Dear Dr. Hall,
My daughter is 23. She has two impacted wisdom teeth that need extraction one of which is under the bone. The question is what type of anaesthesia is required to remove them considering some bone needs to be removed. Will it have to be general anesthesia or will sedation be enough? I am very concerned about the general anesthesia. Thank you.
Thanuja from Pennsylvania
(See Dr. Hall’s answer below.)
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I don’t know the complete circumstances about your daughter’s case, but it is hard for me to imagine that there could be serious complications enough to warrant general anesthesia. I extracted many hundreds of impacted wisdom teeth, and never used anything more than conscious sedation, and can’t remember a patient who was uncomfortable.
Especially for a 23-year-old. At that age, the bone is relatively pliable, and there hasn’t been time for cementum accumulation on the roots of the teeth, so the extractions should be relatively uneventful. It’s a rare case of a 23-year-old that has truly difficult wisdom teeth. Yes, there are added risks with general anesthesia, and I think it’s a good rule to not use any more anesthesia/sedation than is necessary. If you have a dentist who is telling you that she needs general anesthesia, I would seek a second opinion.
– Dr. Hall
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About David A. Hall
Dr. David A. Hall was one of the first 40 accredited cosmetic dentists in the world. He practiced cosmetic dentistry in Iowa, and in 1990 earned his accreditation with the American Academy of Cosmetic Dentistry. He is now president of Infinity Dental Web, a company in Mesa, Arizona that does advanced internet marketing for dentists.