Fear and anxiety should never prevent someone from receiving the surgical care they need. Dr. Kahwach completed advanced anesthesia training during his OMS residency at Loma Linda — the same training that qualifies him to administer the full spectrum of anesthesia in the office setting, from mild oral sedation to deep IV sedation to general anesthesia.
Anesthesia Options
Local anesthesia — numbing the surgical area while you remain fully awake. Suitable for simple procedures like biopsies, minor extractions, and small soft tissue procedures.
Nitrous oxide (laughing gas) — inhaled sedation that reduces anxiety while you remain conscious. Wears off within minutes. No driver required.
IV sedation (conscious sedation) — medication delivered through an IV to achieve deep relaxation. You breathe on your own and can respond to commands, but most patients have little to no memory of the procedure. This is our most commonly used sedation for wisdom teeth removal, implant surgery, and surgical extractions. A responsible driver is required.
General anesthesia (in-office) — a deeper level where the patient is fully unconscious. Administered and monitored by Dr. Kahwach with continuous pulse oximetry, capnography, ECG, and blood pressure monitoring. Used for longer or more complex procedures.
Hospital-based general anesthesia — for patients with complex medical histories, pediatric cases, or procedures requiring extended operating time. Dr. Kahwach holds hospital privileges at Sutter Roseville Medical Center with access to full anesthesiology and intensive care teams.
Safety
Our office is equipped with the same monitoring equipment found in hospital operating rooms. Dr. Kahwach maintains current ACLS (Advanced Cardiac Life Support) and PALS (Pediatric Advanced Life Support) certifications. Emergency drugs, airway management equipment, and a defibrillator are immediately available in every operatory.
Discuss your comfort options with Dr. Kahwach at your consultation — the right anesthesia choice depends on the procedure, your medical history, and your anxiety level.