Oral and Maxillofacial surgeons are specialists in diagnosis and treatment for problems of the teeth and jaw region. Surgeries in our office include tooth extraction, removal of impacted wisdom teeth, orthodontic tooth exposures, biopsies, fractures and tumor removal.


We recognize that surgery makes some people anxious.  We offer anesthesia and sedation in several ways to make your procedure as pleasant as possible. Following your evaluation and discussion of anesthestic options with Dr. Williams you can then decide what is best for you. Some people prefer local anesthesia.  Others use nitrous oxide (laughing gas) with the local anesthetic. Still others feel intravenous sedation-anesthesia is best for them.

If you select local anesthesia with or without nitrous oxide you can:

  1. Continue to take your daily prescription medication(s) on time.
  2. Eat a light meal at your regular time before your appointment
  3. Drive yourself home.
  4. Resume light activities after surgery when bleeding is controlled.

If you select I.V. sedation/anesthesia you will need:

  • To be on an empty stomach – no food or drink (including water) for 6 hours prior to your surgery.  Vomiting and aspiration can be a risk while under anesthestic when the stomach is not empty.
  • To continue taking your daily prescription medications with a small sip of water, unless otherwise directed.
  • To have an adult to drive you home and stay with you for the remainder of the day, evening and overnight.  Anesthestic and post-operative pain medications can cause low blood pressure (especially when standing or sitting up too quickly), dizziness, and fainting.  You should be monitored by a responsible adult because these symptoms can come and go. Do not operate a motor vehicle or power equipment for 24 hours following I.V. sedation/anesthestic.
  • To wear loose clothing and low heeled shoes
  • To wear a sleeveless shirt or one with sleeves that can easily be rolled up above the elbow (we need access to your arms for monitors and an I.V.).
  • Follow your post-operative and post-anesthesia instructions.

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