Monthly Archives: September 2014

Pain-free dentistry

Are you a dentist with a patient who requires a procedure but are concerned about his or her fear or prior failed attempt at sedation? Or, are you this patient with a phobia of deep cleaning, root canal, wisdom teeth extraction, or implants?

If you have these concerns, we can help. As physician anesthesiologists, we specialize in preparing patients, like you, for outpatient procedures. We explain our anesthetic plan, answer questions, and offer holistic approaches such as relaxation techniques, music, games, videos, aromatherapy, and massage devices during the procedure. We also administer medications to address concerns such as anxiety, awareness, pain, nausea, and vomiting. During the procedure, vital body functions are monitored, and our equipment consists of the necessary and emergency medications and devices to respond to routine and unusual circumstances. One of our physicians is present before, during, and after the procedure to ensure your safety and watches your dentist as he or she works. You can call us by phone at any hour or request our presence in person to answer questions and provide peace of mind after the procedure.

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We are physician anesthesiologists (medical doctor / MD) who provide anesthesia to individuals with a phobia, fear, and anxiety for outpatient procedures in fields such as dermatology, plastic surgery, gastroenterology (upper gastrointestinal endoscopy, esophagogastroduodenoscopy, EGD, colonoscopy, otolaryngology (ear, nose, throat / ENT), and dentistry (deep cleaning, implant, all-on-four, root canal, and wisdom teeth extraction).

We provide various levels of anesthesia–from monitored anesthesia care (MAC) to general anesthesia. MAC is often used interchangeably with conscious sedation and twilight anesthesia.
As it relates to dentistry, it is referred to as sleep dentistry, sedation dentistry, dental anesthesia, and intravenous, or IV, sedation.

We practice in Northern (Alameda, Contra Costa, Marin, Napa, San Francisco, San Mateo, Santa Clara, Solano, and Sonoma counties) and Southern (Los Angeles, Orange, San Bernardino, Riverside, Ventura, and San Diego counties) California.

Types of anesthesia

The two main anesthetic techniques we provide are monitored anesthesia care (MAC) and general anesthesia.
MAC is often used interchangeably with conscious sedation and twilight anesthesia. As it relates to dentistry, you may hear about sleep dentistry, sedation dentistry, dental anesthesia, and intravenous, or IV, sedation. By definition, MAC is given by a physician and provides:

• Diagnosis and treatment of clinical problems that occur during the procedure
• Support of vital functions
• Administration of sedatives, analgesics, hypnotics, anesthetic agents or other medications as necessary for patient safety
• Psychological support and physical comfort
• Provision of other medical services as needed to complete the procedure safely.

We also provide general anesthesia, where patients are asleep and unresponsive to pain. This technique often requires intubating, or placing, a tube into the trachea through the nose or mouth. Whether MAC or general anesthesia is given, we monitor cardiac, circulatory, and respiratory functions, which include auscultation, or listening, of heart and breath sounds, pulse oximetry for measuring oxygen saturation, capnography to confirm ventilation, electrocardiogram, blood pressure, and temperature.

These monitors are standards of the American Society of Anesthesiologists to alert the anesthesiologist to changes in the patient’s condition under anesthesia. Still, the motto of our society is vigilance and as of yet, no piece of technology has replaced the sound judgment of an anesthesiologist.

Reference

1. American Society of Anesthesiologists. Position on Monitored Anesthesia Care. asahq.org, accessed: September 16, 2014.

2. Barash P, Cullen B, Stoelting R, et al., eds. Clinical Anesthesia. 6th ed. Philadelphia, PA: Lippincott Williams & Wilkins.

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We are physician anesthesiologists (medical doctor / MD) who provide anesthesia to individuals with a phobia, fear, and anxiety for outpatient procedures in fields such as dermatology, plastic surgery, gastroenterology (upper gastrointestinal endoscopy, esophagogastroduodenoscopy, EGD, colonoscopy, otolaryngology (ear, nose, throat / ENT), and dentistry (deep cleaning, implant, all-on-four, root canal, and wisdom teeth extraction).

We provide various levels of anesthesia–from monitored anesthesia care (MAC) to general anesthesia. MAC is often used interchangeably with conscious sedation and twilight anesthesia. As it relates to dentistry, it is referred to as sleep dentistry, sedation dentistry, dental anesthesia, and intravenous, or IV, sedation.

We practice in Northern (Alameda, Contra Costa, Marin, Napa, San Francisco, San Mateo, Santa Clara, Solano, and Sonoma counties) and Southern (Los Angeles, Orange, San Bernardino, Riverside, Ventura, and San Diego counties) California.