What Anesthesia Is Used for Surgical Tooth Extraction?

vertically impacted wisdom teeth that needs surgical tooth extraction

Hearing you might need a surgical tooth extraction can make anyone a little uneasy—and that’s completely normal. The good news? Modern dentistry makes the process far more comfortable than most people expect. At Queensboro Plaza Dental Care in Long Island City, Dr. Michael Nguyen and Dr. Daniel Barayev focus on keeping every patient relaxed and pain-free from start to finish.

The type of anesthesia used depends on your comfort level, the complexity of your extraction, and your personal preferences. Here’s what you can expect.

Local Anesthesia: Quick, Effective, and Completely Numbs the Area

For most surgical extractions, we begin with local anesthesia—a small injection that numbs the tooth and surrounding tissue. The numbing medicine works quickly, and within a few minutes, the area feels comfortably dull and free of pain.

You’ll still be awake and aware, but you won’t feel anything sharp—just a little pressure or movement during the procedure. The numbness gradually wears off after your visit, and any mild soreness afterward can usually be managed with over-the-counter pain relievers.

For patients who feel a bit nervous about the injection or procedure, local anesthesia can be paired with a form of sedation for added comfort and peace of mind.

Nitrous Oxide: Light Relaxation That Wears Off Quickly

Also known as laughing gas, nitrous oxide is one of the most popular sedation options for a reason—it takes the edge off without putting you to sleep. You’ll breathe it in through a small mask that fits over your nose, and within minutes, most people feel calm and relaxed.

Once the procedure is complete and the gas is turned off, the effects fade almost instantly. You’ll be able to drive yourself home and return to your normal routine right away.

Oral Sedation: A Calmer, More Drowsy Experience

If you need something stronger than nitrous oxide, oral sedation might be a good fit. Before your appointment, you’ll take a prescribed pill that helps you feel deeply relaxed—many patients even drift in and out of light sleep.

You’ll still be able to respond to gentle questions or instructions, but the details of the visit may feel a little hazy afterward. Because it takes a few hours to wear off, you’ll need someone to drive you home. Oral sedation is a great option if you have dental anxiety or are having a longer procedure.

IV Sedation: Deep Relaxation for Complex Extractions

For more complex or involved cases, such as impacted wisdom tooth removal, IV sedation offers a deeper level of relaxation. The medication is given through a small IV line, and the sedation level can be adjusted throughout the procedure.

You’ll be in a dreamlike state—awake enough to respond but so relaxed that most patients remember very little afterward. Throughout your visit, our team continuously monitors your vital signs to ensure everything stays safe and comfortable.

Your Comfort Comes First at Queensboro Plaza Dental Care

Every patient is different, and so is every treatment plan. During your consultation, Dr. Nguyen and Dr. Barayev will walk you through your options, answer your questions, and help you decide which approach feels right for you.

Whether your procedure is simple or more complex, we’ll make sure you’re fully numb, calm, and cared for every step of the way.

If you’ve been told you need a tooth extraction—or you just have questions about anesthesia—schedule a visit at Queensboro Plaza Dental Care in Long Island City. We’ll help you understand your options and make your experience as easy and stress-free as possible.

Contact Us

Patient Reviews

Posted on Google Google
Jennifer Zinszer profile picture
Jennifer Zinszer
Google star 1Google star 2Google star 3Google star 4Google star 5Trustindex verifies that the original source of the review is Google.
As somebody with pretty bad anxiety about the dentist, Doctor Dan made me feel very calm throughout getting one of my teeth pulled. It was also extremely quick, I didn’t even realize it was over. I’ve been a patient here for a while and have always felt comfortable in the atmosphere. Front desk staff, hygienists, and dentists are very kind.
Posted on Google Google
Dan Parker profile picture
Dan Parker
Google star 1Google star 2Google star 3Google star 4Google star 5Trustindex verifies that the original source of the review is Google.
Doc Dan and Jessica are simply brilliant as well as the rest of the crew … the whole facility is state of the art and the staff is friendly and accommodating. A+++++.
Posted on Google Google
Stacy Tsai profile picture
Stacy Tsai
Google star 1Google star 2Google star 3Google star 4Google star 5Trustindex verifies that the original source of the review is Google.
Jessica and Dr. Michel were very friendly and answered all my questions. Comprehensive and efficient
Posted on Google Google
Anthony “Scat Packs and Tattoos” Ferreri profile picture
Anthony “Scat Packs and Tattoos” Ferreri
Google star 1Google star 2Google star 3Google star 4Google star 5Trustindex verifies that the original source of the review is Google.
Yesterday was my first time at Queensbroro Dental and hands down the absolute best dental visit I have ever had. I had an emergency visit for a broken molar that was in really bad shape and had the pleasure of being treated by Dr.Dan. After some quick X-rays, Dr.Dan came in to tell me the harsh truth, the tooth must go and I needed a cavity in the next tooth to be taken care of as well. Dr.Dan presented me with three treatment options also demonstrating how each one worked which was amazing. Shortly after Angie one of the receptionist’s came in with the break down of all three plans with what insurance coverages and what I would end up paying. After some careful deliberation the choice to go with an implant was made and shortly after we began. Let me tell you for a man with many big muscles he was so so gentle I honestly didn’t feel a thing and both procedures were done before I even realized it. From front desk to the dentist and even the dental assistant everyone warmed my heart which is so very rare now a days sadly. They truly do care and I will absolutely be going back for further treatment
Posted on Google Google
Rocio Chavez profile picture
Rocio Chavez
Google star 1Google star 2Google star 3Google star 4Google star 5Trustindex verifies that the original source of the review is Google.
I had the best visit with dental hygienist Thinley. This was probably the best dental experience I’ve ever had. Her approach was so gentle and she had great bedside manner. I’ve never been had such a gentle cleaning. Usually I’m tense the entire visit and waiting for it to hurt but that didn’t happen at all today. She also explained everything so thoroughly, which I appreciated. The front staff are super friendly and Dr. Barayev was also really nice. 10/10 dental experience!
Posted on Google Google
Naomi Malcolm profile picture
Naomi Malcolm
Google star 1Google star 2Google star 3Google star 4Google star 5Trustindex verifies that the original source of the review is Google.
Excellent service. The receptionist Jazmin is literally so sweet and the reason I even ended up coming here. She helped me book an appointment and explained cost breakdowns in an easily digestible way. Dr Dan was also very thorough and was willing to answer all of my questions and provide clarity when needed. He was very gentle and talked me through everything he was doing. At checkout I was provided with all necessary paperwork and even a little dental care package with a toothbrush toothpaste and floss; I haven’t been to a dentist who has done that in a while so that was a nice surprise. I felt extremely comfortable and well taken care of which is important for me when it comes to any aspect of my health. I will definitely be back!
Posted on Google Google
Nazinga Benjamin profile picture
Nazinga Benjamin
Google star 1Google star 2Google star 3Google star 4Google star 5Trustindex verifies that the original source of the review is Google.
I want to take a moment to highlight and recognize your hygienist, Jessica. She is truly a gem and exceptional at what she does. Her attention to detail, passion for her work, and the empathetic touch she brings to each visit make getting my teeth cleaned an absolute pleasure. In all my years of dental cleanings, she is the best hygienist I’ve ever had, and she continues to leave a lasting impression. Thank you, Jessica!
Posted on Google Google
Jeroen Gubbels profile picture
Jeroen Gubbels
Google star 1Google star 2Google star 3Google star 4Google star 5Trustindex verifies that the original source of the review is Google.
Loved everything about going here. Friendly welcome, amazing dental clean, great dentist and gave some recommendations how I can clean better (to ultimately come less haha). Really appreciate it!
Posted on Google Google
Jason Z profile picture
Jason Z
Google star 1Google star 2Google star 3Google star 4Google star 5Trustindex verifies that the original source of the review is Google.
Did root canal here. Doctor and staff are super friendly and patient. Would love to come back for cleaning!
Queensboro Plaza Dental Care

Queensboro Plaza Dental Care