Anesthesia in dentistry - explained

January 10th, 2025



Illustration showing a patient being sedated using general anesthesia in a dental office. The patient's anesthesia is being dispensed via face mask and it is indicated that it is deep sedation by "Zzz" appearing in the image. Their vitals are being monitored by a heart monitor to the side of the image.

Some people may avoid seeing the dentist because they fear the visit or treatment will be painful. However, you should know that your dentist can use anesthesia when required to make dental procedures painless and more comfortable.

Illustration of 3 teeth and gums with a black spot at the base of one tooth and red symbols to express pain in order to indicate a cavity to be treated using dental anesthesia.

When is anesthesia used in dentistry?

You might think that anesthesia is only offered for surgeries such as wisdom teeth removal, but this is not true. The most common use of anesthesia in the dental office is the use of local anesthesia during the treatment of cavities. Your dentist will use the appropriate type of anesthesia to ensure your comfort and safety.

What types of anesthesia are available in the dental office?

When we think of anesthesia, we may think of being asleep or “put under,” but this is only one type of anesthesia. General anesthesia or deep sedation is used for procedures, such as wisdom teeth or multiple teeth removals. It is dispensed via mask or IV, and you will not remember the procedure afterward.

Another type of anesthesia used is local. This prevents specific areas from feeling pain by blocking the nerves that sense pain which numbs mouth tissues. It’s used for procedures such as filling cavities, crown preparations and treating gum (periodontal) disease. Local anesthesia can be applied topically and by injection.

Illustration of a circular meter with three areas - green labeled as mild, yellow labeled as moderate, and red labeled as deep. This meter is indicating the level of sedation applied during dental procedures.

Sedation has three different levels: mild, moderate, and deep. The length and complexity of the procedure determine which level is needed. You may be awake and able to speak, slightly conscious or unconscious.

Dentists who administer moderate or deep sedation or general anesthesia must display their sedation certificates in plain view in their practice sites.

Illustration of a woman experiencing a headache as a side effect of dental anesthesia. Her hands are at her temples showing where she is in pain.

What are the side effects of anesthesia?

Even though anesthesia can be useful in reducing dental anxiety and pain, there is a risk of side effects with each type. Headaches, muscle aches, itchiness, sore throat, drowsiness and more can occur after use. Some people may be allergic to some or all types of anesthesia.

In certain circumstances, anesthesia is not recommended or must be carefully monitored. This includes during pregnancy, for individuals with specific mental or physical disabilities, those who have heart, kidney or liver problems, and more. It’s important to speak to your dental and medical team who can guide you in making decisions specific to your treatment and health. Inform your dentist of your up-to-date medical diagnoses and medication list.

Sometimes your dentist will advise treatment in a surgical center or hospital because of complexities in the treatment plan and/or medical issues.

Take an active role in your care and be sure to discuss all your questions and concerns with your care team. They may also have recommendations for before the procedure and during recovery. Working together you and your dental team will choose the appropriate plan to make your dental treatment safe and comfortable.

Anesthesia is a very important and useful tool for many dentists during multiple types of procedures. It helps to ensure patients will not be in pain while seeking care. Still, it is important to understand the purpose of its use and to be comfortable with the risks and side effects that can be associated with it.

Sources:

The 411 On Dental Anesthesia. Accessed January 2025.

What You Need to Know About Dental Anesthesia. Accessed January 2025.

American Dental Association. Accessed January 2025.

Anesthesia and Sedation. Accessed January 2025.


This information in this post is for general educational purposes only and does not warrant or represent any information as related to health as specifically appropriate for you. It is not intended to be medical advice or replace the relationship that you have with your health care providers. You should always seek medical advice on any diagnosis or treatment from a qualified health care provider. The information is provided “as is” without any representations or warranties, express or implied.