25 doctors weighed in:

Would it be smart to have an i.V. If having 2 dental implants for the 1st time? Does an anesthesiologist give it or does dds do it all? Credentials?

25 doctors weighed in
Dr. James Vito
Dentistry - Prosthodontics
5 doctors agree

In brief: Depends

Depends on your level of apprehension.
In our office we have a board certified physician antes theologies deliever the IV sedation. It is difficult for a dentist to keep you comfortably sedated monitor your vitals and perform a dental implant surgical procedure all at the same time.

In brief: Depends

Depends on your level of apprehension.
In our office we have a board certified physician antes theologies deliever the IV sedation. It is difficult for a dentist to keep you comfortably sedated monitor your vitals and perform a dental implant surgical procedure all at the same time.
Dr. James Vito
Dr. James Vito
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3 doctors agree

In brief: No, Local is Great!

The surgical placements of dental implants (in conjunction with extractions or in a toothless site) is actually a much simpler surgery than one might imagine and less invasive.
I have personally had two placed and had minor pain handled by motrin. The next day i was seeing patients and than no longer needed any pain medicine. Iv would be a good option for a complicated full mouth reconstruction.

In brief: No, Local is Great!

The surgical placements of dental implants (in conjunction with extractions or in a toothless site) is actually a much simpler surgery than one might imagine and less invasive.
I have personally had two placed and had minor pain handled by motrin. The next day i was seeing patients and than no longer needed any pain medicine. Iv would be a good option for a complicated full mouth reconstruction.
Dr. I. Jay Freedman
Dr. I. Jay Freedman
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Dr. Gary Sandler
Dentistry
3 doctors agree

In brief: Unnecessary

All that is really necessary is local anesthesia.
Nitrous oxide\oxygen analgesia is a nice adjunct to use for apprehensive patients. This should be discussed with the surgeon prior to the procedure. Iv sedation adds cost and possible complications but if you and your dentist feel you need it, by all means consider it.

In brief: Unnecessary

All that is really necessary is local anesthesia.
Nitrous oxide\oxygen analgesia is a nice adjunct to use for apprehensive patients. This should be discussed with the surgeon prior to the procedure. Iv sedation adds cost and possible complications but if you and your dentist feel you need it, by all means consider it.
Dr. Gary Sandler
Dr. Gary Sandler
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Dr. Gregory LaMorte
Dentistry - Periodontics
2 doctors agree

In brief: IV sedation

The dentist doing the implants can sedate you if they have the proper training and license.
In our office we use a board certified anesthesiologist so i can concentrate on my procedure and have the other doctor monitor the patient.

In brief: IV sedation

The dentist doing the implants can sedate you if they have the proper training and license.
In our office we use a board certified anesthesiologist so i can concentrate on my procedure and have the other doctor monitor the patient.
Dr. Gregory LaMorte
Dr. Gregory LaMorte
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Dr. Mark Venincasa
Dentistry - Cosmetic
2 doctors agree

In brief: It's personal ..

If you are not very apprehensive about having them placed i would go without the IV sedation.
The sedation can be done with or without an anesthesiologist. Many dentists have the special training for IV sedation. States vary to some degree on the credentialing. Good luck.

In brief: It's personal ..

If you are not very apprehensive about having them placed i would go without the IV sedation.
The sedation can be done with or without an anesthesiologist. Many dentists have the special training for IV sedation. States vary to some degree on the credentialing. Good luck.
Dr. Mark Venincasa
Dr. Mark Venincasa
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Dr. Andrew Germanovich
Pain Management
1 doctor agrees

In brief: Should be local

Sometimes patients insist on monitored anesthesia and when given by dentist there is a patient death almost every year in chicago alone.
Local only or anesthesiologist present is what i would insist. Personal bias here though.

In brief: Should be local

Sometimes patients insist on monitored anesthesia and when given by dentist there is a patient death almost every year in chicago alone.
Local only or anesthesiologist present is what i would insist. Personal bias here though.
Dr. Andrew Germanovich
Dr. Andrew Germanovich
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Dr. Don Millner
Dentistry - Cosmetic
1 doctor agrees

In brief: You like spending $?

Iv sedation should be reserved for anxiety ridden patients and those that might need immobilization.
Most tooth extractions are far more traumatic than implants. And ..Anytime you "go under" there are additional medical concerns. To my knowledge, the majority of implants are placed without IV sedation. Why spend the money and risk you health for adjunctive procedure that may not be necessary?

In brief: You like spending $?

Iv sedation should be reserved for anxiety ridden patients and those that might need immobilization.
Most tooth extractions are far more traumatic than implants. And ..Anytime you "go under" there are additional medical concerns. To my knowledge, the majority of implants are placed without IV sedation. Why spend the money and risk you health for adjunctive procedure that may not be necessary?
Dr. Don Millner
Dr. Don Millner
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Dr. John Wilson
Anesthesiology
1 doctor agrees

In brief: I would

I personally would want IV sedation.
It can be given by a dentist, nurse or anesthesia physician. You will never go wrong having an anesthesiologist managing this. It is what i would do.

In brief: I would

I personally would want IV sedation.
It can be given by a dentist, nurse or anesthesia physician. You will never go wrong having an anesthesiologist managing this. It is what i would do.
Dr. John Wilson
Dr. John Wilson
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Dr. John Thaler
Dentistry - Prosthodontics
1 doctor agrees

In brief: Your choice

Some patients prefer conscious sedation -- not general anesthesia.
Many do fine with local anesthesia. If you are comfortable having a filling with local, then you will likely be fine with the implant placement. It does not take long and it is only the tissue that is sore afterwards. See a specialist for the surgery and the restoration. Check credentials and know what brand of implant to be used.

In brief: Your choice

Some patients prefer conscious sedation -- not general anesthesia.
Many do fine with local anesthesia. If you are comfortable having a filling with local, then you will likely be fine with the implant placement. It does not take long and it is only the tissue that is sore afterwards. See a specialist for the surgery and the restoration. Check credentials and know what brand of implant to be used.
Dr. John Thaler
Dr. John Thaler
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Dr. Arman Roksar
Dentistry - Prosthodontics
1 doctor agrees

In brief: IV not necessary

I've sedation might be too much for implant surgery.
But if you want, the surgeon must be certified in sedation. Usually all oral surgeons are all certified. Most general dentist, periodontist and prosthodontists are not licsened to do IV sedation.

In brief: IV not necessary

I've sedation might be too much for implant surgery.
But if you want, the surgeon must be certified in sedation. Usually all oral surgeons are all certified. Most general dentist, periodontist and prosthodontists are not licsened to do IV sedation.
Dr. Arman Roksar
Dr. Arman Roksar
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Dr. Orrin Ailloni-Charas
Anesthesiology

In brief: If you require

Anything more than gentle sedation, you should have a separate person giving the medication and monitoring your vital signs, preferably an anesthesiologist.

In brief: If you require

Anything more than gentle sedation, you should have a separate person giving the medication and monitoring your vital signs, preferably an anesthesiologist.
Dr. Orrin Ailloni-Charas
Dr. Orrin Ailloni-Charas
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Dr. Mark Collins
Dentistry - Prosthodontics

In brief: Implant and IV

Having an IV sedation is only needed when you are fearful of treatment and wish to be asleep.
For dental implants this is not needed and most implants are placed without this. To administer IV sedation a dentist needs to have a state license to do that. Usually it is done by periodontist or oral surgeon.

In brief: Implant and IV

Having an IV sedation is only needed when you are fearful of treatment and wish to be asleep.
For dental implants this is not needed and most implants are placed without this. To administer IV sedation a dentist needs to have a state license to do that. Usually it is done by periodontist or oral surgeon.
Dr. Mark Collins
Dr. Mark Collins
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1 comment
Dr. Gary Sandler
To further clarify the answer to your question, it has been by personal experience, that most Oral Surgeons administer their own IV sedation, while Periodontists usually have a separate Anesthesiologist come in to their office when needed.
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