April 2025

Going to the dentist can trigger anxiety for many people, especially when complex procedures are involved. For patients with severe dental fear or those undergoing oral surgery, being “put under” can offer a sense of relief and comfort. But what does it actually mean when a dentist puts you under? What is the procedure called? And is it safe?   This comprehensive guide from Asctorino will explore everything you need to know about dental sedation, what it’s officially called when a dentist puts you under, the types of sedation used, and what patients should expect before, during, and after the procedure.   What Is It Called When a Dentist Puts You Under? When a dentist “puts you under,” the official term is general anesthesia. It’s a form of sedation that renders the patient completely unconscious and unresponsive during a dental procedure. General anesthesia is typically reserved for complex oral surgeries or for patients who cannot tolerate treatment while awake due to extreme anxiety, special healthcare needs, or other medical conditions.   Not all dental sedation involves full unconsciousness. In fact, there are different levels of sedation, ranging from mild relaxation to deep sleep. Each level has its own purpose, method of administration, and safety guidelines.   At Asctorino, we help patients understand the options available so they can make informed decisions about their oral health and comfort.   Different Types of Dental Sedation Dental sedation can be broken into four main categories. While “being put under” usually refers to general anesthesia, many patients opt for milder forms of sedation for routine procedures.   1. Minimal Sedation (Anxiolysis) This type of sedation helps you feel relaxed but fully awake. It’s often administered through nitrous oxide (also known as laughing gas) or oral medication. You remain conscious and can respond to the dentist’s instructions.   Best For: Routine cleanings, minor fillings, or patients with mild anxiety.   2. Moderate Sedation (Conscious Sedation) You’re still awake, but your memory of the procedure might be hazy. Speech may be slurred, and you’ll feel drowsy. This type of sedation is usually given via an oral sedative or intravenous (IV) medication.   Best For: Root canals, extractions, or patients with moderate dental anxiety.   3. Deep Sedation You’re on the edge of consciousness and may not remember much of the procedure. You won’t be able to respond to most stimuli, but you’re not entirely unconscious. Deep sedation is administered via IV and monitored closely.   Best For: Complex dental surgeries or very anxious patients.   4. General Anesthesia You’re completely unconscious, cannot be awakened easily, and will not feel or remember anything during the procedure. This form of sedation must be administered by an anesthesiologist or trained dental professional in a controlled environment.   Best For: Wisdom tooth extraction, jaw surgery, or patients with severe dental phobia.   Asctorino recommends discussing all sedation options with your provider to ensure your safety, comfort, and the success of your dental treatment.   Why Do Dentists Use General Anesthesia? Dentists use general anesthesia for several reasons:   To perform invasive oral surgeries such as impacted wisdom tooth removal, dental implants, or jaw realignment. To manage extreme dental anxiety or dental phobia, which can prevent patients from receiving necessary care. To treat patients with special needs or medical conditions that make traditional dental procedures challenging. To handle cases involving children who are unable to cooperate for longer procedures. General anesthesia ensures that the patient remains still, pain-free, and unaware during the procedure. This helps the dentist work more efficiently and safely.   Is Being Put Under at the Dentist Safe? Yes, when administered by trained professionals, dental sedation—including general anesthesia—is safe. Dental offices that offer general anesthesia are equipped with advanced monitoring equipment and staffed by professionals trained in emergency protocols. The risks are minimal when proper screening and monitoring are in place.   At Asctorino, we prioritize patient safety and work with providers who meet or exceed national sedation safety guidelines.   Before receiving any form of sedation, you’ll undergo a health evaluation, which may include: Medical history review Current medications Allergies Blood pressure and heart rate checks During the procedure, your vital signs are continuously monitored. Afterward, recovery is supervised to ensure you regain full consciousness and stability before being discharged.   Preparing for General Anesthesia at the Dentist If you are scheduled to be “put under” for a dental procedure, preparation is key to ensure your safety and comfort. Here’s what you can typically expect:   Fasting Instructions: You’ll be asked not to eat or drink for at least 6–8 hours before your appointment. Pre-Procedure Evaluation: The dental team will assess your health status and confirm your suitability for anesthesia. Transportation: You must arrange for a friend or family member to drive you home. You will not be allowed to operate a vehicle after general anesthesia. Post-Procedure Recovery: You may feel groggy, dizzy, or nauseous for a few hours. Full recovery usually occurs within 24 hours. Asctorino encourages all patients to ask questions and follow all pre- and post-procedure instructions carefully.   Who Administers General Anesthesia in Dentistry? Not all dentists are licensed to administer general anesthesia. It is typically provided by:   Dental anesthesiologists Oral and maxillofacial surgeons Certified nurse anesthetists Medical anesthesiologists (in hospital settings) These professionals are trained in anesthesia delivery, patient monitoring, and emergency response. If general anesthesia is recommended for your dental procedure, make sure you’re working with a provider who has the proper certifications and experience.   Advantages of Being Put Under at the Dentist For many patients, general anesthesia offers significant advantages:   No awareness or memory of the procedure Complete elimination of pain No movement, allowing precise surgical work Reduced fear and stress Ability to complete multiple procedures in one visit Patients with extreme dental anxiety often report that general anesthesia allows them to finally receive the care they’ve been avoiding for years.   At Asctorino, we believe no one should skip dental care because of fear. Sedation

Dentistry is one of the most respected and rewarding healthcare professions. With the right education, skill, and specialty, dentists can earn a substantial income. While general dentistry provides a solid financial foundation, the highest earning potential lies in specialized fields. If you’re wondering what the highest paid dentist is and what it takes to reach that level, this guide from Asctorino will provide everything you need to know.   Whether you’re a prospective dental student or a practicing dentist looking to increase your income, understanding the highest paying dental roles can help you make informed career decisions. From education and training to daily responsibilities and compensation, we’ll explore the top dental careers that offer exceptional financial rewards.   Understanding Dental Specialties and Earning Potential Dentists can pursue advanced education beyond dental school to become specialists. These specialties often require years of additional training, but the financial payoff is significant. According to data from the U.S. Bureau of Labor Statistics and dental industry reports, dental specialists routinely earn more than general practitioners.   Below are the highest paid dental professions ranked by average annual salary.   1. Oral and Maxillofacial Surgeon Average Annual Salary: $300,000 to $500,000+   Oral and maxillofacial surgeons are at the top of the dental income ladder. These specialists perform complex surgical procedures involving the mouth, jaws, face, and even the neck. Their work includes tooth extractions, corrective jaw surgery, and treating facial trauma. Due to the complexity of their work and the additional medical training required, they command some of the highest salaries in dentistry.   To become an oral and maxillofacial surgeon, one must complete dental school, followed by a 4–6 year surgical residency program. Some programs also offer dual degrees in medicine and dentistry (MD/DDS), further increasing their qualifications and earning potential.   At Asctorino, we emphasize that this path requires commitment but can lead to unmatched financial success and clinical expertise.   2. Orthodontist Average Annual Salary: $250,000 to $400,000+   Orthodontists specialize in diagnosing and correcting misaligned teeth and jaws. They use braces, aligners, and other appliances to help patients achieve a functional and aesthetically pleasing bite. Orthodontic services are always in demand, especially among younger patients and adults seeking cosmetic improvements.   Orthodontists must complete dental school and an additional 2–3 years of specialized training in orthodontics. Many operate private practices or partner in group practices, allowing them to scale their earnings.   As consumer demand for clear aligners and cosmetic enhancements grows, so does the earning potential in this field. Asctorino encourages young dentists to consider orthodontics for its combination of clinical precision and lucrative returns.   3. Prosthodontist Average Annual Salary: $220,000 to $350,000   Prosthodontists are experts in restoring and replacing teeth. They work with crowns, bridges, dentures, and dental implants, helping patients regain full function and an attractive smile. Their work is especially valuable in cases of trauma, extensive decay, or full-mouth reconstruction.   This specialty requires three additional years of residency after dental school. Prosthodontists often work closely with oral surgeons and general dentists, but their advanced training allows them to handle complex restorative cases that others cannot.   Prosthodontists working in high-income areas or running their own boutique practices can exceed average salary estimates. Asctorino has found that prosthodontics is both financially rewarding and deeply satisfying for dentists who enjoy aesthetic precision and patient transformation.   4. Endodontist Average Annual Salary: $200,000 to $330,000   Endodontists are specialists in treating the interior of the tooth, particularly the dental pulp and root canals. Root canal therapy is one of the most common procedures performed by endodontists, often referred by general dentists when cases become too complex.   Endodontic training includes two additional years after dental school. Because their work requires detailed technical skill and addresses painful dental emergencies, endodontists earn a premium.   At Asctorino, we recommend this specialty to dentists who enjoy precision work and want to work in a high-demand area of practice that consistently yields strong income.   5. Periodontist Average Annual Salary: $180,000 to $310,000   Periodontists focus on the gums and supporting structures of the teeth. They treat gum disease, perform gum grafts, and place dental implants. With the rising demand for implant procedures and the increasing awareness of gum health, periodontists are seeing steady income growth.   Like other specialties, becoming a periodontist requires 2–3 years of postdoctoral training. Those who own practices or work in surgical centers often earn more than the national average.   Asctorino recognizes periodontics as a smart choice for dentists who prefer surgical procedures and want to work in a specialty with a strong preventative and cosmetic component.   6. Pediatric Dentist Average Annual Salary: $170,000 to $300,000   Pediatric dentists treat infants, children, and adolescents. They provide preventive care, fillings, extractions, and behavior management for young patients. Their specialized training also includes knowledge of child development and working with special needs populations.   Pediatric dentistry requires two additional years of residency after dental school. Though not always the highest paid, pediatric dentists in large practices or urban settings can command top-tier incomes.   At Asctorino, we highlight pediatric dentistry as a fulfilling option for those passionate about children’s health and long-term patient relationships.   Factors That Influence a Dentist’s Salary Several variables affect how much a dentist can earn. While specialty is a major factor, other elements play a significant role:   1. LocationDentists practicing in major metropolitan areas typically earn more than those in rural areas, though overhead costs may also be higher. States like Alaska, North Dakota, and Delaware report some of the highest dental salaries due to low supply and high demand.   2. Years of ExperienceA dentist’s income generally increases with experience. Established professionals with a loyal patient base and strong local reputation tend to earn more than newer dentists.   3. Type of PracticeDentists who own their practices generally earn more than those employed by corporate chains or hospitals. Practice ownership comes with added responsibilities but greater income

Dental care is not a luxury—it’s a necessity. But for many individuals and families, the cost of dental work is simply too high. Whether it’s a simple cleaning, a tooth extraction, or an emergency root canal, the expense can prevent people from getting the care they desperately need. Fortunately, there are several solutions available that can make dental care accessible and affordable, even for those without insurance or a steady income.   At Asctorino, we understand the financial challenges that stand between people and proper dental treatment. That’s why we’re committed to providing guidance, support, and resources to help you find the care you need—without going into debt. In this guide, we’ll show you the many ways you can get dental work done when you can’t afford it.   Why Is Dental Work So Expensive? Dental treatment involves specialized tools, lab fees, highly trained professionals, and materials that are not cheap. Most dental insurance plans come with high deductibles, waiting periods, and limited coverage for major procedures, making out-of-pocket costs unavoidable for many.   But skipping dental care can lead to long-term health consequences, such as infections, tooth loss, or worsening medical conditions. That’s why Asctorino encourages proactive solutions to help you maintain oral health without financial strain.   Affordable Dental Care Options Community Dental Clinics Community clinics offer basic dental services on a sliding fee scale or at no cost for qualifying patients. These clinics are typically supported by government grants and donations and provide care for low-income individuals, seniors, and families.   Services may include:   Exams and X-rays Cleanings and fluoride treatments Fillings and extractions Dentures and limited restorative work To find a clinic near you, contact your local health department or visit a federal health center locator. At Asctorino, we also help connect individuals with local low-cost clinics.   Dental Schools Dental schools across the U.S. operate public clinics where students perform procedures under the supervision of experienced, licensed dentists. These services come at a significantly reduced cost—often 30–70% less than private practices.   What you can expect:   Thorough care and multiple check-ups Longer appointment times due to training process Reduced costs for both preventative and restorative treatments Asctorino recommends dental school clinics for non-emergency procedures like checkups, fillings, cleanings, and dentures.   Nonprofit and Charitable Dental Programs Numerous nonprofit organizations offer free or subsidized dental care to specific populations. These programs help bridge the gap for those who fall through the cracks of traditional insurance or government programs.   Some examples include:   Dental Lifeline Network (Donated Dental Services) America’s Dentists Care Foundation Give Back a Smile (for domestic violence survivors) Local United Way chapters and religious organizations At Asctorino, we assist in identifying and applying for these programs where eligibility allows.   Free Dental Events and Mobile Clinics Throughout the year, many communities host free dental care days or mobile clinics that bring care directly to underserved areas. These events often include:   Tooth extractions Fillings Exams and cleanings Sealants for children Many of these events operate on a first-come, first-served basis, so early arrival is recommended. Asctorino frequently shares updates on upcoming free dental events at asctorino.org.   Financing Options for Dental Treatment In-House Payment Plans Many private dental offices allow patients to pay for treatments over time. These in-house payment plans can be customized and are sometimes interest-free if paid within a specific period.   Talk to your dentist or contact Asctorino to find local providers who offer flexible payment options.   Third-Party Dental Financing Specialized financing companies offer credit and installment plans for dental work. Some well-known options include:   CareCredit Sunbit LendingClub Patient Solutions Alphaeon Credit These programs allow you to spread the cost of major procedures over several months or years with manageable payments. Asctorino can help you apply and compare plans.   Dental Savings Plans Dental discount plans are membership-based services that provide access to reduced rates on dental procedures. Unlike insurance, there are:   No waiting periods No deductibles No annual limits After paying a yearly fee (usually between $100–$200), you receive discounted services from participating dentists.   Some reputable dental savings plans include:   Aetna Vital Savings Cigna Dental Savings DentalPlans.com Asctorino recommends these plans for those who don’t qualify for public assistance and want immediate access to affordable care.   Government and State Assistance Medicaid Dental Coverage Medicaid provides dental coverage for children in all states, and for adults in some states. Coverage may include:   Preventive services Emergency procedures Limited restorative treatments Eligibility and covered services vary by state. Asctorino helps patients determine their Medicaid eligibility and navigate the enrollment process.   CHIP (Children’s Health Insurance Program) CHIP provides comprehensive dental care for children in families that earn too much to qualify for Medicaid but cannot afford private insurance.   This includes: Exams Cleanings Fillings Braces (in some cases) Asctorino can help parents enroll their children and find participating dental providers.   Preventive Care Saves Money Avoiding dental visits due to cost can lead to more expensive problems later. Preventive care is the most affordable and effective way to protect your oral health.   Daily habits that protect your teeth:   Brushing with fluoride toothpaste Flossing once daily Limiting sugary foods and drinks Drinking plenty of water Even basic over-the-counter fluoride rinses and dental hygiene tools can go a long way toward maintaining oral health. At Asctorino, we offer free educational resources on preventive care for people of all ages.   How Asctorino Helps You Get Affordable Dental Care At Asctorino, our mission is to ensure that no one has to suffer from dental issues due to lack of money. Here’s how we help:   Free consultations to assess your dental needs Guidance on applying for low-cost dental programs Connections to community clinics and dental schools Assistance with payment plan applications Education on maintaining oral hygiene at home Visit asctorino.org to explore tools, resources, and support that will help you find dental care within your budget.   Frequently Asked Questions (FAQs) How