We normally prescribe sedation or even general anesthesia if the procedure is extensive or has the potential to cause above average discomfort that cannot be controlled with local anesthesia like removal of multiple teeth, including wisdom teeth, placement of multiple dental implants, advanced bone grafting procedures, maxillofacial surgery, surgical manipulation of the jaws and/or bones of the face. We may also recommend sedation for general dental procedures for the patient with special needs e.g. developmentally disabled or very young patients with substantial treatment needs. General anesthesia is an artificially induced, temporary dissociation from motor and sensory nerve transmission under which a patient cannot manage their own airway and must be kept breathing by artificial means. On the other hand, sedation likewise produces a degree of dissociation from normal motor and sensory nerve transmission; however people who are merely sedated retain control over their airway and do not normally require artificial support of their respiratory function.