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<p><b>Introduction</b> Hypnosis has historically been used for dental pain control, but contemporary reports of extraction without pharmacological anaesthesia remain rare. </p><p><b>Case report</b> A 50-year-old man underwent anaesthetic-free extraction of a maxilla molar after structured hypnotic preparation. The intervention included four hypnotherapy sessions and two rehearsal sessions in the surgery with graded sensory testing. During the actual extraction, no local anaesthetic, sedation or analgesics were used. The procedure was completed without behavioural signs of pain and with stable physiological parameters. The patient reported pressure and movement, but no pain. </p><p><b>Discussion</b> The case is discussed with reference to modern pain neuroscience and phenomenology. Hypnosis is understood as altering the patient's lived experience of the procedure through focused attention, imagery, emotional regulation and controlled dissociation, rather than ‘blocking' nociception in the pharmacological sense. </p><p><b>Conclusion</b> While not a substitute for local anaesthesia in routine practice, this case illustrates that, in highly selected and well-prepared patients, hypnotic analgesia can enable invasive dental treatment. It also highlights the value of attending to both neurophysiology and subjective experience in understanding hypnotic pain control. </p>

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Anaesthetic-free maxilla molar extraction under hypnotic analgesia: a case report with neurophenomenological interpretation

  • 期刊论文

  • 发表日期：

    2026年3月20日

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  • Linda Bromage

摘要

Introduction Hypnosis has historically been used for dental pain control, but contemporary reports of extraction without pharmacological anaesthesia remain rare.

Case report A 50-year-old man underwent anaesthetic-free extraction of a maxilla molar after structured hypnotic preparation. The intervention included four hypnotherapy sessions and two rehearsal sessions in the surgery with graded sensory testing. During the actual extraction, no local anaesthetic, sedation or analgesics were used. The procedure was completed without behavioural signs of pain and with stable physiological parameters. The patient reported pressure and movement, but no pain.

Discussion The case is discussed with reference to modern pain neuroscience and phenomenology. Hypnosis is understood as altering the patient's lived experience of the procedure through focused attention, imagery, emotional regulation and controlled dissociation, rather than ‘blocking' nociception in the pharmacological sense.

Conclusion While not a substitute for local anaesthesia in routine practice, this case illustrates that, in highly selected and well-prepared patients, hypnotic analgesia can enable invasive dental treatment. It also highlights the value of attending to both neurophysiology and subjective experience in understanding hypnotic pain control.