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In-Office Anesthesia
Boston, MA

Woman holding a cup of tea

Lucca Oral & Facial Surgery is committed to patient safety in anesthesia care. Our state-of-the-art facility is licensed to provide office based ambulatory anesthesia by the Massachusetts Board of Registration in Dentistry and is Certified by the Massachusetts Society of Oral and Maxillofacial Surgeons and the American Association of Oral and Maxillofacial Surgeons.

Our staff invest in diverse continuing education and performance improvement programs in anesthesia and receive advanced High Fidelity Human Simulator (SIM MAN) training in anesthesia techniques and emergency management annually. Our assistants are enrolled in the intensive Dental Anesthesia Assistant National Certification (DAANCE) program where they receive certification by the American Association of Oral and Maxillofacial Surgeons.

As Oral and Maxillofacial Surgeons, our doctors have trained with anesthesiologists during their hospital-based residency programs, distinguishing their education from all other surgical specialties and making our doctors uniquely qualified to administer in-office ambulatory anesthesia services. Our doctors are certified in Advanced Cardiac Life Support (ACLS), are members of the American Dental Society of Anesthesiology, and participate with the American Society of Oral & Maxillofacial Surgeons Office Based Emergency Airway Management (OBEAM) program.

Our doctors are licensed by the Massachusetts Board of Registration in Dentistry to provide a full range of anesthesia care including: Local Anesthesia, Nitrous Oxide, Minimal, Moderate, and Deep Sedation, and General Anesthesia. Our anesthesia services are customized to meet the needs of each individual patient.

Local Anesthesia

Local Anesthesia (“Novocaine”) will produce a numb feeling in the area being operated on and you will be aware of a feeling of pressure during surgery. You will be awake and recall the surgery, but there should be no significant discomfort. Local Anesthesia can be used alone, and is also used in combination with Nitrous Oxide, IV Sedation and General Anesthesia to ensure a pain-free experience after your surgery.

Nitrous Oxide

Nitrous oxide, sometimes referred to as “laughing gas,” is an effective and safe sedation agent that is inhaled through a mask that fits over your nose to help you relax. Mixed with oxygen, nitrous oxide allows you to breathe normally through your nose and within minutes you should start to feel the effects. You may feel light-headed or a tingling in your arms and legs. Some patient’s comment that their legs and arms feel heavy. Ultimately, you should feel comfortable and calm. The effects of nitrous oxide wear off quickly after the small mask is removed. Talk to the doctor about whether nitrous oxide would be a good option for you.

Mild, Moderate, and Deep Sedation (IV Sedation)

Procedures that are performed with the assistance of sedation are psychologically less traumatic for patients who will experience profound relaxation and reduced consciousness. Patients often have no memory of the procedure although they remain responsive throughout their care. Anesthetic medications are administered intravenously (through an I.V.) and make patients feel relaxed, often relaxed enough that they fall asleep. Patients that are sedated are continuously monitored with a pulse oximeter, blood pressure cuff, an EKG, and capnography throughout the procedure.

General Anesthesia

General anesthesia is a medically induced state of unconsciousness that feels like a deep sleep. Patients remain un-arousable throughout the procedure. Anesthetic medications are administered intravenously (through an I.V.) and inhalational medication (inhaled through a mask) may also be administered. General anesthesia may also be performed with the aid of an airway supportive device such as a Laryngeal Mask Airway (LMA) or an endotracheal tube (ET Tube), placed after you are asleep, to help you breathe safely during the procedure. Patients receiving general anesthesia are continuously monitored with a pulse oximeter, blood pressure cuff, an EKG, and capnography throughout the procedure.

Lucca Oral & Facial Surgery provides anesthesia in Boston, MA. Call 617-300-0345 to learn more and schedule an appointment.

* Anesthesia definitions are a useful guide, but remember, anesthesia is a continuum and it is not always possible to predict how an individual patient will respond. The definitions and stages of anesthesia often blend and overlap one another. It is possible, for example, for some patients to drift to or from levels of minimal sedation into and out of deep sedation and/or from deep sedation into general anesthesia and back again. Individual experiences and levels of awareness can vary.

Frequently Asked Questions About Sedation

Will I need someone to drive me to and from my appointment if I have sedation?
Your ability to drive will depend on the type of sedation you are receiving. Nitrous oxide wears off quickly after you begin breathing regular room air, meaning you are free to drive yourself home afterwards as long as you feel comfortable. With all other forms of sedation, (oral, IV, and general) you will need someone to drive you to your appointment and home afterwards.
Does sedation mean I will be put to sleep?
Being placed under sedation is often referred to as being “put to sleep,” but it is not the same. Under oral sedation you are conscious, but may feel sleepy or groggy. IV sedation provides a deeper level of sedation so that you may not be aware of what is going on around you, but you are still responsive. General anesthesia renders you completely unconscious and unarousable, such as you would experience with other types of surgery.
Why is nitrous oxide called “laughing gas”?
Nitrous oxide helps patients to feel relaxed and comfortable. In some cases it can cause patients to laugh or giggle, which is where the alternate term originated. Most patients describe the feeling as calm or light-headed, with a heaviness in their arms and legs and a tingling sensation in their fingers and toes.
Is sedation dentistry safe?
Most forms of sedation are safe for most patients. We collect a thorough physical exam and medical history before administering any form of anesthesia. If necessary, we will obtain consultation with your primary care physician.
Am I a good candidate for sedation dentistry?
If you feel anxious or nervous about a dental procedure, you may be a good candidate for sedation. Sedation may also be appropriate depending on the length and complexity of your procedure.
How long will it take for sedation to wear off?
The length of time that it takes for you to feel normal again after sedation varies based on a variety of factors, such as the type of sedation and the way your body metabolizes the medication that is used. In most cases you can expect the effects of sedation to wear off a few hours after the procedure.
Will I have any memory of the procedure while I was under sedation?
What and how much you remember about your procedure may vary depending on the type of sedation and your individual experience. Under general anesthesia you should have no memory of the procedure. With IV sedation, you may remember bits and pieces of the experience. With oral sedation and nitrous oxide, you may remember more of the procedure.
What are the side effects of sedation?
Side effects may vary depending on the type of sedation and your personal tolerance of the anesthesia. Common side effects include nausea, headache, dry mouth, and grogginess.
Call 617-300-0345 to schedule an appointment.

Contact our office today to schedule your appointment!

185 Dartmouth St, Suite 403 Boston, MA 02116
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