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Choosing an ethical and professional
anesthesia provider and dentist.
These standards of practice are Dr. Davies' opinion based upon his training
and experience and his reading of the law as set forth by the California
Dental and Medical Boards. Dr. Davies has conveyed his views emphatically
and frequently over the years with all of his colleagues. Most agreed with
him,
and a few did not so he decided to divest himself of those practices with
whom he found no agreement on standard of care or who utilized providers who
do not adhere to his high standards. You will be treated with the highest
professional standards and respect by Dr. Davies at all times.
WARNING
WARNING WARNING WARNING
In my opinion a
very dangerous
law has just been passed in California promoted by Oral
Surgeons that changes the
Dental
Assistant regulations that will allow a high school graduate with as little as 110 hours
(three weeks) of anesthesia training to label syringes, draw up drugs,
inject those drugs and monitor you while under general anesthesia! The
operating dentist who may have as little as
four months of anesthesia
training themselves will "supervise" this assistant while concentrating on
your surgery. You may be charged by the dentist the same or more than if a
Board certified anesthesia provider was protecting you. You have a
right to ask who will be monitoring you and what they are charging you for
it. This law will go into effect January 2010.
Before undergoing anesthesia in a dental
office you should ask these basic questions of your surgeon and anesthesia
provider. These are not difficult or exceptional criteria. Dr. Davies
adheres to them all. Safety is no accident.
- Ask
to see the license and dental General Anesthesia permits of your
anesthesiologist. In California, if the operating dentist hires a nurse
anesthetist, the dentist must have the anesthesia permit. It’s easy to
check with the medical and dental boards’
web pages to
see if the license is current or revoked. Make sure the permit is
appropriate for the type of anesthesia to be provided. IE
Oral Sedation,
Conscious Sedation or
General Anesthesia.
-
Confirm that the anesthesiologist is Board Certified in their field, or
if a nurse anesthetist, has a certification of advanced anesthesia
study.
- Ask
how many years the anesthesiologist has been practicing dental
anesthesia safely. (Anesthesia for surgery in the airway is more
complicated. Experience matters).
- Ask
if the anesthesiologist has insurance for office based anesthesia or if
they only use binding arbitration? Insurance is best, reasonable and
readily available.
- If
in California, confirm that the anesthesiologist has taken and passed
the required Dental Board Office Evaluation Exam even if they have a
general anesthesia permit. (Many have not. I am an Evaluator for that
Exam.)
- Ask
if the anesthesiologist will obtain a personalized health history and
consent before treatment and if they will call you prior to your
appointment to answer any questions you have.
- Ask
if the anesthesiologist will consult with your other health care
providers (if appropriate) prior to treatment. (Some office based
anesthesiologists strangely claim that unlike hospital based
anesthesiologists, they do not need to consult with your specialists.)
- Ask
if the anesthesiologist will have all legally required monitoring
equipment present and in working order, including pulse oximeter, ECG,
BP, defibrillator, pre-tracheal stethoscope, continuously running IV,
and oxygen.
-
Make sure you will NOT be anesthetized before the dentist/surgeon
actually arrives in the office and is ready to treat you.
-
Confirm that the anesthesiologist will be in attendance until you are
fully recovered and sent home with a responsible adult.
-
Make sure that the dentist and/or anesthesiologist will NOT be
treating other patients at the same time. (Some dentists will leave for
hours to work on other patients or take phone calls while you are still
being charged for the anesthesia.) On the day of the procedure ask to
see the scheduling "day sheet" for your surgeon. It will list any other
patients in other rooms they are scheduled to treat other than you. It
should be NONE.
- Get
assurance that you will NEVER be left alone with the
anesthesiologist during treatment.
-
Confirm that if the anesthesia provider will be performing nerve blocks
(injections thru the face) instead of conventional dental injections,
they will use hospital standard sterile techniques.
- Ask
if the dentist/surgeon will be providing both the anesthesia and the
dentistry at the same time without using another certified anesthesia
provider. If so, who will actually be monitoring you and what is their
training, license and experience?
- Ask
if the anesthesiologist will intubate or place a nasal airway. If so,
will you be protected from pressure sores, urinary retention, corneal
abrasion, and other complications of paralysis or prolonged immobility?
- Ask
if the anesthesiologist is acknowleged by the surgeon as the ultimate
judge of the anesthetic/surgical course. In other words, is patient
safety more important than completing the dentistry?
These simple rules may
seem obvious but they are not to some providers. You have the right to ask
for, and demand, the highest standard of care.
What Type of Anesthesia is Used?
The type of anesthesia used will depend upon the age and physical condition of the
patient as well as the type and length of the surgery. The medications are
completely individualized to each patient to ensure a pleasant and safe
experience.
How Will I Feel Afterwards?
You can usually leave the office with a responsible adult within 20
minutes after the procedure is completed. It is common to sleep much of the
afternoon, eat a light evening meal, and be completely recuperated by
morning. You will be discharged awake and alert by Dr. Davies from the
dental office and he will contact you that evening to make sure everything
is alright. Complications of any sort are unusual and mild.
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Will My Insurance Cover Anesthesia
Services?
Anesthesia is sometimes a benefit of dental and medical carriers when the
dentistry is also a covered benefit. Whether or not your carrier reimburses
you largely depends upon policy restrictions, maximum yearly benefits, and
premiums paid by your employer. Dr. Davies' staff will make every effort to
assist you in obtaining the maximum benefit allowable under your policy
provisions.
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Can I Use My Own Dentist?
Of course! Dr. Davies provides no dental treatment other than the
anesthesia. You continue to visit the dentist and office you are comfortable
with. Should your dentist be one of the few without the necessary insurance
to work with anesthesia services, Dr. Davies will be happy to provide both
of you with the names of several highly qualified
specialists or generalists in your area that he works with who follow the
ethical guidelines above.
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What About Financial Arrangements?
Financial arrangements are made directly between Dr.
Davies and the patient. They are based upon the time taken by the dentist to
provide services plus about one hour on average.
You may pay prior to surgery with your credit card or check. He accepts VISA, MasterCard, American Express, Discover
and Care Credit cards.
 
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How To Schedule:
Contact Dr. Davies @
info@DentalAnesthesia.com
Ronald O. Davies, DDS
28241 Crown Valley Parkway Suite F-620, Laguna Niguel, CA 92677
Phone: (949)362-9690 Fax: (949)448-8858
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