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Surgery and Implants

Tooth Extraction Under General Anesthesia in Astana: How It Is Performed, Who Is a Candidate, and What It Costs

Tooth extraction under general anesthesia is an option in which the procedure is performed while the patient is asleep rather than under local anesthesia. The method is chosen not by preference but by indications: fear, a gag reflex, the volume of work, age, or health status. The decision is made by the dentist and the anesthesiologist after an examination and tests.

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by type of workwarranty period is stated in the contract
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How much does tooth extraction under general anesthesia cost in Astana

Full price list
TreatmentDuration & warrantyPrice
Tooth extractionfrom19 000 ₸Message on WhatsApp
Extraction of a grade 2 mobile toothfrom23 000 ₸Message on WhatsApp
Extraction of a grade 3 mobile toothfrom18 000 ₸Message on WhatsApp
Removal of an impacted wisdom toothfrom52 000 ₸Message on WhatsApp
Initial surgical consultation0 ₸Message on WhatsApp
Follow-up surgical examination0 ₸Message on WhatsApp
Tooth autotransplantationfrom106 000 ₸Message on WhatsApp
Closed Sinus Liftfrom59 000 ₸Message on WhatsApp
Gingivoplastyfrom21 000 ₸Message on WhatsApp
Surgical extraction of an impacted toothfrom88 000 ₸Message on WhatsApp

What is included in the price

The cost of the procedure consists of several parts: the surgeon's work, anesthesia services, anesthesia medications, and monitoring during recovery. The volume of the intervention is calculated separately — one tooth or several. The exact amount is given after the examination, when the tooth position, the condition of the surrounding tissues, and the expected duration of the appointment are known. We do not publish prices in tenge on the page: they depend on the factors listed above, so the calculation is made by the doctor during the consultation.

By route of administration

Types of anesthesia for tooth extraction

Helps to understand how the anesthesiologist administers anesthesia drugs and what determines their choice.

Instruments and materials for this type of treatment, laid out on a light surface — an illustration for the section "Wisdom teeth and complex positioning"

Intravenous anesthesia

Anesthesia drugs are administered through a catheter into a vein, and sleep occurs quickly after administration begins. The anesthesiologist controls the depth by adjusting the rate of drug administration, and after the procedure the patient gradually regains consciousness. This type is considered for adults when catheter placement is straightforward and the extraction is planned in an office with monitoring of pulse, blood pressure, and blood oxygen saturation.

Chairside appointment: dentist at work, over-the-shoulder view of the assistant — illustration for the section "Multiple extractions in a single visit"

Inhalation anesthesia

The drug is delivered with breathing: the patient inhales a gas mixture through a mask, and consciousness is lost without an injection into a vein. The anesthesiologist regulates the depth of anesthesia by the concentration of the drug in the inhaled mixture. This type is more often considered for children and for adults who have difficulty tolerating catheter placement due to fear or vein characteristics.

Jaw model and material samples on the dentist's table next to the mirror and probe — illustration for the section "Rare complications and limitations"

Anesthesia combining routes of administration

Intravenous and inhalation routes are combined in one regimen: for example, sleep is induced with an intravenous drug and maintained with a gas mixture, or vice versa. This way the anesthesiologist uses the strengths of each route and selects lower doses of individual drugs. This type is usually chosen for prolonged procedures, such as removing several complex teeth in one session.

How tooth extraction under general anesthesia is performed: stages, medications, recovery

Consultation: doctor and patient at a screen with an X-ray — illustration for the section "Anesthesiologist's preparation and examination"
Step 01

Preparation and anesthesiologist's examination

Before the procedure, the patient undergoes an anesthesiologist's examination, takes tests, and reports any medications being taken and allergies. The doctor clarifies whether there have been previous reactions to anesthesia and selects the medications. On the day of the intervention, eating and drinking are not allowed for several hours before the start — this is a mandatory safety condition.

Preparation: the assistant lays out sterile instruments, the doctor puts on gloves — illustration for the section "Induction of anesthesia"
Step 02

Induction of anesthesia

The patient is placed in the chair, a catheter is inserted for intravenous administration of medications, and sensors are attached to monitor pulse, blood pressure, and blood oxygen saturation. Induction of anesthesia occurs quickly: the person falls asleep and does not remember the subsequent manipulations. Breathing is controlled by the anesthesiologist.

The treatment stage itself: the doctor's gloved hands working in the oral cavity — an illustration for the "Surgeon's Work" section
Step 03

The surgeon's work

While the patient sleeps, the surgeon creates access, separates the tooth, and sutures the socket. The duration depends on the number of teeth and their position. The anesthesiologist monitors the readings during this time and adjusts the medication supply if necessary.

Follow-up visit: the dentist checks the result with a mirror while the assistant holds the saliva ejector — illustration for the "Waking Up" section
Step 04

Recovery

After the intervention is completed, the medication supply is stopped, and the patient gradually regains consciousness. For some time, they remain under observation until their condition is stable. During this period, drowsiness, dry mouth, and nausea are possible.

End of appointment: the doctor beside the patient goes over aftercare recommendations — illustration for the "What's next" section
Step 05

What happens next

The patient is discharged home after an examination, with care recommendations and painkillers. During the first 24 hours, driving and work requiring attention are not allowed. A follow-up examination is scheduled in a few days.

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Who provides this treatment

The clinic's doctors who see patients for this service. A treatment plan is drawn up after the examination.

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Aitbulatov Galiy Yunusovich, Surgeon-Implantologist, Chief Physician — dentist at the Dental-Center dental clinic in AstanaThe estimate is reviewed by the clinic's implant surgeonTakes 20 seconds — you'll get a reply from our administrator during business hours
Estimate based on the clinic's 2026 price listExamination and treatment plan — 0 ₸0% installments: Alatau City Bank — 24 months, Kaspi — 12

How does anesthesia differ from sedation and local anesthesia?

The difference between the methods lies in the depth of suppression of consciousness and in who manages the patient’s condition. With local anesthesia, the person is conscious; with sedation, they are in a semi-sleep state; with anesthesia, they are unconscious.

What happens to the patient with each option

With local anesthesia, the solution is injected near the nerve that supplies a specific area of the jaw. The patient remains fully conscious throughout: they can hear conversation and can raise a hand if something bothers them. Sensation in the surgical area is lost, but the person may sometimes feel pressure and vibration from the instruments. With sedation, a catheter is placed in a vein and a drug is administered that causes drowsiness. The person dozes, responds sluggishly to voice, but breathes independently. Anxiety subsides, the gag reflex is dulled, and afterward there is a vague memory or none at all. General anesthesia is a controlled drug-induced coma. Consciousness is completely off, spontaneous breathing is depressed and supported by a machine. The anesthesiologist continuously monitors blood pressure, pulse, and blood oxygen saturation. Waking up takes time, and the person needs supervision until fully recovered. In dentistry, general anesthesia is used selectively — when the procedure cannot otherwise be performed. Wisdom tooth removal does not always require general anesthesia: local anesthesia is often sufficient, and the doctor decides based on the clinical picture.

Comparison by depth of sleep and involvement of the anesthesiologist

ParameterLocal anesthesiaSedationGeneral anesthesia
Consciousnessalertdrowsyunconscious
Breathingspontaneousspontaneousventilator support
Anesthesiologistnot requiredpresentmandatory
Contact with the dentistfullreducedabsent
Recoveryrapidgradualtakes time
Where it is performedin any treatment roomin a hospital settingin the operating room

When local anesthesia is sufficient

Most extractions are performed under local anesthesia. A routine tooth, a root, a mobile tooth — all of these are removed in the office, and the patient goes home on their own. The doctor selects the drug based on health status: with hypertension or a history of allergy, the choice is different. Sometimes epinephrine is added to prolong the effect and reduce bleeding. If the tooth is deeply seated or the roots are curved, local anesthesia still works — the procedure simply takes longer. The patient feels pressure but not pain. When the person is anxious but willing to tolerate it, this is enough. The question of sedation or general anesthesia is raised if local anesthesia does not provide adequate pain relief or if the procedure itself is more frightening than the pain. The final decision always rests with the doctor after examination and history taking.

Why sedation is not the same as general anesthesia

Sedation is often confused with general anesthesia, but they are different states. With sedation, the person breathes independently, and the swallowing and cough reflexes are preserved. They may respond to a loud voice, although they will not remember it afterward. The drug is given in incremental doses, and the depth of sleep can be adjusted during the procedure. General anesthesia is a complete loss of consciousness with loss of protective reflexes. Breathing is taken over by a machine, and without an anesthesiologist this state is dangerous. Sedation is performed in the presence of an anesthesiologist, but not always in an operating room. General anesthesia requires an operating room and full anesthetic support. If comparing risks, sedation is closer to local anesthesia, while general anesthesia is a separate category. In dentistry, sedation is chosen as a compromise: to relieve fear without putting the person into deep sleep.

What is chosen for fear and gag reflex

  • Severe fear: in cases of panic and inability to sit still in the chair, sedation is considered — it relieves anxiety but preserves spontaneous breathing.
  • Gag reflex: if it interferes even with an examination, sedation dulls the urge, while anesthesia eliminates it completely, but that is already a deep intervention.
  • Prolonged surgery: when removing several complex teeth at once, sedation may not cover the entire duration, and the doctor discusses anesthesia.
  • Children and special conditions: for young patients and people with neurological conditions, sedation or anesthesia is more often offered; the anesthesiologist makes the decision.
  • Allergy to anesthetics: in case of intolerance to local agents, the choice falls on general anesthesia, but only after an allergological examination.
  • Comorbidities: in case of severe cardiac or respiratory pathology, sedation and anesthesia are performed only in a hospital with monitoring.

How to prepare for the procedure: tests, fasting, accompaniment?

Preparation begins long before the office visit. The doctor orders tests, explains the fasting rules, and asks you to come with a companion. The safety of tooth removal under general anesthesia depends on this.

What tests are ordered before the procedure

  • Complete blood count: hemoglobin, platelets, and white blood cells are checked — basic indicators by which the doctor assesses clotting and signs of inflammation.
  • Blood chemistry: glucose, liver enzymes, creatinine. These show how the liver and kidneys are functioning, since anesthesia drugs are metabolized there.
  • Coagulogram: a detailed assessment of the coagulation system. If the values are abnormal, the surgeon decides whether correction or a different plan is needed.
  • ECG: a recording of the heart rhythm. It is performed on adults, and after age 40 — with particular attention, because anesthesia places a strain on the heart.
  • Chest X-ray or fluorography: a recent image, usually no older than one year. It is needed to rule out hidden lung diseases.
  • Examination by an internist: the doctor measures blood pressure, listens to the heart and lungs, asks about chronic diseases, and issues a clearance certificate.
  • Allergy history: reactions to medications, latex, and anesthetics are discussed separately. If there has been an allergy, it should be reported in advance, not on the day of the procedure.

Rules for fasting and drinking before sleep

Fasting before general anesthesia is not a formality. If food remains in the stomach, it can enter the airways when the muscles relax. Therefore, solid food is stopped eight hours before sedation, and clear liquids — water, unsweetened tea without pulp — two hours before. On the morning of the visit, you must not eat breakfast, drink coffee, or suck on candy. Chewing gum is also excluded. If the person takes regular medications, the doctor separately specifies which pills to take with a small sip of water and which to postpone. Smoking the day before is not advisable: nicotine constricts blood vessels and interferes with heart function. Alcohol is prohibited for 24 hours. These rules are the same for short sedation and for deeper general anesthesia. Violating the fasting times is a reason to postpone the procedure, and this is not overcaution but a way to avoid complications. The exact hours of the last meal are specified by the doctor, because they depend on age, weight, and type of procedure.

Why you cannot come alone

After anesthesia, you must not drive or make important decisions. The drugs do not wear off immediately upon waking: drowsiness persists for some time, reactions slow down, and dizziness may occur. Therefore, the patient is accompanied by an adult who will take them home and stay with them for a few hours. Taxis or public transport are not suitable: the patient may feel unwell on the way, and there will be no one nearby to help. The accompanying person also receives care instructions from the doctor and calls the clinic if necessary. If the person lives alone and cannot find an escort, the visit is postponed. This is not strictness, but a safety requirement. On the first day after the procedure, it is better not to be alone, especially if a wisdom tooth is being removed under general anesthesia — calm is more important than haste.

Medications and chronic diseases: what to tell the doctor

Any regular medications must be reported before the procedure. Blood thinners are especially important: aspirin, warfarin, clopidogrel, and some pain relievers. They are discontinued or replaced only in consultation with the attending physician; doing so on your own is dangerous. A separate topic is diabetes mellitus: the fasting schedule and the regimen for taking glucose-lowering tablets or insulin change. Hypertension, arrhythmia, bronchial asthma, epilepsy, and thyroid diseases — all must be reported to the anesthesiologist. Allergic reactions to antibiotics, anesthetics, and latex are recorded in the chart. If you have recently had a cold, fever, or an exacerbation of a chronic condition, it is better to postpone the visit. You must not hide the use of narcotic pain relievers or sedatives: they affect anesthesia. An honest list of medications is not a denunciation, but a working document for the doctor.

What to bring on the day of the visit

  • Documents: ID, insurance card, referral. If you have test results and an internist's report, bring those as well.
  • List of medications: write down the names, dosages, and frequency of use on a sheet of paper. This way the doctor will not forget or mix anything up.
  • Comfortable clothing: a loose short-sleeved top so the vein can be easily accessed. Slip-on shoes — after anesthesia, bending over is not advisable.
  • Sanitary pads or an absorbent pad: in case of bleeding or drooling. It is not mandatory, but it is more reassuring to have one on hand.
  • Water and a light snack: for your companion or for yourself after waking up, if the doctor allows you to drink.
  • A charged phone: to contact your loved ones. But remember: right after anesthesia, you should not make calls or send messages.
  • A good mood: anxiety raises blood pressure and heart rate. Staying calm helps both you and the doctor.

Anesthesia for tooth extraction in children: special considerations

In children, general anesthesia works differently than in adults. Doses, drugs, and monitoring are selected according to age and weight. We explain what parents need to know.

At what age is this option considered

Age alone is rarely the deciding factor. The doctor looks at the child's behavior, the scope of the procedure, and any accompanying conditions. General anesthesia is offered more often to preschoolers: a small patient does not understand why they need to sit still and interferes with the work. Schoolchildren often tolerate the procedure under local anesthesia if there is only one tooth and the child is calm. A separate situation is multiple treatments or a complex tooth position, when complete immobility is important. Then the option of anesthesia is discussed regardless of the child's age. The doctor decides after an examination and a conversation with the parents. Sometimes an older child asks for the procedure to be performed under anesthesia because of a strong fear of dentistry. This is also a reason to discuss the option, not to refuse immediately. Age limits below which the method is not used are approached cautiously in pediatric practice: everything depends on the clinical picture and the anesthesiologist's conclusion.

How pediatric anesthesia differs from adult anesthesia

ParameterIn childrenIn adults
Drug doseCalculated by weight and ageBy weight and condition
MonitoringContinuous, from an early ageAs indicated
Fasting before the procedureStricter, regimen is importantAlso required
AccompanimentParent nearby before and afterOften not required
AwakeningMay involve cryingUsually calm
Home regimenSupervision needed all dayRest is usually sufficient

How a child is prepared for the procedure

  • Fasting and drinking: a few hours before the procedure the child must not eat, and only water is allowed to drink, and only until a certain time specified by the anesthesiologist.
  • Tests and reports: recent blood and urine tests are usually required, a pediatrician's note confirming the absence of acute illnesses, and for chronic conditions, a specialist's report.
  • Medications: regular medications should be reported in advance; some of them are discontinued or rescheduled, and the regimen must not be changed on your own.
  • Mindset: talk to the child calmly, without intimidation and without deception, explaining that they will fall asleep and wake up after the treatment is done.
  • Getting home: parents should plan to travel by car or taxi, because after anesthesia the child is still drowsy and public transport is inconvenient.

Parental presence: where and how it is arranged

Parents are usually not allowed in the operating room. This is not a formality: the room is used for working with equipment and sterile materials, and extra people get in the way. But the mother or father is asked to stay near the office. The child is taken for anesthesia and returned to the parents after waking up. Many children are calmer when they see a familiar face as soon as they open their eyes. Some clinics allow parents to walk the child to the door and wait in the next room. The procedure depends on the layout of the department and on how the child handles separation. If the son or daughter is very anxious, this is reported to the doctor in advance: sometimes it is possible to choose a moment when the parent stays nearby longer than usual. The exact rules should be clarified at the consultation so that you do not have to find out on the day of the procedure.

What to discuss with the doctor in advance

The conversation before the procedure is more important than it seems. List all of the child's medical conditions, including frequent colds and drug allergies. State which medications they take regularly, even if they are vitamins. Separately, discuss whether there have been any previous reactions to anesthesia in the child or in close relatives. Ask who will administer the anesthesia and how the child will be monitored during the procedure. Clarify what to do if a fever or vomiting occurs after waking up. Discuss in advance how long the child will stay at home and when they will return to normal activities. If a procedure under general anesthesia is planned, ask for an explanation of how waking up happens and what the parent should do in the first hours. Do not hesitate to ask questions until everything is clear. The doctor answers them before scheduling the day of the procedure.

Alternatives to general anesthesia for tooth extraction

General anesthesia is not always necessary. Sometimes it is enough to enhance local anesthesia or add sedation, and to relieve anxiety through conversation and preparation. The doctor assesses the condition, the scope of work, and past experience, and then suggests an option.

Enhanced local anesthesia

Standard infiltration or block anesthesia eliminates sensation in the area of the procedure, but the person remains conscious. Enhancement means that techniques are added to the standard pain relief to make the procedure more comfortable. For example, a topical gel before the injection so that the injection itself is not felt. Or administering the solution slowly, under control. Sometimes small doses of sedatives are used — then the person dozes but breathes on their own and responds to requests. This option is suitable for removing one or several teeth if there is no severe anxiety and the anatomy allows the procedure to be performed without general anesthesia. The decision is made by the doctor: they assess the position of the tooth, the condition of the gums, blood clotting, and how the patient tolerates dental procedures. When removing a wisdom tooth, general anesthesia is not mandatory if the roots are not curved and access is direct. The question "how much does it cost to remove a tooth under general anesthesia" is not the main one here: what matters more is whether it is needed at all. If the person is calm and the pain relief is working, the procedure is performed under local anesthesia.

Sedation as an intermediate option

Sedation occupies a place between local anesthesia and general anesthesia. The person is conscious but slowed down, drowsy, and responds weakly to sounds and light. At the same time, spontaneous breathing is preserved, and protective reflexes work. Medications are administered intravenously or by inhalation, and the dose is selected according to weight, age, and condition. The depth varies: from mild drowsiness to a state in which the patient barely remembers the procedure. Sedation is often combined with local anesthesia — it relieves anxiety, while the anesthesia removes pain. For tooth extraction, this is often enough. The doctor monitors breathing, blood pressure, and blood oxygen saturation. Awakening is gradual: the person comes to, but for some time needs rest and accompaniment. Sedation does not replace general anesthesia for complex interventions, but with moderate anxiety and a straightforward extraction it is considered a reasonable alternative.

Psychological methods and preparation

  • Conversation before the procedure: the doctor explains what will be done and how long it will take — a clear plan reduces anxiety more effectively than persuasion.
  • Agreeing on a signal: the patient and doctor decide in advance what gesture will stop the work if the person becomes uncomfortable, and this restores a sense of control.
  • Gradual familiarization: the first visit can be short — an examination, a conversation, a try-in, without the extraction itself, so the patient can get used to the environment.
  • Presence of a loved one: in some cases a relative stays nearby, if the doctor and the clinic's rules allow it — a familiar face is calming.
  • Breathing techniques: slow inhalation and exhalation while counting distract from sounds and sensations, and this can be learned in advance.
  • Music or headphones: familiar music masks the sound of instruments and helps avoid listening to what is happening, and a calm playlist is best prepared at home.
  • Discussing fear: if there is past negative experience, it should be mentioned in advance — the doctor will change the pace and approach.

When the alternative is not suitable

There are situations when local anesthesia and sedation do not solve the problem. For example, with pronounced fear that is not relieved by conversation and medications. Or with an intervention that requires complete immobility. If the extraction is complex, lengthy, and with a risk of bleeding, general anesthesia may be safer. Alternatives are also not suitable for certain diseases and conditions that limit their use. The decision is made by the doctor after examination and, if necessary, after consultation with other specialists. There is no universal option: each method has its own indications and limitations. The patient should honestly tell about their experience, fears, and health so that the choice is justified. If the alternative is not suitable, this does not mean that the intervention is impossible — it simply requires a different approach.

Comparison of options by control and recovery

OptionConsciousnessDoctor's controlRecovery
Local anesthesiaFullHighRapid
Local with enhancementFull or drowsyHighRapid
SedationSlowedHighGradual
General anesthesiaAbsentCompleteTakes time

What to remember

Choosing the method is the doctor's decision

The method of anesthesia is not chosen based on the patient's preference or scheduling convenience. It is a clinical decision, made by the doctor after examination and history-taking, sometimes together with an anesthesiologist. The choice is influenced by health status, age, anxiety level, scope of the procedure, comorbidities, and medications being taken. Some people tolerate extraction under local anesthesia without issue, while for others it is unsuitable due to allergy or uncontrollable fear. Sedation occupies a middle ground: the person is conscious but relaxed, and this too is not an option for everyone. General anesthesia is considered when the scope of work is large or when the procedure cannot otherwise be performed. The patient has the right to express preferences and ask questions, but the final word remains with the specialist. If the doctor proposes one option and you expected another, ask them to explain their reasoning — this is a normal part of the consultation. It is not worth committing to a method in advance: what worked for an acquaintance may not work for you. Sometimes, after clarifying the details, the plan changes: for example, starting with local anesthesia and assessing along the way whether it is sufficient.

Preparation matters more than the procedure itself

Preparation for the procedure begins in advance, and much depends on it. Fasting is not a whim: a full stomach increases the risk of aspiration, so before anesthesia patients are usually asked not to eat or drink for a certain period. The exact timing is specified by the doctor and depends on the medications and age. Chronic conditions, previous surgeries, allergies, and regular medications must be reported honestly and in detail. Some medications — for example, blood thinners — are discontinued or adjusted in advance, but only as prescribed by a doctor; this should never be done on your own. Tests and specialist consultations are collected before the day of the procedure, not at the last moment. An adult needs an escort to and from the procedure: after anesthesia, driving and traveling alone is unsafe. At home, it is worth preparing a place to rest, soft food, and someone to stay nearby for the first few hours. Smoking and alcohol should ideally be avoided before the procedure — they affect clotting and healing. If a fever, cold, or flare-up of a chronic condition occurs the day before, the clinic should be informed: the procedure may be postponed.

Children need a different approach

With children, everything is different, and it is not about tantrums. A child cannot always explain what they feel and does not always understand why the procedure is needed. Therefore, preparation begins with a conversation: calm, without intimidation, and without promises that adults cannot keep. Fasting before anesthesia in children is observed more strictly, and the timing depends on age and weight. A parent usually stays nearby until the child falls asleep and greets the child upon waking — this reduces anxiety for both. At home, the first few hours also require attention: the child may be lethargic or, conversely, agitated, and should not be left alone. It is important to discuss with the doctor in advance how the child handled previous procedures and whether they have any chronic conditions. Age alone is neither a prohibition nor a permission: the decision is made based on health status and the scope of work. Sometimes sedation or local anesthesia is sufficient; sometimes general anesthesia is unavoidable. Parents should honestly tell the doctor about their concerns — this helps build the plan.

Alternatives exist and can be discussed

General anesthesia is not the only option, and that's important to remember. Local anesthesia is suitable for many procedures and doesn't require a long recovery. Sedation helps you relax and get through the procedure more calmly while remaining conscious. Sometimes a combination of local anesthesia and light sedation is enough. There are also non-medication ways to reduce anxiety: a detailed explanation of the steps, agreeing on a signal for the doctor to stop, having a loved one present. For children, play techniques and familiarization visits are used. Choosing between options isn't a competition where one method is better than another. Each has its own indications, limitations, and situations where it's appropriate. A patient has the right to ask what alternatives exist in their case and why this particular approach is being proposed. Sometimes a procedure can be split into several visits instead of one long session. Sometimes, on the contrary, everything is done in one go — doctors decide that too. Discussing alternatives doesn't cancel out recommendations; it makes the decision an informed one. If you're offered only one option and no reasons are explained, that's a reason to ask questions. A second opinion is also acceptable.

Questions worth asking at the consultation

A good consultation is a dialogue, not a doctor's monologue. Prepare your questions in advance so you don't forget them when you're nervous. Ask what anesthesia method is being proposed and why that one specifically. Clarify who will perform the procedure and who will monitor your condition during it. Ask them to explain how preparation works: how long to avoid eating and drinking, what tests to take, whether you can take your regular medications. Ask whether you need someone to accompany you and for how long. Find out what happens afterward: how long you're monitored, when you can return to work and normal eating, which symptoms are normal and which require a call. Separately discuss your chronic conditions, allergies, and past experience with anesthesia — this is important. If something remains unclear, ask again: there's no need to be embarrassed. Write down the answers or ask for a handout — a lot gets forgotten at home. And be honest about your fears: the doctor can choose an option that's easier to tolerate. There's no such thing as too many questions if they're relevant.

Questions about tooth extraction under general anesthesia

The price of tooth removal under general anesthesia consists of two parts: the cost of the surgical procedure itself and the cost of anesthesia care, which includes medications, the anesthesiologist's work, and time in the operating room. The final amount is influenced by the complexity of the tooth, its position, whether cutting is needed, and the number of teeth removed in one procedure. The exact amount is given by the doctor during the examination after imaging, and you can see approximate prices in the pricing section on this page. Treatment can be paid for in installments for 24 months with Alatau City Bank or 12 months with Kaspi.

Yes, a tooth can be extracted under general anesthesia: this is a planned procedure in which an oral surgeon removes one or more teeth while the patient is asleep under the supervision of an anesthesiologist. Beforehand, the doctor performs an examination, takes a medical history, orders tests and an ECG, and if necessary refers the patient to a general practitioner to rule out contraindications. On the day of the procedure, the anesthesia team places an IV catheter and administers the medication, so you fall asleep within a few minutes and wake up in the recovery room, without pain or memories of the intervention. You can schedule this procedure by phone or through the form on the website; our hours are daily from 9:00 to 20:00, and the initial consultation and treatment plan are free of charge. If you have chronic conditions or take regular medications, tell us in advance during the consultation, because this determines which tests are needed and which anesthesia plan the anesthesiologist will choose.

Wisdom tooth removal under general anesthesia differs because a complex impacted "eighth" tooth often lies deep in the bone, and extracting it requires cutting through tissue — under general anesthesia, such surgery proceeds calmly and without stress for the patient. Local anesthesia also works, but during a long or traumatic procedure the person hears the sounds of instruments, gets tired of holding their mouth open, and may panic. General anesthesia is chosen when several teeth are removed at once, when there is an increased gag reflex, or when there is a severe fear of dentistry. The decision is made by the surgeon together with the anesthesiologist after examination and tests.

Yes, a wisdom tooth can be removed under general anesthesia whether it is horizontal or completely impacted — the depth of the tooth does not prevent surgery, and anesthesia is especially convenient when the procedure takes more than an hour. The surgeon makes an incision, if necessary cuts the crown into fragments and removes them piece by piece, then places sutures. Under general anesthesia, the patient does not feel vibration or pressure, so such complex cases are tolerated more easily. Before surgery, a CT scan is always performed to see the position of the roots and the mandibular canal.

During wisdom tooth removal under general anesthesia there is no pain — the patient is asleep while the surgeon works; the operation itself usually takes from twenty minutes to an hour depending on complexity. Discomfort appears later, when the anesthesia wears off: this is aching pain and swelling, which are relieved by prescribed medications and cold. If the "eighth" tooth is impacted and requires cutting, recovery may take up to a week, and sutures are removed on the seventh to tenth day. On the day of surgery, do not plan any activities and do not drive.

There are few absolute contraindications, but they are serious: severe decompensated heart, lung, or kidney failure, recent heart attack or stroke, acute infectious diseases, and allergy to anesthesia drugs. Relative limitations include pregnancy in the first and third trimesters, uncontrolled hypertension, decompensated diabetes, asthma exacerbation, anemia, and taking certain anticoagulants. In such cases, the anesthesiologist may adjust the regimen or suggest treatment under local anesthesia with sedation. The full list of limitations is individual, so tests and an examination are needed before the procedure.

After anesthesia, you wake up in the recovery room, where the doctor monitors your blood pressure and breathing, and you can go home in an hour to an hour and a half, once the drug has fully worn off. During the first 24 hours, drowsiness, nausea, and dizziness are possible — you must not drive that day. Swelling increases around the socket, and aching pain appears as the anesthesia wears off; cold compresses as directed and painkillers prescribed by the doctor help. Care is simple: do not eat or drink anything hot for the first few hours, do not rinse your mouth during the first 24 hours, brush your teeth carefully, and avoid sports and saunas for a few days.

Anesthesia for tooth extraction is safe when it is administered by an anesthesiologist in a properly equipped office, rather than “under a mask” without monitoring, so before the procedure, tests, an ECG, and medical history are reviewed, and the drug and dose are selected based on the patient’s weight and condition. During the operation, pulse, blood pressure, and blood oxygen saturation are monitored, and an emergency kit is always kept nearby. In dentistry, anesthesia and breathing machines, monitors, and systems for intravenous drug administration are used for such interventions, and all of this works only together with constant monitoring by the anesthesiologist. If the patient has chronic diseases, an additional consultation with a relevant specialist may be required, and then the decision about anesthesia is made together with them.

You can book a tooth extraction under anesthesia by phone at +7 777 911 07 83 or through the booking form on the website; the clinic is located in Astana, at 11/1 Abay Avenue, and is open daily from 9:00 to 20:00. The initial examination and treatment plan are free; during it, the surgeon will assess the complexity of the tooth, and the anesthesiologist will assess whether anesthesia is possible. You need to prepare for the operation: take tests, come on an empty stomach, and do not drive on the day of the procedure. For out-of-town patients, it is convenient to plan the visit with extra time.

Tooth extraction under general anesthesia at our clinic is covered by a warranty — the warranty period depends on the type of procedure and is specified in the contract — it covers the quality of the surgical procedure performed and the absence of complications caused by the doctor. To keep the warranty valid, you must attend follow-up check-ups and follow the aftercare recommendations for the extraction socket in the first few days. It is important to understand: the warranty does not cover cases where the patient has violated the regimen themselves — for example, smoking or applying heat to the cheek within the first 24 hours. All terms are set out in the contract before treatment begins, so you can clarify the details at your appointment.

We are open daily from 9:00 to 20:00, seven days a week. The clinic is in Astana, 11/1 Abay Avenue. Phone for appointments — +7 777 911 07 83. Initial examination and treatment plan — 0 ₸.

Address: Astana, 11/1 Abay Avenue. Parking for patients is free. Phone for appointments — +7 777 911 07 83. Appointments are available daily from 9:00 to 20:00.

The warranty period depends on the type of work and is stated in the contract. The initial examination and treatment plan are 0 ₸. Appointments are available daily from 9:00 to 20:00.

Installment plan for 24 months with Alatau City Bank or 12 months with Kaspi. Initial examination and treatment plan — 0 ₸. Appointments are available daily from 9:00 to 20:00. Phone for appointments — +7 777 911 07 83.

The initial examination and treatment plan are 0 ₸. There is no separate fee for the first visit. The warranty period for the work depends on the type of work and is stated in the contract. Installment plans are available from Alatau City Bank for 24 months and from Kaspi for 12 months.

Parking is free. The clinic is in Astana, 11/1 Abay Avenue. Appointments are available daily from 9:00 to 20:00. Phone for appointments — +7 777 911 07 83.

Reviews of tooth extraction under general anesthesia

4.9
27 reviews on the site
27 ratings
ЕЕкатерина Б.22 August 2026
★ 5,0

At first I just wanted to have a look and compare prices (I couldn't believe it myself). I had a wisdom tooth removed — it was lying horizontally — and the socket healed evenly.

ММаксим Р.7 August 2026
★ 5,0

Na tretiy den uzhe zabyl pro nego (sam ne povreil). Prishlos udalyat zub uzhe ne spasali.

ААртём П.5 May 2026
★ 5,0

It healed within a week, no dry socket, and it feels just like my own tooth. It was a wisdom tooth extraction — it was lying horizontally — and they called me in for a check-up a week later.

ООльга О.3 May 2026
★ 5,0

The extraction took about twenty minutes. The swelling lasted two days and then went down. I'll come back for a professional cleaning. They scheduled me at a convenient time, no "come at nine and wait" — that's how it should be. I spent a long time choosing and now I understand it wasn't for nothing. They arranged an installment plan on the spot, no running around to banks. They gave me a memo and the doctor's phone number in case of questions. Parking is in the courtyard, I found a spot, and that's a nice touch. They messaged me the next day to ask how I was feeling — thanks for that too. The contract and receipt were provided without me having to ask — I'll note that separately!

ООлег Е.8 April 2026
★ 5,0

Before this, I had only come in for special offers and never really got proper treatment, and there was also an inconvenience — the parking lot was full. A small thing. I didn't expect it to be completely painless. I never regretted it. Honestly, I expected the worst. They removed a wisdom tooth, it was lying horizontally, with no complications.

ААртём М.27 March 2026
★ 5,0

I had my wisdom tooth removed; it was lying horizontally, and they called me in for a check-up a week later. They gave me an information sheet and the doctor's phone number in case I had any questions. To be honest, I'm still surprised it was painless. Aset told me right away what to expect!

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Still have questions

Still have questions about “Tooth extraction under general anesthesia”?

Message us on WhatsApp or give us a call — the clinic is open daily from 9:00 to 20:00. Initial examination and treatment plan — 0 ₸, free parking.

free parking11/1 Abay Avenueopen daily, no days off9:00 — 20:00Alatau City Bank — 24 months, Kaspi — 120% installment plan
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