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A 35-year-old member asked:

What is the best choise of anesthesia for a dental implant?

22 doctor answers46 doctors weighed in
Dr. Michael Montgomery
Dentistry 42 years experience
Patient's choice: Iv sedation or oral meds with local anesthetic, local anesthetic with nitrous oxide (aka laughing gas), or local anesthetic alone are the options available. Patients with a great deal of anxiety would be much happier with the IV sedation. Those with no anxiety will do fine with local anesthetic only.
Dr. Theodore Ritota
Dentistry 10 years experience
Depends : Depending upon the expected lenght of the procedure, your dentist will choose the appropriated anesthesia. Usually mepivicaine or Lidocaine with vasoconstrictor.
Dr. Matt Fulmer
Dentistry 16 years experience
No best: There are numerous local anesthetics that are suitable for using for dental implant surgery. The big decision for the patient and doctor is if general anesthesia should be used. Most general dentist that place implants do so under local anesthesia only....He same that is used for a filling or extraction.
Dr. Gary Alder
Dr. Gary Alder commented
Dentistry 48 years experience
Best dends on a few factors. Anesthesia is for the comfort of the patient and to a lesser extent the doctor. IF you are completely comfortable with only a local anesthetic this would probably be the best. IF your doctor feels you or he/she would not be comfortable with only local anesthetic then sedation or general would be a consideration.
Aug 7, 2012
Dr. Greg Rubin
Dentistry 38 years experience
Local anestetic: The best choice of anesthesia for any dental procedure is the one that provides comport , no pain sensation, minimal dosage and easy to administer, and goes away relatively fast with minimal side effects. So our choice is always local anesthesia first, sedation second and general anesthesia as a last resort.
Dr. Winston Muditajaya
Dentistry 25 years experience
Depends: It also depends on how complex the procedure and how comfortable the dentist is. For example i prefer local anesthetic for a single tooth implant placement that will take no longer than 30 min, while i may prefer some type of sedation for a full arch treatment that may take me 2-3 hours.
Dr. Babak Jouhari
Prosthodontics 25 years experience
Local: Local anesthesia is the best and 1st choice in some cases pending on patients comfort zone and dr's recommendation there are options of sedation and general as well.
Dr. Ronald Achong
Oral &Maxillofacial Surgery 19 years experience
No best choice: Patients often have only local anesthesia for their dental implant procedures. However, if a full set of teeth or extensive bone grafting is required, sedation will probably be better for your comfort.
Dr. Ahmad Eslami
Periodontics 45 years experience
Dental implants: Local anesthesia is a must for any oral surgery. There are a number agents that can be used depending on the length of the surgery. Besides local anesthesia a patient might also choose oral or IV sedation.
Dr. Alex Shvartsman
Cosmetic Dentistry 26 years experience
Articaine: 4% articaine with 1/100, 000 epi. And maybe a little of 2%lidocaine with 1/50, 000 epi if heavy bleeding is anticipated.
Dr. John Thaler
Prosthodontics 42 years experience
Depends on you: If you are comfortable with dental treatment, then local anes. Is all you need. We often have patients go back to work after the proceedure. Not much different than being numb from a filling. The soreness afterwards is from the gum tissue and injection sites and stitches. Usually only ipuprofen needed for a day or two. You will be amazed.
Dr. Alex Shvartsman
Cosmetic Dentistry 26 years experience
Articaine: 4% articaine is a very effective anesthetic.
Dr. James Vito
Prosthodontics 38 years experience
Depends: If you are very apprehensive then IV sedation in conjunction with local anesthesia (nova sine) works best. If not apprehensive then regular novacaine like what would be used for a filling does just fine.
Dr. Dinh Bui
Dr. Dinh Buianswered
Dentistry 24 years experience
Local anesthesia: For a normal healthy patient, local anesthesia is more than adequate for an implant procedure. Iv sedations should only reserved for the medical compromised patient, who stress reduction protocol is highly recommended.
Dr. Gregory Fiasconaro III
Anesthesiology 33 years experience
I had one under local only. No problem.
Feb 22, 2013
Dr. Leon F. Gerard
Dentistry 40 years experience
Agree: septocaine + marcaine local anesthesia should be perfectly adequate
Feb 22, 2013
Dr. Ronald Achong
Oral &Maxillofacial Surgery 19 years experience
Depends: It depends on how involved the procedure is and the compliance of the patient. But usually local anesthetic is sufficient.
Dr. Dinh Bui
Dr. Dinh Buianswered
Dentistry 24 years experience
Local anesthetics: Local anesthesia is the preference. It would be used as the combination with IV or oral if the later was chosen when stress reduction protocol is required for the medical compromise patient. I frequently used cone beam ct-scan during the procedure to verify the angle of the implant placed and/or proximity of nerve location, thus it is much easier to do so when the patient is awake.
Dr. Richard Pollard
Anesthesiology 31 years experience
Talk to MD: Most of these procedures can be done with local anesthesia and some sedation. It is rare that a full general anesthetic would be required.
Dr. Glenn MacFarlane
Cosmetic Dentistry 37 years experience
FACTORS TO CONSIDER: A local anesthetic is always used during any oral surgery procedure unless you prefer pain. The use of an anesthetic with epinepherine depends on many factors that you should discuss with your dentist. Depending on the area of your mouth to be surgerized will also determine what anesthesia to use or avoid.
Dr. Orrin Ailloni-Charas
Anesthesiology 30 years experience
Local with: Some sedation works well. If it is a major dental procedure, you may want an anesthesiologist present to give a heavier sedation and monitor you to keep you safe.
Dr. Mark Venincasa
Dentistry - Cosmetic 36 years experience
See your dentist...: Either your dentist or dental specialist will select the best anesthesia for your situation. Most of us have our favorites for extractions or fillings or crowns. The best choice is the anesthesia the dental professional is most comfortable with. This should not be much of a concern for the patient. The important thing is that the patient is adequately numb.....
Dr. Kevin Owoc
Dentistry - Prosthodontics 20 years experience
Multiple factors...: Often, a single dental implant can easily be placed using just local anesthetic. However, if more implants are being placed, and the patient is apprehensive, IV sedation may be an option. Ultimately, doctors strive to make the patient as comfortable as possible. However, there is more risk involved when having sedation. Your specific case and needs should be discussed with your surgeon.
Dr. Eric Dale
Periodontics 27 years experience
Your comfort: The level of anesthesia is based on your comfort level. Many people are fine with local anesthetic like getting a filling. If more nervous, you can do local + laughing gas. If really nervous, you can do conscious sedation.
Dr. I. Jay Freedman
Dentistry 44 years experience
Most often local: Nearly any oral surgery procedure can be easily done with a variety of local anesthesia. The real challenge is for the doctor and patient to evaluate the surgical requirements and what are the needs to keep the patient comfortable. That can range from just local, to adding nitrous oxide, to rx anti-anxiety meds and in the most extreme cases, i'v sedition. So have that dialogue.

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