Tooth Extraction under General Anesthesia (Sedation)

Dealing with advanced stages of dental disease? Tooth extraction under sedation (general anesthesia) can effectively address such issues. At ID Dent Dental Clinic, we take care to make even complex dental surgeries comfortable, painless, and effective for our patients. We are waiting for you at our dental clinic!

When is it necessary to remove a tooth?

At our dental clinic, we do everything possible to preserve our patients’ dental health and avoid extractions, even if there’s significant molar destruction. In some cases, extraction is unavoidable.

Indications for tooth extraction under general anesthesia:

• Advanced stages of caries.
• Soft tissue trauma.
• Root cracks, serious dental diseases.
• Inflammatory processes resistant to treatment.
• Inaccessible dental canals.
• Atypical tooth positioning hindering treatment.
• Problematic wisdom tooth eruption.

The decision for anesthesia use for tooth removal and the choice of anesthesia is determined for each patient individually. A comprehensive diagnostic is essential beforehand.

Some features of general sedation

In dentistry, instead of general anesthesia, maxillofacial surgeons prefer sedation, a safe and effective alternative where the patient remains semi-conscious, yet conscious.

During the procedure, the patient hears the doctor and can follow instructions, such as turning the head, opening the mouth, or responding to questions. One benefit of sedation is the ability to perform longer operations—up to 3 hours—and the quick awakening of the patient post-extraction.

Sedatives are paired with anti-inflammatory and anti-edema drugs, facilitating a smoother postoperative period for the patient. This approach ensures comfort, safety, and the effectiveness of dental procedures.

Dental treatment in sleep at the ID Dent Clinic

Indications for atypical tooth extraction

Tooth extraction under sedation is indicated if:

• The patient has a pathological fear of dentists;
• Suffers from an intense gag reflex;
• Allergic reactions to general anesthetics;
• High risk of trauma (e.g., during wisdom tooth extraction);
• It’s impossible to complete the work in one session;
• Severe psychological disorders.

Contraindications

General anesthesia for tooth extraction is not advisable if the patient has:

• Individual intolerance to anesthetic drugs.
• Pneumonia or other severe diseases.
• Vascular and heart pathologies.
• Acute or chronic respiratory diseases.

Consult your doctor and inform about all potential contraindications: this is crucial.

In what cases is general anesthesia indispensable for tooth extraction?

It is important to understand each patient has a unique pain threshold. Fear of pain or a pathological fear of dentists is already a reason to choose general anesthesia, provided there are no contraindications.

Sedation for tooth extraction is critical if:

• There’s extensive work to be done that cannot be carried out in one session.
• Allergy to local anesthesia.
• There is a pronounced gag reflex.
• Pathological fear of “white coats.”
• Certain psychiatric disorders.
• High risk of trauma during surgery.

Preparation for General Anesthesia

General sedation can be more challenging for a patient than regular local anesthesia. Therefore, before extracting a tooth under general anesthesia, a full body examination is necessary. It’s vital to confirm the absence of anesthesia contraindications and ensure the patient can withstand the procedure.

The preparation guidelines the day before surgery will be provided by your doctor and anesthesiologist. Essentially, avoid food and drinks several hours before the procedure.

How is sedative tooth extraction performed?

Tooth extraction under general anesthesia in Kyiv happens as follows:

1. Patient settles comfortably in the dental chair.
2. The anesthesiologist administers a sedative and monitors bodily reactions.
3. Maxillofacial surgeon performs tooth extraction using specialized equipment, and nurses track health parameters on the monitor.
4. Patient is brought out of anesthesia.

Within 10-15 minutes after surgery, you’ll feel perfectly normal and can head home.

Tooth extraction under sedation can take varied timeframes depending on the disease, accessibility of the affected tooth, and spread of the pathological process.

How is the price of tooth extraction under general anesthesia by ID Dent determined?

The price of tooth extraction under general anesthesia depends on the complexity of the individual clinical case, necessary preliminary treatment, used medications, dentist qualification, and the individual pricing policy of the clinic you contact. At ID Dent private dentistry, we ensure treatment prices are affordable. You can learn about the approximate cost of tooth extraction on this page of our website, above.

Want to book a consultation? Call us or leave a request in the feedback form. We’ll find a convenient date/time for your visit. We are easily accessible. The location of the ID Dent Medical Center in Kyiv: Left Bank of the Dnieper, Lesnoy massif, Lesnaya and Chernigovskaya metro stations. See you at our clinic!

List of References:

• Bazikyan E.A. et al. Tooth Extraction Surgery. Geotar-Media. – 2016. – 144p.
• Gritsuk S.F. Anesthesia in Dentistry. – 1998. – 304p.
• Timofeev A.A. Maxillofacial Surgery and Surgical Dentistry. Meditsina. – 2020. – 992p.