Anesthesia and sedation for oral surgery
The right anesthesia is part of what makes a procedure go smoothly. Oral and maxillofacial surgeons receive extensive, formal training in anesthesia as part of their residency, which is why office-based sedation is a routine, well-controlled part of surgical care here rather than something that requires a separate facility.
Dr. Ramon Perez-Rosich is board-certified by the American Board of Oral and Maxillofacial Surgery and has practiced in South Florida since 2007. He discusses the options at your consult and recommends the level that fits your procedure, your health history, and your comfort.
The options
Local anesthesia
Numbs the specific area being treated while you stay fully awake. Appropriate for simple extractions and many minor procedures.
Nitrous oxide (laughing gas)
Local anesthesia plus inhaled nitrous oxide for light relaxation. You stay awake and the effect wears off quickly afterward.
IV sedation
Medication delivered through a vein produces a deeply relaxed, drowsy state in which most patients remember little or nothing of the procedure. Common for impacted wisdom teeth, implants, and longer surgeries. Learn more about whether IV sedation is safe.
Deeper sedation
For more complex cases or higher anxiety, a deeper level of sedation may be appropriate. Dr. Perez-Rosich will review whether this is the right choice for you.
How we keep sedation safe
- A surgeon formally trained in anesthesia during residency
- Continuous monitoring of heart rate, blood pressure, and oxygen throughout
- A thorough review of your medical history and medications beforehand
- Clear pre-operative instructions (fasting, medications, and a ride home)
- Emergency equipment and protocols on site
Preparing for sedation
If you will have IV or deeper sedation:
- Do not eat or drink for the period we specify before surgery
- Arrange for a responsible adult to drive you home
- Tell us about all medications and supplements you take
- Wear comfortable, loose-sleeved clothing
Frequently asked questions
Will I feel anything during the procedure?
No. The area is fully numbed, and with sedation most patients are relaxed and remember little. Comfort is the goal at every level.
Can I drive myself home?
Yes after local anesthesia alone. No after IV or deeper sedation, you will need a ride. Plan for this in advance.
Is office sedation safe?
Office-based sedation by a trained oral and maxillofacial surgeon has a strong safety record when patients are properly screened and monitored, which is exactly the protocol we follow. See our guide on IV sedation safety.
Questions about your anesthesia?
We will go over your options at the consult and answer anything you are unsure about. Call 954-693-0026 (Southwest Ranches) or 786-210-6160 (Kendall), or request a consultation.