麻醉

Several methods of anesthesia 可用. 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 (笑气) and oxygen is administered through a nasal breathing apparatus. The patient remains conscious in a relaxed condition. Nitrous oxide has a sedative and analgesic (疼痛- 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 (苯二氮卓类), 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 anesthesiain 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. 再一次, 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.

静脉镇静 (“暮光之城镇静”)

Our office offers our patients the option of 静脉镇静 or Dental Intravenous Anesthesia or to some it is referred to as “暮光之城镇静” 其牙病的治疗. Intravenous Sedation or “暮光之城睡眠” 可帮助您很舒服很平静当牙科手术. Your treatment can be completed under intravenous sedation. Intravenous sedation or四、 镇静” (暮光之城镇静) 被为了更好地使您能够接受牙科程序,虽然你是很轻松; it will enable you to tolerate as well as not remember those procedures that may be very uncomfortable for you. 四、 镇静本质上有助于减轻焦虑与您的治疗. 你不会总是睡着了,但你会舒服, 平静和放松, drifting in and out of sleepa “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?

一根细针刺将引入你的手臂或手部静脉. 针将附加到静脉管,借以将给予药物治疗来帮助你放松、 感觉舒适. At times a patient’s vein may not be maintainable, in these situations the medications will be administered and the needle retrievedboth scenarios will achieve the same desired level of conscious sedation. 再一次,而其他人将陷入睡眠,有些病人可睡着了. 一些患者与医疗条件和/或具体药物治疗方案只轻轻镇静剂和或许根本没在睡觉. 四、 镇静的目标是使用尽可能获得完成治疗的小药. It is very safe, much safer than oral sedation. With IV sedation a constant “dripis maintained via the intravenous tube. 可以在任何时间管理解毒剂扭转药物的影响,如有必要. Along with IV sedation there are also other different “levelsof sedation available to you in our office. There is nitrous oxide analgesia.

一氧化二氮 (Laughing Gas)

一氧化二氮 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 ahangover”.
  • Inhalation sedation is safe with no side effects on your heart and lungs, 等.
  • 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 trialto see how you feel with this type of sedation method before proceeding.