Get E-Book on COVID-19

Q. My dentist recommended sedation for second molar extraction. Please advise.

Answered by
Dr. Bharat Joshi
and medically reviewed by Dr. Vinodhini. J
This is a premium question & answer published on Jan 10, 2021

Hello doctor,

I am getting my second molar extraction tomorrow morning. It has a vertical fracture, and unfortunately, a root canal cannot fix it because it is on the side of the tooth.

I went to the oral surgeon for the evaluation, and he seemed very competent and explained the process and what would be done. He explained that they have the option to sedate me. He explained that most of his patients do it, and honestly, he would do it if he had the choice. To make sure I do not feel any of the pressure, hear all the noises, feel the injections for the Novocain, etc. I am worried about that, and they do it through an IV. I wanted a professional's advice and make sure it was a safe thing to do. I asked if most people who do this choose this option, and he said yes, so I am assuming they do it all the time. Any insight would be greatly appreciated.



Welcome to

You have two advantages. First is, an oral surgeon is doing the surgery who is the most competent dentist to perform an extraction.

Secondly, sedation is a painless phenomenon that is better than GA. So do not worry.

Get your tooth extracted and take full precautions.

The Probable causes:

Vertical fracture.

Differential diagnosis:

Extraction (chief complaint).

Probable diagnosis:


Preventive measures:

Medications and oral hygiene.

Regarding follow up:

It is a safe procedure. Do report me if a problem occurs.

Thank you doctor,

I asked because sometimes you hear about people being put under sedation have negative side effects. What is the difference between general anesthesia and sedation? Because from the sounds of it, he made it seem like I was going to be completely sedated and not awake. Is it not general anesthesia?



Welcome back to

As per my knowledge, there are two main differences.

General anesthesia is complete anesthesia, which later has many complications like asphyxia or vomiting. But conscious sedation is safer and has less side-effects.

General anesthesia necessarily requires a lot of precautions like avoiding a high sugar diet, while no such precautions are required in conscious sedation.

However, the challenge of maintaining adequate oxygen is present in both, but in conscious sedation, it is comparatively for less duration.

I can conclude that conscious sedation is safer and best among the two.

The Probable causes:


Differential diagnosis:


Probable diagnosis:


Treatment plan:


Regarding follow up:

See, amnesia can occur in both techniques but in GA it occurs for a longer time, so prefer conscious sedation.

Was this answer helpful?


Related Questions:
Please let me know the do's and dont's after wisdom tooth removal.

Hello doctor, Since last few days whenever I eat any spicy food or chicken, after passing stools, I am feeling a bit of burning sensation for five minutes. After that, it goes away. That too in a week I feel 1 to 2 times. Surrounding the anus also w...   Read full

Post Extraction Instructions for Children and Adults

For this, post-extraction instructions should be carefully followed, otherwise, it will lead to swelling of the face, bleeding from the socket, infections, etc ... A...   Read full

Can local anesthesia under sedation be used to decrease pain while suturing?

.. you are doing fine. Coming to your query, the efficacy of local anesthesia depends on various factors like the expertise of anesthetist, drugs used, adjuvants, the amount of drug used, etc. For a small and uncomplicated hernia, local anesthesia wi...   Read full

Also Read Answers From:

Also Read

COVID-19 Vaccines in India
Two vaccines, Covishield and Covaxin, have been granted emergency use authorization in India. Read about these vaccines'...  Read more»
Sinusitis - Causes, Symptoms and Treatment
Sinusitis is the infection of the air cavities within the nasal passages. Normally, the healthy sinuses are filled with ...  Read more»
Asthma and Its Rising Incidence
This article explains about asthma and its causes. It also focuses on the benefits of starting early treatment to lead a...  Read more»

Ask your health query to a doctor online?

Ask a Dentist Now

* guaranteed answer within 4 hours.

Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website.