Fairfax Oral and Maxillofacial Surgery - Drs. Zussman*, Smith, Dolan, Lane*, Silloway, Park, Theberge & Ramsey
Before IV Anesthesia & After IV Anesthesia
Before IV Anesthesia

Local Anesthesia with Nitrous Oxide (laughing gas)
This option is for those people who are nervous, but do not want the side effects of anesthesia. A mask is placed over the nose to administer the gas. You are awake and able to communicate to the staff, however, the gas relaxes you and does provide some additional analgesia. Then local anesthesia is administered into the mouth. This option does not require any fasting or special arrangements before surgery.

IV Sedation
IV Sedation is provided in the form of medication administered intravenously (through the arm). Monitors are used throughout the procedure to keep you safe while under anesthesia. IV Sedation is a lighter form of anesthesia, allowing complete relaxation, with fewer side effects than general anesthesia. In addition, sedation usually has a shorter recovery time. With this lighter form of anesthesia, some people may be aware of background noise and activity. However, this remains an excellent choice for anxious individuals who would like "something more than the numbing medications, but are afraid of going all the way to sleep."

This option requires that the patient must have ABSOLUTELY NOTHING TO EAT OR DRINK for at least six hours before the appointment. It is also necessary for an adult to accompany the patient to the appointment, stay in the office during the procedure, and drive the patient home after the surgery.

General Anesthesia
General Anesthesia, like sedation, is administered intravenously (through the arm). Monitors are used throughout the procedure to keep you safe while under anesthesia. Oxygen is administered through a nasal mask. The depth of general anesthesia is deeper than that of IV sedation. This option is for those people who want to be "completely asleep" for the procedure.

This option requires that the patient must have ABSOLUTELY NOTHING TO EAT OR DRINK for at least six hours before the appointment. It is also necessary for an adult to accompany the patient to the appointment, stay in the office during the procedure, and drive the patient home after the surgery.

After IV Anesthesia

The medications you will receive during surgery; as well as not eating prior to anesthesia, can make you light headed after surgery and potentially result in a fall. This is temporary and will disappear as you fully recover from anesthesia and surgery. It is important that for 24 hours after surgery you change your positions slowly, avoid bending over, or physical exertion. When you climb stairs or use the bathroom it is important that someone be with you. You should not operate power equipment that could result in injury.
 
Members of the American Association of Oral and Maxillofacial Surgeons Diplomates of the American Board of Oral    and Maxillofacial Surgery
* * Board Eligible * Emeritus  
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