Anesthesia

Hate Needles?

Most people do. The good news is that our Oral Surgeons are licensed and certified to safely provide IV Sedation. If you choose this method of anesthesia you will be comfortably asleep during the whole procedure and wake up a few minutes later not remembering a thing. Several methods of anesthesia are available. The method of anesthesia that is chosen for or by a patient depends upon the nature of the surgical procedure and the patient’s level of apprehension. The following table illustrates the choices of anesthesia, a description of the anesthetic technique, and the usual indications for that technique.

Several methods of anesthesia are available. The method of anesthesia that is chosen for or by a patient depends upon the nature of the surgical procedure and the patient’s level of apprehension. The following table illustrates the choices of anesthesia, a description of the anesthetic technique, and the usual indications for that technique.

Local Anesthetic

Technique: The patient remains totally conscious throughout the procedure. A local anesthetic (e.g. lidocaine) is administered in the area where the surgery is to be performed. Local anesthetic is used in conjunction with the other methods of anesthesia in all oral surgery procedures.

Usual Indications: Simple oral surgery procedures such as minor soft tissue procedures and simple tooth extractions.

Nitrous Oxide Sedation with Local Anesthetic

Description of Technique: A mixture of nitrous oxide (laughing gas) and oxygen is administered through a nasal breathing apparatus. The patient remains conscious in a relaxed condition. Nitrous oxide has a sedative and analgesic (pain- controlling) effect.

Usual Indications: Simple oral surgery procedures to more involved procedures such as removal of wisdom teeth and placement of dental implants.

Nitrous Oxide is a sweet smelling, non-irritating, colorless gas which you can breathe.

Ni- Oxide has been the primary means of sedation in dentistry for many years. Nitrous oxide is safe; the patient receives 50-70% oxygen with no less than 30% nitrous oxide. Patients can breathe on their own and remain in control of all bodily functions. The patient may experience mild amnesia and may fall asleep not remembering all of what happened during their appointment.

There are many advantages to using Nitrous Oxide

  • The depth of sedation can be altered at any time to increase or decrease sedation.
  • There is no after effect such as a “hangover”.
  • Inhalation sedation is safe with no side effects on your heart and lungs, etc.
  • Inhalation sedation is very effective in minimizing gagging.
  • It works rapidly as it reaches the brain within 20 seconds. In as few as 2-3 minutes its relaxation and pain killing properties develop.

Reasons to not use Nitrous Oxide

Though there are no major contraindications to using nitrous oxide, you may not want to use it if you have emphysema, exotic chest problems, M.S., a cold or other difficulty with breathing

IV Sedation

Technique: Medications are administered through an intravenous line (I.V.). The patient falls asleep and is completely unaware of the procedure being performed. Supplemental oxygen is delivered through a nasal breathing apparatus and the patient’s vital signs are closely monitored.

 Indications: General anesthesia is available for all types of oral surgery. A patient may choose general anesthesia for simple procedures depending on their level of anxiety. Most people having their wisdom teeth removed or having a dental implant placed will choose general anesthesia. General anesthesia may be necessary if local anesthesia fails to anesthetize the surgical site which often occurs in the presence of infection.

Our office offers our patients the option of Intravenous Sedation for their dental treatment. IV Sedation helps you to be comfortable and calm when undergoing dental procedures. IV sedation” is designed to better enable you to undergo your dental procedures while you are very relaxed; it will enable you to tolerate as well as not remember those procedures that may be very uncomfortable for you. IV sedation will essentially help alleviate the anxiety associated with your treatment. You may not always be asleep, but you will be comfortable, calm and relaxed, drifting in and out of sleep.

If you choose the option of intravenous sedation your IV sedation/anesthesia is administered and monitored by the oral surgeon therefore eliminating the costly expense of having your treatment carried out in an operating room or same day surgical facility.

To administer IV Sedation

An oral surgeon must have completed at least four months of hospital-based anesthesia training. Qualified applicants will then undergo an in-office evaluation by a state dental board appointed examiner. The examiner observes an actual surgical procedure during which general anesthesia is administered to the patient. The examiner also inspects all monitoring devices and emergency equipment and tests the doctor and the surgical staff on anesthesia related emergencies. If the examiner reports successful completion of the evaluation process, the state dental board will issue the doctor a license to perform general anesthesia. The license is renewable every two years if the doctor maintains the required amount of continuing education units related to anesthesia.

How is the IV Sedation Administered?

A thin needle will be introduced into a vein in your arm or hand. The needle will be attached to an intravenous tube through which medication will be given to help you relax and feel comfortable. At times a patient’s vein may not be maintainable, in these situations the medications will be administered, and the needle retrieved – both scenarios will achieve the same desired level of conscious sedation. Once again, some patients may be asleep while others will slip in and out of sleep. Some patients with medical conditions and/or on specific drug regimens may only be lightly sedated and may not sleep at all.

The goal of IV sedation is to use as little medication as possible to get the treatment completed. It is very safe, much safer than oral sedation. With IV sedation a constant “drip” is maintained via the intravenous tube. At any time, an antidote can be administered to reverse the effects of the medications if necessary. Along with IV sedation there are also other different “levels” of sedation available to you in our office. There is nitrous oxide analgesia.

 

Again, when it comes to anesthesia, our priority is the patient’s comfort and safety. If you have any concerns regarding the type of anesthesia that will be administered during your oral surgery procedure, please do not hesitate to discuss your concerns with your doctor at the time of your consultation.

 

 

Hospital or Surgery Center Based General Anesthesia

 Technique: A patient is admitted to a hospital or surgery center where anesthesia is administered by an anesthesiologist.

 Indications: Indicated for patients undergoing extensive procedures such as face and jaw reconstruction and TMJ surgery. Also indicated for patients with medical conditions such as heart disease or lung disease who require general anesthesia.

Before IV Anesthesia Sedation

What our patients say

Fred Pedroletti, D.M.D
4.9
Based on 119 reviews
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Gladys Caram
Gladys Caram
18:26 05 Jun 20
The entire experience was smooth and professional. My son had all his wisdom teeth removed and since no one in our... family had had them removed, I was not familiar with the procedure, Dr. Pedroletti was amazing with us he was informative and very patient as he explained in detail the procedure. The team was caring and professional and showed patience with me ( the mom) and weren't bothered to answer ALL my questions.read more
Mariana Pegoretti
Mariana Pegoretti
14:18 02 Jun 20
I highly recommend this clinic. I had an appointment with Dr. Fred Pedroletti, where he clarified my doubts and... explained everything about my condition. I set a date for my tooth extraction, and naturally, I was a bit nervous about it. On the day, the first thing the doctor did was play a Jack Johnson cd on the background. He assured me that it will be fine, and explained the process again. I started to feel confident and relaxed. After the surgery, I received messages to check if I was recovering fine. I'm really grateful for his professionalism and care.read more
Mully C
Mully C
20:26 18 May 20
The office has patient parking so no pay by phone is needed. It is very easy to find and I like the location because... its quiet and safe. The front staff were very professional and friendly. The office is very clean and organized. I love the decor and colors. Dr. Pedroletti is very knowledgeable and professional. I would highly recommend the place and so glad to find them for my oral surgery procedure.read more
Marisabel Trastoy
Marisabel Trastoy
18:26 08 May 20
Dr. Layne is amazing. Various family members have had surgeries with him and all have been successful. He is caring and... always takes the time to call patients himself the night of the surgery.read more
Ed Wilburn
Ed Wilburn
12:57 05 Feb 20
Dr. Pedroletti and his team were awesome. I was sedated for my extraction and it went very smoothly. The after care has... been great, too. I highly recommend their services!read more
Karina Corrales
Karina Corrales
00:59 25 Jan 20
I got four teeth extracted by Dr. Pedroletti and I can say that the doctor and his team do an incredible job at making... you feel comfortable and informed. They are all professional, knowledgeable and kind. I went in feeling nervous and worried but they quickly put my mind at ease. You can tell they are very experienced and that they love their patients and what they do. My recovery has been much better than I could of ever expected all thanks to an amazing job done by the doctor and his team. I am so thankful to be able to say I have found an oral surgeon who makes me feel like I can accomplish all of my goals with my mouth that I have in mind. I used to be so scared of the dentist but this experience has definitely made me feel more positive about going to the dentist and confident in my path to having a beautiful mouth. Dr. Fred Pedroletti was referred to me by Dr. Cecil Abraham which is also an amazing dentist who I am thankful to know. Thanks again team, you guys rock!read more
Susan Kaufman
Susan Kaufman
13:06 08 Jan 20
I was very pleased to meet and be treated by Fred. The office was great and he saw me as an emergency. He was very... knowledgeable and was thorough. He gave me several options and was very reassuring. I would highly recommend him and his practiceread more
Mignna Garate
Mignna Garate
19:59 02 Jan 20
My son required Oral surgery to remove 4 wisdom teeth and 1 additional tooth. Not only was it during the Holidays but... the week of Christmas no less. Dr. Pedroletti and his complete staff was extremely accommodating and helpful.The complete procedure was quick and pain-free. Even the recuperating period was quick and after following Dr. Pedroletti's instructions everything was a complete success. His office was very nice and clean and professional. I totally recommend this D.M.D. as an exceptional Dr.read more
Maria Tenreiro
Maria Tenreiro
19:21 19 Dec 19
Doctor Fred’s attention to detail and care for my mother was amazing. He explained every step of the process multiple... times in order for us to completely understand what the procedure required. I recommend him to anyone looking for a new dentist.read more
Elena Karplus
Elena Karplus
09:51 22 Nov 19
I visited your office for a consultation with Dr. Layne who was referred to me by my dentist Dr. Luger. The process of... booking the appointment, the kind reminders and the actual experience of visiting the office was quite exceptional. I did not have to wait because I was able to complete my medical history online so I was shown in for x-rays and to meet Dr. Layne immediately. I found all the personnel at the office to be very professional and courteous. Dr. Layne himself was very informative, professional and very pleasant. While I still have to decide between the options that he gave me and actually have a procedure done in your office, I feel confident that whatever I decide, it will be done in the best possible way by Dr. Layne and his staff. Thank you for a very satisfying first office experience. Copy to clipboardread more
Jason Caballero
Jason Caballero
03:22 22 Nov 19
Fred was the best doctor I have honestly ever visited. He was very thorough with his explanation about the whole... process and completely put me at ease to have surgery with him. I would highly recommend him to anyone that is looking for Oral surgery. All the staff in the front desk was super nice and helpful. I’m super happy with the way my surgery came out and would give this team 6 ⭐️‘s if I could.read more
ThunderStrike 13
ThunderStrike 13
02:42 19 Nov 19
Excellent service! The entire staff really goes above and beyond to ensure your needs are met. Extremely patient in... making sure you understand all options available to allow you make the best decision. Very few clinics strive to uphold the standard achieved within this office!read more
Nancy Romero
Nancy Romero
14:36 16 Oct 19
Dr. Pedroletti is Brilliant! His professionalism his bedside matters, like no other! Very considerate of his patients... and his follow ups like no other. What doctor calls you at home after your procedure to find out how you are? I loved him and his staff as equally amazing. Thank you all for your attention. Have a wonderful Holiday Seasonread more
Jose Martinez
Jose Martinez
16:13 10 Oct 19
I had my lower left wisdom tooth removed this morning. It literally was next to painless and took less than 45 minutes... from prep to finish. Dr. Jerry M. Layne and his assistants during the procedure were very professional, pleasant, and comforting . I plan on getting the my last wisdom tooth removed with them very soon.read more
George Levine
George Levine
18:21 08 Oct 19
Excellent and friendly staff. Dr. Fred Pedroletti is an excellent Oral Surgeon that I highly recommend. He well... deserves six stars.read more
Olivia Burke
Olivia Burke
15:31 03 Oct 19
The staff was incredibly kind and helpful. Dr. Pedroletti kept me calm and informed. I cannot recommend them highly... enough.read more
Mariana Schreiber
Mariana Schreiber
22:45 16 Aug 19
Magnificent specialist! I'm so thankful I was referred to Dr. Fred, it surprised me that he took the time to carefully... listen to me and explain everything in so much detail, he was objective, friendly, easy to talk to and he really cares about the patient. Very hard to find professionals like him in Miami. Congratulations to him and his team.read more
Melissa Wall
Melissa Wall
15:51 26 Jul 19
Once again, the staff and Dr. Pedroletti are truly incredible. Very professional, helpful and more than anything... caring. I wouldn't take my children anywhere else for dental surgery! Always a great experience.read more
Angelica Courel
Angelica Courel
02:14 12 Jul 19
So happy I chose Dr. Pedroletti for my wisdom teeth surgery! Amazing bedside manner and the staff is incredibly nice... and helpful. The day of my surgery, I felt so much better than I thought I would and he made sure to follow up later that evening to make sure everything went well. Definitely recommend 🙂read more
Josh Young
Josh Young
14:17 05 Jul 19
My 16 year old son needed to have his wisdom teeth removed. I didn't know Dr. Pedroletti but I chose him because of his... excellent reviews. I can confirm that he is truly OUTSTANDING -- as a doctor and a human being. He even called me the night of the procedure to check on my son and left his cell phone number in case we had any questions! I could not recommend him more highly or enthusiastically! Great person and great professional.read more
Mary Aparicio
Mary Aparicio
18:16 13 Jun 19
From the minute you walk into the office you feel valued as a patient! From the front desk, to the staff and... assistants, paying your bill, and having an actual conversation with Dr. Pedroletti makes you feel important. As a parent, I felt at ease with the plan, treatment procedure, and actual day of surgery. You are not rushed through the process, and all questions are answered with complete professionalism. Thank you!read more
Boss Charlie
Boss Charlie
12:50 05 Jun 19
Fantastic care and treatment. Dr. Pedroletti is very informative in regard to the procedure he did for me and even... called me later in the evening to make sure I was feeling well and to answer any questions I may have. Highly recommend.read more
Rafael Lopez de Azua
Rafael Lopez de Azua
02:33 25 May 19
Our son had to get 2 teeth removed and Dr Pedroletti and his staff were wonderful. They took a very nervous 11 year old... and got him through the procedure. A couple of hits later he was back to his regular self.read more
Kellie Henley
Kellie Henley
17:32 12 May 19
Dr. Pedroletti's team is great! I also appreciated his manner. Very professional and compassionate. Texted me later... in day to check up and make sure all was going as expected. He welcomed questions.read more
Joan Anderson
Joan Anderson
19:27 25 Apr 19
I am 58 years old and had my wisdom tooth removed yesterday. I drove over two hours to see Dr. Layne as he took great... care of my husband a few years back for his dental procedure. This Dr. is amazing. He truly cares about his patients. You don't often see the combination of a highly skilled surgeon with incredible bedside manners. He truly cares about his patients. I felt comfortable with my procedure as I knew I was in the best of hands. I am truly grateful to Dr. Layne and his staff as the procedure was a breeze and I felt very little pain afterwards. His assistant was so pleasant and informative. My appointment was at 1:15 and we were driving home by 2:30. On top of that I got a call that evening to see how I was doing. My only wish is that all medical practices were run as efficient as this one.read more
Angela Hatfield
Angela Hatfield
15:34 19 Apr 19
Just left the office with my daughter after having her wisdom teeth removed. What a wonderful experience, again! Bravo,... front desk staff and nurses. This visit was the second time with Dr. Pedroletti. Different daughter, 2 years later. He has a pleasant, relaxed, professional manner. Thank you for such a wonderful experience! Well done. Smiles all around.read more
Kim Headley
Kim Headley
10:35 10 Apr 19
Consultation for wisdom teeth extraction was highly informative. The doctor's bedside manner and knowledge are both... refreshing and impressive. The staff is equally as competent and informed. I would recommend this doctor to anyone who needs his services and to anyone who is a bit on edge around dental professionals. My teenager was comfortable as the patient and I was just as at-ease as the parent.read more
Tom Cromer
Tom Cromer
22:37 26 Feb 19
Dr. Pedroletti and his staff did a wonderful job extracting my wisdom teeth. I felt no pain and everything went exactly... as they said it would. The office is friendly & efficient. I was a bit anxious about having this done, but it worked out really well. I felt secure and that I was in good hands. I don't usually write reviews, but these people deserved it.read more
Francisco Urrea
Francisco Urrea
23:05 09 Feb 19
Great customer service! The office staff made me feel at ease before, during, and after my wisdom teeth were removed.... Dr. Pedroletti personally followed-up. Recommend investing the $20 for the ice pack sling - kept my swelling down a minimum.read more
Ruben K Cantillo
Ruben K Cantillo
13:34 14 Jan 19
Dr Layne and most of his staff I would recommend completely. Dr Layne is a professional who does great work and has... great follow-up care as well. However the woman in the front (I believe her name is Patti) is rude and does not appear to assist with insurance benefits. They did not want to follow what my insurance company asked for them to provide which was data that procedure was to be medically necessary and instead choosing to charge me full price for a procedure that could have been covered. If issue gets resolved I will amend the review but for now I don't believe they were looking out for patient benefit, only to charge more up front.read more
Gilbert Yurubi
Gilbert Yurubi
20:36 26 Dec 18
If you need oral surgery this is the place to go. As soon as you walk in the door you get a sense of professionalism... and trust worthiness. The doctor and staff were excellent. Every step in the procedure was explained and the love and care thyey had with taking care of my son was outstanding. I highly recommend this place for all of your oral surgery needs.read more
Milka Jurado
Milka Jurado
23:03 13 Dec 18
Dr. Pedroletti is the best at what he does, I went for my wisdom teeth removal and he was so polite. I was nervous and... his staff made feel comfortable.read more
Maria Teresa
Maria Teresa
01:20 09 Nov 18
My son had 4 impacted wisdom teeth removed. This office was amazing. Professional, on time, courteous, knowledgeable... and went above and beyond with my son. Dr. Pedroletti was awesome. He explained before and after procedure thoroughly. He even called later that night to check up on him and to let us know he is available to answer any questions at anytime. Who does that these days? I just can’t say enough of the attention we received. So highly recommend this Dr. and staff. THANK YOU! And God bless you all.read more
Aimee Gonzalez
Aimee Gonzalez
21:23 19 Oct 18
We had a great experience with both staff and the doctor. The staff was wonderful, despite the fact that I came in... unprepared and had not completed their online forms . They were patient and efficient with practically no wait time at all. The doctor explained everything, was kind, thorough and patient. He answered all of our questions patiently. We were able to get a follow up appointment easily and they explained all in detail.As a physician myself I really admire and appreciate when an office is so well run. I fully recommend Dr. Pedroletti and his staff.read more
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