Office Based Anesthesia

A quote from a classic anesthesia text states, “Anesthesia is recognized as a major American contribution to medicine”. Anesthesia actually has its origins in dentistry with the introduction of nitrous oxide by Dr. Horace Wells in the 1840’s and the introduction of ether by Dr. William T. G. Morton in 1846, both dentists. Since then, the practice of anesthesia has split into all areas of medicine and into an integral and daily part of modern dental practice.

The modern Oral and Maxillofacial Surgery residency is currently 4 – 6 years in length, with 6 – 24 months of hospital based anesthesia training. This anesthesia training is the most of all surgical specialties, medical or dental.

Our doctors went through rigorous training in anesthesia management and care during his residency. During their rotation in anesthesiology they gained invaluable experience in evaluating patients pre-operatively, providing the anesthetic to the patients, and monitoring them after the procedure. Because of this they feels comfortable administering local anesthesia, all forms of sedation, and general anesthesia. They are experienced in airway management, endotracheal intubation, treatment of anesthetic complications, and medical emergencies.

Safety Record & Requirements to Provide In-Office Anesthesia

The extremely high safety record of dental office general anesthesia is second to none and has been developed and refined by the specialty of Oral and Maxillofacial Surgery over the generations. Our training background is therefore sound and allows us to provide predictable and safe office anesthesia management for healthy patients. Patients are typically run at levels of anesthesia in which protective reflexes and airways are predictably intact.  Monitoring of patient vital signs with automated blood pressure units, ECG’s, pulse oximetry, and now, end title CO2 monitoring, have increased our predictability in monitoring patients under general anesthesia.

In addition, in order to provide in office general anesthesia under a dental license in the State of Tennessee, the practitioner must have a general anesthesia permit which is issued only after showing evidence of advanced training and the passing an in-depth office review given by two examiners. 

What Type of Anesthetic Do You Need?

Our office is well versed in anesthesia, pain and anxiety control, and can provide a comfortable experience for even the most nervous patient. A complete and supportive consultation with an understandable explanation of the planned procedures is the first step in alleviating patient’s fears. Even though, occasionally pre-medication is useful, but not often found necessary.

The choice of anesthetic technique is usually, for the most part, up to the patient. Many procedures are done with local anesthesia or local anesthesia and nitrous oxide. Everyone does not need to go to sleep. Our doctors will guide each patient toward the best anesthetic option for them based upon their medical status, anticipated surgical procedure, and their desires for treatment.