General Anesthesia - Sedation Dentistry | Dentists Bonney Lake

We can offer you various forms of sedation to keep you comfortable during surgery.

Dr. Tsai, Dr. Maniatis, and their team of surgical and anesthetic staff have expertise at providing oral surgical treatment while keeping you safe and comfortable through various levels of sedation.

The level of sedation which may be appropriate for you is determined by: how anxious you are towards treatment, how healthy you are, and the complexity of the procedure.

• Anxiety Support (Nitrous Oxide, also known as Laughing Gas) - This form of sedation helps provide gentle support for mild anxiety during a procedure while keeping you fully awake. The effects of the gas leaves the body by the time you leave the surgical suite. This option is generally more appropriate for patients who are fairly comfortable with awake dental procedures in the past and are interested in same day consultation and treatment.
• “Awake” Conscious Sedation (Oral Medication +/- Nitrous Oxide) - You will be prescribed triazolam (Halcion) which you can take 60 minutes before your scheduled procedure. You will be given an extra tablet to bring with you to the office. This extra tablet can be taken on an as-needed basis. This mode of sedation allows anxiety relief for the procedure. You will be sleepy but awake enough to follow instructions during the procedure. You will most likely be able to recall your experience. Nitrous oxide can be given as an adjunct to help provide further anxiety relief.
  
  You may have a light meal on the morning of the procedure. You will need a family member/friend to drive you to the office, and drive you back home. They will need to be in the office or close by during your surgery.
• “Awake” Conscious Sedation (IV Medication) - You will be given medication through an IV line. You may feel a small pinch on the arm when we establish IV access. Once the IV is in, you will be given medication which will help with anxiety relief and help you not remember the surgery. You will be sleepy but awake enough to follow instructions during the procedure.
  
  You have to keep an empty stomach, which means no eating for 8 hours prior to the procedure. You will need a family member/friend to drive you to the office, and drive you back home. They will need to be in the office or close by during your surgery.
• “Sleep” Deep Sedation (IV Medication) - You will be given medication through an IV line. You may feel a small pinch on the arm when we establish IV access. Once the IV is in, you will be given medication which will help you not remember the surgery. Then you will be slowly given medication to help you fall asleep before the start of the procedure. Medication is continuously given through the IV to keep you asleep while breathing on your own without needing a breathing tube.
  
  You have to keep an empty stomach, which means no eating for 8 hours prior to the procedure. You will need a family member/friend to drive you to the office, and drive you back home. They will need to be in the office or close by during your surgery.
• “Sleep” General Anesthesia (With a Physician Anesthesiologist) - For this option, a Physician Anesthesiologist will be available for your surgery appointment. The anesthesia staff will call you before the surgery to discuss pre-Anesthesia evaluation, expectations for anesthesia recovery, and billing for anesthesia services (separate from surgery service fee).
  
  The anesthesiologist will meet you on the day of the surgery to go over pre-surgery check and take you in the surgery suite, where they will get you to sleep comfortably beginning with IV medication or anesthetic gas.

If you are in need of oral surgery, schedule a consultation today to determine what level of sedation is appropriate for you.