All accredited oral and maxillofacial surgery residency programs in the United States include an extensive period of training with a hospital anesthesiology service, and graduates are certified to administer general anesthesia.

Several types of anesthesia are used in the practice of oral surgery, including local anesthesia, nitrous oxide (laughing gas), intravenous sedation, and intravenous general anesthesia. Outpatient (office) anesthesia is administered through an IV tube and does not involve a ‘breathing tube’ or respirator. There is a short recovery time. Patients are usually ready to go home within 30 minutes.

In the State of Washington, all oral and maxillofacial surgeons are required to have a valid general anesthesia permit. This certifies that the office and the surgeon adhere to the highest quality levels to deliver safe anesthetics to patients. In addition, all oral surgeons who are members of the Washington State Society of Oral and Maxillofacial Surgeons undergo an Office Anesthesia Evaluation every five years, which includes a review of anesthesia records and equipment, and simulated emergencies.