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Tooth extractions and bridges under sedation

If you need teeth removed and replaced with a bridge, IV sedation can make it possible in fewer visits. You rest in a deeply relaxed state, and many patients say hours of dental work felt like only minutes.

Sedation
IV sedation, best for more invasive procedures such as extractions
Visits
Tooth removal, site preparation and bridge work in fewer visits
Monitoring
Vital signs monitored continuously throughout
First step
A free consultation, with a complimentary panoramic X-ray if you need one

Why fewer extraction visits matter

Traditionally, multiple extractions and large bridge work meant five or more separate appointments: extractions first, then healing periods, impressions, fittings and final placement. Each visit involves its own preparation, recovery time and disruption to daily life, and the time commitment alone can delay necessary treatment for months or even years.

Completing complex procedures in fewer visits, with the help of IV sedation, changes that. You spend less total time in the dental chair, take less time away from work, and no longer have to anticipate a long series of appointments. For many people, that removes the barriers that kept them from moving forward.

Are extractions under sedation for you?

  • Several teeth need to come out and be replaced with a bridge
  • Your schedule makes multiple appointments hard
  • You have significant dental anxiety or phobia
  • You’ve postponed necessary dental work because of fear
  • A strong gag reflex makes lengthy procedures difficult
  • You’d prefer to complete the necessary work at once

How sedation helps with extractions

IV sedation delivers medication directly into the bloodstream, so it works almost immediately and can be adjusted in real time based on how you respond. You stay conscious but deeply relaxed, and most patients have little to no memory of the procedures. It is the most predictable form of sedation and best for more invasive procedures such as surgery and extractions.

Oral sedation, a pill taken about an hour before your visit, works well for longer restorative appointments that are no more than moderately invasive. We choose the right level together at your free consultation.

How oral and IV sedation work

I hadn’t had any dental work done for a few years, and it really helped me. With sedation, I was able to have a lot of work done in one appointment without remembering the experience. I would definitely do it again.

— E.K., 33, female

What happens on extraction day

  1. Step 1: Before your appointment

    We plan the extractions and your bridge together at your consultation. You’ll get instructions about eating and drinking beforehand, and you’ll need a ride home, because driving after IV sedation isn’t safe.

  2. Step 2: On the day

    Once you’re relaxed, the planned extractions are completed, the sites are prepared, and impressions are taken for your bridge. Your vital signs are monitored the whole time.

  3. Step 3: Afterwards

    Recovery from IV sedation typically takes a few hours, so plan to rest at home for the remainder of the day. The recovery from the dental work itself varies depending on the extent of the procedures performed.

What to expect from sedation dentistry

Sedation options for extractions

Compare oral and IV sedation

Sources

  1. ExtractionsMouthHealthy, American Dental Association
  2. BridgesMouthHealthy, American Dental Association
  3. Guidelines for the Use of Sedation and General Anesthesia by DentistsAmerican Dental Association
  4. Statement on Continuum of Depth of Sedation: Definition of General Anesthesia and Levels of Sedation/AnalgesiaAmerican Society of Anesthesiologists

Questions about extractions

How many visits will I need?

It depends on your case, but the goal is fewer. Multiple extractions and a large bridge have traditionally meant five or more appointments. With IV sedation, tooth removal, site preparation and bridge placement can be consolidated into fewer visits.

Will I remember the extractions?

Most patients don’t remember much. IV sedation produces deep relaxation while you remain conscious, and it creates little to no memory of the procedures performed.

Is every patient a candidate?

Not every patient or every case is suitable. Your medical history may rule sedation out, so please tell us about all medications, health conditions and any previous experiences with sedation. We go over this carefully at your free consultation.

Is the consultation really free?

Yes. At your free consultation we review your medical and dental history and any X-rays, talk through your goals, and recommend the right level of sedation for you.

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Ready to finish your extractions in fewer visits?

Tooth extractions and bridges under sedation start with a free consultation.

  • Free consultation
  • Complimentary panoramic X-ray if needed
  • Payment plan options