Anestesia

Several methods of anesthesia están disponibles. El método de anestesia elegido para o por un paciente depende de la naturaleza del procedimiento quirúrgico y del nivel de aprensión del paciente..

Opciones de anestesia

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 (gas de la risa) and oxygen is administered through a nasal breathing apparatus. The patient remains conscious in a relaxed condition. El óxido nitroso tiene un sedante y un analgésico (dolor- control de la) efecto.
    Usual Indications Procedimientos de cirugía oral simple a más procedimientos como extracción de muelas del juicio y la colocación de implantes dentales.
  • Method Oficina base de anestesia General con anestesia Local *
    Description of Technique Medications are administered through an intravenous line (I.V.). El paciente se queda dormido y desconoce totalmente el procedimiento se realiza. Los medicamentos más comúnmente utilizados son fentanilo (opiáceo), Versados (Benzodiazepine), Ketamina, y Diprivan. Suplemento de oxígeno se entrega a través de una nasal en el aparato respiratorio y signos vitales del paciente son monitoreados muy de cerca.
    Usual Indications Anestesia general está disponible para todos los tipos de cirugía oral. Un paciente puede elegir la anestesia general para procedimientos sencillos dependiendo de su nivel de ansiedad. Mayoría de la gente con sus dientes de la sabiduría quitar o tener una implante dental colocado voluntad elegir la anestesia general. Anestesia general puede ser necesaria si no anestesia local anestesiar el sitio quirúrgico que ocurre a menudo en presencia de infección.
  • Method Hospital o centro quirúrgico basado en anestesia General
    Description of Technique Un paciente es ingresado a un centro de cirugía o hospital donde la anestesia es administrada por un anestesiólogo.
    Usual Indications Indicado en pacientes sometidos a extensos procedimientos como cirugía de TMJ y reconstrucción de la mandíbula y cara. Indicado también para pacientes con condiciones médicas tales como enfermedades del corazón o enfermedad pulmonar que requieren anestesia general.

To administer anestesia general in the office, un cirujano oral debe haber completado al menos tres meses de entrenamiento de anestesia del hospital base. Los solicitantes calificados serán sometido luego a una oficina en evaluación por un Consejo de estado dental nombrado examinador. 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.

Otra vez, 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, por favor, no dude en discutir sus preocupaciones con su médico en el momento de su consulta.

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 “Sedación intravenosa” (sedación crepúsculo) 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.

How is the IV sedation administered?

A thin needle will be introduced into a vein in your arm or hand. The needle will be attached to an intravenous tube through which medication will be given to help you relax and feel comfortable. At times a patient’s vein may not be maintainable, in these situations the medications will be administered and the needle retrieved – both scenarios will achieve the same desired level of conscious sedation. Once again some patients may be asleep while others will slip in and out of sleep. Some patients with medical conditions and/or on specific drug regimens may only be lightly sedated and may not sleep at all.

The goal of IV sedation is to use as little medication as possible to get the treatment completed. It is very safe, much safer than oral sedation. With IV sedation a constant “drip” is maintained via the intravenous tube. At any time an antidote can be administered to reverse the effects of the medications if necessary. Along with IV sedation there are also other different “levels” of sedation available to you in our office. There is nitrous oxide analgesia.

El óxido nitroso (Gas de la risa)

El óxido nitroso is a sweet smelling, no irritante, 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 a “hangover”.
  • Inhalation sedation is safe with no side effects on your heart and lungs, etc..
  • 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 trial” to see how you feel with this type of sedation method before proceeding.