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.
    Usual Indications Simple periodontal 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 periodontal procedures to more involved procedures such as placement of dental implants.
  • Method Oral Sedation
    Description of Technique Involves the administration of a small pill or two prior to the procedure. Although you will not actually be asleep, you will enjoy a heightened state of relaxation. It’s very effective for mild to moderate anxiety.
    Usual Indications Oral sedation is available for all types of periodontal procedures. You may choose oral sedation for simple procedures depending on your level of anxiety.
  • Method IV Conscious Sedation with Local Anesthetic
    Description of Technique Medications are administered through an intravenous line (IV). The patient reaches a moderate level of sedation and is often unaware of the procedure being performed.  Medications most commonly used are Versed (benzodiazepine) and Fentanyl (opiate).  Supplemental oxygen is delivered through a nasal breathing apparatus and the patient’s vital signs are closely monitored.
    Usual Indications IV Sedation is available for all types of periodontal procedures. You may choose I.V. sedation for simple procedures depending on your level of anxiety..

When it comes to anesthesia, our first priority is your comfort and safety. If you have any concerns regarding the type of anesthesia that will be administered during your procedure, please do not hesitate to discuss your concerns with your doctor during your consultation.