N Boloorchi DDS Inc.

Frequently Asked Questions (FAQs): Dental Anesthesia

How can we help you?

Who is a good candidate for in-office anesthesia?

  • Young children
  • Patients getting extensive dental work
  • Anxious or fearful patients or parents
  • Special needs children
  • Patients with an exaggerated gag reflex
  • Patients with difficulty getting numb

Who qualifies for in-office anesthesia?*

  • Patients over the age of 2
  • Patients weighing 25lbs or more (without excessive weight)
  • Patients considered medically healthy

Who does NOT qualify for in-office anesthesia*

  • Patients with Sleep Apnea
  • Severely medically compromised patients
  • Patients allergic to soy & lecithin
  • Obese or excessively overweight patients

* If you have concerns or are not sure whether you or your child qualifies for in-office anesthesia, give us a call! A medical consultation is necessary before the procedure in many cases.

Dental Anesthesia

Your child must be a minimum of 2 years old or 25 lbs in order for Dr. Niki to see them in a dental office for anesthesia. Young children have not built the cognitive skills to be calmly talked through a dental procedure. Our hopes are that your child's atraumatic experience (using anesthesia) will make them comfortable enough to come back in the future for simple exams and tooth cleanings. Going forward, we expect there will be no fear or trauma from sitting in a dental chair. If in the future they face any apprehensions during a dental appointment, we believe we could logically talk them through it as they are old enough to understand.

Dr Niki will evaluate your child and offer an anesthesia plan that is safe for his or her procedure.  Her office's most common method of anesthesia for children is general anesthesia with an I.V. line in place.

There are various routes to administer anesthesia.  The sedative is administered intramuscularly (into the muscle). Once your child is sedated, an intravenous (I.V.) line is placed. This way, your child does not feel or remember the I.V. line being placed. 

Dr Niki is by your child throughout the surgery. She monitors your child and makes sure everything is running smoothly while making sure they are comfortable and safe.

Make sure your child has nothing to eat or drink (no exceptions!) for 8 hours prior to the procedure. Your child should not be allowed to go to school or day care in the morning. You must physically be present and watch them for 8 hours prior to the procedure. Absolutely No coughing or colds. 

The day of the procedure:
Do Not Brush Your Child's teeth or take a bath the morning of the procedure

Bring a warm blanket
Bring pull-ups if available
Bring a second set of clothing 
Dress children in a comfortable T-shirt

Following the procedure:
Do not make any plans for the day. It should be a day of snuggles and napping.  We recommend having Children’s Tylenol and Children's Motrin on hand for post-operative pain. 

Generally, it is also important to mentally prepare yourself for the procedure. If you are feeling hesitant or nervous, feel free to express your concerns with Dr. Niki. She is happy to answer all your questions and help you make the best decision for you and your family.

You can be with you child while we inject the sedative. This is the part they will still remember. After that point, however, your child will be carried into the sedation room. Once they are in the sedation room, you will not be allowed to enter. This is done so that we can ensure that the dentist, the anesthesiologist, and the assistants can fully focus on the safety of your child and the procedure.

Your child will be able to respond to your questions prior to leaving the dental office, but the sedative will last the entire day.  Your child may be off balance and sleepy.  Do not plan any events or activities for the rest of the day.  The following day, the sedative should be metabolized and a normal day can be planned.  Some parents choose to take the next day off from school or activities. Taking it easy the next day is fine, but usually not necessary. 

 

After the procedure, your child will most likely want to rest or nap.  It is recommended to have an adult watching over your child for the rest of the day.  It is normal for a child to fall back asleep.  Children wake up dizzy and sometimes nauseous.  It is best to sleep off the dizziness. Don't force food or fluids if they do not want it for the next few hours. Dr Niki will most likely rehydrate your child during the procedure with IV fluids, so dehydration should not be a concern. If your child decides to nap on the couch, they may roll off. To keep them safe, make a bed on the floor or stay close by to watch over them.

After the procedure, your child should be breathing normally and have a healthy color on their lips.  They should be able to be aroused and able to communicate with you. If there are any concerns, please call Dr Niki immediately. This is not common, but if your child is not breathing and unresponsive make sure to call 911.

Dr Niki is out of network with all insurances so that she does not allow insurance to dictate her treatment.  After the procedure, you can ask for a "superbill." This can be submitted to your insurance directly by you. If your insurance can provide you a reimbursement, it will be sent directly to you. We recommend you contact your medical insurance prior to the procedure and discuss this directly with them so as to avoid complications with billing after the procedure.

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