About Anesthesia / Sedation
Helpful Terms to Know
Oral Surgery Anesthesia in Grass Valley, CA

About Anesthesia
The type of anesthesia used can vary based on the person and treatment. Your surgeon at Valentine Oral & Maxillofacial Surgery will discuss various anesthetic options for you. When making a treatment plan, some of the most important factors your surgeon will consider include the patient's age, weight, medical history, previous experience with anesthesia or sedation, and any current medications. Your surgeon will also consider the length and complexity of the surgery, as well as your level of anxiety, to guide the treatment plan decisions and optimize your comfort and safety.
Oral and maxillofacial surgeons train extensively in pursuing their education and degrees to offer the safest and most effective anesthesia options in their practices. Only your surgeon can determine what is safe and appropriate for you. During your consultation, it's important that you be open and honest about your past experiences with anesthesia or sedation, your level of anxiety, as well as your medical history, medications you take, and your lifestyle.
Below is some general information about different types of anesthesia and what the terms mean. Not every type is appropriate for every patient or every surgery, but these terms will be helpful in your consultation with the surgeon.

Anesthesia Terms
- Local Anesthesia – Local anesthetics affect only a small portion of the body. They work locally to numb the area and ensure the patient doesn't feel any pain. Lidocaine is a common numbing medication that is injected directly into the affected area and takes effect quickly. Patients are conscious and aware during local anesthesia, but should not feel discomfort. It is typically used in simple tooth extractions.
- Minimal Sedation – Minimal sedation combines the localization of an anesthetic with the calming effects of nitrous oxide (also known as "laughing gas"). A mixture of nitrous oxide and oxygen is breathed through a mask or nosepiece, allowing a patient to be aware during the treatment while remaining relaxed. This method may also include a sedative agent. Patients with anxiety might prefer this type of anesthesia for simple treatments. It is also an option for more involved treatments, such as placing implants or removing wisdom teeth.
- Moderate Sedation – Sometimes referred to as "twilight sedation," intravenous (IV) moderate sedation places a patient in a state between awake and asleep, drifting in and out of consciousness. Although patients are partially conscious, few remember anything from the treatment besides feeling sleepy and relaxed. Moderate sedation often can be used instead of minimal sedation for treatments such as the removal of impacted wisdom teeth. Moderate sedation may use the same types of medication as general anesthesia, leading to a quick recovery from sedation and minimizing anesthesia side effects.
- Deep Sedation – This level of sedation is a drug-induced depression of consciousness during which a patient cannot be easily aroused but can respond to repeated stimulation.
- General Anesthesia – The combination of medications that puts patients to "sleep" before surgery or another medical treatment is called general anesthesia. Under this type of anesthesia, patients are completely unconscious, though they likely feel as if they are going to sleep. The key difference is that the patient doesn't respond to reflexes or pain signals.