Dental office-based anesthesia, when provided by a trained Oral and Maxillofacial Surgery Anesthesia Team comprised of:
assures patients will have a safe, comfortable, cost effective and predictable surgical experience.
The Surgeon
The Oral and Maxillofacial Surgeon (OMS) is ultimately responsible for all aspects of the surgery and delivery of anesthetics to the patient. During a minimum 4-year hospital-based residency, OMSs train alongside and under the direction of anesthesiologists. This rigorous training is both didactic and clinical. OMSs learn:
OMSs are trained to provide a variety of clinically based surgical and anesthesia experiences in both adult and pediatric patients. Such training goes far beyond what is typically encountered in the office setting and prepares the OMS to address any complications that may arise.
As a result of this extensive training, every oral and maxillofacial surgeon is well prepared to appropriately administer local anesthesia, all forms of sedation and general anesthesia. They are experienced in airway management, endotracheal intubation, establishing and maintaining intravenous lines, and managing complications and emergencies that may arise during the administration of anesthesia.
Once in practice, OMSs continue to maintain and hone their skills through simulation courses, BLS, ACLS and PALS certification courses, and a lifetime of anesthesia-related continuing education.
As a condition of membership in the Texas Society of Oral and Maxillofacial Surgeons, oral and maxillofacial surgeons in Texas must undergo an extensive onsite evaluation of their office, operatory, equipment, continuing education compliance, staff readiness, and emergency policies and procedures every five years. This requirement is more rigorous than what is required by the state of Texas for its anesthesia permit holders and is unmatched by any other dental specialty that enjoys anesthesia privileges.
The OMS Anesthesia Assistant
The OMS Anesthesia Assistant helps the surgeon in the administration of the anesthesia. Under the supervision of the OMS, they monitor the patient before, during and after the surgical procedure.
OMS Anesthesia Assistants are specifically trained to work in the oral and maxillofacial surgery operatory. They have a working knowledge of anesthesia pharmacology; anesthesia equipment; airway management, peri operative evaluation; preoperative assessment; minimal, moderate and deep sedation; post-anesthesia care; and pain management.
Many OMS Anesthesia Assistants in Texas have earned the DAANCE certification through this two-part continuing education program comprised of approximately 36 hours of self- study material and quizzes, and a standardized, computer based exam. Established in 2009, the 2-hour, computerized exam is offered at designated testing centers around the country and covers 5 major areas:
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