BEVERLY HILLS Pediatric Anesthesia

Mobile General Anesthesia for Pediatric Dentistry

Your child sleeps. I focus on their anesthesia.

Beverly Hills Pediatric Anesthesia is the pediatric anesthesia practice of Anoosh Javaherian, MD, an Anesthesiologist board-certified by the American Board of Anesthesiology. I transform the dental office into a hospital-grade treatment room, so your child’s dentistry may happen in one visit, fully asleep and closely monitored.

Service areas Beverly HillsBrentwoodSanta MonicaNewport BeachDana PointOrange County
I’m a parent I’m a dental office
Needle-free induction Opioid-free anesthesia One Child, One Anesthesiologist

Healthy smiles

Models. Not patients of this practice.

About Dr. Java

Medical Doctor

Fully-licensed Physician from the Medical Board of California.

Board-certified Anesthesiologist

Certified by the American Board of Anesthesiology.

Dental Pediatric Permit

General Anesthesia permit with Pediatric Endorsement from the Dental Board of California.

Dental Board Evaluator

Appointed by the Dental Board of California to oversee and evaluate other Dentists and Anesthesiologists seeking to administer Anesthesia.

Your Trusted Anesthesiologist for Pediatric Dentistry

The Process

We evaluate every child before proceeding.

Each child is unique, and we take the time to know their medical history before administering anesthesia.

Before Treatment

1

Speak with our nurse

We complete a thorough medical questionnaire over the phone — not a form you fill out alone. We hold a conversation, so nothing gets skipped or misread.

2

I review everything

Your child's medical information is personally reviewed, and any clarifying questions or information is requested.

3

Medical records if needed

If your child has certain medical conditions, we request records from their doctor. I may speak with their doctor directly.

4

We have a conversation

We speak over the phone prior to the treatment date, where together we formulate the anesthetic plan best for your child. All of your questions are answered before the appointment, with time to think things over.

During Treatment

1

You hold their hand as they fall asleep

Your child falls asleep breathing through a soft mask with you by their side holding their hand. One or two parents may be present, depending on the size of the treatment room.

2

You are kept informed

I will send you text updates on your child's progress during treatment when the case allows. However, if anything needs my attention, your child gets it first.

3

You're there when they wake up

Your child comes out of anesthesia in your arms in the recovery room when the treatment is over. This helps reduce any feelings of anxiety or panic when they first open their eyes.

After Treatment

1

Same-day check-in

We contact you later the same day to hear how your child is doing once they are home and settled, to make sure they are recovering well.

2

Next-day check-in

We contact you again the following day to make sure the recovery is on track and answer any other questions you may have.

Why an Anesthesiologist

The person watching over your child should only focus on your child.

There is more than one way to have a child sedated for dentistry, and they are not equivalent. This is the distinction worth understanding before you choose.

Model. Not a patient of this practice.
  • A dedicated AnesthesiologistWith a dedicated Anesthesiologist, the dentist performs the dentistry while I focus exclusively on the anesthesia. My only job in that room is your child’s well-being, and I monitor them from heartbeat to heartbeat.
  • Often one appointment instead of severalDental work that would take a frightened child multiple visits may be completed in a single session while they sleep.
  • Your dentist, where it’s familiarYour child is treated by the dentist you already trust, in the room they already know, instead of being referred to a hospital or surgery center. This helps reduce your child’s anxiety and allows your dentist to work in a more familiar environment.
Dental offices

I bring the anesthesia to your office.

Work in the familiarity and comfort of your own office instead of an outside surgical suite. Your patient, your case, your office — and the anesthesia is handled by an Anesthesiologist board-certified by the American Board of Anesthesiology with a Dental Board General Anesthesia Permit with Pediatric Endorsement.

I am fully-mobile and self-sufficient and do not require any special equipment from the dental office. I am also an appointed evaluator for the Dental Board, so I know exactly what tools and equipment are required.

Work together Check availability (310) 990-3102
Continuity of care

Instead of referring patients out, continue to see them in your office for the best continuity of care.

Often finished in one sitting

Work that would take several short, difficult appointments may be completed in a single session while the child sleeps.

Treat challenging cases

Very young, very anxious and special needs patients become treatable in your own operatory.

No extra equipment needed

I am fully mobile and self-sufficient. No equipment to buy, no room to convert, no sedation permit of your own to obtain.

Common questions

What parents and dental offices ask first.

These are the most common questions. More specific questions are in the dedicated pages for Parents and Dental Offices.

Why does my child need anesthesia?
Some children are unable to cooperate, anxious, medically complex, or simply need too much dental work to comfortably complete treatment awake. By having them under anesthesia, all of their treatment may be done in one visit while they sleep. The dentist can focus on treating your child uninterrupted.
Will my child feel pain?
They will not feel pain or remember anything from the procedure while they are under anesthesia. After your child is asleep, we numb any areas in their mouth where they might otherwise feel pain. The numbing medication typically lasts one to three hours, and as it wears off you may give them over-the-counter pain medicine if they have any discomfort at home.
Will my child remember anything from the dental work?
No. They will be completely asleep through the dental work and wake up in your arms when all of the work is complete.
Will my child wake up in the middle of the procedure?
It is extremely unlikely that your child wakes up in the middle of the procedure while they are under anesthesia. After 9+ years of practicing, it has yet to happen where one of my patients has experienced “awareness” under anesthesia.
Is anesthesia safe?

General anesthesia has risks. My job is to identify those risks before the appointment, select appropriate patients and settings, continuously monitor your child, and be prepared to recognize and treat problems immediately.

Anesthesia is safer today than it has ever been. I bring hospital-grade monitors and use them in accordance with the American Society of Anesthesiologists' intraoperative monitoring guidelines — oxygen, heart rate, blood pressure, respiration and temperature, continuously, for the entire appointment. I am board certified by the American Board of Anesthesiology and hold a general anesthesia permit with Pediatric Endorsement from the Dental Board of California. I complete a pre-anesthesia evaluation on every child before administering anesthesia, including obtaining medical records or speaking with your child's physician if needed. I anesthetize one child at a time so they have my undivided attention.

What level of sedation will my child get — minimal, moderate, deep, or general anesthesia?
In order for the dental work to take place in a highly controlled setting, your child will be under general anesthesia and closely monitored. Your child will be breathing on their own, but lying completely still, so the treating dentist can complete all of their work with precision and efficiency.
How will my child be monitored before, during and after?

Before the anesthesia, we complete a pre-anesthesia evaluation to confirm your child is safe to undergo anesthesia.

On the day, an in-person exam makes sure your child is not suffering from any illness such as flu or cold which may adversely affect their safety.

During the treatment, I personally monitor your child with hospital-grade vital sign monitors in accordance with the American Society of Anesthesiologists' intraoperative monitoring guidelines to make sure their oxygen, heart rate, blood pressure, respiration and temperature are within safe levels. I stay with your child for the entire case and do not leave the room.

Afterwards, your child recovers in your arms when they first wake up. We will contact you the same day and again the following day to make sure recovery is on track.

Do you meet all licensing requirements?
Yes. I hold a physician license from the Medical Board of California, board certification from the American Board of Anesthesiology, and a General Anesthesia permit with Pediatric Endorsement from the Dental Board of California. I also hold current BLS, ACLS and PALS certification from the American Heart Association. The Dental Board has additionally appointed me as an evaluator, which means I am one of the people who inspects and evaluates other practitioners against these same requirements.
Do you give my child opioids like fentanyl?
No. I use an opioid-free anesthetic for all pediatric cases. Their pain is controlled with local anesthetics during and shortly after the procedure, and you may give them over-the-counter pain medication at home.
Will my child get poked or have a needle placed while they're awake?
No. Your child breathes in anesthesia gas through a soft mask and falls asleep. Only after they are asleep, an IV is placed to administer fluid or medications.
How much medication will you give my child?
The least amount of anesthesia possible to make sure your child is asleep and comfortable, and not overly sedated. There is no fixed dose — it is based on a combination of factors including your child's age, weight and medical conditions.
Can I stay with my child while they fall asleep?
Yes. One or two parents, depending on the size of the treatment room, may be next to the child while they fall asleep. After they are asleep, you must go to the waiting area while I focus on keeping them safe during the dental work.
My child has a medical condition. Can they still be treated in a dental office?
Maybe. We will ask you questions over the phone, obtain medical records if needed, and I will speak to your child's doctor directly if needed before making a decision on whether it's safe to administer anesthesia.
How long are dental treatments?
Duration may vary depending on how much work your child may need. Typically, treatments are around 1–2 hours if only a few teeth need attention, however they can be as long as 3–4 hours if more extensive dental work is needed.

Contact

Get in touch

Parents and dental offices both start here. Leave your contact details below and I will get in touch. All fields required. If you would rather talk it through now, call instead. For a written question, email info@bhkidsanesthesia.com.

Call directly (310) 990-3102

If your child’s appointment is approaching, or you would rather just talk it through, call me.

If this is a medical emergency, call 911 or go to your nearest emergency room.

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