There are several methods to remove and alleviate pain. The first and foremost is local anesthesia, (i.e. Novocaine). The second is IV sedation to different degrees.
You are awake, however, you do not realize what is going on, or what is happening to you.
You are in a sleep sensation, but your reflexes have not been diminished. You will have lack of recall of the surgery.
Deep general anesthesia.
If your medical history is not complex, then any one of the above methods is a method of choice. If your medical history is complex and you are taking a number of prescribed medications, we will need time to discuss treatment with your physician and type of anesthesia that will be necessary. We again ask you to bring your list of all medications you are currently taking with you on your first appointment. Remember, oral and maxillofacial surgeons are the only professionals specifically trained in anesthesia as part of their major professional duties. This is in comparison with ENT, Plastics, Dermatology, etc.
doctors are diplomats of the American Board of Oral Maxillofacial
And as part of their training, both have been trained extensively at the Department of Anesthesia at Boston Medical Center.
Dr. Richard Sorbera is Director of the Residency Program at Outpatient Anesthesia at both Boston University Medical Center and Tufts University School of Dental Medicine. Both doctors are accredited in advanced cardiopulmonary resuscitation, CPR.
consent is an important factor in your given choice of anesthesia.
You will discuss with the doctor whether you want local
anesthesia, otherwise known as Novocaine, IV sedation or
IV general anesthesia.
The doctor will help you decide the best choice for you.
In many cases, you have chosen local and will undergo therapy that same day. In other cases, general anesthesia will be the choice in emergency, i.e. an abscess that will not respond to local, and that same day you will be given the choice of general anesthesia. The preoperative instructions for general anesthesia must include nothing to eat or drink for six hours, loose clothing, take meds with a slight glass of water. If you are diabetic, surgery will be in the a.m.. If premedication is necessary, you are to take it one hour before the surgery with a slight glass of water. Be accompanied by a responsible adult who will also be able to drive you home. Enclosed you will find further instructions for general anesthesia.
When you are
present in the operating room you will see the following
(1) EKG monitor.
(2) A blood pressure cuff.
(4) IV pole.
(5) IV fluids.
(6) There will be at least two to three nurses in the room with you.