Anaesthesia vs Sedation: Understanding the Differences in Dental Surgery

When undergoing dental surgery, particularly for full-mouth dental implants, patients often hear the terms anaesthesia and sedation. While these two concepts are related, they serve entirely different purposes. Many people confuse the two, so this article will clarify what each one means, how they are used, and why 21D takes a patient-centred approach to ensure both safety and comfort during surgery.

Anesthesia: Pain Control for Every Patient

Anesthesia is used to eliminate pain during dental procedures. At 21D, every patient undergoing surgical intervention, whether it is a full-jaw reconstruction or the removal of a small piece of bone, will receive local anaesthesia. This ensures complete numbness, meaning you will not feel any pain during the procedure.

Unlike sedation, which is used to help with anxiety, local anesthesia is not optional - it is an essential part of the surgical process. Local anesthesia has an extremely safe surgical profile and is the preferred method for pain control in dental procedures worldwide.

Sedation: Managing Anxiety During Surgery

While anesthesia manages pain, sedation is designed to help with anxiety. It is important to understand that everyone experiences some level of nervousness before surgery, but the degree of anxiety can vary. At 21D, we categorise anxiety into three levels:

1. Mild Anxiety – Feeling nervous but able to proceed with the procedure.
2. Moderate Anxiety – Increased anxiety requiring oral sedation for relaxation.
3. Severe (Phobic) Anxiety – Extreme fear of dental treatment, requiring treatment in a hospital setting with a multidisciplinary medical team under general anesthesia.

It is essential to note that 21D does not offer general anesthesia. This is because general anesthesia must be administered in a regulated hospital environment, and in the UK, it is illegal to provide it in a general dental practice.

Oral vs Intravenous (IV) Sedation

At 21D, oral sedation is the only method used due to its superior safety profile and proven effectiveness in helping patients remain calm. It is essential to note that 21D does not offer (IV) sedation.

Why Oral Sedation is Preferred at 21D

✅ Gentler and Longer-Lasting Effect – Oral sedation works gradually and lasts for around 10 hours, ensuring that patients remain calm even after the procedure.

✅ Faster Recovery – Patients who receive oral sedation recover more quickly, experience less swelling, and report less post-operative pain compared to IV sedation.

✅ More Comfortable Surgery – Patients under oral sedation tend to be more cooperative, meaning they spend less time in the chair, making the procedure smoother and faster.

Key Insights from 21D’s Internal Data

At 21D, we continuously monitor and assess patient outcomes, and our internal audits provide valuable insights:

🔹 Patients under oral sedation spend less time in the chair, which results in a smoother recovery.
🔹 IV sedation patients spend 30-40% more time in the chair, leading to longer surgery times, increased swelling, and more post-operative pain.
🔹 Pain management is less effective for IV sedation patients, making recovery more uncomfortable.

While different clinics may have varying approaches, 21D remains committed to clinical safety, optimal patient outcomes, and long-term success.

Safety and Comfort Come First

At 21D, we ensure all patients receive local anesthesia for effective pain control, and oral sedation for anxiety management. IV sedation is not used in 21D environment and general anesthesia is never offered in a general dental setting.

If you are considering full-mouth dental implants and have concerns about pain or anxiety management, book a consultation with 21D today. Our team is dedicated to ensuring your comfort, safety, and the best possible experience during your dental journey.