A member asked:

What is the best choise of anesthesia for a dental implant?

46 doctors weighed in across 22 answers

Patient's choice: Iv sedation or oral meds with local anesthetic, local anesthetic with nitrous oxide (aka laughing gas), or local anesthetic alone are the options available. Patients with a great deal of anxiety would be much happier with the IV sedation. Those with no anxiety will do fine with local anesthetic only.

Answered 2/9/2017

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Depends : Depending upon the expected lenght of the procedure, your dentist will choose the appropriated anesthesia. Usually mepivicaine or Lidocaine with vasoconstrictor.

Answered 5/27/2016

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Dr. Matt Fulmer answered

Specializes in Dentistry

No best: There are numerous local anesthetics that are suitable for using for dental implant surgery. The big decision for the patient and doctor is if general anesthesia should be used. Most general dentist that place implants do so under local anesthesia only....He same that is used for a filling or extraction.

Answered 2/7/2017

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Dr. Greg Rubin answered

Specializes in Cosmetic Dentistry

Local anestetic: The best choice of anesthesia for any dental procedure is the one that provides comport , no pain sensation, minimal dosage and easy to administer, and goes away relatively fast with minimal side effects. So our choice is always local anesthesia first, sedation second and general anesthesia as a last resort.

Answered 12/9/2013

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Depends: It also depends on how complex the procedure and how comfortable the dentist is. For example i prefer local anesthetic for a single tooth implant placement that will take no longer than 30 min, while i may prefer some type of sedation for a full arch treatment that may take me 2-3 hours.

Answered 5/21/2015

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Dr. Babak Jouhari answered

Specializes in Prosthodontics

Local: Local anesthesia is the best and 1st choice in some cases pending on patients comfort zone and dr's recommendation there are options of sedation and general as well.

Answered 4/12/2013

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No best choice: Patients often have only local anesthesia for their dental implant procedures. However, if a full set of teeth or extensive bone grafting is required, sedation will probably be better for your comfort.

Answered 2/24/2013

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Dr. Ahmad Eslami answered

Specializes in Periodontics

Dental implants: Local anesthesia is a must for any oral surgery. There are a number agents that can be used depending on the length of the surgery. Besides local anesthesia a patient might also choose oral or IV sedation.

Answered 11/24/2014

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Articaine: 4% articaine with 1/100, 000 epi. And maybe a little of 2%lidocaine with 1/50, 000 epi if heavy bleeding is anticipated.

Answered 12/10/2013

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Dr. John Thaler answered

Specializes in Prosthodontics

Depends on you: If you are comfortable with dental treatment, then local anes. Is all you need. We often have patients go back to work after the proceedure. Not much different than being numb from a filling. The soreness afterwards is from the gum tissue and injection sites and stitches. Usually only ipuprofen needed for a day or two. You will be amazed.

Answered 7/13/2013

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Articaine: 4% articaine is a very effective anesthetic.

Answered 12/9/2013

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Depends: If you are very apprehensive then IV sedation in conjunction with local anesthesia (nova sine) works best. If not apprehensive then regular novacaine like what would be used for a filling does just fine.

Answered 6/10/2014

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Dr. Dinh Bui answered

Local anesthesia: For a normal healthy patient, local anesthesia is more than adequate for an implant procedure. Iv sedations should only reserved for the medical compromised patient, who stress reduction protocol is highly recommended.

Answered 2/23/2013

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Depends: It depends on how involved the procedure is and the compliance of the patient. But usually local anesthetic is sufficient.

Answered 2/23/2013

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Dr. Dinh Bui answered

Local anesthetics: Local anesthesia is the preference. It would be used as the combination with IV or oral if the later was chosen when stress reduction protocol is required for the medical compromise patient. I frequently used cone beam ct-scan during the procedure to verify the angle of the implant placed and/or proximity of nerve location, thus it is much easier to do so when the patient is awake.

Answered 6/10/2014

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Dr. Richard Pollard answered

Specializes in Anesthesiology

Talk to MD: Most of these procedures can be done with local anesthesia and some sedation. It is rare that a full general anesthetic would be required.

Answered 4/24/2015

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FACTORS TO CONSIDER: A local anesthetic is always used during any oral surgery procedure unless you prefer pain. The use of an anesthetic with epinepherine depends on many factors that you should discuss with your dentist. Depending on the area of your mouth to be surgerized will also determine what anesthesia to use or avoid.

Answered 5/5/2015

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Dr. Orrin Ailloni-Charas answered

Specializes in Anesthesiology

Local with: Some sedation works well. If it is a major dental procedure, you may want an anesthesiologist present to give a heavier sedation and monitor you to keep you safe.

Answered 4/12/2013

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Dr. Mark Venincasa answered

Specializes in Dentistry - Cosmetic

See your dentist...: Either your dentist or dental specialist will select the best anesthesia for your situation. Most of us have our favorites for extractions or fillings or crowns. The best choice is the anesthesia the dental professional is most comfortable with. This should not be much of a concern for the patient. The important thing is that the patient is adequately numb.....

Answered 4/21/2013

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Multiple factors...: Often, a single dental implant can easily be placed using just local anesthetic. However, if more implants are being placed, and the patient is apprehensive, IV sedation may be an option. Ultimately, doctors strive to make the patient as comfortable as possible. However, there is more risk involved when having sedation. Your specific case and needs should be discussed with your surgeon.

Answered 6/10/2014

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Dr. Eric Dale answered

Your comfort: The level of anesthesia is based on your comfort level. Many people are fine with local anesthetic like getting a filling. If more nervous, you can do local + laughing gas. If really nervous, you can do conscious sedation.

Answered 10/31/2013

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Dr. I. Jay Freedman answered

Specializes in Dentistry

Most often local: Nearly any oral surgery procedure can be easily done with a variety of local anesthesia. The real challenge is for the doctor and patient to evaluate the surgical requirements and what are the needs to keep the patient comfortable. That can range from just local, to adding nitrous oxide, to rx anti-anxiety meds and in the most extreme cases, i'v sedition. So have that dialogue.

Answered 12/9/2013

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