For dental offices
Incorporate Anesthesia into your practice.
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.
Benefits of Anesthesia
What it changes for your practice.
Instead of referring out, complete the treatment in your own operatory. A still patient, a dry field, and a case that would have taken several difficult appointments completed in one visit to your office.
Treat challenging cases
Patients unable to cooperate, very anxious, and special needs patients become treatable in your own office.
Continuity of care
A child referred out often does not come back, and their siblings follow them. Offering all services in-house keeps the whole family in your practice.
More treatment in less time
Work that would take several short, difficult appointments may be completed in a single session while the child sleeps. Fewer appointments per plan means less scheduling overhead and fewer no-shows.
Work with peace of mind
Your patient lies completely still, closely monitored, with a dry field and ideal isolation. No struggling with a moving child and no waiting for them to settle. You work in the conditions you would choose, and better conditions make for better dentistry.
The airway is secured
Your patient is nasally intubated and an occlusive throat pack is in place for the whole case, so the airway is protected from dental material and irrigation throughout the treatment.
Less administrative burden
We handle the pre-op and the post-op for every pediatric anesthesia patient — the history, the clearance, the fasting instructions, the recovery and the follow-up call. Your front desk does not absorb any of it.
Better treatment planning
Parents who would otherwise defer needed treatment for their child or reduce a treatment plan may agree when it can be done in fewer visits.
Room to grow
Offering anesthesia widens what your practice is capable of treating, and the growth comes from the dentistry you can now complete rather than from anything you have to buy.
Working together
- We contact the parent.
- We obtain the history.
- We review medical records.
- We perform the pre-anesthesia evaluation.
- We provide all medications and equipment.
- We manage recovery.
- We provide discharge instructions.
- We follow up afterward.
You do the dentistry.
Equipment
I bring all necessary equipment.
I am fully mobile and self-sufficient. I carry new, modern equipment and have backups of the most important tools.
- OxygenOxygen cylinders, with backup supply.
- MonitoringHospital-grade monitors used in accordance with the American Society of Anesthesiologists' intraoperative monitoring guidelines — oxygen saturation, heart rate, blood pressure, respiration and temperature.
- Airway equipmentBreathing tubes in every pediatric size, laryngoscopes, oral airways, emergency airway equipment, suction, and the occlusive throat pack placed for each case.
- All anesthetic medicationsEvery drug the case requires, including the opioid-free regimen I use for pediatric patients.
- Emergency equipment on handDefibrillator, ACLS and PALS medications, dantrolene, and backup equipment.
- Everything disposableCircuits, masks, tubing and consumables for each case.
Nothing.
Your office, as it already is. No equipment to buy, no room to convert, no sedation permit of your own to obtain, and no capital expenditure of any kind.
Special needs
Treating kids with special needs can be much simpler.
Children with special needs can face greater barriers to dental care and may have substantial unmet dental needs. It can be difficult to safely provide dental treatment to a child who cannot remain still or comfortably tolerate treatment while awake. Anesthesia may be a good choice for these patients, so you can examine, diagnose and give the treatment they need in one sitting.
- Autism spectrum disorder
- Sensory needs
- ADD and ADHD
- Developmental delay
- Epilepsy and seizure disorders
- Severe dental anxiety, or a difficult past experience
A diagnosis or a personal challenge that is not listed does not rule a patient out. Send them to me and we will talk it through.
Some patients may not be candidates for anesthesia in a dental office, depending on their individual medical history. A medical questionnaire, done over the phone, helps us decide together on the safest place to take care of them.
Credentials on file
Physician Anesthesiologist
Licensed by the Medical Board of California and board certified by the American Board of Anesthesiology.
Dental Board permit
General Anesthesia permit with Pediatric Endorsement from the Dental Board of California.
Appointed evaluator
Appointed by the Dental Board to inspect and evaluate other practitioners against these same requirements.
Current certification
BLS, ACLS and PALS from the American Heart Association, kept current.
Scheduling
Book in advance to reserve a date.
As early as possible
To avoid scheduling conflicts during busy seasons, schedule cases early to reserve a date. The further ahead you book, the more likely you are to get the day that works with your schedule. Fixed days may be an option.
A name and a phone number
All we need from you is the parent or guardian's name and phone number. We take it from there — medical clearance, pre-op instructions including fasting times, and the post-op check.
If you are holding a date in your schedule, 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. Messages sent through this form are not monitored continuously, and this page is not a way to reach anyone urgently.
Questions from offices
What dentists ask me.
How is the patient sedated?
Patients are nasally intubated under general anesthesia for their safety and for your access to every part of their mouth. Induction is needle-free. They fall asleep breathing through a soft mask with a parent beside them, and the IV is placed afterwards, once they are already asleep. I use an opioid-free anesthetic for all pediatric cases.
Your patient is fully asleep for the whole appointment, closely monitored by me in the room at all times.
Do you do open airway or intubate?
All patients are nasally intubated for their safety. The airway is secured with a breathing tube and an occlusive throat pack is placed, so your field is protected from dental material and irrigation for the whole case.
Your patient breathes on their own throughout and lies completely still, so you can work without interruption.