At Misch Implant Dentistry we want you to be as comfortable as possible for your surgery. We love it when our patients tell us “that was a lot easier than I thought it was going to be”. Dr. Misch will explain your anesthesia options for your particular procedure. We find that most patients do very well with just local anesthesia for simple extractions and dental implant surgery. However, we offer several forms of sedation for those patients that prefer to be put to sleep.
For surgical procedures we always use a local anesthetic, such as lidocaine, to numb the area so you don’t feel a thing. Prior to receiving the local anesthetic Dr. Misch will use topical anesthetic gel on the gum to minimize the discomfort of the injection. The numbness typically lasts a few hours. We may use a long acting anesthetic to keep you numb for an extended time period. This postpones the onset of discomfort and allows the pain medication to begin working. Our goal is to keep you as comfortable as possible after surgery and help you return to your daily activities as soon as you can.
Some patients have mild anxiety about dental care and are more comfortable if they take a sedative. We can prescribe an oral sedation medication in pill form that you take in our office thirty to sixty minutes before your appointment. You may also request a dose of medication that can be taken the night before to help you sleep. However, it is important that you do not take a sedative at home that morning before we have an opportunity to review your treatment. Oral sedation is a good choice for patients that just need something to help them relax. Some patients become groggy enough to actually fall asleep during the procedure. We still use a local anesthetic to numb the area for surgery but this is given after you are sedated. You will need to have a driver to escort you home after surgery.
For patients that are quite anxious and desire a deeper level of sedation we offer intravenous sedation. This is sometimes referred to as “twilight sleep”. It is a safer form of anesthesia as you are still breathing on your own and can awakened if needed. We use monitors to assess your vital signs and administer oxygen. A small catheter is placed into a vein and attached to a bag of sterile saline. You receive the sedative drug through a vein, so it goes to work more quickly. This method allows us better control as we can continually adjust your level of sedation. Most patients do not remember much of the procedure after they awaken. You may not always be completely asleep but you will be comfortable, calm and relaxed. You will need to have a driver to escort you home after surgery.
For patients who require a higher degree of sedation, Dr. Misch is also licensed and certified to administer general anesthesia, which will render you completely asleep or unconscious during treatment. Some more complex surgical procedures, such as hip bone grafting, may need to be performed in a hospital setting under general anesthesia administered by an anesthesiologist. This also may be necessary if you have a complex health problem and want to be sedated for surgery. Almost all surgeries are outpatient procedures that allow you to go home after recovering from the anesthesia.