Is it better to be sedated when you get your wisdom teeth pulled?

I have to get my wisdom teeth pulled, and I am hoping to take out all four. To be placed on an IV sedation will be pretty costly for me, but if I elect not to, the insurance will take care of most of the procedure. Has anyone gone through multiple wisdom teeth pulling without being sedated and had a %26quot;good%26quot; experience?

Is it better to be sedated when you get your wisdom teeth pulled?
Yes - its not that big a deal. You won%26#039;t feel any pain during the process but you will be a bit sore afterwards.
Reply:Being sedated helps the dentist in case the wisdom teeth are hard to get out. You will be relaxed and not feel a thing. I had 4 out at one time, and didn%26#039;t feel a thing. Then I woke up but was groggy for a while.
Reply:You%26#039;ll get Novocain and will only feel pressure when their pulled. You will feel the same amount of pain after it%26#039;s done regardless of what way you do it.
Reply:LYNN,


PERHAPS THE GREATEST BENEFIT TO YOU IS THAT YOU%26#039;RE ASLEEP FOR THE WHOLE THING AND WON%26#039;T REMEMBER ANY OF IT. MANY PEOPLE LIKE THIS FOR MULTIPLE EXTRACTIONS.
Reply:The only problem with being completely sedated is that a tube will need to be inserted into your throat to keep you breathing and this, inevitably, will be in the way of where your dentist is trying to work. The easiest rout for both you and your dentist would be to take a Valium and have them use Novocaine. Be sure to bring your ipod to listen to during the procedure and I highly recommend having the person who will be driving you ask if they can go fill your prescription for your pain killers during your surgery so you don%26#039;t have to wait for them after wards. Good luck!
Reply:I%26#039;m a dentist.





Is it better to be sedated when you have your wisdom teeth pulled? Well, that all depends. If you%26#039;re morbidly obese with a restricted airway, then no, it%26#039;s not. If you have a history of severe allergies to various general anesthetics, then no, it%26#039;s not. If you have severe respiratory problems or cardiovascular diseases, then no, it%26#039;s not.





My point is this: being sedated is one of three anesthesia options you have for a surgical procedure like wisdom teeth extractions. What you and your doctor need to decide (together) is which option is best for you. That means choosing the option that is 1. sufficiently safe for you and at the same time 2. comfortable for you.





I perform surgical wisdom teeth extractions all the time, and I do not offer IV sedation. I do, however, use nitrous oxide along with a pre-operative dose of Xanax (in addition to generous local anesthesia). Generally, I find most patients to be quite comfortable with this. Still, though, there are some patients for whom I need to abort the procedure, and some patients who I will not treat (i.e. I refer the to oral surgeons, who are trained to provide intravenous sedation).





Basically, you need to carefully assess your ability to cooperate during what amounts to be a relatively unpleasant procedure. Extracting wisdom teeth involves a lot of pushing and stretching, and sometimes drilling. If you are a relatively calm person who can tolerate these sensations (and perhaps a little discomfort), then having the surgery without sedation would be fine. If not, you will need some sort of sedation (or general anesthesia in an operating room setting if you are not a suitable candidate for IV sedation).





Good luck!





P.S. Someone above me mentioned that sedation requires a tube in your throat. This is wrong!!! There are different levels of general anesthesia, and IV sedation is a lighter form of general anesthesia where your respiratory drive remains intact. Only under full general anesthesia (i.e. where you are unable to breathe on your own) do you need a tube placed down your trachea. Moreover, even in such cases, the tube isn%26#039;t placed in your mouth, it%26#039;s placed in your nose and passed through your pharynx and down to your trachea.




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