Is general anesthetic really necessary?

Discussion in 'Oral Surgery' started by losing #14, Jun 12, 2019.

  1. losing #14

    losing #14

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    I just finished a consultation regarding the extraction of a split # 14 molar. It is broken six mm above the gum line.

    It is broken near the sinuses, so the surgeon said in might leave a hole that an EN and T surgeon would need to fix later.

    I have an HMO that will not put a dent in the cost.

    The tooth extraction is only $110, but the general anesthesia in a whopping $252 for each 15 minute interval for a total of $756 for just anesthesia. Total cost is $866.

    My pathetic insurance will only pay $40 total.

    This surgeon only gives general anesthesia, so I would like to know if this is really necessary, or would a local anesthesia suffice?
    This surgeon only provides general anesthesia for all patients..
     
    losing #14, Jun 12, 2019
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  2. losing #14

    MattKW Verified Dentist

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    Can't be sure without Xrays, but a general dentist competent in surgical extractions might be able to get it out. I'm surprised that the surgeon won't do it under LA. Get another opinion.
     
    MattKW, Jun 12, 2019
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  3. losing #14

    Fauchard

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    Yes get a 2nd opinion, GA seems like overkill.
     
    Fauchard, Jun 12, 2019
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  4. losing #14

    Busybee

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    I haven't had an extraction since I was a child but the last time it was with a local anaesthetic and despite the injection it really hurt (I can still remember the intense pain and I was 11!). That was just a simple premolar which was not broken. So perhaps the surgeon realises it's complex and does not want you to be distressed or in pain.

    Why don't you ask whether you can be sedated instead of put right under.
     
    Busybee, Jun 12, 2019
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  5. losing #14

    MattKW Verified Dentist

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    Some surgeons simply prefer to do work under GA. They line up a day of patients and go through them very quickly. I wish I could do a lot of my work on people under GA too.
    6mm under the gum just turns it into a surgical extraction of a 1st molar that many general dentists encounter frequently. They are nearly always near the sinuses, but as a general dentist I've only punctured the sinus once in 37 years, and it was also the only time I had to refer a surgical 1st molar to a surgeon for repair.
    Upper teeth are easy to effectively numb with local anaesthetic, but a surgical can be a bit stressful given the greater time and difficulty.
     
    MattKW, Jun 13, 2019 at 11:49 AM
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