Abstract
SUMMARY Oral and maxillofacial surgeons have had a leadership role in the development and use of outpatient surgical techniques. Recent advances in pharmacology have placed improved sedative, anesthetic, and adjunctive agents into our hands. Their use and benefits have been described in clinical terms applied to routine office practice. Safety is their most notable aspect, as well as shortened duration of action, minimal side effects, and ease of reversibility. Although no agents are perfect, a choice clearly is available to allow more alternatives to current practice. Their consideration will significantly enhance the safety, patient approval and referral, and efficiency of surgical practice through the 1990s.
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