Hope this was helpful.
I typically use a little nitrous oxide conscious sedation with some topical and a little local anesthetic at the tooth site and then can do the baby tooth extraction quite easily if the patient is uncooperative sometimes the patient has to be put to sleep under general anesthetic and then the bad tooth removed, but that is quite more expensive than I charge $50 for nitrous oxide. Great question.
First Step - Choose a Pediatric Dental Specialist that you trust. Pediatric dentists are trained to help extract teeth for children of varied ages, with age-appropriate recommendations to keep the child comfortable.
Second Step - Know your options. Depending on the age of the child, difficulty of the extraction and the underlying behavior there are a number of options for extracting a tooth ranging from in-office extraction under local anesthesia, to mild sedation with some inhalation agents like nitrous oxide, more involved sedation with oral medications or IV medications as appropriate.
Lastly - Trust the dental provider and team that you have chosen and follow their recommendations for pre-operative instructions and post-operative care to ensure the most uneventful and smooth dental extraction procedure for your 11 year old.
Marc D. Thomas, DDS
Sorry to hear about that stubborn tooth. The anesthesia choices for children are similar to the same ones for adults. The child's behavior is usually what dictates the anesthesia choice. If the child is fearful and you do not want to give him a bad experience at the dentist then there are surgery centers where they will give your child general anesthesia (put him/her to sleep) while they take the tooth out so he/her does not remember anything. If he is not bothered by the dentist they can give him local anesthesia and the laughing gas. If it is simple to take out the tooth they may just give him local anesthesia. This is something that you should discuss with the doctor before the appointment so you are aware and can prepare for anything. Hope this helps.
Best of luck to you!
William F. Scott IV, DMD