Health
Dr. Steven Paul, DDS Oral Surgeon Murrieta

Four Types of Oral Surgery Anesthesia For Dental Patients
It’s not uncommon for a dental patient to feel anxious thinking about an upcoming dental procedure. At our clinic, we are always responsive to easing your nervousness or anxiety about dental treatment. We talk to you, understand your dental and personal profile and then suggest the right kind of oral surgery anesthesia to address the expected pain—nothing more, or less.
Giving anesthesia is about controlling the temporary loss of awareness or sensation. It provides relief from pain and brings down levels of anxiety during a dental procedure. The patient becomes numb to pain and stays relaxed while the dentist carries out the treatment in your mouth.
The type of dental treatment determines the degree of numbness to be attained. A simple procedure will probably need just the numbing of the area being treated. Sometimes, you may be required to be wholly unaware of events during a procedure, in which case you may need to be sedated.
Four Types of Oral Surgery Anesthesia Used By Dentists
- Using Local Anesthetic
A local anesthetic alone is utilized when managing a simple and minimally invasive dental procedure. The anesthetic numbs only a part of your mouth, and you remain awake for the duration of the procedure.
Your dentist may use Lidocaine, which is a common local anesthetic medicine. It is injected in and surrounding the surgery area.
Explain How Local Anesthetics Work?
The first step involves the dentist drying the area with air or cotton or both. Usually, a gel is utilized to numb the skin. Your dentist will then gradually inject the local anesthetic. While most patients don’t feel pain due to the inserting needle, some may feel a bit of a sting.
The effect of an injection of local anesthesia can last up to a few hours. Following the procedure, the patient may find it challenging to eat, drink, or even speak clearly. It is normal to be awkward while using a straw while drinking, and you may need some towels after the procedure.
You will be cautioned not to bite on the numb area as you can hurt yourself without realizing it.
- Nitrous Oxide Sedation With Local Anesthetic
You may be aware of the term “laughing gas” that is used on people during dental procedures. Nitrous oxide, or laughing gas, is an odorless and colorless breathable gas. It acts as a sedative and helps you stay calm. It will relax you by the pleasurable feelings it gives. It functions as an analgesic, and helps relieve pain.
Nitrous oxide is used for simple oral procedures as well as more complex dental procedures. It works quickly, and its effects are reversible. That’s why nitrous oxide is considered to be a safe sedation method.
If you’re about to have a wisdom tooth removed or dental implant insertion, call our office to find out if nitrous oxide sedation is best for you.
Even when nitrous oxide is used, a local anesthetic is still going to be used around the part in the mouth affected by the procedure.
What’s ‘Laughing Gas’ Or Nitrous Oxide And How Does It Work?
You will be given a mix of oxygen and nitrous oxide through a breathing apparatus before and during the procedure, and the gas will enable you to stay conscious and at ease.
The gas has a known side effect: mild amnesia, and till the time its effect goes away, you will not remember much of the procedure.
- Clinic-Based Intravenous Anesthesia Using Local Anesthetic
I.V. or intravenous anesthesia triggers sedation. You will feel calm and relaxed state and not remember the dental procedure that’s usually discomforting.
Some dental patients stay asleep during the entire procedure. Some move in and out of “twilight sleep,” though they remain quite relaxed.
I.V. Anesthesia Eliminates Pain
A dental patient who is significantly anxious about dental procedures may request I.V. anesthesia even for a simple procedure.
Most patients choose I.V. anesthesia for wisdom teeth extraction or dental implants.
Skill Criteria For Dentist To Administer Anesthesia
Oral surgeons must fulfill conditions to offer general anesthesia during in-office dental procedures:
- A minimum of 3 months of hospital-based anesthesia training
- Passed in-office assessment carried out by state dental board examiner
- Performed oral surgery utilizing general anesthesia under examiner’s oversight
- Houses tested monitoring and emergency equipment
- Experienced anesthesia-related emergencies
A state dental board will provide the oral surgeon a license to administer general anesthesia only after successful training and evaluation.
How Does A Dentist Use Intravenous Anesthesia?
A small intravenous needle is inserted into your arm vein. The dentist or staff places an I.V. tube that will drip the anesthetic through the needle and into your vein, and you will soon relax.
Call our office if you have questions about intravenous anesthesia. We will be happy to assist you with your concerns or questions.
- General Anesthesia In Hospital
A hospital offers inpatient general anesthesia to patients who require extensive surgery such as TMJ surgery, and face and jaw reconstruction. An anesthesiologist administers the general anesthesia.
You are encouraged to speak with our dentist or dental office to clarify your doubt about general anesthesia.
Know Dr. Steven Paul, MD, DDS
It is Dr. Steven Paul’s top priority to keep you safe and comfortable, and oral surgery anesthesia helps our clinic to achieve relaxation during procedures.
Once you schedule a consultation for any dental procedure, Dr. Paul and his staff interact with you comprehensively about the most appropriate type of anesthesia. Dr. Paul takes extra care in addressing any concerns you may have and will not move forward until you are satisfied with the answers.
A member of the American Association of Oral & Maxillofacial Surgeons, Dr. Paul has more than 20 years of experience in all areas of oral surgery. He specializes in the treatment and restoration of missing teeth via dental implant procedures including full mouth rehabilitation (All-on-4), restoring both aesthetics and function, bone and soft tissue grafting, associated tumors and cysts in the oral cavity, and wisdom teeth removal.
Every anesthetic technique is customized for the individual patient at our dental clinic.
Health
How Telehealth Works for Addicts in Recovery

Technology has been shaping healthcare for decades, and these days, tech advancements for the health sector are happening faster than ever before. Telehealth has emerged as one advancement that has touched every healthcare discipline, from cancer care to pediatrics. The innovative approach of telehealth is breaking down barriers to care and even reaching those who are struggling with substance abuse.
By leveraging digital platforms, recovery specialists can offer better access to therapy sessions, support groups, and medical consultations. These breakthroughs in accessibility are significant for people in healthcare deserts who are languishing under increased addiction rates and a lack of reliable treatment options.
Nick Padlo, founder and CEO of Sophros Recovery in Florida, has seen the benefit of telehealth for recovering addicts firsthand. “Individuals struggling with addiction can now find support and guidance if they do not have access to a treatment center near their home,” he explains. “These virtual programs are designed to provide comprehensive care, similar to traditional in-person treatment, but with the added convenience of digital accessibility.”
Here, we explore the benefits of telehealth for recovery and how clinicians and other professionals in the field can best utilize it for better outcomes.
An increased need for comprehensive recovery
The United States saw over 107,000 overdose deaths in 2023. This was a notable increase from previous numbers. The emergence of fentanyl as the drug of choice for many and the perpetuation of alcohol and other drug abuses have made access to comprehensive recovery even more important than ever.
“Understanding the options available can be the first step to recovery,” says Padlo. When people have easier access to help, they may be more apt to seek sobriety.
The pandemic saw a marked increase in substance abuse, laying bare the need for digital access to recovery resources. During the COVID shutdown, the crucial need for an alternative to in-person treatment was evident, and the benefits of such treatment options allowed clinicians and other professionals to carry this digital access to recovery care through the pandemic and into the post-COVID world.
In addition, those living in rural areas or areas with a lack of access to comprehensive recovery care often have needs on par with those in larger urban areas. Telehealth allows people to access the same professionals that those in big cities rely upon.
Studies have shown that continuity of care is critical to the success of addiction recovery. Telehealth can facilitate ongoing engagement with those in recovery, securing continuity of care and leading to better recovery outcomes.
A modern approach
“Online addiction recovery typically involves a combination of individual therapy, group therapy, educational sessions, and support groups, all conducted via video conferencing or other online tools,” explains Padlo. The flexibility of these programs allows participants to schedule them around their availability and considering their other commitments.
“We aim to mirror the effectiveness of traditional methods,” says Padlo. “We are providing the same level of care and support through a virtual format.”
Padlo stresses that online recovery can also reduce stigmas that are associated with seeking help for one’s addictions. When those in recovery can participate from the comfort of their own home, they may be more apt to commit to the recovery process.
People will need to consider their personal circumstances when determining if telehealth for addiction recovery is right for them. They may want to evaluate how comfortable they are with technology and whether they have a stable internet connection. Also, it helps to have a strong support system to keep one accountable since it can sometimes be easier to ignore digital meeting commitments.
However, Padlo cautions that those with severe addiction issues or co-occurring addictions may fare better with in-person detox and recovery.
Telehealth can be a powerful tool in the fight against addiction. The option offers a range of benefits, including easier access, privacy, and even savings for some. According to a recent study by the Oregon Health and Science University, telehealth may be just the solution to overcoming the stigma of rehab and recovery and radically reducing barriers for people who need it the most.
While telehealth for addiction recovery may not be a one-size-fits-all solution, and some people may require more intensive care and medical intervention, it has broken barriers for those in areas of limited access to recovery or seeking an option that offers more privacy.
As the field of virtual health delivery continues to evolve, the benefits of telehealth for addiction recovery will become clear. Telehealth provides comprehensive, discrete, and effective care for those starting or continuing their recovery journey.
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