It depends: Assuming the back teeth you are describing are your Wisdom teeth. Depending how many need to be extracted, and if they are impacted, some denists would reccommend you go for a general. Depends on how hard it will be to have the teeth removed and what you want to do. I'm sure you can get it done with out being put to sleep if that is your choice. Just talk to your dentist and you both can decide what's best for you. It can be done under local anesthetic, but, if fearful discuss it with your dentist and you can go to a special and receive a Valium drip also called "Twilight sleep" which I received during eye surgery. You could hear things around you, but felt no pain and the anesthetic didn't last long and I was home and cooking dinner in less than 2 hours. Having back teeth pulled may make you more drowsy and of course you will be given something for pain just in case you need it.
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