Anesthesia

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Not only is Dr. Silegy an expert in oral and maxillofacial surgery, he is also highly trained and experienced in the delivery of anesthesia. As part of his residency training, Dr. Silegy spent four months at Harbor/UCLA Medical Center functioning administering general anesthesia for a variety of surgical cases. Since that time, he has served on the California Association of Oral and Maxillofacial Surgeons Committee on Anesthesia and has taught numerous courses on General Anesthesia, Conscious Sedation and the management of anesthetic emergencies. He also was the first person in California to offer a certifying course on Pediatric Oral Conscious Sedation for General and Pediatric dentists.

Dr. Silegy is an Anesthesia Evaluator for the Dental Board of California and has taught Basic Life Support, Advanced Cardiac Life Support and Pediatric Advanced Life Support to numerous dentists and auxiliaries across the state.

Your comfort is Dr. Silegy’s primary concern and he can provide the following sophisticated, safe and effective anesthetic options in his office:

  • Topical anesthesia effectively eliminates the pain of an injection. Dr. Silegy always uses topical methods to increase you comfort. Topical jelly in the mouth prior to the administration of local anesthesia and Ethyl Chloride on the skin prior to starting an IV will insure your comfort.
  • Local Anesthetics are used to numb nerves that sense pain. Local anesthesia is administered alone or in conjunction with other anesthetic agents. When used alone, Dr. Silegy uses The Wand a computerized administration technique that many patients claim makes the injection painless.
  • Nitrous Oxide (Laughing Gas) is used to help patients relax during their procedure. Studies show that the administration of nitrous oxide/oxygen is as effective as 10 milligrams of Morphine. Nitrous oxide is especially effective in children–allaying fears, decreasing movement and making the experience non-threatening.
  • Oral Sedation is almost always reserved for use in children. When administered on an empty stomach, oral sedatives increase cooperation, facilitate separation from parents, and cause the child not to remember the experience.
  • Intravenous (IV) Sedation is the ideal method of pain and anxiety control in dentistry. Once IV access is achieved, sedative hypnotic agents are administered slowly in doses specifically adjusted to your comfort level. These agents take away anxiety and cause patients to experience a “twilight sleep.” It is an ideal method to use for single tooth extractions and implant placement.
  • General Anesthesia is the deepest level of anesthesia available. As a continuum of IV Sedation, it is used for procedures that can be potentially more uncomfortable for patients such as, removal of abscessed and impacted teeth, drainage of infections and repair of minor fractures. It is also recommended for children who are not comfortable with oral sedation alone.

Dr. Silegy also offers General Anesthesia administered by a certified anesthesia provider for more complicated procedures such as orthognathic surgery. Patients with significant medical problems or who require major surgery will be treated at Long Beach Memorial Hospital where Dr. Silegy is Chief of Oral and Maxillofacial Surgery, Orange Coast Memorial Hospital or Hoag Presbyterian Hospital.

Dr. Silegy will discuss your options with you prior to surgery, which will enable you to choose the option that’s right for you.