A patient resting with her eyes closed in the chair under sedation

Dental Implants near Annandale, VA, with Sedation

Implant surgery you can sit through calmly.

If fear of the chair has held you back from replacing a tooth, the Duke Street office places implants under nitrous oxide or oral sedation. From Annandale it is nearly one road: Little River Turnpike turns into Duke Street on the way.

7.1 miAnnandale to 2855 Duke Street
2 levelsNitrous oxide or oral sedation
AwakeCalm, and still able to respond
Reception at Dr. Nahlah's Alexandria office, the gold Dr. Nahlah sign above a curved marble counter
From Annandale

Follow VA 236 to the door.

Head east on Little River Turnpike, which becomes Duke Street partway along; the office sits at 2855 Duke Street. Count on about 7.1 miles and 17 minutes without traffic.

First-time patients ring (703) 940-5410; anyone already on the books uses (703) 940-5410. Opening hours: 8 am–5 pm Monday through Thursday, 8 am–2 pm Friday.

  • Book a driver for both legs if you choose oral sedation
  • Bring a list of every medicine you take
  • Allow time for the examination and 3D scan

Directions from Annandale

Is Sedation for You?

When a calmer appointment makes sense.

Putting off a missing tooth has its own cost: oral disease is tied to higher rates of cardiovascular disease, stroke and diabetes. Mention it when you call if any of these sound familiar:

  • You have dreaded dental visits for as long as you can remember
  • Your gag reflex is strong or hard to predict
  • You feel pain more readily than most people
  • Your plan involves several procedures or hours of surgery
  • A gap has stayed empty longer than you meant it to
How It Works

Two depths of sedation, plus numbing every time.

Dr. Nahlah's own team gives both in the office. Sedation stays at the two levels suited to a dental chair; general anesthesia is not offered.

Clinician fitting a nitrous oxide nasal mask on a patient reclining in a dental chairLightest

Nitrous oxide

Breathed in during the visit. It acts within moments and wears off quickly, so most people can drive themselves back to Annandale.

Patient holding a pill bottle while a doctor explains the medication across a deskDeeper

Oral sedation

A prescribed pill taken before you arrive. You stay awake but very relaxed, and someone else must drive you both ways.

Always

Local anesthetic

Numbs the implant site whether or not you are sedated. The anesthetic handles the area; the sedation handles your nerves.

A treatment room at the Alexandria office with a gold and cream dental chair beside the window
Implant Day

What the day and the weeks after look like.

Placement generally lasts a few hours and follows a surgical guide produced from your 3D scan. Plan a few quiet days afterwards; within roughly a week the usual routine returns for most patients.

  • Before: take the sedative as prescribed, with your ride already booked
  • During: awake, relaxed and numb where the implant goes
  • First days: mild soreness that over-the-counter pain relief settles
  • About four months: soft food while bone fuses to the post
  • Along the way: check-ups confirming the implant is taking

The instruction patients most often bend: stay on soft food. It protects the bone as it grows onto the implant.

More implant questions

Results

Finished cases from this practice.

Case 30, double-arch All-on-4: smile before treatment by prosthodontist Dr. Esam Nahlah, Northern VirginiaCase 30, double-arch All-on-4: smile after treatment by prosthodontist Dr. Esam Nahlah, Northern VirginiaBeforeAfter
Double-arch All-on-4 · gallery case 30
Case 12, full-mouth reconstruction: smile before treatment by prosthodontist Dr. Esam Nahlah, Northern VirginiaCase 12, full-mouth reconstruction: smile after treatment by prosthodontist Dr. Esam Nahlah, Northern VirginiaBeforeAfter
Full-mouth reconstruction · gallery case 12
Before: all-on-4 case 1After: all-on-4 case 1BeforeAfter
All-on-4 implants · gallery case 1

Open the gallery

Questions

Sedated implants near Annandale: questions.

Will I be asleep during my implant surgery?
No. Both kinds leave you awake and able to respond. Oral sedation goes deeper: you feel drowsy and loose, and some people recall little of the visit. With nitrous you are simply unbothered.
Can I drive home to Annandale afterwards?
After nitrous oxide, usually yes. After oral sedation, no: book someone to drive you there and back before the day.
Will the implant hurt with sedation?
You should feel no pain during placement: a local anesthetic numbs the site and sedation keeps you calm. Afterwards, any soreness is usually settled by over-the-counter pain relief.Sedation in detail →
Who gives the sedation at the Duke Street office?
His own clinical team gives it, here in the office, and Dr. Nahlah is a BLS & ACLS provider. The choice between the two is made at the consultation, from the treatment planned and your health.About Dr. Nahlah →
How long is the drive from Annandale?
About 7.1 miles, roughly 17 minutes without traffic, almost all of it on Little River Turnpike and Duke Street (VA 236).Directions from Annandale →
How do I ask for sedation when booking?
Say so on the phone when you book on (703) 940-5410 as a new patient. The visit is then planned around it, and oral sedation means arranging your ride ahead of time.

Mention your nerves when you ring.

New patients from Annandale call (571) 617-7245, and the appointment is planned around how you feel.