General Anesthesia for Dental Procedures under Medical 2025

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Yes, in some cases. General anesthesia in a hospital or ambulatory surgery center may be necessary when treating young children, adults with special needs or people with severe dental anxiety. General anesthesia is a type of unconscious sedation. In other words, youll be completely unconscious during the procedure.
All Medi-Cal members enrolled with Health Net are eligible for Medi-Cal dental services and are entitled to dental services under IV moderate sedation and deep sedation/general anesthesia when medically necessary in an appropriate setting.
Local anesthesia sees regular use in a variety of dental procedures, from cavity and crown work to root planing and scaling for periodontal disease. Common local anesthetic drugs used in dentistry include lidocaine, articaine, prilocaine, mepivacaine, and bupivacaine.
The most commonly used general anesthetic for Oral Surgery is propofol, which is administered either intravenously (IV) or orally. Other types of general anesthetics include sevoflurane and halothane.
The agents in widespread current use are isoflurane, desflurane, sevoflurane, and nitrous oxide. Nitrous oxide is a common adjuvant gas, making it one of the most long-lived drugs still in current use. Because of its low potency, it cannot produce anesthesia on its own but is frequently combined with other agents.
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Heres what you should know: Anesthesia: If a registered anesthesiologist administers anesthesia, then health insurance will often cover it. If not, its situational and may be covered by either medical or dental insurance. Sedation: Nitrous oxide or oral sedation are usually covered by dental insurance.
With oral conscious sedation, your dentist gives you sedative medication (usually in pill form) about an hour before your procedure begins. Most dentists use triazolam (Halcion), which is in the diazepam () family. But your dentist might use other medications, too, including zaleplon and lorazepam.
Local Anesthesia You remain conscious during the dental procedure and wont feel pain. You will only feel the pressure of the dental instruments. Occasionally nitrous oxide will be used in combination with local anesthesia.

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