ChatGPT answers, unedited

• Midtown Oral and Maxillofacial Surgery - 901 W 38th St #410, Austin, TX 78705, United States
• Central Texas Oral Surgery Associates - 3200 Red River St suite 400, Austin, TX 78705, United States
• LoneStar Oral & Maxillofacial Surgery - 4306 Medical Pkwy #2, Austin, TX 78756, United States
• East Austin Oral Surgery - 2832 E Martin Luther King Jr Blvd Suite 102, Austin, TX 78702, United States
• Oral Surgery Specialists Of Austin - 5301 Davis Ln #102, Austin, TX 78749, United States
• Naples Oral + Facial Surgery - 1950 Round Rock Ave, Round Rock, TX 78681, United States
• North Austin Oral Surgery - 12210 Pecan St, Austin, TX 78727, United States
• CTX Oral Surgery & Dental Implants (Georgetown) - 1500 W University Ave Ste 108, Georgetown, TX 78628, United States
• Austin Oral Surgery - 310 Stagecoach Trail Ste 600, San Marcos, TX 78666, United States
• Hill Country Oral Surgery - 3423 Bee Caves Rd Bldg C, Suite 201, Austin, TX 78746, United States
• Park Family Dental - Cosmetic, Oral Surgery, & Implant Center - 111 N Vista Ridge Blvd #101, Cedar Park, TX 78613, United States
• Oral Surgery Specialists of Buda - 119 Cimarron Park Loop Ste c, Buda, TX 78610, United States
• Widner Elite Oral Surgery & Dental Implants - 1500 W 38th St #51, Austin, TX 78731, United States
• South Austin Oral Surgery - 706B W Ben White Blvd Ste 194, Austin, TX 78704, United States

For an emergency extraction where you specifically want the option of general anesthesia, I’d prioritize an oral & maxillofacial surgeon (OMS) rather than a general dentist. OMS surgeons are trained in surgical extractions and anesthesia management. Lonestar Midtown Oral & Maxillofacial Surgery

In/near downtown Austin, these are the practices I’d call first:

1. Midtown Oral and Maxillofacial Surgery — best fit for general anesthesia + urgent surgical care

DirectionsWebsite[Call](tel:+1 512-992-1378)

• Location: near downtown/UT area (901 W 38th St, Suite 410)
• Offers general anesthesia, IV sedation, and local anesthesia with surgical monitoring. Midtown Oral & Maxillofacial Surgery Midtown Oral & Maxillofacial Surgery
• Good choice if you have: - severe dental anxiety
• an infected or difficult tooth
• impacted wisdom tooth
• multiple extractions
• need for deeper anesthesia

2. Central Texas Oral Surgery Associates — very central option

DirectionsWebsite[Call](tel:+1 512-320-1640)

• Location: 3200 Red River St, Suite 400
• Oral surgery practice that handles extractions and emergency-style dental issues.
• Worth calling if you need a quicker appointment close to downtown.

3. LoneStar Oral & Maxillofacial Surgery — strong anesthesia options

DirectionsWebsite[Call](tel:+1 512-454-6744)

• Location: 4306 Medical Parkway
• Offers sedation options including IV sedation and general anesthesia for appropriate cases. Lonestar

4. East Austin Oral Surgery — convenient east-side option

DirectionsWebsite[Call](tel:+1 512-649-1180)

• Location: 2832 E Martin Luther King Jr Blvd, Suite 102
• Oral surgery practice with anesthesia options including deeper sedation/general anesthesia pathways depending on the case.

When you call, I’d say:

“I need an emergency extraction and I want to know if you can do it with general anesthesia or deep IV sedation. Do you have the earliest available appointment?”

Ask:

• “Can you extract the tooth the same day as the consultation?”
• “Is general anesthesia available in-office, or only IV sedation?”
• “Do you have an anesthesia provider on-site?”
• “Can you treat an active infection/abscess?”

If you have facial swelling, fever, trouble swallowing, trouble breathing, or swelling spreading into your neck/jaw, treat that as urgent medical care rather than waiting for a dental appointment.

If you tell me which tooth (wisdom tooth vs broken molar vs abscess), how bad the pain/swelling is, and whether you mean fully asleep general anesthesia vs “twilight” IV sedation, I can narrow this down.

For an emergency extraction where you specifically want general anesthesia, I would prioritize an oral & maxillofacial surgeon (OMS) rather than a general dentist. OMS practices are the specialists most set up for surgical extractions and deeper anesthesia options. www.lonestaroms.commidtownomsatx.com

In downtown/central Austin, these are the practices I’d call first:

1. Eggleston Oral and Facial Surgery — probably the closest fit geographically if you mean truly downtown. It is a dedicated oral surgery practice (rather than a general dental office). smyleee.com
   • Ask: “Can you see me urgently for an extraction and do it under general anesthesia or deep IV sedation if appropriate?”

2. Midtown Oral & Maxillofacial Surgery — a strong option for anesthesia needs; they specifically note experience with general anesthesia and offer general anesthesia, IV sedation, or local anesthesia depending on the case. midtownomsatx.com
   • Location: 901 W 38th St, Suite 410 (near central Austin). www.lonestaroms.commidtownomsatx.com

3. LoneStar Oral & Maxillofacial Surgery — another OMS option; they list IV sedation and general anesthesia options for extractions. www.lonestaroms.com
   • Location: 4306 Medical Pkwy, Suite 2. www.lonestaroms.com

If you are in severe pain, have facial swelling, fever, trouble swallowing, or trouble breathing, treat it as urgent medical care—especially swelling that is spreading toward the jaw/neck.

When you call, I’d say:

“I need an emergency tooth extraction. I’m specifically looking for an oral surgeon who can provide general anesthesia or deep sedation. Do you have an urgent opening, and can you evaluate me today?”

A couple of questions would change my recommendation:

• Is this a wisdom tooth, a broken/infected tooth, or a different tooth?
• Do you mean fully unconscious general anesthesia, or would IV sedation (“twilight”) be acceptable?
• Are you actually in downtown Austin today, or traveling there?

If you mean downtown Austin, Texas, I’d prioritize an oral & maxillofacial surgeon rather than a general dentist, especially if you specifically want an extraction with general anesthesia.

My top pick: Midtown Oral & Maxillofacial Surgery

Midtown Oral & Maxillofacial Surgery
Midtown Oral and Maxillofacial Surgery
Web
Address: 901 W 38th St #410, Austin, TX 78705, United States
Phone: +1 512-992-1378

It’s just north of downtown and specifically states that its team is trained in general anesthesia and IV sedation, with hospital affiliations for more involved cases. midtownomsatx.com
Phone: 512-992-1378.

For your situation, I would call and say: “I need an urgent tooth extraction and I want to know whether I can have IV deep sedation or general anesthesia. Can you see me urgently?”

Another strong option

LoneStar OMS
LoneStar Oral & Maxillofacial Surgery
Web
Address: 4306 Medical Pkwy #2, Austin, TX 78756, United States
Phone: +1 512-454-6744

They explicitly offer IV sedation and general anesthesia for extractions. www.lonestaroms.com
Phone: 512-454-6744.

If you're willing to go east of downtown

East Austin Oral Surgery specifically advertises office-based general anesthesia for oral surgery, including extractions. www.eastaustinoralsurgery.com

Important: if you have facial/neck swelling, trouble breathing or swallowing, fever with rapidly worsening swelling, uncontrolled bleeding, or you feel seriously ill, don't wait for an office appointment—go to an emergency department/call 911.

Also, general anesthesia isn't automatically the safest or most appropriate option for an emergency extraction; an oral surgeon should assess the infection, airway, medical history, and fasting status first.

If you tell me where downtown you are (e.g. 6th & Congress) and whether you need tonight/Saturday vs. Monday, I can narrow this to the closest places and check who appears to offer emergency care.

If you specifically need an emergency extraction with the possibility of being completely asleep under general anesthesia, I’d favor an oral & maxillofacial surgeon (OMS) over a general dentist.

My first choice: LoneStar Oral & Maxillofacial Surgery

LoneStar Oral & Maxillofacial Surgery
Web
Address: 4306 Medical Pkwy #2, Austin, TX 78756, United States
Phone: +1 512-454-6744
They’re in Central Austin rather than downtown proper, and this is the strongest match I found for your combination of needs:

• Tooth extractions, including infected/complex teeth.
• They advertise same-day emergency appointments.
• They explicitly offer IV sedation and general anesthesia, in addition to local anesthesia.
• Their doctors have oral/maxillofacial surgery training, including hospital-based anesthesia training. www.lonestaroms.com
• Phone: 512-454-6744. www.lonestaroms.com

LoneStar OMS official site

Best downtown option: Eggleston Oral & Facial Surgery

Eggleston Oral and Facial Surgery
Web
Address: 1209 W 5th St #100b, Austin, TX 78703, United States
Phone: +1 512-391-0011
This is actually in downtown/central Austin on West 5th Street. Dr. Todd Eggleston is a board-certified oral and maxillofacial surgeon, and the practice performs tooth extractions. Their site also states that he has extensive anesthesia training. egglestonoms.com

Phone: 512-391-0011. www.lonestaroms.comegglestonoms.com

Eggleston Oral & Facial Surgery official site

One important caveat: it's currently about 9:30 PM Thursday in Austin, so I would not assume either office can perform an extraction/general anesthesia tonight. If this is an emergency tonight, call first rather than booking a routine appointment online.

If you have rapidly increasing facial/neck swelling, trouble breathing or swallowing, swelling under the tongue/jaw, uncontrolled bleeding, or you're becoming very ill, skip the dental office and go to an ER/call 911—those can indicate a potentially dangerous infection.

If you tell me what's happening (tooth, swelling/abscess, bleeding, wisdom tooth, broken tooth, etc.) and whether you need it done tonight or tomorrow, I can narrow this down to the best emergency option and check who's actually available.

If you specifically want an emergency extraction with the option of being fully asleep under general anesthesia, I’d prioritize an oral & maxillofacial surgeon (OMS) rather than a general dentist.

My first calls

1. Midtown Oral and Maxillofacial Surgery — 901 W 38th St, Suite 410
   • Very central to downtown/UT.
   • Explicitly offers general anesthesia, IV sedation, and local anesthesia.
   • Their site says some cases can be treated the same day after evaluation. midtownomsatx.commidtownomsatx.com
   • 512-992-1378

2. Central Texas Oral Surgery Associates — 3200 Red River St, Suite 400
   • Central Austin and specifically an oral-surgery practice.
   • Handles extractions and emergency-type cases; reviews indicate they can sometimes combine consultation and extraction in one visit.
   • 512-320-1640

3. Eggleston Oral and Facial Surgery — 1209 W 5th St, #100B
   • One of the most convenient options if you're actually downtown.
   • Oral/maxillofacial surgery practice with anesthesia/sedation experience.
   • 512-391-0011

Important distinction about “general anesthesia”

When you call, don't just ask for “sedation.” Say:

“I have an urgent tooth that needs extraction. I want to know if you can see me urgently and whether you can perform the extraction under general anesthesia, rather than just local anesthesia or IV conscious sedation.”

That's important because IV/deep sedation and general anesthesia aren't necessarily the same thing. Midtown explicitly distinguishes and offers both. midtownomsatx.commidtownomsatx.com

If your priority is being completely unconscious, I'd call Midtown first, then Central Texas OMS, then Eggleston.

If you tell me what tooth/problem you're dealing with (wisdom tooth, broken tooth, abscess, etc.) and whether you need it tonight or tomorrow, I can narrow this to the best emergency option and check who is open/accepting urgent patients.

If you specifically want an emergency extraction with the option of being fully asleep under general anesthesia, I’d prioritize an oral & maxillofacial surgeon (OMS) rather than a general dentist.

My first choices near downtown Austin

1. Eggleston Oral and Facial Surgery — 1209 W 5th St #100B

This is the most downtown-convenient OMS option I found. They handle surgical extractions and have anesthesia training; their office is very close to downtown. Call 512-391-0011 and specifically ask whether they can accommodate an urgent extraction under general anesthesia.

2. LoneStar Oral & Maxillofacial Surgery — 4306 Medical Pkwy #2

This is another strong option for what you're asking for. Their listed anesthesia options include IV/twilight sedation and general anesthesia, in addition to local anesthesia. Call 512-454-6744.

3. Midtown Oral and Maxillofacial Surgery — 901 W 38th St #410

Their practice explicitly says they provide general anesthesia, IV sedation, and local anesthesia, and that some cases can be performed the same day. Their published number is 512-992-1378. midtownomsatx.com

What I'd do

If you're in significant pain right now, call Eggleston first and say:

“I need an urgent tooth extraction and I'm specifically looking for general anesthesia rather than just local or nitrous. Can an oral surgeon see me urgently and perform the extraction under general anesthesia?”

If they can't accommodate the urgency, call LoneStar and Midtown next.

Important: General anesthesia isn't automatically appropriate for an emergency tooth extraction. The surgeon needs to evaluate the infection, your medical history, medications, airway, and whether IV sedation would be safer/appropriate. Also, if you receive general anesthesia or IV sedation, you'll need someone to drive you home and stay with you afterward. northaustinoralsurgery.com

If you have rapidly increasing facial/neck swelling, trouble breathing or swallowing, drooling, or fever with significant swelling, don't wait for a dental appointment—go to an emergency department.

If you tell me which tooth/problem you have (wisdom tooth vs. broken/infected tooth), how severe the swelling is, and whether you need this tonight or tomorrow, I can narrow this down to the best option.

If you need an emergency extraction and specifically want the option of general anesthesia, I’d prioritize an oral & maxillofacial surgeon (OMFS) rather than a general dentist.

My first call: Midtown Oral & Maxillofacial Surgery

Midtown Oral and Maxillofacial Surgery — 901 W 38th St, Suite 410, Austin, TX 78705, (512) 992-1378.

They’re centrally located and specifically offer tooth extraction under general anesthesia, IV sedation, or local anesthesia. Their site says some treatment can be performed the same day after evaluation, although this isn't guaranteed for an emergency. midtownomsatx.com

Midtown Oral & Maxillofacial Surgery

Also worth calling

• Eggleston Oral and Facial Surgery — 1209 W 5th St #100B, very close to downtown. It's an OMFS practice with anesthesia/sedation experience, including IV sedation.
• Central Texas Oral Surgery Associates — 3200 Red River St #400, central Austin; dedicated oral-surgery practice and listed as an emergency dental service.
• LoneStar Oral & Maxillofacial Surgery — 4306 Medical Pkwy #2; explicitly advertises same-day emergency appointments and offers IV sedation and general anesthesia. midtownomsatx.comwww.lonestaroms.com

What I'd say when you call:
“I have an urgent tooth that needs extraction. I want to be evaluated for general anesthesia or deep IV sedation, and I need to know whether you can see me urgently and potentially extract it the same day.”

One important distinction: general anesthesia isn't automatically the best or safest choice for every emergency extraction; the surgeon needs to assess the infection, airway, medical history, fasting status, and complexity first. If you're having facial/neck swelling, difficulty breathing or swallowing, uncontrolled bleeding, or rapidly worsening swelling, don't wait for a dental appointment—go to an emergency department.

If you tell me which tooth/problem you have (broken tooth, abscess, wisdom tooth, etc.) and whether you're trying to be seen tonight or tomorrow, I can narrow this to the best option.

If you specifically need an extraction with general anesthesia, I’d favor an oral & maxillofacial surgeon (OMS) rather than a general dentist.

Best downtown/central Austin fit

Midtown Oral and Maxillofacial Surgery
901 W 38th St #410 — (512) 992-1378

This is probably my first call for what you described. They specifically offer general anesthesia, IV sedation, and local anesthesia, perform surgical extractions, and say that some cases can be treated the same day after evaluation. They also have hospital-based capabilities when a case requires it. midtownomsatx.com

Another very nearby option is Eggleston Oral and Facial Surgery, at 1209 W 5th St #100B. It's a downtown oral-surgery practice and offers surgical extractions and anesthesia/sedation.

Central Texas Oral Surgery Associates at 3200 Red River St is another strong option for extractions and urgent oral surgery: Central Texas Oral Surgery Associates.

Important for tonight

It's currently Sunday night in Austin, and the practices above are not showing as open tonight. If this is an emergency happening right now, don't wait until morning if you have facial/neck swelling, fever, difficulty swallowing or breathing, uncontrolled bleeding, or rapidly worsening symptoms. Those can indicate a spreading infection or other medical emergency; an ER is appropriate. www.mayoclinic.org

If it's severe tooth pain but you're otherwise stable, I'd call Midtown first thing when they open and say:

“I need an urgent extraction and I specifically want general anesthesia rather than local anesthesia or IV sedation. Can you evaluate me and, if appropriate, extract the tooth under general anesthesia as soon as possible?”

One distinction: general anesthesia isn't automatically appropriate for an infected tooth or routine extraction; the surgeon needs to determine whether GA, IV sedation, or another approach is safest for you. Midtown explicitly evaluates the patient and procedure before choosing the anesthesia level. midtownomsatx.com

If you tell me which tooth/problem you have (wisdom tooth, broken tooth, abscess, etc.) and whether you have swelling/fever, I can narrow this to the best option and tell you what to do tonight.

If you need an emergency extraction and specifically want general anesthesia, I’d favor an oral & maxillofacial surgeon (OMS) rather than a general dentist.

Best downtown/central Austin options

1. Midtown Oral and Maxillofacial Surgery — 901 W 38th St
   • Probably my first call for your combination of urgent extraction + anesthesia.
   • They explicitly offer general anesthesia, IV sedation, and local anesthesia, and say some treatment can be performed the same day after evaluation. midtownomsatx.comwww.eastaustinoralsurgery.com
   • 512-992-1378
   • They're close to downtown, though not in the core downtown blocks.

2. Eggleston Oral and Facial Surgery — 1209 W 5th St
   • Very close to downtown and specifically an oral/facial surgery practice.
   • Offers surgical extractions and anesthesia/sedation; their practice information indicates IV sedation is available.
   • 512-391-0011
   • I'd call and specifically ask whether general anesthesia is available for an emergency extraction, rather than assuming IV sedation and GA are interchangeable.

3. Central Texas Oral Surgery Associates — 3200 Red River St
   • Central Austin OMS practice and a good alternative if Midtown can't see you promptly.
   • Their practice handles simple through complex extractions and emergency-type cases.
   • 512-320-1640

4. East Austin Oral Surgery — 2832 E Martin Luther King Jr Blvd
   • Another strong option if you're willing to go east of downtown.
   • They explicitly list IV sedation and general anesthesia, administered by the oral surgeon with close monitoring. www.eastaustinoralsurgery.commidtownomsatx.com
   • 512-649-1180

What I'd do

Call Midtown first: 512-992-1378 and say:

“I have an urgent tooth that needs extraction. I need to be evaluated as soon as possible, and I'm specifically looking for extraction under general anesthesia rather than being awake. Do you have an emergency appointment available, and can you provide general anesthesia for this extraction?”

Important: general anesthesia isn't automatically appropriate just because you request it. The surgeon will need to assess the tooth, infection, your medical history, fasting status, medications, and whether office-based GA is safe. Also, if you're having GA/IV deep sedation, you'll generally need a responsible adult to take you home and stay with you afterward. www.eastaustinoralsurgery.commidtownomsatx.com

If you have facial/neck swelling, trouble breathing or swallowing, rapidly worsening swelling, fever with significant illness, or you can't open your mouth normally, don't wait for a dental appointment—go to an emergency department. Those can indicate a spreading dental infection requiring medical treatment. www.mydental.com

If you tell me which tooth/problem you have (wisdom tooth, broken molar, abscess, etc.) and whether you need this tonight or tomorrow, I can narrow this to the best option and check who's open/available.

If you specifically want an emergency extraction with the possibility of being completely asleep under general anesthesia, I’d favor an oral & maxillofacial surgeon (OMS) over a general dentist.

My first choices near downtown Austin

1. Eggleston Oral and Facial Surgery — 1209 W 5th St #100B, very close to downtown. This is probably the most convenient fit geographically. It’s an oral-surgery practice, and its surgeons have anesthesia training; IV sedation is offered.

2. Midtown Oral and Maxillofacial Surgery — 901 W 38th St #410. This is my stronger choice if general anesthesia specifically is important: the practice offers local anesthesia, IV sedation and general anesthesia, and its surgeons have hospital-based capabilities when needed.

3. East Austin Oral Surgery — 2832 E Martin Luther King Jr Blvd #102. Board-certified OMS with office-based general anesthesia/IV sedation and emergency-dental services listed.

One important distinction: “general anesthesia” and “IV sedation” aren't necessarily the same thing. Many dental offices advertise “sedation” when they mean IV/deep sedation, where you're extremely sleepy but not necessarily under true general anesthesia. If you want to be fully unconscious, tell the office explicitly: “I need an emergency extraction and I want to know whether you can perform it under true general anesthesia, not just IV conscious/deep sedation.”

Also, because it's Saturday morning, I would call before driving over. The downtown OMS offices I found are showing weekday hours, whereas Austin Institute of Dental Medicine is currently listed open Saturday 7 AM–7 PM and advertises emergency care plus IV sedation and general anesthesia when appropriate. It's in Mueller rather than downtown, but could be the better today option. aidm.org

If you have facial/neck swelling, trouble breathing or swallowing, rapidly spreading swelling, uncontrolled bleeding, or fever with significant swelling, don't wait for a dental appointment—go to an ER.

If you want, I can also narrow this to the best place that can potentially see you today (Saturday) and offer full general anesthesia, including phone numbers and distance from downtown.

For an emergency extraction where you specifically want the option of being fully asleep under general anesthesia, my first call would be:

Best fit: Austin Institute of Dental Medicine

Austin Institute of Dental Medicine
Web
Address: 1401 Philomena St Ste 200, Austin, TX 78723, United States
Phone: +1 737-434-2436
1401 Philomena St, Austin, TX 78723 — (737) 434-2436

• They advertise same-day emergency dental appointments and specifically reserve time for urgent cases. aidm.org
• Their oral-surgery service includes tooth extractions and lists local anesthesia, nitrous, IV sedation, and general anesthesia when appropriate. aidm.org
• They also state that hospital dentistry with general anesthesia is available for complex cases. aidm.org
• Importantly for today (Saturday), their posted hours are 7 AM–7 PM. aidm.org

AIDM — request an appointment

I'd call rather than just book online:

“I have an urgent tooth that needs extraction. I want to be evaluated for extraction under general anesthesia, not just local anesthesia or nitrous. Can you accommodate that today, and is the anesthesia provided by an anesthesiologist/oral surgeon?”

Another very close option

Eggleston Oral and Facial Surgery at 1209 W 5th St #100B is actually in the downtown area and is an oral-surgery practice. It offers surgical care and anesthesia/sedation, but I couldn't verify from its current official information that general anesthesia is available for an emergency extraction, so I'd put AIDM ahead of it for your specific requirement.

If you have facial/neck swelling, trouble breathing or swallowing, uncontrolled bleeding, or rapidly worsening swelling, don't wait for a dental appointment—go to an emergency department.

If you tell me which tooth/problem you have (e.g. broken molar, abscess, wisdom tooth) and whether you need this today, I can narrow this to the best option and check who is actually open right now.

For an emergency extraction where you specifically want general anesthesia (being fully asleep), I would prioritize an oral and maxillofacial surgeon rather than a general dentist. Oral surgeons are trained for surgical extractions and anesthesia management. midtownomsatx.com

Good options near downtown Austin:

1. Central Texas Oral Surgery Associates — closest fit for downtown

Central Texas Oral Surgery Associates
Web
Address: 3200 Red River St suite 400, Austin, TX 78705
Phone: +15123201640

• Location: 3200 Red River St, Suite 400, Austin (near downtown/UT area)
• Oral surgery practice; a strong choice for urgent surgical extractions.
• Call and ask specifically: “Can you see me urgently for an extraction and provide general anesthesia or IV sedation?”

2. Austin Oral Surgery — established oral surgery group

Austin Oral Surgery
Web
Address: 711 W 38th St Ste. A-1, Austin, TX 78705
Phone: +15124546725

• Location: 711 W 38th St, Suite A-1, Austin
• Provides oral surgery services and anesthesia options. northaustinoralsurgery.com

3. Midtown Oral and Maxillofacial Surgery — anesthesia-focused oral surgery option

Midtown Oral and Maxillofacial Surgery
Web
Address: 901 W 38th St #410, Austin, TX 78705
Phone: +15129921378

• Location: 901 W 38th St, Suite 410, Austin
• Their practice specifically notes experience with general anesthesia and IV sedation for surgical procedures. midtownomsatx.com

If you need help today (especially if it’s severe pain/swelling)

A general emergency dentist may be able to stabilize you, but they may not be the right place for a full general-anesthesia extraction. Emergency Dentist of Austin offers emergency dental care with extended hours, though you should confirm anesthesia capability before going.

When you call, use these words:

“I have an urgent tooth that needs extraction. I’m looking for an oral surgeon who can do the extraction under general anesthesia (not just local numbing). Do you have same-day or next-available emergency appointments?”

If you tell me which tooth (wisdom tooth vs broken tooth vs abscess), how soon you need it (today vs this week), and whether you mean fully unconscious general anesthesia vs IV sedation, I can narrow this down.

Because you’re asking for a local, potentially urgent medical/dental procedure, I need your actual city/state before I recommend a practice. I can’t rely on an IP-based location when location sharing is off.

If you’re in Austin, you can simply reply “Austin, TX” and I’ll look for oral-surgery practices that handle emergency extractions and IV/general anesthesia, including who to call first.

If you specifically need an emergency extraction with general anesthesia (fully asleep), I’d prioritize an oral & maxillofacial surgeon, rather than a general dentist.

My first choice near downtown

Austin Oral Surgery — 711 W 38th St, Suite A-1, just north of downtown. It’s an oral-surgery practice, and its listed hours are Monday–Friday. Phone: (512) 454-6725.

Another strong option

Central Texas Oral Surgery Associates — 3200 Red River St, Suite 400, also close to downtown. It has a 4.9 rating with 600+ reviews in the current local listing.

Particularly relevant for general anesthesia

Midtown Oral & Maxillofacial Surgery — their practice specifically states that their surgeons have extensive general-anesthesia training and that they provide general anesthesia, IV sedation, or local anesthesia for oral surgery. They also say some treatment can be performed the same day. midtownomsatx.com
(512) 992-1378

Important: I would call before booking and say exactly:

“I have an urgent tooth that needs extraction. I want to be completely asleep under general anesthesia. Can an oral surgeon evaluate me and perform the extraction under general anesthesia, and can you see me urgently?”

General anesthesia isn't appropriate for every emergency or every patient, so they'll need to evaluate you and review your medical history.

If you have rapidly increasing facial/neck swelling, trouble breathing or swallowing, uncontrolled bleeding, or feel severely ill, don't wait for a dental appointment—go to an emergency department/call 911.

If you tell me what's happening with the tooth (abscess, broken tooth, wisdom tooth, severe pain, swelling, etc.) and whether you need this today, I can narrow this to the best option and look for places that are open today, Saturday.

For downtown/central Austin, I’d prioritize an oral & maxillofacial surgeon (OMS) rather than a general dentist, because you specifically want an extraction with the option of general anesthesia.

My top choices

1. East Austin Oral Surgery — best fit for your request
   • 2832 E Martin Luther King Jr Blvd, Suite 102
   • 512-649-1180
   • Very close to downtown compared with most OMS practices.
   • Performs tooth extractions and offers IV sedation and office-based general anesthesia. Their site specifically says GA can be used for extractions and that anesthesia is closely monitored. www.eastaustinoralsurgery.com
   • Their office says surgery can sometimes be performed the same day as the consultation, which is useful for an emergency. www.eastaustinoralsurgery.com
   • Saturday appointments are listed as by appointment, so I'd call rather than assume they're available today. www.eastaustinoralsurgery.com

2. Eggleston Oral and Facial Surgery — most geographically downtown
   • 1209 W 5th St #100B
   • 512-391-0011
   • This is actually in downtown Austin and is an oral-surgery practice. It offers surgical extractions and sedation, including IV sedation.
   • I'd call and specifically ask whether general anesthesia (fully asleep) is available for your particular extraction, rather than assuming IV sedation and GA are interchangeable.

3. Central Texas Oral Surgery Associates
   • 3200 Red River St, Suite 400
   • 512-320-1640
   • Very central (near UT), and the practice handles simple through complex extractions and emergency-style cases; patient information indicates that consultation and extraction can sometimes happen in one visit.
   • I'd confirm the exact anesthesia option when you call.

If I were choosing

I'd call East Austin Oral Surgery first and say:

“I have an urgent tooth that needs extraction. I want to be evaluated as soon as possible, and I specifically want to know whether you can perform the extraction under general anesthesia or deep IV anesthesia. Can you see me today or at the earliest possible time?”

If they can't accommodate you, call Eggleston next, then Central Texas Oral Surgery Associates.

Important: If you have facial/neck swelling, fever, rapidly worsening swelling, difficulty swallowing, difficulty breathing, or you're unable to open your mouth normally, don't wait for a dental appointment—those can indicate a spreading dental infection requiring emergency medical treatment.

If you tell me which tooth/problem you have (e.g. wisdom tooth, broken molar, abscess), whether you're swollen/feverish, and whether you need this today, I can narrow this to the best option and check which Austin practices are open right now.