latest Patient Testimonial

Dr. Sarasin did a great job pulling a bad tooth I had. No pain at all. Six hours after pulling I had no soreness at all. I did not realize how I had become used to the tooth hurting. Thanks so much, Dan

- Dan W

5 out of 5 stars on

Our Latest Patient Testimonial

I had to get my front tooth extracted and then put an implant in. The staff was great and caring. And Dr. Lee was friendly and kind himself. Told me each process of his procedure as he was doing it. I was done in no time. No bleeding when I went home. Just took a few Ibuprofen just to make sure I didn’t get any pain. Get job!

- Debby J

5 out of 5 stars on

Our Latest Patient Testimonial

I have no pain after surgery which was a pleasant surprise

- Alicia E

5 out of 5 stars on

Our Latest Patient Testimonial

Having all four of my wisdom teeth extracted at 43 was definitiely NOT something I wanted to do! I was a nervous, anxious mess going in for my appointment! I was greeted with a smile by the receptionist and taken back fairly quickly by Tiffany who was absolutely wonderful. She was chatty and calming and answered all of my questions. While I waited for Dr. Lee, Tiffany checked on my frequently making sure I was as comfortable as I could be. When Dr. Lee came in, he was equally calming (as much as possible in my tearful state!). I had IV sedation and the whole process was seamless and very quick! I am currently at post-procedure day four and have had almost no pain, no bruising, and very little swelling. I cannot thank Dr. Lee and his team enough for their care and would absolutely recommend them to anyone!

- Jamie H

5 out of 5 stars on

Our Latest Patient Testimonial

All of the staff was very nice but especially, Tiffany. Her patient care skills went above and beyond expectations. Dr. Lee was also very nice and did a great job.

- Carol H

5 out of 5 stars on

Our Latest Patient Testimonial

I would highly recommend this practice. I had a consultation and the same day my wisdom tooth was extracted. Dr. Sarasin was very comforting and calming by explaining exactly what he was going to do. His assistants were reassuring and encouraging by making sure I was comfortable the entire time. I found everyone to be friendly and helpful from the front desk to Dr. Sarasin and his team of assistants. Thank you to all who had a part in my experience.

- Sheila G

5 out of 5 stars on

Our Latest Patient Testimonial

Dr. Dan is one of kindest, genuine men that you will be lucky enough to interact with. His philosophy of The Golden Rule has served him and many in his life well. He has helped so many because it was the right thing to do. I believe Watch one, Do one, Teach one along with slow and steady win the race. He thinks of others before himself. He has made a lasting impression on my family!

- DANA M

5 out of 5 stars on

Our Latest Patient Testimonial

Going in for a tooth extraction and implant with Dr Lee was the best dental experience I've ever had. Dr Lee is exceptional both in skill and in his warm, upbeat, positive manner. The outstanding staff went out of their way to ensure my comfort while waiting for surgery, patiently and thoroughly answering questions. I will recommend Dr Lee and Spring Park without hesitation. It is rare to find a team that works so well together. Thanks to everyone at Spring Park.

- Jan H

5 out of 5 stars on

Our Latest Patient Testimonial

From the time I stepped into the office, from the front office staff, nurses and doctor was a wonderful experience. The entire office staff was phenomenal. Very friendly atmosphere and they explain everything to you. I would definitely recommend this facility.

- John H

5 out of 5 stars on

Our Latest Patient Testimonial

I grew up in a time that going to the dentist was a very painful and unpleasant experience. When told that I needed a dental implant I was extremely apprehensive about the upcoming procedure. Spring Park got me in quickly for an appointment. The front office was friendly and helpful. Dr Lee and his staff were very thorough in explaining the procedure and put me very much at ease. It was over before I knew it. I had no problems following the procedure. I would highly recommend Dr Lee at Spring Park for Oral Surgery.

- Pam D

5 out of 5 stars on

Our Latest Patient Testimonial

Very kind staff and was taken care of without any problems whatsoever. They were very descriptive with pre/post surgery instructions that made everything go easier

- Nathaniel E

5 out of 5 stars on

Our Latest Patient Testimonial

What a wonderful team, caring, friendly. They explained everything and made my little girl, and I feel at ease. Dr. Smith and his team are excellent. Thank You!

- Giselle C

5 out of 5 stars on

Our Latest Patient Testimonial

Great customer care started when I entered . Everyone is professional and compassionate. I had a dental implant and I was well informed of procedure, cost and aftercare. The doctors are wonderful as well as everyone who helped me thru my process. I received follow up call after the surgery and also a bouquet of flowers . I have NEVER received flowers from a medical procedure. They have a beautiful facility, with wonderful people. Highly recommended. I even contacted my dentist to share this great experience , to refer his future patients that require surgery.

- Vicki W

5 out of 5 stars on

Our Latest Patient Testimonial

They were out of my dental plan insurance but everyone is kind courteous and caring. I would go back if they were in my dental plan.

- Daniel S

5 out of 5 stars on

Our Latest Patient Testimonial

Dr. Lee and his team were wonderful when our children had to have their wisdom teeth removed. The care before, during and after the procedure were great! Would highly recommend to anyone that has to have extensive dental work done!

- Kim W

5 out of 5 stars on

Our Latest Patient Testimonial

I am a big baby when it comes to all medical treatments and especially dental ones. They were incredibly patient and explained this thoroughly. That team today rocked! I made a decision to have more teeth extracted than I had planned and it was the right decision. Thank you so much to all of you who worked with me today!

- Julie A

5 out of 5 stars on

Our Latest Patient Testimonial

I have used Dr. Lee and his staff a number of times over the years and my wife recently had an implant and experienced the same level of treatment as I had over the years. I was amazed at while they treat many patients they remember you and make you feel like a valued friend versus just a paying customer. My granddaughter is scheduled for a visit in the coming month and I feel confident in the care she will be given. I wish all medical care facilities operated in the same fashion since the bar has been set pretty high by Dr. Lee and his team

- Mike S

5 out of 5 stars on

Our Latest Patient Testimonial

Dr. Smith is a very caring and mild mannered man. I never had a front tooth extraction before and he did a great job. He was always asking if I was ok through the whole procedure. Painless, which to me meant the world.

- Renee P

5 out of 5 stars on

Our Latest Patient Testimonial

Sincerely, this was the best facility I have ever been to. The staff were so friendly, welcoming and professional. Dr. Smith was great! He and his staff made this whole process seamless. He is genuinely an awesome surgeon. I highly recommend him.

- Terry H

5 out of 5 stars on

Our Latest Patient Testimonial

This was the second time that I'd had a procedure done at Springpark, both with Dr. Smith. Each time I've been treated well, from the time that I walked in until I left. Everyone is friendly, professional, and knows what they're doing. Dr. Smith and his staff are amazing, working efficiently, checking on my comfort level frequently, and doing a great job. The follow-up is good, also. I have nothing but positive things to say about my experiences at Springpark.

- Janice F

5 out of 5 stars on