Severe dental anxiety, lengthy or extensive procedures, significantly limited ability to cooperate or specific medical/clinical requirements may lead to consideration of general anaesthesia.

The decision is not made by the dentist alone. Medical history, medications, previous anaesthesia experience and necessary tests are also assessed by the anaesthesia team.

General anaesthesia should be provided in an appropriately equipped healthcare facility with required monitoring and emergency capability. Following pre-procedure instructions such as fasting and medication adjustments is important.

The appropriate anaesthesia or sedation option is determined after individual clinical assessment.