An Introduction to My Top Dental Anesthesia Practice
The fear of pain, the sound of drilling, and separation from parents make many children anxious when they go to a dentist’s office. Dentists often use nitrous oxide or moderately sedating drinks to ease children’s worries, so they can cooperate.
Despite this, some children still will not tolerate any dental procedures. In addition, extensive work requires children to remain calm and still for impossibly long amounts of time. For those children, I come to the dental office and provide a deeper level of sedation, eliminating all fears and ensuring that anxious children will cooperate and allow the dentist to complete dental care safely and efficiently.
There was a time when anesthesia was only administered in hospitals, but with today’s ultra-compact anesthesia equipment, I create a convenient and safe surgery center setting for dental sedation. Your child can avoid the inconvenience and expense of a hospital visit while still experiencing minimal or no awareness of the dental procedure.
For your child’s procedure, I will provide anesthesia using state-of-the-art equipment in a precise, safe manner. By avoiding expensive hospital facility fees, you may save thousands of dollars compared to what you would pay to have the same procedure at a hospital.
The California Dental Board tightly regulates who may provide dental anesthesia and enforces detailed, stringent standards stating what special anesthesia equipment and drugs must be present. I always surpass these standards and use the most advanced, compact, hospital grade equipment and monitors.
How will the Anesthesia affect my child afterwards?
After the dental treatment, children tend to emerge rapidly from anesthesia feeling pain free, a little disoriented, and comfortably rested. Usually, parents can safely leave the office 20 minutes after the procedure. It is common to sleep part of the day, eat a light meal and be fresh and completely recuperated by the next morning. Complications are highly unusual with my technique.
Who will administer my child’s anesthesia?
The anesthesiologist will perform all aspects of the anesthetic, and you or your child will remain under direct, constant supervision until discharged home. You rarely find a medical doctor like me sedating dental patients. Usually, if sedation is offered, it is provided by a dentist. The skills and medical judgement I have refined over the years of hospital work caring for critically ill children and adults during complex operations should give you confidence that your child will be safe in my hands.
What to expect
The anesthesiologist will contact you one or two days before the scheduled dental procedure to find out about any health problems your child may have, review the eating and drinking instructions, and discuss the details of his or her personalized plan.
At the time of the dental appointment, the parent usually walks the child to the procedure area. The child sits in the parent’s lap and goes to sleep by taking a few breaths of a bubble gum flavored gas while I tell a simple story. After the parent returns to the waiting area, I painlessly start a child sized intravenous line, attach the monitoring equipment, and deepen the anesthetic to the required level.
For patients with disabilities or those who cannot cooperate, I may start the anesthesia while still in the waiting area by injecting relaxing medicine in to your child’s arm. This feels like a vaccination. After 3 minutes, your child will be drowsy and will not recall anything further.At the end of the procedure, the dentist will meet you in the waiting area and discuss what was done. I will continue monitoring your child and reunite the two of you as soon as he or she begins to wake up. Although your child may be grumpy for a little while, there are no long-term side effects.
Pre Anesthesia Instructions
Eating and drinking: For safely, it is extremely important that your child have an empty stomach. Vomiting of food during anesthesia may be life threatening. For this reason, on the day of the appointment, your child must not have any food or milk for 8 hours prior to the procedure. If he or she eats, the sedation will be rescheduled. Eating colored gelatin or drinking water, sports drinks, apple juice, or other beverages that are also transparent and pulp-free up to 3 hours before the time of the appointment is acceptable.
An adult must supervise the child constantly on the day of the appointment to make sure the child doesn’t not eat. Do not leave your child to school or day care.
Post Anesthesia Instructions
Supervision: Anesthetic medication may cause drowsiness and impaired coordination. Therefore, a responsible adult must directly supervise your child for 12 hours following the anesthesia. Until recovery is complete, allow your child to rest and observe him or her closely. Do not allow swimming, biking, skating, or playing with other children.
Eating: Limit oral intake to liquids for the first few hours. Begin with water and follow with clear juice. If teeth were extracted, do not use a straw. Soft food may be consumed following the liquids. If your child is not hungry, do not force him or her to eat, but encourage as much liquid ad tolerated.
The estimated anesthesia fee is based upon the dentist’s estimated procedure time plus 45 minutes. Depending on how much time the dentist actually takes to complete the procedure, the actual charge may be greater than or less than the estimate. My minimum charge is for two hours, for patients 10 years of age and older, there is an additional charge per case to cover the added medication cost. I require a deposit to confirm your sedation appointment. Payment of the balance of the balance of the fee is due at the procedure’s conclusion and may be made by AmEx, MasterCard, Visa, or cash.The anesthesia fee is separate from the dentist’s, and while not covered by many dentist’s policies, it is typically covered for children under the age of 7 years and for other children and adults with medical problems or disabilities by non-HMO (and some HMO) medical insurance carriers.