Tooth Extraction Surgery: Whether you have a single tooth to be extracted (with or without sedation) or all four wisdom teeth, you can expect some bleeding from the surgery site, bruising in the mid/lower face, swelling, difficulty opening the jaws from stiffness of the muscles, and (rarely) damage to nearby teeth and/or restorations during the operation. In any situation, local anesthetic (freezing) will be used to maximize your comfort. You will be informed if stitches have been placed, and whether you need to come back to have them removed. It is advised to avoid strenuous activity for at least 24 hours following an extraction, and to avoid smoking for at least 48 hours. You will be given written instructions on how to care for the surgical sites following an extraction.
Often, people are apprehensive about having their wisdom teeth removed. While this is completely understandable, there are ways to help ease the stress. SmileSense offers two different types of sedation available to patients whose medical history allows it.
Oral sedation: Similar to taking Ativan for anxiety, Dr. Dan will review your medical history and prescribe an appropriate amount of oral sedative to be taken in the office, where you will then be monitored for an hour before starting the procedure. You will be monitored by a blood-pressure cuff and Pulse oximeter which measures your oxygen saturation level, or the oxygen levels in your blood. You will require a ride home from this appointment, as well as a capable guardian to monitor you for 24-48 hours following. This is to ensure your safety after you leave our office. Your guardian will be given written instructions on how to care for you following oral sedation.
IV Sedation: Less intense than General Anesthetic, IV Sedation is a combination of medications to suppress your consciousness. You are still able to breathe, and sometimes talk and have a conversation, but your memory will be limited and you may not remember any of the appointment. Dr. Dan and our Registered Nurse will review your medical history. You will be monitored by a blood-pressure cuff and pulse oximeter which measures your oxygen saturation level, or the oxygen levels in your blood. An IV will be started and, upon consult with Dr. Dan, IV medications will be started. Our Registered Nurse will monitor you, your blood pressure, and your oxygen saturation and continuously consult with Dan throughout the procedure to administer more or less medication. After the procedure is finished, the drugs will “wear off” and you will be allowed to leave. You will require a ride home from this appointment, as well as a capable guardian to monitor you for 24-48 hours following. This is to ensure your safety after you leave our office. Your guardian will be given written instructions on how to care for you following IV Sedation.
There is no referral necessary for sedation. A consult will be needed prior to your appointment, to give Dr. Dan an opportunity to review your medical history and accurately assess which type of sedation will work best for you.