We understand that undergoing surgery may make patients anxious, and we aim to provide the most pleasant and painless experience possible. Dr. Donald Cohen offers a variety of anesthetic and sedative options for your treatment to ease anxiety, calm nerves, and ensure a comfortable surgical experience.
Local anesthesia is commonly utilized for simple oral procedures such as general tooth extractions or soft tissue procedures. During your procedure, a local anesthetic is administered to the area in which the surgery will be performed. Unlike other forms of sedation, local anesthesia only affects the area around which the anesthetic is applied.
Nitrous Oxide, more commonly known as laughing gas, is a gas that can be breathed in to assist in sedation and control anxiety during surgical procedures. It is odorless, colorless, and does not irritate, making it a choice for patients who are somewhat nervous prior to surgery. Most patients find that they experience a mild euphoric feeling throughout their bodies after breathing in the gas, and some report light-headedness or get the giggles.
For patients who wish for more sedation during their procedure, intravenous sedation is available. While you remain conscious during IV sedation, you may not remember what went on during the procedure. Most people having multiple extractions, their wisdom teeth removed, or a dental implant placed will choose IV anesthesia. This also may be necessary if local anesthesia fails to properly numb the surgical site, a common side effect of dental infection.
If you are undergoing an in-hospital or surgery center procedure, such as extensive facial or jaw reconstruction surgery, you will likely receive a general anesthetic. Occasionally, general anesthetic is also necessary for patients with medical conditions such as heart or lung disease. Under a general anesthetic, you will remain asleep throughout the entire procedure.
Are oral surgeons qualified to administer anesthesia?
Yes! All oral surgeons must undergo extensive training and gain valuable experience in the medical field performing anesthesia, including the administration of operating room anesthesia in hospitals, as well as in-office anesthesia, before they go into oral surgery practice. Unlike the majority of general dentists, they have received the highest level of licensure for dental practitioners to perform anesthesia, which allows them to perform deep sedation or general anesthesia. Dr. Cohen has also been certified in Advanced Cardiac Life Support (ACLS) since 1982, has been an ACLS instructor for over 10 years, and is certified in Pediatric Advanced Life Support (PALS) since June 2011.