Making You Comfortable with Safe and Effective Sedation
Whether it's you or a loved one who needs to have oral surgery, you want it to be a comfortable, anxiety-free and safe experience. When choosing an oral and maxillofacial surgeon, you certainly want a surgeon who is skilled surgically, but isn't the quality, sophistication and safety of the anesthetic just as important?
While many different methods of anesthesia are offered in our community, from taking a long-acting sleeping pill to a variety of IV anesthetic drugs, the best and safest sedation technique is one that can be adjusted up or down to meet your individual needs and stopped when it is no longer needed.
Anesthesia is definitely an art that requires experience and finesse to create that smooth, comfortable experience you so desire. It is with the same exacting philosophy Dr Grellner used in creating a better wisdom tooth experience, that he developed the innovative and exciting Grellner QuickRecover IV Anesthesia technique.
This anesthetic technique is the result of years of work by Dr. Grellner in creating a better, more sophisticated approach to short-duration* I.V. general anesthesia. (* "short duration" refers to the use of ultra-short-acting IV medications that make it possible to make dosage adjustments as needed during the procedure for better control and a significantly faster recovery. An educated consumer will quickly realize that this sophisticated control is impossible with "anesthesia" by pill.)
Dr. Grellner is one of perhaps a handful of oral surgeons in the United States with such extensive experience using the ultra-short-acting narcotic that makes this anesthetic technique possible. You will want to have this QuickRecover Anesthesia when having your wisdom teeth out.
Dr. Grellner's QuickRecover Anesthesia
Our QuickRecover(TM) IV Sedation technique is the Ultimate Office Anesthetic Experience by Theodore J. Grellner DDS.
The quality of your anesthesia experience while having oral surgery (like wisdom teeth removal) is just as important as the surgery itself. For a teen it is even more critical since it may be his/her first experience with dentistry. Yes, you would like them to be asleep to spare them a life-long memory of the procedure, but you also want it to be done well.
Ever heard of someone who, after receiving a general anesthetic for wisdom teeth extraction, couldn't do anything the rest of the day because it took so long for their anesthesia drugs to wear off? It's fairly common, isn't it?
If you have ever spoken to a patient who has received general anesthesia in our office recently, you will understand how amazing this new technique is. It is as close to falling asleep and waking later - soon after the procedure is finished - as clear and comfortable as waking from a nap, as we can get!
There is no other anesthesia technique, including "sedation or sleep dentistry", that is as effective and offers as much control.
Dr. Grellner first presented information on his anesthesia technique to other interested surgeons on October 2, 2010 at the AAOMS (American Association of Oral and Maxillofacial Surgeons) Annual Meeting in Chicago, Illinois. Florida Dental Society of Anesthesiology also published an article written by Dr. Grellner in it's Fall 2011 newsletter to oral surgeons and other dental professionals who perform anesthesia titled "Remifentanil, Methohexital and Infusion Pump Technology: A step closer to the perfect anesthetic".
Want to learn more about Dr. Grellner's unique QuickRecover(TM) IV Anesthesia for oral surgery? We invite you to call (813) 972-3478 to reserve a time exclusively for you and Dr. Grellner, so you can learn more about it.
An Important Note about Marijuana
If you smoke or ingest marijuana and you wish to go to sleep for your surgery, you must avoid any exposure to marijuana for at least 14 days prior to your surgery. There is a metabolite of THC that will interfere with our ability to put you to sleep, increasing your risk with regard to your anesthetic.
This YouTube video demonstrates the effects of medications lasting well beyond the end of the surgery. It shows an anesthetic result that didn't utilize our QuickRecover Anesthesia technique. Enjoy; it is very entertaining: It is precisely this extended action of long-acting medications that our QuickRecover Anesthesia seeks to avoid.
Want to learn more about Dr. Grellner's unique QuickRecover Anesthesia for oral surgery? We invite you to call (813) 972-3478 to reserve a time exclusively for you to learn more about it.
Why do we offer General Anesthesia?
There are many patients who either fear the unknown, or have fears that arose from bad experiences in their past (frequently in their childhood).
For others, though certain procedures can be comfortably performed using local anesthesia only, they would prefer to be completely unaware of the procedure. Our QuickRecover Anesthesia is perfect for those who just want to sleep through the procedure, then wake up when it's done and be driven home.
It is uncanny, though, how sometimes, when a patient wishes to be asleep for what is expected to be a relatively uncomplicated procedure, the procedure inevitably turns out to be more difficult than expected due to factors that could not be anticipated. Our unconscious, emotional intelligence can be very accurate, so we have learned to listen to it.
For procedures that can potentially involve surgical difficulties that are more difficult to perform or require multiple uncomfortable injections that may not be tolerated well, we will suggest that the patient (fearful or not) consider being asleep; this is especially beneficial for the fearful patient.
Inability to numb the tissue being treated
There are circumstances where local anesthesia will not be potent enough to comfortably perform a procedure or that we will be treating an area of the jaw outside of the confines of traditional numbing techniques.
Most commonly, an abscessed tooth in the lower jaw will, more often than not, be impossible to numb completely. (This is why removal of teeth that cannot be fixed is best done BEFORE they get infected) We will make recommendations appropriate to your particular situation as to how to proceed with your infection. Often, if you wish to have your tooth removed with local anesthesia only, this may require you to return after the infection has resolved with the use of antibiotics. An infected tooth can be removed much more quickly under general anesthesia, but it requires some preparation on the part of the patient.
This is not usually the case for gum infections caused by impacted wisdom teeth. Generally, resolution of the infection with antibiotics is necessary to safely remove the impacted tooth.
GENERAL ANESTHESIA IN DENTISTRY
Oral and maxillofacial surgery in the U.S. is a specialty of dentistry that involves training in a hospital setting. This training not only includes rotations through medical and surgical specialties, but it also involves anesthesia training in the operating room under the supervision of anesthesiologists.
OMFS's are the only surgeons (that I know of) that receive this training. It is a privilege, not a right, that we hold dearly because of the significant benefit that it provides you, the patient. Upon graduation from our programs, we will have performed hundreds of general anesthetics, thus we can be licensed by the states in which we practice to provide it.
OVERCOMING FEAR OF GENERAL ANESTHESIA
Occasionally we encounter patients or parents who fear general anesthesia. While complications are inevitably a part of life in general, we as OMFS's have an excellent track record with respect to administering anesthesia. We are well-trained, know our limitations, and are not afraid to say "No" to situations too complicated, or risky to take on.
General anesthesia can be administered safely in an office setting. To deny yourself, your child or other loved one the benefit of this valuable service when indicated, can render treatment unnecessarily difficult for both the patient as well as the surgeon which could increase the potential risks of the procedure.
In the case of elderly patients, the need to eliminate anxiety can be even more critically necessary to control the overall medical risk.
An experienced oral surgeon may recommend the use of general anesthesia when he/she anticipates potential surgical difficulties that might be unpleasant for you.