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Sedation Options

Feeling a little nervous before oral surgery is normal. Whether you’re dealing with mild anxiety or heading into a more complex procedure, we offer sedation options designed to help you stay relaxed and comfortable from start to finish.

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How Sedation Can Help Improve Your Experience

Dental anxiety keeps a lot of people from getting the care they need. Some have had difficult experiences in the past. Others simply find the idea of oral surgery overwhelming, regardless of the procedure involved.

Sedation makes it possible to move forward with your treatment with confidence and peace. Your surgeon may recommend it if you experience significant anxiety around dental visits, are undergoing a lengthy or involved procedure, have a strong gag reflex, or have a medical condition that makes staying still difficult. It’s also a reasonable choice for anyone who simply wants to feel at ease rather than tense throughout their appointment.

No single approach works for every patient or every procedure. Your surgeon will recommend the option that fits your situation, your health history, and the complexity of your care.

Local Anesthesia:

Local anesthesia numbs the treatment area, so you don’t feel what’s happening at the surgical site. It’s used for routine and minor procedures and is often combined with other sedation methods for added comfort.

  • Nitrous Oxide: Commonly known as laughing gas, nitrous oxide is inhaled through a small mask and takes effect within minutes. It produces a calm, relaxed feeling while keeping you fully awake and aware. Because it clears your system quickly, most patients can drive themselves home afterward.
  • Oral Sedation: Taken by mouth before your appointment, oral sedation produces a drowsy, relaxed state that makes the procedure feel much shorter than it is. You remain responsive but deeply at ease. A driver is required, as the effects linger for several hours after your visit.
  • IV Sedation: Delivered directly into the bloodstream, IV sedation brings on a deep state of relaxation quickly and allows your surgical team to adjust the level of sedation throughout the procedure. Most patients have little to no memory of the experience afterward. It’s a particularly good fit for moderate to severe anxiety, longer procedures, or patients who want the most complete sense of calm available in an office setting.
  • General Anesthesia: For the most complex cases, general anesthesia may be performed in a hospital or surgical center setting. You are fully asleep throughout the procedure, with your vital signs continuously monitored by a trained team.
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A Closer Look at IV Sedation

IV sedation is the most commonly chosen option among our patients, and for good reason. It offers precise control, a fast onset, and a level of comfort that oral or inhaled sedation alone can’t always match.

Throughout your procedure, your heart rate, oxygen levels, and blood pressure are monitored continuously. Your surgical team is trained in advanced monitoring protocols and prepared to respond to any changes in your condition. You are never left unattended, and your safety is our priority at every stage. Many patients find that the amnesia effect IV sedation produces makes future visits significantly less stressful.

How to Prepare for Your Appointment

Before your procedure, you’ll receive a clear set of instructions specific to the type of sedation being used. In most cases, this includes guidelines on when to stop eating and drinking beforehand, which medications to pause, and any other steps to take the morning of your visit.

Plan to have someone with you who can drive you home. Sedation affects your coordination and reaction time for several hours after the procedure concludes, so arranging a ride in advance is a requirement, not a suggestion. Our team will make sure you have everything you need to arrive prepared and leave safely.

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Getting the care you need should feel simple. Our team takes your comfort seriously, and sedation is one of the most straightforward ways we can make your experience better from the start.

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Common Questions About Sedation

That depends on the procedure, your health history, and your personal preferences. Your surgeon will go over all available options during your consultation and make a recommendation based on what is safest and most appropriate for your situation. You’ll have a chance to ask questions and share any concerns before anything is decided.

Once sedation takes effect, you’ll feel calm and relaxed. Depending on the method used, you may remain awake and aware, feel drowsy and detached, or have no memory of the procedure at all. Your vital signs are monitored throughout, and your surgical team will check in with you as appropriate. Most patients are surprised by how quickly the time seems to pass.

Side effects vary by type and individual. Nitrous oxide clears quickly and rarely causes lingering effects. IV and oral sedation commonly produce drowsiness, mild nausea, and some grogginess that can last a few hours after the procedure. These effects are temporary and resolve as the sedation medication leaves your system. Your surgeon will let you know what to watch for and when to reach out if something doesn’t feel right.

Yes, when administered by a trained surgical team following established protocols, sedation is safe for the vast majority of patients. Your surgeon will review your medical history, current medications, and any health conditions before recommending a specific option. If anything in your history makes a particular method less appropriate, your team will discuss alternatives with you.

For nitrous oxide, most patients can drive themselves home once the gas has fully cleared, which typically takes only a few minutes. For oral sedation, IV sedation, and general anesthesia, a responsible adult driver is required. The effects of these methods take several hours to fully wear off, and driving during that window is not safe. It’s best to make arrangements in advance so there’s no scramble on the day of your procedure.

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OUR SURGEON

Brian S. Krost, DMD

A founding presence at the Center for Oral & Maxillofacial Surgery, Dr. Brian Krost specializes in the full range of oral and maxillofacial surgery with particular focus on TMD treatment, reconstructive and cosmetic surgery, laser surgery, and dental implants. He is affiliated with Monmouth Medical Center and is proud to practice alongside his son, Dr. Daniel Krost.

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TESTIMONIALS

Patient Testimonials

The best measure of our care is the experience of the people we treat. Read what patients across New Jersey have to say about their time with our team.

What a great practice this place is! Dr Krost is amazing! He knows his stuff, he’s funny too! His staff is unreal! Sooo attentive and kind. Very professional and understanding. Not your usual office if you know what I mean.
Excellent place; the doctors and staff are amazing too. I had an absolutely best experience ! Thank you
Do you want your oral surgery to be swift and done extremely well? Look no further. I had a mucocele on my lower lip and was DESPERATE to get it out. When no other oral surgeon would take me for over a week, COMS took me within 24 hours. And Dr. Anderson just NAILED this operation. I understand it’s routine, but there was a calmness and a professionalism that he brought with him that you can’t find many places. Front desk staff was extremely helpful, too. Have to give them some love. They were quick and had me checked in and ready to go in no time. Thank you, COMS!

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