Frequently Asked Questions

 
Choosing a Safe Anesthesia Provider
What Type of Anesthesia Is Used?
How Will I Feel Afterwards?
Will Insurance cover These Expenses?
Can I Use My Own Dentist?
What About Financial Arrangements?
How Do I Schedule?
Detailed Pre/Post Instructions

 

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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