Health
Dr. Steven Paul, DDS Oral Surgeon Murrieta
Four Types of Oral Surgery Anesthesia For Dental Patients
It’s not uncommon for a dental patient to feel anxious thinking about an upcoming dental procedure. At our clinic, we are always responsive to easing your nervousness or anxiety about dental treatment. We talk to you, understand your dental and personal profile and then suggest the right kind of oral surgery anesthesia to address the expected pain—nothing more, or less.
Giving anesthesia is about controlling the temporary loss of awareness or sensation. It provides relief from pain and brings down levels of anxiety during a dental procedure. The patient becomes numb to pain and stays relaxed while the dentist carries out the treatment in your mouth.
The type of dental treatment determines the degree of numbness to be attained. A simple procedure will probably need just the numbing of the area being treated. Sometimes, you may be required to be wholly unaware of events during a procedure, in which case you may need to be sedated.
Four Types of Oral Surgery Anesthesia Used By Dentists
- Using Local Anesthetic
A local anesthetic alone is utilized when managing a simple and minimally invasive dental procedure. The anesthetic numbs only a part of your mouth, and you remain awake for the duration of the procedure.
Your dentist may use Lidocaine, which is a common local anesthetic medicine. It is injected in and surrounding the surgery area.
Explain How Local Anesthetics Work?
The first step involves the dentist drying the area with air or cotton or both. Usually, a gel is utilized to numb the skin. Your dentist will then gradually inject the local anesthetic. While most patients don’t feel pain due to the inserting needle, some may feel a bit of a sting.
The effect of an injection of local anesthesia can last up to a few hours. Following the procedure, the patient may find it challenging to eat, drink, or even speak clearly. It is normal to be awkward while using a straw while drinking, and you may need some towels after the procedure.
You will be cautioned not to bite on the numb area as you can hurt yourself without realizing it.
- Nitrous Oxide Sedation With Local Anesthetic
You may be aware of the term “laughing gas” that is used on people during dental procedures. Nitrous oxide, or laughing gas, is an odorless and colorless breathable gas. It acts as a sedative and helps you stay calm. It will relax you by the pleasurable feelings it gives. It functions as an analgesic, and helps relieve pain.
Nitrous oxide is used for simple oral procedures as well as more complex dental procedures. It works quickly, and its effects are reversible. That’s why nitrous oxide is considered to be a safe sedation method.
If you’re about to have a wisdom tooth removed or dental implant insertion, call our office to find out if nitrous oxide sedation is best for you.
Even when nitrous oxide is used, a local anesthetic is still going to be used around the part in the mouth affected by the procedure.
What’s ‘Laughing Gas’ Or Nitrous Oxide And How Does It Work?
You will be given a mix of oxygen and nitrous oxide through a breathing apparatus before and during the procedure, and the gas will enable you to stay conscious and at ease.
The gas has a known side effect: mild amnesia, and till the time its effect goes away, you will not remember much of the procedure.
- Clinic-Based Intravenous Anesthesia Using Local Anesthetic
I.V. or intravenous anesthesia triggers sedation. You will feel calm and relaxed state and not remember the dental procedure that’s usually discomforting.
Some dental patients stay asleep during the entire procedure. Some move in and out of “twilight sleep,” though they remain quite relaxed.
I.V. Anesthesia Eliminates Pain
A dental patient who is significantly anxious about dental procedures may request I.V. anesthesia even for a simple procedure.
Most patients choose I.V. anesthesia for wisdom teeth extraction or dental implants.
Skill Criteria For Dentist To Administer Anesthesia
Oral surgeons must fulfill conditions to offer general anesthesia during in-office dental procedures:
- A minimum of 3 months of hospital-based anesthesia training
- Passed in-office assessment carried out by state dental board examiner
- Performed oral surgery utilizing general anesthesia under examiner’s oversight
- Houses tested monitoring and emergency equipment
- Experienced anesthesia-related emergencies
A state dental board will provide the oral surgeon a license to administer general anesthesia only after successful training and evaluation.
How Does A Dentist Use Intravenous Anesthesia?
A small intravenous needle is inserted into your arm vein. The dentist or staff places an I.V. tube that will drip the anesthetic through the needle and into your vein, and you will soon relax.
Call our office if you have questions about intravenous anesthesia. We will be happy to assist you with your concerns or questions.
- General Anesthesia In Hospital
A hospital offers inpatient general anesthesia to patients who require extensive surgery such as TMJ surgery, and face and jaw reconstruction. An anesthesiologist administers the general anesthesia.
You are encouraged to speak with our dentist or dental office to clarify your doubt about general anesthesia.
Know Dr. Steven Paul, MD, DDS
It is Dr. Steven Paul’s top priority to keep you safe and comfortable, and oral surgery anesthesia helps our clinic to achieve relaxation during procedures.
Once you schedule a consultation for any dental procedure, Dr. Paul and his staff interact with you comprehensively about the most appropriate type of anesthesia. Dr. Paul takes extra care in addressing any concerns you may have and will not move forward until you are satisfied with the answers.
A member of the American Association of Oral & Maxillofacial Surgeons, Dr. Paul has more than 20 years of experience in all areas of oral surgery. He specializes in the treatment and restoration of missing teeth via dental implant procedures including full mouth rehabilitation (All-on-4), restoring both aesthetics and function, bone and soft tissue grafting, associated tumors and cysts in the oral cavity, and wisdom teeth removal.
Every anesthetic technique is customized for the individual patient at our dental clinic.
Health
How a Quiet Fulham Clinic Became London’s Most Coveted Wellness Secret
Byline: Gerome Alvarez
In London’s cutthroat wellness landscape, few businesses manage to capture community attention without fanfare or celebrity endorsements. Yet Spa & Massage Fulham has accomplished exactly this, weaving itself into the cultural fabric of one of London’s most discerning neighborhoods within weeks of its September 2025 opening. The phenomenon began as whispers among friends, colleagues, and neighbors—all independently discovering what would soon become known across social media platforms as “the best massage in London.”
This organic word-of-mouth growth reveals something deeper than marketing prowess; it signals a genuine transformation in how Londoners approach wellness and self-care. The clinic at 709 Fulham Road represents more than successful business expansion; it embodies a broader cultural shift toward viewing therapeutic massage as essential healthcare rather than occasional luxury.
The Science-Backed Foundation
The surging demand for massage therapy is not merely about relaxation; it is rooted in substantial scientific evidence that validates what clients experience firsthand. Research consistently demonstrates that massage therapy reduces cortisol levels by up to 31% while increasing mood-regulating neurotransmitters serotonin and dopamine by 28% and 31% respectively. These physiological changes translate into tangible benefits: improved sleep quality, enhanced focus, reduced chronic pain, and strengthened immune function.
“Massage therapy works in multiple ways to help reduce stress. First and foremost, it helps to lower levels of cortisol, the primary stress hormone,” explains recent research on therapeutic massage. For London’s high-pressure lifestyle, this represents more than indulgence; it is preventive healthcare. The integration of scientific expertise sets Spa & Massage apart from typical wellness businesses, with Professor Eyal Lederman, a world-renowned expert in neurophysiology and manual therapy, serving as the company’s medical director.
The Visionary Origins
The story begins in 2007 when entrepreneurs Alykhan and Nicole Thobani, inspired by journeys through Thailand, recognized a fundamental gap in London’s wellness market. Rather than treating massage as an expensive luxury, the couple witnessed how Eastern cultures integrated therapeutic touch as essential to balanced living, as fundamental as diet and exercise. This revelation sparked the mission to bring accessible, high-quality massage therapy to London’s high streets.
“What sets us apart from other massage therapy providers is having Professor Eyal Lederman as part of our team,” Thobani explains. Professor Lederman’s research at King’s College London on the neurophysiology of manual therapy provides the scientific foundation that distinguishes Spa & Massage from competitors. Nearly two decades later, the company now serves over 2,500 clients weekly across seven London locations, with each expansion building upon lessons learned from previous successes.
The Fulham Experience Defined
The newest location deliberately avoids ostentatious luxury, instead creating what insiders describe as “understated sophistication”—an environment that whispers quality rather than shouting opulence. Central to the experience is the signature bespoke tea blend, crafted in-house to begin each client’s journey toward relaxation. This attention to detail extends throughout the treatment, where therapists like Roxanne—with backgrounds in clinical physiotherapy and experience from London’s most prestigious five-star spas—deliver what clients describe as transformative sessions.
The clinic’s approach attracts therapists of exceptional caliber, including professionals like Olga, who draws “many celebrity clients and high-profile athletes” for her transformative skills. Operating seven days a week from 9:00 AM to 10:00 PM, the clinic makes professional massage therapy accessible to busy Londoners seeking consistent, science-backed wellness solutions. The discrete nature of the clientele, protected by sunglasses and an air of privacy, has only added to the brand’s mystique and appeal.
Building an Extraordinary Following
Since its inception, Spa & Massage Fulham has cultivated what can only be described as a devoted following that transcends typical service provider relationships. “Our team is obsessed with making sure that each client has an expert massage, with a positive health and wellbeing outcome,” Thobani notes. This focus on measurable results rather than superficial relaxation has attracted clients who view regular massage not as an occasional indulgence but as essential maintenance for peak performance.
Client testimonials consistently emphasize transformational outcomes that extend far beyond the treatment room. “I have been coming for my regular massage every week for years now, I just sleep better, I am happier, calmer, and perform at my very best. With massage therapy I live my best life. It is like I feel superhuman during the week,” shares one long-term client. This level of commitment reflects a fundamental shift in how affluent Londoners prioritize health and wellbeing, with weekly bookings becoming the norm rather than the exception among regular clients.
The Future of London Wellness
Perhaps most intriguingly, Spa & Massage has attracted backing from heavyweight private equity professionals and investment banking leaders, not as corporate investments, but as personal commitments from individuals who became clients first. These investors, who Thobani diplomatically describes as preferring discretion, represent a fascinating convergence of professional success and personal wellness priorities. This phenomenon reflects broader trends in the wellness investment landscape, where private equity firms increasingly recognize the substantial returns in premium wellness services.
As Spa & Massage Fulham establishes itself in one of London’s most competitive wellness markets, it represents the evolution of urban healthcare toward proactive, science-backed solutions. The clinic’s success suggests that Londoners are ready to embrace massage therapy as an essential component of modern urban living, challenging traditional notions of luxury and self-care. In this context, the quiet revolution unfolding at 709 Fulham Road points toward a future where wellness is not an afterthought but a cornerstone of how successful professionals maintain an edge in an increasingly demanding world.
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