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Ye, going full under is understandably taken very seriously, and is used less where they think it can be avoided. It’s not common at all to be put under if removing wisdom teeth for instance, unless completely medically necessary, and I think they also do it with severe dentist fright. One time during a colonoscopy I didn’t even get any sedation until like midway through when I started twisting in pain and all I managed to say was “can I have…”
Good times.
I think the other part of it is that something like a full colonoscopy is a lot safer if the patient isn’t moving at all given that one of the biggest and most serious risks is poking a hole through the colon with the camera.