One issue with this method is consistency. Some patients may react to unpredictably to the medication, i. Patients will also require the help of a friend or family member to drive them to and from the office as they will feel very groggy afterward. IV sedation The intravenous IV sedation process involves administering medication through a vein.
The medication is fast acting and is the most effective form of sedation for oral surgeries other than general anesthesia. Patients typically have no recollection of the operation. Like oral medication, patients will need assistance getting home and will feel groggy following the appointment. This content does not have an English version. This content does not have an Arabic version.
Overview Wisdom tooth extraction is a surgical procedure to remove one or more wisdom teeth — the four permanent adult teeth located at the back corners of your mouth on the top and bottom. Impacted wisdom teeth Open pop-up dialog box Close. Impacted wisdom teeth Wisdom teeth are the last of your teeth to appear erupt in the mouth.
Request an Appointment at Mayo Clinic. Share on: Facebook Twitter. Show references Wisdom teeth. American Association of Oral and Maxillofacial Surgeons. Accessed March 9, Mettes TG, et al. Surgical removal versus retention for the management of asymptomatic impacted wisdom teeth.
Cochrane Database of Systematic Reviews. Wisdom teeth. Coulthard P, et al. Surgical techniques for the removal of mandibular wisdom teeth. As mentioned, whether or not you have impacted wisdom teeth is one factor.
That said, even if the tooth is not covered in bone, it could be a lengthy procedure. If this is the case, your dentist may recommend a general anesthetic. Considering whether or not the tooth will come out with simple forceps or in pieces will play a role in deciding what anesthetic to use. The more pieces the tooth is in, the longer the procedure will take. Having the procedure done while you are awake can go smoothly. In fact, some patients can feel as though they slept through it despite the lack of general anesthetic.
In some cases, it is safer because there are risks associated with general anesthesia. A local anesthetic can be much cheaper than general anesthesia as well.
For the most part, the local anesthetic will keep the patient from feeling anything. Plus, they will be able to drive home after the procedure. While many people are fine with the local anesthetic, a few need to have their wisdom teeth pulled while under general anesthesia. Those with low pain tolerance, high anxiety, or a previous bad experience may need to choose this option.
Some patients struggle with the needle for local anesthesia. This may be resolved with oral sedation, but where it cannot, general anesthesia is the only option. With this anesthetic, patients will need someone to drive them home when done with the procedure. Your state of mind may be affected following general anesthesia, so you should avoid drinking alcohol, operating a motor vehicle, or signing legal documents for 48 hours following your procedure.
According to the American Association of Oral and Maxillofacial Surgeons , sedation is used in some cases during the treatment of impacted wisdom teeth.
Depending on the medications used and their dosage, you could be in one of three types of sedation:. To help keep you relaxed during your procedure, your dentist may recommend a mix of oxygen and nitrous oxide, also known as laughing gas. They will administer this tasteless, colorless medication through a wearable mask that you can breathe through comfortably.
You will remain conscious but at ease while on laughing gas. When it comes to laughing gas vs. According to the American Dental Association , nitrous oxide is considered both safe and effective. Nitrous oxide typically wears off quickly, allowing you to drive yourself home after your procedure. However, sometimes your dentist will use a sedative in tandem with nitrous oxide and oxygen, in which case you will be unsafe to drive.
Despite being partially conscious, you should be relaxed and pain-free during the procedure. The drugs used may also be similar to those used during general anesthesia but will vary in dosage. Like moderate sedation, deep sedation uses similar drugs to general anesthesia and will place you into a lower state of arousal. During this state, you will not respond readily to most stimulation but are not entirely unconscious.
Your deep sedation experience will likely be going to sleep and waking up with no memory of the procedure. They put your safety as the utmost priority to minimize the risks associated with these options. When learning about the different options to make you comfortable during the treatment of your impacted wisdom teeth, it's important to remember that there's no single best answer.
The best choice for your specific history, health, and needs will vary and only your dental professional can make the final call. Rest assured that they're specially trained to make the procedure as painless and stress-free as possible. This article is intended to promote understanding of and knowledge about general oral health topics.
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