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Several methods of anesthesia are available. The method of anesthesia that is chosen for or by a patient depends upon the nature of the treatment procedure and the patient’s level of apprehension. 

Local Anesthesia Options

A local anesthetic is administered in the area to “numb” the area where the root planning or treatment procedure is to be performed. This is the same process that is used for a filling or other routine dental work. Dr. Bramanti is very gentle and caring during the administration of the local anesthetic. You are awake and aware throughout the procedure, but you do not feel any uncomfortable sensations, and can drive yourself to and from the appointment. Local anesthetic is used in conjunction with the other methods of anesthesia in all treatment procedures.

Oral Sedation

Oral Sedation is taking an oral anti-anxiety pill, such as Valium or a similar medication, prior to your appointment. While the pill form usually doesn’t cause patients to sleep during the procedure, it can drastically reduce anxiety. It also has an amnesic effect causing many patients to forget much or all the procedure. A light meal is often allowable with oral sedation; however, patients must have an escort to drive them to the visit and drive them home from the appointment.  

Intravenous Sedation (“Twilight Sedation”)

Dr. Bramanti is certified and licensed to perform intravenous sedation for dental treatment. Intravenous sedation or “twilight sleep” helps you to be comfortable and calm when undergoing dental procedures.Sedation involves delivery of medication through an IV to help you “sleep” through the appointment. While most patients do actually fall asleep for the appointment, you are able to respond to verbal commands, you continue to breathe on your own, and your protective reflexes remain intact. In addition to helping you sleep, the medication creates amnesia such that most patients have no memory of the procedure. The procedure is performed in the office setting, and Dr. Bramanti will discuss whether this process is indicated at your consultation appointment.


Rest assured, Dr. Bramanti will recommend the most comfortable, safest, and best course of sedation for your treatment needs.

Call today at 559-438-7800.


5660 N. Fresno Suite 110

Fresno, CA 93710


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Oral Conscious Sedation

​Thomas E. Bramanti, D.D.S., Ph.D.

Board-Certified Diplomate American Board of Periodontology/Implant Dentistry

Board-Certified Diplomate American Board of Oral Implantology/Implant Dentistry

​Certified TMJ Expert, The Pankey Institute 

Fellow American Academy of Implant Dentistry
Clinical Assistant Professor at UCSF in the Department of Oral and Maxillofacial Surgery

Clinical Assistant Professor UCSF-Fresno Medical Education Program, School of Medicine

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