Patient: In September 2008, one of the child’s maxillary erupted teeth was extracted. Some doctors recommended inpatient general anesthesia surgery to remove it, while others said it could be removed under local anesthesia as an outpatient. I have taken x-rays and am considering whether to remove the tooth in the hospital under general anesthesia or in the outpatient clinic under local anesthesia. I heard that general anesthesia has certain effects on the child’s brain, liver and kidneys, and local anesthesia is worried that the child’s lack of cooperation will affect the doctor’s extraction. I wonder if we should choose inpatient general anesthesia surgery or outpatient local anesthesia extraction in this case. How many minutes are needed for general anesthesia surgery and local anesthesia extraction, and if the child cooperates well, is local anesthesia extraction better? Hello: 1. The two different anesthesia methods mainly take into account the child’s degree of cooperation and psychological impact. 2. most of the extractions of ambiguous multiple teeth require turning over the gums and sometimes removing the bone to expose the teeth as appropriate. 7-year-old children will have fear when removing the bone and have difficulty cooperating, and struggling and moving around will cause difficulty in extracting the teeth, even breaking the roots or affecting the tooth embryo. The child’s psychology will also cause long-lasting effects after the operation.3. General anesthesia extraction has no such effects. In fact, it is very common for children’s oral treatment abroad, such as extraction of milk teeth and fillings under general anesthesia. At present, the general anesthesia technology in large hospitals is very mature, and general anesthesia is usually administered only after a general examination is done before the surgery and there are no contraindications to the surgery, so the chance of general anesthesia accidents is very low. Patient: Maybe it’s because of multiple teeth, the gap between my child’s two incisors is relatively large, and some doctors say that the earlier the buried multiple teeth are extracted, the better it will be for closing the gap. But one of the large incisors has just come in and the roots may not have finished developing yet. If so, is it possible to wait until the roots are completely developed before having the surgery, but in that case, do I have to have orthodontic treatment when I’m about 12 years old? I really don’t know when is the best time for surgery? I hope to get your answer again, thank you very much! The first thing you need to do is to get rid of the problem. 1, the quality of the teeth is close to the normal permanent teeth, so if you do not remove the teeth will prevent the eruption of the normal permanent teeth; 2, the general recommendation of the teeth before the normal permanent teeth fully erupted (root development is complete) is better to remove, otherwise it is difficult to move to the normal position after the root of the displaced normal permanent teeth are fully developed; 3, the extraction of the buried interrupted teeth should really pay attention to the relationship with the permanent teeth Otherwise, it is easy to damage the roots of permanent teeth. Therefore, the doctor will take x-ray film to determine the position of the tooth before extraction, and of course, the cooperation of the child is also very important during the operation; 4, the deviation of the eruption position of individual permanent teeth can easily cause a chain reaction of other adjacent teeth out of alignment, and it is recommended that when it is determined that multiple teeth have obviously obstructed the eruption of normal permanent teeth, they should be extracted as soon as possible.