Local Anesthesia

For all surgical procedures, local anesthesia (numbing of the mouth with an injection) is used to control pain, swelling and bleeding as well as create a comfortable, relaxed dental experience. This is the same type of anesthesia used by general dentists to numb a tooth for a filling, root canal or extraction. Patients receiving local anesthesia are able to drive themselves home after dental and surgical procedures.


Anxiety can be an issue for some patients as they anticipate an upcoming dental procedure.  In these instances, Dr. Tohme can provide additional conscious sedation with the use of nitrous oxide (“laughing gas”).  Use of nitrous oxide can help relax patients while allowing them to remain awake during dental surgical procedures.  Patients receiving nitrous oxide sedation are also able to drive themselves home after dental treatment.


Dr. Tohme may prescribe a mild sedative to be taken prior to surgical procedures for patients with anxiety issues. Patients who have taken a mild sedative will require a responsible adult driver for transportation to and from surgery.


Occasionally, patients prefer to be more sedated during the surgical procedures.
This is available in our office and through a special arrangement with Dr. Amy McCahan Barricklow, DMD, MS, an associate with our office and she will be able to assist in administering sedative medication during dental treatment, this is referred to as Intravenous Conscious Sedation (e.g.: “IV sedation”). Or sometimes it is referred to it as “twilight sleep.
“ARRANGEMENTS MUST BE MADE IN ADVANCE for this type of anesthesia.


Dr. Barricklow will be contacted and scheduling will be arranged at a convenient time for the patient, Dr. Tohme and Dr. Barricklow.  There will be an additional charge for administration of this anesthesia which may or may not be covered by your insurance.  Patients who are placed under IV sedation anesthesia will require a responsible adult driver for transportation home after surgery.

Important Pre-Anesthetic Instructions:

  • DO NOT eat or drink anything after midnight the night before your appointment,  not even water or coffee.  Do not have a large meal or alcoholic beverages after evening before your appointment.
  • You must bring a responsible adult with you who can drive you home.
  • You must not drive, operate hazardous machinery or make important decisions for 24 hours after your anesthetic.  Arrangements should be made to have someone help care for you at home.
  • DO NOT wear contact lenses.
  • DO NOT wear fingernail polish
  • Wear loosely fitting clothing, comfortable clothing with short sleeves.


Fee Schedule for General Anesthesia:

Fees are based on time, from the beginning of the anesthetic, until the end of surgery.

About Dr. Barricklow:

  • Graduate of the University of Pittsburg Schools of Dental Medicine
  • Graduate of the Ohio State University Dental Anesthesia Program
  • Diplomate, American Dental Board of Anesthesiology
  • Member of the American Society of Dentist Anesthesiologists