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Surgery and Implants

Dental Treatment Under General Anesthesia in Astana: Indications, Stages, Cost

Dental treatment under general anesthesia means the dentist works while the patient is asleep. It is used in adults for severe fear, a gag reflex, or a large volume of treatment, and in children for multiple cavities and when they cannot sit still in the chair. The decision is made by the dentist together with the anesthesiologist after an examination and tests. Preparation includes fasting and being accompanied by a relative.

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By depth

What types of anesthesia are used for dental treatment under general anesthesia

The classification helps to understand how the types differ in depth of sleep and involvement of the anesthesiologist.

Instruments and materials for this type of treatment, laid out on a light-colored surface — an illustration for the "Local Anesthesia" section

Local anesthesia

Numbing of the area of the jaw where the dentists are working. The patient is conscious, answers questions, and controls their body position. It is used for treating one or several adjacent teeth, for fillings, and for removing a single tooth. In dentistry with general anesthesia, local anesthesia is not excluded: it is often combined with sedation or general anesthesia as a supplement to the main pain relief.

Chairside care: dentist at work, over-the-shoulder view of the assistant — illustration for the "Sedation" section

Sedation

Medication-induced superficial sleep with spontaneous breathing maintained. The patient dozes, responds to being addressed, but does not remember the appointment. It is used for pronounced anxiety, an increased gag reflex, and a large volume of work in adults. It differs from general anesthesia in depth: consciousness is partially depressed, and protective reflexes are preserved.

A jaw model and material samples on the dentist's table next to a mirror and probe — an illustration for the "General Anesthesia" section

General anesthesia

Medication-induced sleep with loss of consciousness and pain relief for the whole body. Breathing is supported by the anesthesiologist, and vital signs are monitored with equipment. It is indicated for multiple tooth decay, intolerance to local anesthetics, and procedures that are difficult to tolerate while conscious. Dental treatment under anesthesia at this level is performed by a team: the dentist and the anesthesiologist.

The doctor shows the patient the scan on the screen and explains the treatment plan — an illustration for the section "How the types differ in essence"

How the types differ in essence

The difference lies in the depth of consciousness depression, in who manages breathing, and in the volume of work that can be done in one appointment. Local anesthesia is targeted numbing with consciousness preserved. Sedation is superficial sleep with breathing preserved. General anesthesia is complete loss of consciousness with mechanical breathing support. The choice of type is discussed at a consultation before the procedure.

Stages of dental treatment under general anesthesia

Consultation: doctor and patient at a screen with an X-ray — illustration for the "Preparation and Examination" section
Step 01

Preparation and examination

Before the procedure, an examination by a dentist and an assessment by an anesthesiologist are required: past and current illnesses, allergic reactions, and medications taken are clarified. If necessary, tests and consultations with other specialists are ordered. At the appointment, a plan is made: which teeth will be treated in one session and in what order. The patient comes on an empty stomach, accompanied by a relative.

Preparation: the assistant lays out sterile instruments, the doctor puts on gloves — illustration for the section "How the procedure itself is performed"
Step 02

How the procedure itself is performed

The doctor administers the medication, and the patient falls asleep. Breathing and vital signs are monitored by the anesthesiologist, while the dentist works according to the plan: treatment, extraction, and, if necessary, a surgical stage. The duration of the appointment is determined by the anesthesiologist taking into account the volume of work and the patient's condition. At the end, the medication is stopped.

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

Waking up and observation

The patient regains consciousness in the office or in the observation room. They remain under supervision for some time: breathing, blood pressure, and general condition are assessed. On that day, one must not drive, make important decisions, or operate machinery. Restrictions and diet after the appointment are discussed separately by the doctor.

Follow-up visit: the doctor checks the result with a mirror while the assistant holds the saliva ejector — illustration for the section "Wisdom tooth extraction under general anesthesia"
Step 04

Wisdom tooth removal under general anesthesia

It is indicated for impacted and ectopic third molars, for removing 4 wisdom teeth under general anesthesia in one session, and for pronounced anxiety before the surgical stage. Preparation is the same: examination, anesthesiologist's assessment, and tests as indicated. The operation is performed by the surgeon, while the anesthesiologist manages the sleep. After waking up, a follow-up examination is scheduled and recommendations for caring for the socket are given.

How much does dental treatment under general anesthesia cost

Full price list
TreatmentDuration & warrantyPrice
Caries treatmentfrom15 000 ₸Message on WhatsApp
Treatment of superficial cavitiesfrom15 000 ₸Message on WhatsApp
Treatment of moderate cariesfrom24 000 ₸Message on WhatsApp
Treatment of deep cavitiesfrom36 000 ₸Message on WhatsApp
Pulpitis treatment, 1 canalfrom64 000 ₸Message on WhatsApp
Periodontitis treatmentfrom79 000 ₸Message on WhatsApp
General dentist consultation and treatment plan0 ₸Message on WhatsApp
Caries treatment using the Icon methodfrom26 000 ₸Message on WhatsApp
Treatment of a wedge-shaped defect, one toothfrom32 000 ₸Message on WhatsApp
Treatment of dental granulomafrom51 000 ₸Message on WhatsApp

What the price is made up of

The cost of the procedure is made up of several components: the work of the anesthesiologist and the equipment, the anesthetic drugs, and the scope of the dental intervention — the number of teeth, the difficulty of access, whether it is a surgical or therapeutic stage, and the duration of the appointment. Preparation is calculated separately: tests and consultations as indicated. The final total depends on the treatment plan drawn up during the examination.

Clinical cases of dental treatment under anesthesia

dental treatment under general anesthesia — close-up of the result after treatment in a clinical photographDental treatment under general anesthesia — pre-treatment condition on a clinical imageBeforeAfter
Surgery

Restoration of a tooth after trauma

Fracture of the crown with exposed dentin. Tooth tissue build-up and restoration of the anatomical shape were performed under general anesthesia.

Dental treatment under general anesthesia — close-up of the result after treatment in a clinical photographDental treatment under general anesthesia — pre-treatment condition on a clinical imageBeforeAfter
Surgery

Enamel correction of the front teeth

Uneven enamel color with darkening, a chip and plaque near the gum. Restoration with composite materials and polishing were performed under general anesthesia.

Dental treatment under general anesthesia — close-up clinical photo of the result after treatmentDental treatment under general anesthesia — pre-treatment condition on a clinical imageBeforeAfter
Implantation

Restoration of the posterior teeth

On the chewing surfaces, uneven color, darkening, a chip and plaque were visible. Treatment was performed under general anesthesia with restoration of the anatomy and color.

Our Doctors

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: Jusan bank — 24 months, Kaspi — 12

Who is a candidate for anesthesia in dentistry?

Anesthesia in dentistry is not a whim or a way to "tough it out." It is a medical choice. It is offered when conventional treatment is impossible or too difficult for the patient. The decision is always up to the doctor.

Adult patients: fear, gag reflex, scope of work

An adult can put off a visit to the dentist for years. The reason isn't laziness. It's a panic fear of the drill, of the sight of instruments, of the very smell of the office. Local anesthesia in its usual form doesn't help such a patient: they also find the injection hard to endure, and sometimes just the thought of it raises their blood pressure. The second case is a pronounced gag reflex. It triggers on the mirror, the saliva ejector, water in the mouth. The doctor can't work properly, and the patient leaves the office drained every time. The third case is a large volume of treatment. When many teeth need treatment, it's hard to do it in one visit, and the person simply can't endure several visits. That's when sedation is discussed. The indication is determined by the doctor after examination: they look at the condition, at concomitant diseases, at how much work lies ahead. Sometimes sedation is enough, sometimes general anesthesia is needed. Which one is suitable depends on the clinical picture.

Children: when a regular appointment isn't possible

SituationWhat prevents treatment the usual wayWho decides
Young childDoesn't understand reasoning, is afraid of unfamiliar people and soundsPediatric dentist together with the parent
Severe fear of injectionsCrying, resistance, attempts to run out of the officeDoctor after examination
Many affected teethCan't treat everything in one visit, and the child gets tiredDoctor and parent
Gag reflexInterferes with the mirror and saliva ejector in the mouthDoctor based on the clinical picture
Developmental characteristicsHard to explain what is happening and to hold attentionDoctor, often together with other specialists
Negative past experienceChild expects pain and won't open the mouthDoctor and parent

Situations where the decision is made by a council of specialists

  • Severe medical conditions: heart, respiratory, and endocrine diseases require clearance from the relevant specialist before anesthesia, otherwise the risks outweigh the benefits.
  • History of allergy: past reactions to medications are reviewed together with the anesthesiologist, the regimen is selected anew, and sometimes sedation is declined.
  • Pregnancy and lactation: elective treatment is postponed or a gentler option is chosen, decided by the doctor together with the gynecologist.
  • Medication use: anticoagulants, hormones, and other drugs change the approach, so the list of medications is brought to the consultation.
  • Complex scope of work: surgery and restorative treatment in one visit are discussed by the team — surgeon, therapist, and anesthesiologist.

Treatment of baby teeth under general anesthesia: indications and specifics in children

Baby teeth in children decay quickly, and a small patient isn't always ready to sit in the chair. That's when the doctor suggests treatment while asleep. Let's look at when this is justified and what parents need to know.

Why baby teeth are treated while asleep

A baby tooth differs from a permanent one: the enamel is thinner, the dentin is softer, the pulp is larger. Caries reaches the nerve in just a few months. A two- or three-year-old child can't endure long treatment in the chair: they get tired, scared, and close their mouth. The doctor can't work if the patient cries and struggles. That's when treatment while asleep becomes a way to do everything in one visit. The indications are simple: multiple caries, several teeth in a row, fear of the dentist, developmental peculiarities. The decision on anesthesia is made by the doctor, and it depends on the clinical picture, not on the cost. Sometimes local anesthesia is enough, and the doctor will say so directly. Anesthesia doesn't replace treatment, it only makes it possible. It's important to preserve baby teeth until they change: they hold the space for permanent teeth and are involved in chewing and speech. Early extraction can lead to shifting of neighboring teeth.

Specifics of pediatric anesthesia

  • Weight-based dosing: the drug is calculated strictly by body weight, not by age, and is administered via a mask or catheter, with the depth of sedation adjusted according to the child's response.
  • Continuous monitoring: during sedation the anesthesiologist monitors breathing, pulse, and blood oxygen saturation, while an assistant nurse and monitoring equipment with sensors are on hand.
  • Fasting: before anesthesia the child must not be fed for several hours, otherwise vomiting and aspiration are possible, so the time of the last meal is recorded in writing.
  • Waking up next to parents: after the procedure the child wakes up in a room where mom or dad is waiting, and sees a familiar face in the first minutes.
  • Pediatrician examination: before anesthesia a pediatrician's note confirming the absence of acute illnesses and contraindications is required, as well as recent blood test results.

What matters for parents

  • Preparation at home: explain to the child that they will be sleeping, and don't scare them with the dentist beforehand, otherwise anxiety before the procedure will only increase and get in the way.
  • Tests: before anesthesia, recent blood tests and a pediatrician's report are needed; the doctor will provide the list, usually given to you in advance.
  • Day of the procedure: bring a change of clothes and a favorite toy, and don't feed the child for several hours before sedation, with fluids limited by time.
  • After waking up: drowsiness, nausea, or fussiness are possible — this passes, but monitor the condition and tell the doctor about any unusual behavior.
  • Treatment plan: discuss with the doctor which teeth are treated, which are removed, and what to do next, so that new problem areas are not missed.

What equipment and supplies are used for anesthesia?

Anesthesia in dentistry is a controlled state. It's backed by technology: the machine delivers the mixture, the monitor shows vital signs, and consumables ensure safety.

Anesthesia and breathing apparatus

The core is the anesthesia and breathing machine. It mixes medical gases, vaporizes liquid anesthetic, and delivers the mixture through the circuit. A breathing bag or mechanical compressor maintains ventilation if the patient isn't breathing on their own. An absorber is attached to the machine — a canister with soda lime that absorbs exhaled carbon dioxide when working with a closed circuit. A suction unit removes saliva and fluid from the oral cavity: during sleep the swallowing reflex is weakened, and without removing secretions it's impossible to work. A laryngeal mask or endotracheal tube keeps the airway open. The equipment is checked before every anesthesia: circuit leak test, calibrating vaporizers, checking oxygen sensors. How accurately the doctor controls the depth of sleep depends on the proper functioning of this setup. How much dental treatment under anesthesia costs is a question often asked at the consultation; it's answered after the examination, because the volume of work differs for everyone. The equipment itself isn't a consumable, its lifespan is measured in years, but the circuit and masks are changed according to protocol.

Monitoring during sleep

  • Pulse oximeter: a sensor on the finger or ear shows blood oxygen saturation; a drop below normal signals the anesthesiologist to review ventilation parameters.
  • Cardiac monitor: continuously records ECG and pulse to promptly detect rhythm disturbances that may go unnoticed by the eye during sleep.
  • Capnograph: measures carbon dioxide in exhaled breath; the waveform indicates whether the airway is patent and whether ventilation volume is adequate.
  • Blood pressure monitor: a cuff on the arm records pressure every few minutes; hypotension or a spike upward requires the doctor's response.
  • Depth-of-anesthesia sensor: electrical brain activity is used to assess whether sleep is deep enough; this helps avoid over-sedation and prevents the patient from waking too early.
  • Temperature sensor: body temperature is monitored because prolonged intervention under anesthesia may be accompanied by a drop in temperature.

Consumables and medications

  • Inhalational anesthetics: sevoflurane and its analogues are administered via a vaporizer; the concentration is selected by the anesthesiologist based on weight, age, and the patient's condition.
  • Intravenous drugs: propofol or ketamine are used for induction and maintenance of sleep; the dose is calculated individually, not by a template.
  • Muscle relaxants: used when the masticatory muscles need to be relaxed; afterward, recovery of spontaneous breathing must be monitored, and the drug is selected for the specific task.
  • Consumables: disposable circuits, masks, filters, endotracheal tubes, syringes, and infusion sets — all are opened in the patient's presence and disposed of afterward.
  • Emergency drugs: atropine, epinephrine, antihistamines, and glucocorticoids are kept ready; they are used if an adverse reaction develops during sleep.
  • Dental caries treatment under anesthesia: also requires a full set of consumables: filling materials, burs, matrices — all sterile and prepared in advance so as not to interrupt sleep.

Dental treatment under anesthesia for adults: specifics and limitations

In adults, anesthesia is used less often than in children. The decision depends on the volume of work, concomitant diseases, and the patient's anxiety. Below is what can realistically be done in one session and where the limits of the method are.

What can be done in one session

In a single session, a large amount of work is usually completed: several cavities, root canal treatment, extraction of damaged teeth. Sometimes professional hygiene is added. All of this is done consecutively while the person sleeps. Dentistry under general anesthesia for adults is built around one idea: the patient does not get tired from sitting in the chair for a long time and does not interrupt treatment. How much exactly will be accomplished is an open question. It depends on the clinical picture: the number of affected teeth, the condition of the gums, the difficulty of access to the far molars. The doctor looks at the images and decides what will be included in the session and what will be postponed. One should not expect to complete all necessary treatment in one go if there is an advanced process in the mouth. The examination and plan are made in advance, before anesthesia. Then time under sedation is spent on treatment, not on deliberation. A separate detail is the compatibility of procedures. Therapy, surgery, and prosthetic impressions in one session are technically possible but not always justified. The duration of anesthesia is limited for medical reasons. Therefore, treatment is planned in stages: first the urgent, then the rest.

Limitations and contraindications

  • Cardiovascular diseases: recent heart attack, severe hypertension, arrhythmias — anesthesia is discussed with a cardiologist, and sometimes it is canceled.
  • Respiratory system: severe asthma, recent pneumonia, exacerbation of bronchitis — the risk during anesthesia is higher, and a pause is needed until the condition is stable.
  • Endocrine conditions: decompensated diabetes and thyroid disease require an endocrinologist's opinion before the session, and sometimes additional adjustment of therapy by a specialist.
  • Pregnancy and lactation: elective treatment under sleep is postponed; in acute cases, the decision is made by the doctor together with a gynecologist.
  • Drug allergy: a past reaction to anesthetics is a reason to select the regimen in advance, and sometimes to abandon the method.
  • Acute infections: a cold, fever, or exacerbation of a chronic focus — the session is postponed until recovery, and before a new one, an examination and repeat tests are ordered.
  • Weight and age: marked obesity and advanced age increase the burden; the dose and method of administration are selected individually.

Recovery after anesthesia

  • First hours: drowsiness, dry mouth, mild grogginess — this is normal, and the patient is monitored until they wake up steadily.
  • Getting home: no driving, and public transport or long trips alone are not the best option either — someone should accompany the patient.
  • Eating: on the day of the appointment, eat soft, warm food and avoid anything hot or spicy; small sips of fluids are fine if there is no nausea.
  • Activity: no sports, alcohol, or heavy work that day; return to your normal routine gradually, guided by how you feel.
  • In the mouth: numbness in the soft tissues does not wear off right away, so avoid biting your cheek or lip; brief bleeding from the socket after an extraction is normal.
  • Contacting the doctor: if nausea persists, a fever develops, or severe pain appears, call the clinic rather than waiting for a scheduled visit.
  • Next appointment: a follow-up check is scheduled separately and does not require general anesthesia — local anesthesia is usually enough.

What is the difference between general anesthesia and sedation and which to choose?

The difference between the states is deeper than 'asleep' and 'almost asleep'. With sedation, the person breathes on their own and reacts to voice; with general anesthesia, consciousness is completely turned off.

Comparison by key features

FeatureSedationGeneral anesthesia
ConsciousnessDrowsy, still responsiveAbsent
BreathingSpontaneousSupported by a machine
Response to commandsPresent but mutedNone
Protective reflexesPreservedSuppressed
Who manages itAn anesthesiologist is presentAn anesthesia team
RecoveryFast, with mild drowsinessLonger, with monitoring in a recovery room
Scope of procedureSmall to mediumExtensive, several areas at once

When sedation is sufficient

Sedation is appropriate where the amount of work is small and anxiety prevents the patient from sitting in the chair. The person is brought into a semi-sleep state but continues to breathe independently and can respond to a request to open their mouth wider. The doctor works during this time, while the anesthesiologist monitors the indicators and, if necessary, changes the depth of sedation. For adults, this is often a solution for fear of treatment, an increased gag reflex, or the inability to keep the mouth open for a long time. In children, this format is suitable for short procedures when the child agrees to cooperate at least partially. The depth is selected individually, and the decision remains with the anesthesiologist together with the treating doctor. If during the appointment it turns out that the case is more complex than it seemed from the images, the depth is increased or part of the work is postponed to another visit. Sometimes sedation is offered as a first step before a more serious intervention. It depends on the clinical picture: for one patient, light sedation is enough; for another, it does not provide the necessary comfort.

When general anesthesia is needed

General anesthesia is chosen when treatment simply cannot be carried out otherwise. This applies to children who cannot be persuaded and held, patients allergic to local anesthetics, people with mental and neurological conditions in which contact in the chair is not established. Another common reason is a large volume: treatment of many teeth at once, several extractions, a surgical stage in one go. In this case, the person does not breathe on their own; a machine does it for them, and a team is constantly present. Awakening takes time, so after the procedure one is required to remain under observation. This format is offered to adults not as a replacement for local anesthesia but as a way to accomplish a task that would otherwise be stretched over many visits. The final choice is made by the doctor after examination and assessment of the general condition.

How to prepare for treatment under anesthesia: tests, fasting, accompaniment

Preparation for dentistry with general anesthesia begins long before the office. The doctor prescribes an examination; it is important for the patient to observe fasting and drinking rules. Let's go through each stage.

Examination before anesthesia

  • Anesthesiologist consultation: the doctor evaluates the airway, past allergies, chronic conditions, current medications, and any family history of reactions to anesthesia.
  • Blood tests: complete blood count, metabolic panel, coagulation panel, blood type and Rh factor, as well as screening for infections — HIV, hepatitis B and C, and syphilis.
  • ECG and medical clearance: for adults and older children, it is important to rule out hidden heart conditions that could affect anesthesia.
  • ENT examination: if there is a runny nose, cough, or fever, the procedure is postponed — anesthesia is riskier when a cold is present.
  • Medication list: tell the doctor about all medications, including herbs and vitamins. Some are discontinued in advance, and the anesthesiologist makes that decision.
  • Escort: an adult patient must not drive after anesthesia, and a child needs an adult present for the entire day of the procedure and at home.

Rules for fasting and drinking

  • Solid food: 8 hours before anesthesia, avoid meat, cereals, milk, cheese, and any foods that require digestion.
  • Clear liquids: still water or sweet tea without pulp — up to 4 hours before the procedure, but no later. Juices and fruit drinks are not suitable.
  • Infants and toddlers: the fasting times are shorter for them, and the anesthesiologist determines them individually based on age and weight.
  • Morning appointment: if treatment is scheduled for the morning, the last meal should be the evening before, and only water afterward.
  • Medications: some medications may be taken with a sip of water in the morning; check with the doctor in advance which ones, and do not change the medication schedule on your own.
  • Breaking the rules: if a child eats before anesthesia, the procedure is canceled or postponed — this is a matter of safety, not strictness.

Day of the procedure and accompaniment

On the day of the procedure, arrive early so you can complete the examination and sign the paperwork without rushing. Bring a change of shoes, comfortable short-sleeved clothing, your test results, and a list of your medications. For a child, bring a diaper and a favorite toy. An adult must not drive after anesthesia. The accompanying person should stay for the entire day: after waking up, the patient needs help, and drowsiness, nausea, and dizziness are possible. Taking the patient home and staying with them is essential. The doctor will explain when it is okay to drink and eat after the procedure, which sensations are normal, and when to call. If the patient has a fever, a cough, or an exacerbation of a chronic condition, the anesthesia is postponed. The anesthesiologist decides together with the treating physician: only they see the full picture. Anesthesia in dentistry is not routine — it is a medical procedure with its own rules, and following them matters more than speed.

What to keep in mind

Anesthesia is not a substitute for treatment

Sedation is a way to make treatment possible, not a way to cure teeth. Anesthesia itself does not remove cavities, does not resolve inflammation, and does not restore a crown. It creates the conditions under which the dentist can work calmly and the patient experiences no fear or pain. The scope of treatment is determined by the clinical picture: how many teeth are affected, how deeply, and whether there are complications. Sometimes more can be accomplished in a single session than during a routine visit. But this depends on the patient's condition, the permissible duration of anesthesia, and the anesthesiologist's decision. If teeth remain untreated after waking up, they are treated further — under local anesthesia or again under sedation. Sedation does not replace oral hygiene and does not take the place of regular check-ups. It is a tool, not a therapy.

The Doctor Makes the Decision

The choice between local anesthesia, sedation, and general anesthesia is not made on a whim or on the advice of friends. It is determined by the doctor after an examination and taking into account test results. Age, weight, underlying conditions, allergies, medications being taken, psychological state, and the scope of the upcoming procedure all matter. Sometimes a patient insists on general anesthesia, but it is contraindicated due to their health. The opposite also happens: a person is afraid, but local anesthesia with sedation is enough for them. The anesthesiologist assesses the risks and confirms that sleep is safe. The dentist plans the treatment. If either specialist objects, that option is not used. It is a team decision, and it does not always match expectations. The doctor will explain why a particular approach was chosen and what will happen if it is not followed.

Preparation is mandatory

Treatment under sedation is never started without preparation. Tests are needed, as well as evaluations from specialists if there are chronic conditions, and a conversation with the anesthesiologist. Fasting and limiting fluids before the procedure are not a formality but a safety requirement: a full stomach during general anesthesia creates a risk. Adults must not drive after waking up, so a companion is needed in advance. Parents should tell children about the upcoming visit calmly, without frightening them. If a fever develops the day before, a cough starts, or a chronic condition flares up, the procedure is postponed. Hiding this from the doctor means exposing yourself to unnecessary risk. Preparation takes time, sometimes several days. But it is precisely what allows treatment to be carried out without complications and without canceling it at the last moment. The rules are simple, and compliance with them is mandatory for everyone.

Questions about dental treatment under general anesthesia

The final amount depends on the scope of the intervention, the drug chosen, and the anesthesiologist's working time, so it cannot be quoted in advance. The price of dental treatment under general anesthesia is made up of the cost of the dental work itself, the anesthesia service, and consumables; pre-operative testing may be charged separately. The calculation is done differently for adults and children: for children, weight and duration are more often taken into account, while for adults it is the number and complexity of the interventions. The exact amount is given by the doctor at the examination after the plan is drawn up, and you can find approximate figures in the pricing section on the page.

There are few absolute contraindications, but they do exist: severe decompensated heart disease, a recent heart attack or stroke, significant respiratory failure, and intolerance to anesthetic drugs. Before the procedure, the anesthesiologist takes a medical history, reviews test results and an ECG, and if necessary requests an opinion from a relevant specialist. As for adverse reactions, nausea, drowsiness, dizziness, and dry mouth are the most common — they resolve within 24 hours. Allergic reactions and laryngospasm are less common, which is why the procedure is performed with an anesthesiologist present and with monitoring of breathing and blood pressure.

You can book by calling +7 777 911 07 83 or through the form on the website; appointments are available daily from 9:00 to 20:00. The initial examination and treatment plan are free of charge (0 ₸): the doctor examines the oral cavity, takes an X-ray if necessary, explains the options, and gives you a timeline. If treatment under general anesthesia is planned, an anesthesiologist is invited to the consultation — they assess the risks and decide whether additional tests are needed. Afterward, you receive a written plan with the stages and an estimated cost, and you can see the prices for specific items in the pricing section on the page.

Yes, dental treatment under general anesthesia is performed in adults when there are medical or psychological grounds: a pronounced gag reflex, a panic fear of the dentist, or a large volume of work to be done in a single visit. General anesthesia is also chosen for allergies to local anesthetics, for certain neurological conditions, and when several complex teeth need to be removed at once. The decision is made by the anesthesiologist together with the treating doctor after an examination and tests. If there are no contraindications, the procedure is carried out in the clinic under continuous monitoring of blood pressure, pulse, and blood oxygen saturation.

Yes, prosthetic dental treatment under general anesthesia is possible, but it is used selectively — usually for extensive preparation of the oral cavity, when several teeth need to be removed, implants placed, or supporting teeth deeply treated in a single visit. For the routine placement of crowns and removable dentures, general anesthesia is not needed: these stages are painless and well tolerated under local anesthesia. If the patient has severe anxiety or a gag reflex, the prosthodontist and anesthesiologist discuss sedation or general anesthesia separately. The final approach is chosen at the consultation, and you can see the prices for specific items in the pricing section.

A wisdom tooth can be extracted under general anesthesia if the tooth is impacted, lies close to a nerve, or the patient cannot tolerate local anesthesia. Before the procedure, an X-ray or CT scan is taken, the anesthesiologist assesses the patient's condition and selects the drug, after which the surgeon removes the tooth while the patient is monitored. After waking up, the patient is observed for some time, then sent home with recommendations and a follow-up appointment is scheduled. Removing 4 wisdom teeth under general anesthesia in a single visit is practiced when all four need extraction — this way the patient undergoes one anesthesia instead of four.

Dentistry under general anesthesia means the patient is in a drug-induced sleep and does not react to manipulations, whereas with sedation they doze but can respond to the doctor's requests. General anesthesia is deeper, requires the presence of an anesthesiologist and monitoring, while sedation is milder and is more often used for moderate anxiety. The choice depends on the scope of work, age, health condition and the patient's preferences. If you are unsure what suits you best, discuss it at the initial appointment — it is free with us, and you will receive a plan and cost estimates right away.

Dentistry with anesthesia is considered safe when performed by a trained team: an anesthesiologist, a surgeon or general dentist, and an assistant. Risks are reduced through preliminary examination — tests, ECG, allergy history, as well as selecting the drug taking into account weight, age and chronic diseases. During the procedure, blood pressure, pulse and breathing are monitored, and after waking up the patient remains under observation. If you have chronic conditions or take regular medications, be sure to mention this at the consultation — it changes the preparation plan.

Yes, caries treatment under anesthesia is performed, most often for children and adults with a strong fear of the dentist or with a large number of affected teeth. In a single visit, several teeth can be treated, fillings placed and prevention carried out — this is convenient when the patient is not ready to sit through several lengthy appointments. For ordinary uncomplicated caries in a calm adult, local anesthesia is sufficient. The decision is made by the doctor and anesthesiologist after examination, and you can see the preliminary cost in the prices section on the page.

Dental anesthesia is a general term for pain relief, and it can be local or general. Local anesthesia blocks sensitivity in an area of the jaw while the patient remains conscious; general anesthesia puts the patient to sleep and blocks the pain response throughout the body. For most procedures, local anesthesia is sufficient, while general is used for a large scope of work or medical indications. Which option suits you is decided by the doctor during the examination, taking into account health condition, age and scope of intervention.

We are open daily from 9:00 to 20:00, seven days a week. The clinic is located in Astana at 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.

Installments for 24 months with Jusan 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 Jusan bank for 24 months and from Kaspi for 12 months.

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

Reviews of dental treatment under anesthesia in Astana

4,9
29 reviews on the site
29 ratings
ВВладимир Н.28 August 2026
★ 5,0

My mother recommended this place. . . I had my teeth treated, they made it so it didn't hurt. Galiy worked without rushing.

ГГульнара З.5 August 2026
★ 5,0

Before this, I had only gone for promotional offers and never really got proper treatment. We found a clinic near our home. Alexey explained why it wasn't worth putting it off (I couldn't believe it myself). They redid the root canal under a microscope)

ААйнур З.21 July 2026
★ 5,0

Had pulpitis treated, two visits, they polished until it stopped catching. The night pain went away right after the first visit, the difference is noticeable. I recommend it. They answered my questions even after the appointment, via messenger. That's it. Honestly, I'm still surprised it was painless)

ННаталья Н.14 July 2026
★ 5,0

I had pulpitis treated, two visits, and they took a follow-up X-ray at the end. There was one inconvenience — the parking lot was full. A minor thing. You can't see the filling, the color matched. In my opinion, the main thing is that they don't pressure you into a decision!

ЕЕржан У.3 July 2026
★ 5,0

At another clinic they said it could only be extracted, but I wanted to save it. It was quick. In my opinion, the price is fair for this kind of work. Margarita explained why it wasn't worth putting off. They placed a filling, matched the color, and took a follow-up X-ray at the end. The tooth doesn't bother me, and there's no sensitivity to cold.

ДДинара Т.11 June 2026
★ 5,0

I initially just wanted to look around and get a sense of the prices. They redid the root canal under a microscope and took a follow-up X-ray at the end. The parking lot was full — but that's just me being honest. Alicia explains things calmly and to the point. The contract and receipt were provided without me having to ask, which I'll note separately. In my opinion, the main thing is that they don't pressure you into a decision.

The clinic administrator answers patient messages at the front desk
Still have questions

Still have questions about “Dental treatment 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 — 20:00Jusan bank — 24 months, Kaspi — 120% installment plan
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