Surgical Extraction and Anesthesia

For any surgical extraction, your dentist will use some type of anesthesia. In many cases, local anesthetic is sufficient, numbing the surgical site and blocking pain, though some complex procedures require more comprehensive anesthetics, including sedation, and some patients may prefer sedation regardless of the complexity of the procedure. Discuss your options with your oral surgeon, and don’t be afraid to express any fears or concerns you may have as you plan your anesthesia preferences. The range of anesthetics generally used in surgical extraction include local anesthetic, oral conscious sedation, nitrous oxide sedation, and general anesthesia.

What Is Local Anesthesia?

The most common type of anesthesia used in dental extractions is local anesthesia. This is a numbing agent injected into the gums, in the area surrounding the tooth that is being removed. The injection may sting a bit, but the area will soon become numb and any stinging or pain will disappear. As local anesthesia wears off, the lip or cheek may feel tingly or throb slightly, and you should make sure to avoid chewing anything until all feeling returns, as numbness makes it very easy to inadvertently injure your tongue, lips, and cheek. Local anesthesia is safe, effective for any age, and poses few, if any, risks of complications.

What Is Oral Conscious Sedation?

Oral conscious sedation is an oral medication you can take before a surgical extraction, or before any dental procedure. This medication is designed to relax you, making you feel calm and easing anxiety about the procedure. Many patients also report drowsiness. Oral conscious sedation is often used in conjunction with local anesthesia, to ensure total elimination of possible pain and anxiety. Because the medication is administered orally, no intravenous needle is needed, and recovery time is relatively brief when compared with general anesthesia.

What Is Nitrous Oxide Sedation?

Nitrous oxide, commonly called laughing gas, is administered through a mouthpiece or mask. This inhaled gas numbs the patient’s awareness of what’s going on without putting them to sleep, and it usually lasts for a little under an hour. Like oral conscious sedation, nitrous oxide is often paired with local anesthesia. Nitrous oxide is not recommended for certain patients, and, in light of advancements in dental technology, nitrous oxide sedation use has steadily declined in recent years.

What Is General Anesthesia?

The most commonly used sedation for surgical extraction, general anesthesia is an injected drug that renders the patient unconscious. It is administered with oxygen, which helps you breathe as you remain under its effects throughout the procedure. It takes several hours for the effects of general anesthesia to wear off, and this type of anesthesia isn’t suitable for all patients.

How Do I Know What Kind of Anesthesia to Choose?

Talk to your dentist about the details of your clinical needs, and don’t be afraid to discuss your emotional needs, too. While some patients don’t mind remaining awake and alert during a surgical extraction, others prefer some level of relaxation or sedation to help take their minds off the surgery. Your dentist will review your options and pay attention to your preferences, with your comfort and satisfaction as their ultimate goal.

What is the Difference Between Simple & Surgical Extraction?