Anesthesia

Sedation Dentistry Charleston SC

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 in order of increasing sedation.

If you have any further questions, or would like to schedule an appointment, please call our office: James Island Family, Cosmetic, & Implant Dentistry Phone Number 843-795-1111.

Types of Anesthesia | About General Anesthesia | Technology and Anesthesia


Types of Anesthesia

Method of Anesthesia Description of Technique Usual Indications
Local Anesthetic The patient remains totally conscious throughout the procedure. A local anesthetic (e.g., lidocaine) is administered in the area where the procedure is to be performed. Local anesthetic is used in conjunction with the other methods of anesthesia.

Basic, general dental procedures.

Simple oral surgery procedures such as minor soft tissue procedures and simple tooth extractions.

Nitrous Oxide 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.

Basic, general dental procedures & cleanings.

Simple oral surgery procedures to more involved procedures such as removal of wisdom teeth and placement of dental implants.

Oral Sedation Anti-anxiety or sedative-hypnotics are administered orally before the procedure so that treatment can be done with you in a more relaxed but conscious mood. Patients with high dental anxiety or lengthy procedures may require this additional level of sedation.
IV Sedation Medications are administered through an intravenous line (IV). 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. 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.

About General Anesthesia

To administer general anesthesia in the office, an oral surgeon must have completed at least four months of hospital based anesthesia training (nationally) but in South Carolina, oral surgeons like Dr. Charlotte H. Marvil, DDS, must complete at least six months.

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 procedure, please do not hesitate to discuss your concerns with your doctor at the time of your consultation.

Hospital-Based General Anesthesia:

This anesthesia option is administered by an anesthesiologist at a hospital or surgical center 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. We refer out of our office for this work.

Advanced Technology and Anesthesia

James Island Family, Cosmetic, & Implant Dentistry offers a computer-regulated flow of anesthetic, providing immediate, pain-free dental numbing for all injection types using the Wand®. This single-tooth anesthesia system reduced pain and dental anxiety. For more information, visit our STA Wand® System page.

If you have any further questions about anesthesia, please call our office: James Island Family, Cosmetic, & Implant Dentistry Phone Number 843-795-1111.