Anestesia

Several methods of anesthesia están disponibles. El método de la anestesia que se elige para o por un paciente depende de la naturaleza del procedimiento quirúrgico y el nivel de aprehensión 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.

  • Tipos de anestesia
  • 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. Nitrous oxide has a sedative and analgesic (dolor- controlling) effect.
    Usual Indications Simple oral surgery procedures to more involved procedures such as removal of wisdom teeth and placement of dental implants.
  • Method Basado en la oficina sedación profunda
    Description of Technique Medications are administered through an intravenous line (I.V.). The patient falls asleep and is completely unaware of the procedure being performed. Medications most commonly used are Fentanyl (opiate), Versed (Benzodiazepine), Ketamine, and Diprivan. Supplemental oxygen is delivered through a nasal breathing apparatus and the patient’s vital signs are closely monitored.
    Usual Indications La sedación profunda está disponible para todos los tipos de cirugía oral. Un paciente puede elegir profunda sedación para procedimientos sencillos en función de su nivel de ansiedad. Most people having their wisdom teeth removed or having a dental implant placed will choose general anesthesia. La sedación profunda puede ser necesario si la anestesia local no logra anestesiar el sitio quirúrgico que a menudo se produce en presencia de la infección.
  • Method Hospital or Surgery Center Based General Anesthesia
    Description of Technique A patient is admitted to a hospital or surgery center where anesthesia is administered by an anesthesiologist.
    Usual Indications Indicated for patients undergoing extensive procedures such as face and jaw reconstruction and TMJ surgery. Also indicated for patients with medical conditions such as heart disease or lung disease who require general anesthesia.

En nuestra oficina, administramos tres de las cuatro modalidades de anestesia.  La anestesia general se administra en un centro de cirugía ambulatoria o un hospital.  Si usted está interesado en la anestesia general, estamos encantados de discutir lo que se trata con más detalle y, potencialmente, que se refieren a la configuración adecuada. La mayoría de los pacientes les va bien con anestesia local, óxido nitroso y IV sedación.

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, please do not hesitate to discuss your concerns with your doctor at the time of your consultation.

Óxido nitroso (Laughing Gas)

Óxido nitroso 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; el paciente recibe 50-70% de oxígeno sin el óxido nitroso menos de 30%. 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. Usted puede preguntar a su dentista para una “5 minute trial” to see how you feel with this type of sedation method before proceeding.

Sedación Intravenosa (“Twilight Sedation”)

Our office offers our patients the option of Sedación Intravenosa or Dental Intravenous Anesthesia or to some it is referred to as “Twilight Sedation” para su tratamiento dental. Intravenous Sedation or “twilight sleep” le ayuda a estar cómodo y tranquilo cuando se somete a procedimientos dentales. Your treatment can be completed under intravenous sedation. La sedación intravenosa o “IV sedation” (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. La sedación intravenosa esencialmente ayudará a aliviar la ansiedad asociada con su tratamiento.. Puede que no siempre estés dormido, pero estarás cómodo., calm and relaxed, entrando y saliendo del sueño – un “sueño crepuscular”.

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. Algunos pacientes con condiciones médicas y/o con regímenes de medicamentos específicos pueden estar solo levemente sedados y es posible que no duerman en absoluto..

El objetivo de la sedación intravenosa es usar la menor cantidad posible de medicamentos para completar el tratamiento.. It is very safe, much safer than oral sedation. Con IV sedación una constante “goteo” se mantiene a través del tubo intravenoso. En cualquier momento se puede administrar un antídoto para revertir los efectos de los medicamentos si es necesario. Junto con sedación IV también hay otros niveles diferentes”” de la sedación a su disposición en nuestra oficina.