Glendale, Arizona

General Anesthesia Dental Care in Glendale, AZ

For patients who require complete unconsciousness during dental treatment, SmileScience Dental Spa provides general anesthesia in our office, administered by a board-certified anesthesiologist. Dr. Dawson focuses entirely on your treatment while a specialist manages your anesthesia and monitors your safety throughout.

Written by Richard Dawson, DMD ICOI Fellow Reviewed by John Turke, DMD DMD Updated April 2026
400+ Five-Star Reviews Google & Yelp combined
OCS Certified Oral Conscious Sedation -- Arizona
Advanced Technology CBCT 3D imaging, same-day CEREC
All Ages Welcome From first visits to full-arch implants

What Is General Anesthesia in Dentistry?

General anesthesia is the deepest level of sedation. The patient is completely unconscious, unaware of their surroundings, and unable to respond to stimulation. Unlike IV sedation, protective airway reflexes are suppressed under general anesthesia, which requires airway management by the anesthesiologist.

In a dental office context, general anesthesia is available as an alternative to performing treatment in a hospital operating room. SmileScience brings a board-certified anesthesiologist to our Glendale facility so that patients who need this level of care can receive it in a familiar, convenient setting without a hospital admission.

General anesthesia is not required for most dental procedures. It is reserved for specific clinical situations where lighter sedation options would not be sufficient or safe.

When General Anesthesia Is Indicated

General anesthesia is chosen when the patient cannot be safely or adequately treated under any lighter form of sedation, or when the extent of treatment makes it the most appropriate option.

Extensive Oral Surgery

Complex full-arch extractions, extensive bone grafting, or multiple implant placements in a single session where the duration or invasiveness exceeds what IV sedation can comfortably manage.

Special Needs Patients

Patients with intellectual disabilities, autism spectrum disorder, severe movement disorders, or other conditions that prevent safe and effective treatment under lighter sedation benefit from the complete cooperation that general anesthesia provides.

Severe Dental Phobia

Patients with extreme dental anxiety who have not responded to nitrous oxide, oral sedation, or IV sedation, and for whom any level of awareness during treatment is unmanageable.

Medical Complexity

Some patients with certain medical conditions require the level of monitoring and airway control that only general anesthesia with a dedicated anesthesiologist can provide. This is determined in consultation with the anesthesiologist and, when appropriate, the patient's physician.

Administered by a Board-Certified Anesthesiologist

This is an important distinction. At SmileScience Dental Spa, general anesthesia is not administered by the treating dentist. A board-certified anesthesiologist is brought into our Glendale facility and is solely responsible for your anesthetic management throughout the procedure.

This means Dr. Dawson's undivided attention is on your dental treatment, while a physician-level anesthesia specialist manages your airway, monitors your vital signs, and adjusts anesthetic depth in real time. This two-specialist model reflects the same standard of care used in hospital operating rooms.

The anesthesiologist conducts a pre-operative review of your health history and medications before every case. Any medical concerns are addressed before proceeding.

What to Expect

1

Consultation and Planning

Dr. Dawson discusses your treatment plan. The anesthesiologist reviews your health history and medications separately to clear you for general anesthesia. Any pre-operative testing (bloodwork, EKG) is ordered if indicated.

2

Day of Procedure

You arrive fasted and with a responsible adult driver. Monitoring equipment is applied. The anesthesiologist induces anesthesia through IV medication. You are completely unconscious before Dr. Dawson begins treatment.

3

During Treatment

The anesthesiologist maintains anesthetic depth, monitors heart rate, blood pressure, oxygen saturation, and respiratory function, and manages the airway continuously. Dr. Dawson performs the agreed treatment plan.

4

Emergence and Recovery

Anesthetic is discontinued at the end of treatment. You awaken in recovery and are monitored until stable. Your driver takes you home. Plan to rest for the full day; most patients are significantly more functional by the following morning.

Pre-Operative Instructions

Following these instructions exactly is essential to your safety. The anesthesiologist will review them with you at consultation and confirm compliance on the day of your procedure.

Fasting Requirements

  • ✓ No solid food for at least 8 hours before your scheduled appointment time
  • ✓ No milk or creamy liquids for 6 hours
  • ✓ Clear liquids (water, apple juice, black coffee) allowed up to 2 hours before
  • ✓ No alcohol for 24 hours before the procedure

Day-of Logistics

  • ✓ A responsible adult must drive you to and from the appointment
  • ✓ An adult must remain with you at home for at least 12 hours after discharge
  • ✓ Do not drive, operate machinery, or make important decisions for 24 hours
  • ✓ Bring a list of all current medications and supplements
  • ✓ Wear comfortable, loose-fitting clothing

Medications

Most daily medications can be taken the morning of surgery with a small sip of water. Blood thinners, diabetes medications, and certain supplements may require adjustment. Follow the specific instructions given by the anesthesiologist, not general guidelines.

Contact Us If

  • ✗ You develop a cold, respiratory illness, or fever in the week before surgery
  • ✗ Your medications are changed by another provider
  • ✗ You are unsure about any instruction
  • ✗ Your transportation or driver arrangement changes

General Anesthesia Pricing

General anesthesia is priced based on the complexity and duration of treatment. Because each case is unique, a detailed estimate is provided after a consultation with both the treating dentist and the anesthesiologist.

Factors Affecting Cost

  • Duration and complexity of the dental procedures performed
  • Anesthesiologist fee (separate from dental procedure fees)
  • Pre-operative labs and medical clearance (if required)
  • Your dental and medical insurance plan coverage

Medical and dental insurance may cover portions of the procedure depending on your plan. Our team coordinates billing with your carriers before treatment. Financing through CareCredit and Lending Club is available for any remaining balance.

What Our Patients Say

4.9 (437 reviews)

Medical Review & Evidence

Richard Dawson, DMD, ICOI Fellow
Author: Richard Dawson, DMD, ICOI Fellow Medically Reviewed by: John Turke, DMD Last Updated: April 2026
Content reviewed against ADA and AAOMS guidelines for general anesthesia in dental settings, and ASA standards for procedural sedation monitoring.
  1. American Dental Association. Guidelines for the Use of Sedation and General Anesthesia by Dentists. ADA, 2016 (reaffirmed 2022).
  2. American Association of Oral and Maxillofacial Surgeons. Office Anesthesia Evaluation Manual. AAOMS.
  3. American Society of Anesthesiologists. Practice Guidelines for Moderate Procedural Sedation and Analgesia. Anesthesiology. 2018;128(3):437-479.

General anesthesia at Smile Science is administered by a board-certified dental anesthesiologist. Content reviewed by Dr. John Turke, DMD, April 2026.

Frequently Asked Questions

A board-certified anesthesiologist administers and manages all general anesthesia at SmileScience Dental Spa. This is not the dentist. The anesthesiologist's sole responsibility during your procedure is your anesthetic management and safety monitoring. Dr. Dawson concentrates entirely on your dental treatment.

Yes, when a qualified anesthesiologist is present and the facility has appropriate monitoring equipment and emergency protocols. The safety of in-office general anesthesia is comparable to an outpatient surgical center when these standards are met. The anesthesiologist conducts a pre-operative evaluation to confirm you are a suitable candidate before any case proceeds.

Duration depends on the treatment being performed. Simple cases may require 30 to 60 minutes. Extensive full-mouth procedures can take 2 to 4 hours. The anesthesiologist maintains anesthesia for exactly as long as treatment requires, and emergence is managed carefully to ensure a smooth recovery.

General anesthesia carries small but real risks including adverse reactions to anesthetic agents, breathing complications, nausea and vomiting, and, very rarely, more serious events. These risks are minimized through thorough pre-operative screening, the use of modern monitoring equipment, and the presence of a board-certified anesthesiologist throughout. The anesthesiologist will discuss your individual risk profile at consultation.

No. You must not eat or drink anything -- including water -- for at least 8 hours before your scheduled procedure. This is a strict safety requirement, not a preference. Food or liquid in the stomach increases the risk of aspiration during anesthesia, which can cause serious pulmonary complications. You will receive specific pre-operative fasting instructions at your consultation. Failure to follow them means your procedure will be cancelled on the day.

Call us before you come in. Active upper respiratory infections, fever, or significant illness can affect how your body responds to anesthesia and increase the risk of complications. The anesthesiologist may require rescheduling if you are acutely unwell. This is a safety decision, not an inconvenience -- coming in sick can put you at unnecessary risk.

Most patients are ready to leave the office 30 to 60 minutes after the procedure ends, once vital signs are stable and they are alert enough to safely be discharged. Plan for the rest of the day to be restful. You will need a driver and should not operate a vehicle, make important decisions, or be alone for at least 12 hours. Most patients feel back to themselves the following day, though some grogginess can persist into the next morning.

You must have a responsible adult who can drive you to and from the office and stay with you for the remainder of the day. This is non-negotiable. We will not administer general anesthesia without a confirmed driver present. The escort must be physically present at the office at the time of discharge -- we cannot release a patient to an Uber or taxi driver for post-anesthesia transport.

4.9 (437 reviews)

Comprehensive Dental Care Under General Anesthesia

SmileScience Dental Spa in Glendale, AZ provides general anesthesia care for patients who need it, administered by a board-certified anesthesiologist in our office. Contact us to schedule a consultation and learn whether this option is appropriate for your treatment needs.