Anesthesia can be administered via mask or iv and may be administered by the a dentist oral and maxillofacial surgery specialist omfs or an anesthesiologist it is very easy to focus on negatives and question the safety of sedation for any type of surgery. Also shows that inflammation can have a negative impact on the success of anesthetics also for local anesthesia teeth in the lower jaw mandibular section of the mouth are harder to anesthetize. However when it is administered by a trained and certified oral and maxillofacial surgeon anesthesia is safe and helps relieve the anxiety and pain of oral surgery three main types of anesthesia are commonly used in oral surgery local anesthesia iv sedation and general anesthesia. Anesthesia oral and maxillofacial surgeons omss are trained in all aspects of anesthesia administration following dental school they complete at least four years of training in a hospital based surgical residency program alongside medical residents in general surgery anesthesia and other specialties during this time oms residents evaluate patients for anesthesia deliver the anesthetic