Is general anesthesia alone not sufficient?
Answer Kristi – First of all, under anesthesia it is important for the surgeon to give you a local anesthetic to numb the surgical area. If you are in pain during the surgery, whether awake or under anesthesia, your body will respond to the pain. In addition, as you wake up, you will be in a significant amount of pain just after the surgery. As far as the local anesthesia to numb the area, there are local anesthetics that do not contain epinephrine. All you need to do is to tell the surgeon that you have a history of elevated blood pressure. With that knowledge he should know that the local anesthetic should not contain epinephrine. To make sure, you should tell the doctor that you cannot have epinephrine. So, see a board certified oral and maxillofacial surgeon to remove the teeth under anesthesia and have him give you a local anesthetic without epinephrine to numb the surgical area. I wish you well and hope everything works out well. If you have any additional questions, feel free to