Many of the more complicated oral surgery procedures can now be performed in the office with the aid of intravenous sedation. Commonly referred to as “twilight sleep” sedation differs from general anesthesia in that you will always be responsive to your environment even though the chances are you won’t remember much about the procedure.
We require that you eat or drink nothing for six hours before the procedure. If your surgery is to be in the morning, eat or drink nothing upon arising. An empty stomach at surgery time means you are less likely to have nausea later or a very serious problem during the surgery. If your surgery is planned for the afternoon, you may have clear liquids for breakfast (soup broth, black coffee, water, apple juice, etc.) then nothing.
If you have had drug reactions or sensitivities, you must tell your doctor about these, for they may influence his choice of medications. If you are a diabetic or take medications regularly and are concerned about missing a dose, please call for special instructions.
Because you will have received sedation medications, your reflexes and level of consciousness will be depressed for several hours after the procedure. You are not to drive, operate machinery, or be walking about by yourself for the remainder of the day. A responsible adult must be with you in the office AT THE TIME OF SURGERY AND AFTERWARD for four to six hours or longer if necessary until the medication has worn off, and you are completely awake and alert and able to take care of yourself.
Our doctor and staff will discuss your medical history with you. Your blood pressure will be evaluated. In order to watch your pulse throughout the entire procedure, a heart monitor and oxygen level sensor is used. Medications for relaxation and discomfort will be given intravenously in your vein. A local anesthetic is also administered to further increase the comfort and safety of your procedure.
You can relax confidently, knowing that a staff person will remain with you at all times until the procedure is finished, and you are transferred to the recovery area where you will be with your escort until you are ready to go home. Before you leave, the doctor or nurse will check you and answer any questions you may have.
As with any procedure or anesthetic, there is always a slim possibility of complications occurring before, during or after surgery or sedation. We always attempt to identify those patients beforehand who will be an increased risk and give them special care to avoid problems. You will also have this special evaluation, treatment and care by extraordinarily trained personnel to minimize as many problems as possible, so you can confidently approach your oral surgery knowing it will be as safe as humanly possible.