I am so needle shy and i have to get a tooth pulled and was wondering if they could give me the knock-out gas?

Yes: You should discuss with your own dentist your concerns and how best to handle it. Some patients require or request IV sedation for tooth extractions. I have many patients who had previous extractions with IV sedation but who trust me and have let me use only local anesthesia and 'sweet air' who were happy they gave me the opportunity to show them how easy and painless it can be. It's your choice.

Yes, they can: Your primary dentist should refer you to an oral surgeon for an extraction if you want to be put to sleep.

Sure: There are a few tricks available to help make the needle not that big of a deal anymore. Please see your dentist.

CBT: Seek a cognitive-behavioral therapist who specializes in phobias. One method they use is systematic desensitization which slowly and incrementally brings the person closer and closer to the thing they are afraid of in slow, graduated steps that help make the anxiety more tolerable.