Before Your Appointment

You may not have anything to eat or drink (including water) for 6 hours before the appointment. Any medications should be taken with a very small sip of water.

A responsible adult must accompany you to the office, stay in the office during the procedure and drive you home.

Wear a short-sleeved shirt or a shirt with sleeves that can be rolled up past the elbow, and low-heeled shoes. Do not wear lipstick, excessive makeup, or black nail polish on the day of surgery. 

If you have an illness such as a cold, sore throat, stomach or intestinal problems, please notify the office.

If you take routine oral medications, please check with our office before your appointment.  


Dr. Clayhold is fully trained in the full scope of anesthesia. At your consultation, our team will plan with you the best form of anesthesia for your care and comfort. Several methods of anesthesia are available. The method that is chosen for the patient depends upon the nature of the surgical procedure and the patient’s level of anxiety.

Local Anesthetic – A local anesthetic, like lidocaine, is administered in the area where the surgery is to be performed. Local anesthetic is used in conjunction with the other methods of anesthesia in all oral surgery procedures. Simple oral surgery procedures such as minor soft tissue procedures and simple tooth extractions.

Nitrous Oxide – is a odorless, colorless gas. A mixture of oxygen and nitrous oxide, otherwise known as laughing gas, is administered through a nasal mask. The patient remains conscious and in a relaxed condition. Nitrous oxide has both a sedative and analgesic (pain-controlling) effect. Patients are able to breathe on their own and remain in control of all bodily functions. The patient may experience mild amnesia and may fall asleep. 

While there are no major contraindications to using nitrous oxide, you may not want to use it if you have emphysema, exotic chest problems, M.S., a cold or other difficulty breathing. 

General Anesthesia or IV sedation, sometimes called twilight sedation, helps you stay comfortable and calm when undergoing oral procedures. IV sedation is designed to create a “twilight” sleep and essentially removes the anxiety associated with your procedure. You may not always be asleep, but you will be calm and relaxed, drifting in and out of sleep. IV sedation/anesthesia is administered and monitored in our office, therefore eliminating the costly expense of having your treatment performed in an operating room or same day surgical facility.

Our team has developed an ideal and comforting protocol of sedating our patients. We use the state of the art monitoring and administering systems. Some patients fall asleep while others will slip in and out of sleep. We cater to all patients and are the best at caring for the youngest and oldest, fearful or phobic. Our goal is to pamper you through your sedation and to make your experience as pleasant as possible.

Office-Based General Anesthesia CREDENTIALING

To administer general anesthesia in an oral surgery office in Washington state, an oral surgeon must have completed at least a year of hospital-based anesthesia training. Though that is the requirement, Dr. Clayhold choose to enhance his credentials with two full years of hospital-based anesthesia training through his residence and fellowship in Oral and Maxillofacial Surgery.

Qualified applicants to the State undergo an in-office evaluation by a state board appointed examiner. The examiner observes an actual surgical procedure during which general anesthesia is administered to the patient. The examiner also inspects all monitoring devices and emergency equipment and tests the doctor and the surgical staff on anesthesia-related emergencies. If the examiner reports successful completion of the evaluation process, the state dental board will issue the doctor a license to perform general anesthesia. The license is renewable every two years if the doctor maintains the required amount of continuing education units related to anesthesia.