Anesthesia Options

Today more than ever, patients are aware of the importance of periodontal health and the potential consequences of untreated disease. Despite this increased awareness, patient anxiety and fear concerning treatment can sometimes get in the way of optimal periodontal care. In addition to new treatment options that use refined techniques and improvements in local anesthesia, mild or moderate sedation is available to make your treatment more pleasant and comfortable. This important option has eased the minds of many periodontal patients, and unlocked the benefits of periodontal treatment for those who would have otherwise avoided it.

Today more than ever, patients are aware of the importance of periodontal health and the potential consequences of untreated disease. Despite this increased awareness, patient anxiety and fear concerning treatment can sometimes get in the way of optimal periodontal care. In addition to new treatment options that use refined techniques and improvements in local anesthesia, mild or moderate sedation is available to make your treatment more pleasant and comfortable. This important option has eased the minds of many periodontal patients, and unlocked the benefits of periodontal treatment for those who would have otherwise avoided it.

General Anesthesia

Our board-certified periodontists have completed the necessary training required by the American Board of Periodontology to administer general anesthesia in our practices. To achieve the highest level of safety oral comfort for our patients, we utilize a Board certified anesthesiologist for general ambulatory anesthesia in our state certified surgical facility.

Intravenous Sedation (“Twilight Sedation”)

Our office offers our patients the option of Intravenous Sedation or Dental Intravenous Anesthesia or to some it is referred to as “Twilight Sedation” for their dental treatment. Intravenous Sedation or “twilight sleep” helps you to be comfortable and calm when undergoing dental procedures. Your treatment can be completed under intravenous sedation. Intravenous sedation or “IV sedation” (twilight sedation) is designed to better enable you to undergo your dental procedures while you are very relaxed; it will enable you to tolerate as well as not remember those procedures that may be very uncomfortable for you. IV sedation will essentially help alleviate the anxiety associated with your treatment. You may not always be asleep but you will be comfortable, calm and relaxed, drifting in and out of sleep – a “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.

Nitrous Oxide (Laughing Gas)

Nitrous Oxide 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.

Frequently Asked Questions

Frequently Asked Questions

What is Osseous, or Periodontal Surgery?

Osseous surgery is a procedure that provides access to clean pockets that are too deep to reach with scaling and root planing, known as a “deep cleaning”. The gum tissue is gently reflected so that the roots of the teeth can be seen. Calculus, or bacteria that has hardened to the root surface, is a brown color under the gum tissue.  It attaches to the white root surface and can be visualized and thoroughly cleaned with this procedure. Osseous surgery also gives us access to add a bone graft material to regenerate the lost bone around the teeth.

What is Bone Grafting?

The bone graft that we use is a donor or cadaver bone graft. It is real bone that has been sterilized and processed so that all of the cellular components are removed.  There is no immune reaction to the bone graft. We draw blood from the patient prior to beginning the procedure to concentrate the healing cells and growth factors using platelet-rich fibrin (PRF). The patient’s own growth factor concentrate is mixed with the sterilized bone graft particles to make a bone putty. This accelerates the healing and makes the bone graft easy to work with and to shape to the defects around the teeth.

What is a Dental Implant?

An implant is a titanium post that replaces the root of the tooth. Implant dentistry involves teamwork between your restorative dentist and your periodontist. First, the implant is placed in the bone by your periodontist. Once the implant has healed, your general dentist creates a tooth that screws into the implant. An implant provides a fixed (non-removeable) option to restore a missing tooth without compromising the adjacent teeth. It is a single-tooth solution to a single-tooth problem. 

What is Crown Lengthening?

When decay or a fracture extends below the gum line, crown lengthening is indicated to allow your restorative dentist access to the lesion.  Crown lengthening removes gum and bone tissue to expose additional healthy tooth structure.  It makes the tooth longer so that there is more tooth structure to work with and to retain the crown. Without crown lengthening, the crown margin may be located too deep under the gum tissue for proper cement isolation and access to remove all decay. Crown lengthening improves retention of the restoration and keeps the crown from falling off over time. Crown lengthening can also be done for esthetic reasons to lengthen anterior teeth and enhance gingival symmetry.

Do you offer Sedation?

We offer multiple forms of sedation for our periodontal procedures.
Oral sedation: A pill is prescribed before the procedure to make you comfortable and relaxed
IV Conscious sedation: This is known as twilight anesthesia. The patient often falls asleep during the procedure but can be woken up if needed. They can respond to commands such as “take a deep breath” but will remember very little, if anything, from the procedure. IV conscious sedation makes time pass more quickly and can make a 4-hour procedure feel like 30 minutes.

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