Sedation and anaesthesia | Seaforth Oral Surgery – Montreal

Sedation and anaesthesia 

 Close-up of a happy woman with eyes closedDuring your consultation with your oral and maxillofacial surgeon, you will be offered information about anesthesia to allow you to select one of the three anesthesia options that is most appropriate for you. These three options include: local anesthesia, intravenous sedation or general anesthesia.  The selection of one of these choices is usually determined by the level of patient anxiety, in combination with the level of complexity of the proposed surgery.  You surgeon has the experience to guide you towards the right choice.  Please carefully review the before and after guidelines specific to the procedure that concerns you.   Ideally, the option of sedation is one that should be discussed with your surgeon at the time of your preoperative consultations. 


Local anaesthesia  | Seaforth Oral Surgery

Local anaesthesia is a technique to induce the absence of sensation in part of the body.  It’s the usual freezing you most likely had at your dentist in the past for any treatment.

 BEFORE your surgery under Local anaesthetic:
• You can maintain your normal eating habits.
• You should take all of your normally prescribed medication as usual.

• If your dentist or surgeon has prescribed an antibiotic before the procedure you should take it as recommended. 


Intravenous (IV) sedation | Oral Surgery Montreal

The role of sedation is to relax patients to the extent that they are much less aware of their surroundings. This allows them to undergo a procedure without being aware of any unpleasant sensations. Patients tend to become very drowsy but usually remain conscious during the procedure.  This modality of anesthesia tends to allow the vast majority of patients to undergo most treatments in a very comfortable and safe way.

Before  IV sedation | Montreal – Seaforth Oral Surgery

Before your surgery, it is highly recommended that you follow the guidelines below.
• Do not eat or drink anything (including water) for at least six hours before your appointment, unless otherwise directed by your surgeon. In the event that you did eat or drink something, it is very important to inform your surgeon before your surgery (as it may need to be rescheduled.)

• If you develop a chest cold or head cold, stomach or bowel upset before your appointment please advise us 
• If your surgeon has advised you to take any medication on the day of your surgery, please take it with a minimal amount of water (a few sips only).
• Your surgeon will advise you as to which of your daily medications you may take on the day of your surgery. Please check with him or her first. If you are taking insulin for your diabetes, you will receive special instructions.
• Please wear loose-fitting clothes with short sleeves.
• Please do not wear any perfume, jewelry or makeup. If you are wearing contact lenses, please remove them and wear eyeglasses on the day of the surgery.
• Please visit the restroom just before your appointment.


General anaesthesia | Montreal Oral Surgery

General anesthesia is available to patients, but is usually undergone for more invasive procedures such as corrective jaw surgery or patients with special conditions. Patients are put to sleep during the surgical procedure and awaken once it has been completed. All patients planning to have their surgery under general anesthesia must undergo preoperative testing and a physical examination to ensure that they are in good health. They must also fast (no food or drink) for a period of 12 hours before these tests. These are conducted at the Montreal General Hospital and our office will coordinate all the necessary appointments for you in due time.

Note that surgery under general anesthesia is carried out in a hospital setting. Our oral and maxillofacial surgeons have active operating room privileges at McGill University Health Centre.

 To help us assist you with the best care and best possible results, it is very important that you follow the instructions below:


BEFORE  intravenous (IV) sedation and general anaesthesia

• Please do not eat or drink anything (even water) for at least six hours before your appointment, unless otherwise directed by your surgeon. In the event that you do eat or drink something, it is very important to inform your surgeon before your surgery (as it may need to be rescheduled).
•If you develop a chest cold or head cold, stomach or bowel upset before your appointment please advise us by contacting us.  CONTACT US 
• If your surgeon has advised you to take a medication on the day of your surgery, please take it with a minimal amount of water (a few sips).
•Your surgeon will advise you as to which of your daily medications you may take on the day of your surgery. Please check with him or her first. If you are taking insulin for your diabetes, you will receive special instructions.
• Please wear loose-fitting clothes with short sleeves. This will make insertion of the intravenous line and monitors easier.
• Please do not wear any perfume, jewelry or makeup. If you are wearing contact lenses, please remove them and wear eyeglasses on the day of the surgery.
• Please visit the restroom just before your appointment.

If you have any questions, concerns and/or in case of emergency situations please contact us and it would be our pleasure to assist you. 


AFTER intravenous (IV) sedation and general anaesthesia

  • You may not have anything to eat or drink (including water) for eight hours prior to the appointment.
  • No smoking for at least 12 hours before surgery. Ideally, cut down or stop smoking as soon as possible prior to the day of surgery.
  • A responsible adult must accompany the patient to the office, remain in the office during the procedure, and drive the patient home.
  • The patient should not drive a vehicle or operate any machinery for 24 hours following anesthesia.
  • Please wear loose fitting clothing with sleeves which can be rolled up past the elbow, and low-heeled shoes.
  • Contact lenses, jewelry, and dentures must be removed at the time of surgery.
  • Do not wear lipstick, excessive makeup, or nail polish on the day of surgery.
  • If you have an illness such as a cold, sore throat, stomach or upset bowels, please notify the office.
  • If you take routine oral medications, please check with Dr. Chehade, Dr. Shenouda or Dr. Bonin prior to your surgical date for instructions.