American Dental Society of Anesthesiology

Email drmikestarkey@yahoo.com New Patient Direct Phone Line 402.391.1931 Scheduling and all other 402.926.4848
Call Now to arrange a free Private telephone Consultation with Dr. Starkey about sedation dentistry, dental implants, or any other concerns you may have 402.740.9235
Email mike@stardds.com Phone 402.926.4848 Text 402.740.9235







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Oral Conscious Sedation

As well as Modern IV Sedation Dentistry

          Master, College of Conscious Sedation            

StarSmiles Omaha ​​        

The Sedation Dentistry Practice

Modern Sedation Dentistry

for a Healthy Life Style

Michael A. Starkey, DDS, PC

7618 Dodge Street Omaha, Ne 68114

 

What is the problem for the patient that has dental work? Dentistry can--

  1. Instill fear
  2. Inflict pain
  3. Cause nerve damage
  4. Cause cardiac problems from stress
  5. Cause bleeding cause patients to swallow blood.
  6. Spread bacteria from the mouth to other parts of the body.
  7. Cause PTSD from previous painful episodes
  8. Painful shots and injecting painful anesthetics
  9. Inject potent vaso constrictors that can cause cardiac flutter and stess
  10. Expose patients to dental materials, cause aerosol of bacteria, tooth particles, dental materials that patient will inhale or swallow.
  11. Prescribe medications that can result in anaphylactic (severe allergic) reaction; medications that cause complications with the patients current medications.
  12. Result in worse infections or spread infection from the mouth to other parts of body.
  13. Cause numbness that results in eye droop loss of feeling; chronic paresthesia pain. Numbness in lip or tongue.
  14. Nausea
  15. Change your appearance for good or bad.
  16. Change the way your teeth function for better or worse
  17. Claustrophobia- the dental team so close to your face. The rubber dam.
  18. Jaw problems from having your mouth kept open.
  19. The psychic cost of dentistry.

Often dental patients experience significant swelling after dental surgery. The result is an un pleasant sight and patients don't want to be seen in public. In addition the swelling results in additional pain for the patient.

With IV Sedation Dr. Starkey uses a medication intravenously to reduce or sometimes actually prevent swelling. Thus the patient feels better and looks better.

Not all our patient needs or want IV sedation but might want other ways such as oral sedation only or Nitrous Oxide or some combination; some patients prefer Hypnosis which I understand works well for some patients. We do NOT offer hypnosis in our practice.

Dr. Starkey provides IV sedation for healthy patients; according to the American Society of Anesthesiology that is ASA I and II.

Patients that have health issues greater than that are referred to Oral Surgery Specialists or Hospital based dentists. That is more expensive and less convenient but patient safety is the number one priority.


Moderate IV Sedation or IV Conscious Sedation has the benefits of general anesthesia but without the risks, without the high costs, without the long recovery time; without being intubated; one obtains the amnesia so has little to no memory of the visit, more importantly the visit seems so short just as in general anesthesia, and the patient breaths on their own the entire time making the procedure much safer than general anesthesia.


There are risks with any anesthesia procedure; most often local anesthetic will be needed;  you have to have a ride; we refer you to the informed consent part of our web site so that you understand the risks as well as benefits of IV sedation.

Immediate Adverse affects of going to the dentist to have dental work done:

  1. Cardiac Arrest (heart attack) due to stress.
  2. Hypoglycemia: anxiety, fear, coldness, tachycardia, hypotension
  3. Syncope -Fainting- loss of color, tachycardia, nausea, hypotension, sweating
  4. Hyperventilation, rapid shallow breathing, feeling cold, numbness
  5. Epinephrine reaction: fear, anxiety, tenseness, headache, weakenss, dizzy, perspiration, respiratory difficulty
  6. Anaphylactic-allergic reaction. It can be mild or severe and life threatening
  7. Hypertensive crisis-High blood pressure spike
  8. Local anesthetic over dose: talkative excited patient, anxiety, hypertensive, light headed, dizzy. low heart rate, low respiratory rate, seizures, loss of consciousness

Patient's airway and eyes are completely protected from aerosols and particles created from the dental work by use of Oxygen nose piece and screens for eyes and mouth.

A man should not try to eliminate his complexes but get into accord with them; they are legitimately what directs his conduct in the world

Sigmund Freud (Brainy Quotes)


What do you see wrong in this picture?

It is not the drill. It is that the patient doesn't have rubber dam or face and airway protection:)

The Many Benefits of Modern Sedation Dentistry to the Patients


  1. Of course Parenteral Sedation (IV) is great for dental phobia patients. Having dental work done is NOT normal for a human being; it can be difficult and painful and time consuming. I think dentists got use to seeing fearless patients when they were in dental school and have come to conclude that all patients can take it.
  2. When patient's have low grade anxiety it causes time to slow down for them; with resulting increase in pain and fear and stress and anxiety and inability to make rational  decisions.  Procedures seem to take too long and are in slow motion. The fears induced by dental anxieties become a self fulfilling prophecy it causes the body to release cortisol; an abrasive steroid that can irritate and damage the body.
  3. Moderate (parenteral) Sedation has all the benefits of general anesthesia without the risk and the cost and the inconvenience.
  4. We use a computerized automatic pump for smooth anesthesia induction. This eliminates human error in controlling the rate of med.
  5. IV induction sedation is superior to oral sedation because the doctor can titrate the amount of sedative medication; the medication our practice uses is short term and results in a more rapid recovery than oral meds; with oral sedation once the meds are on board there is no reversing them out if there is an overdose; the IV system allows us to include other helpful medications (see below); IV anesthesia is closely monitored with appropriate instruments and dedicated IV Monitoring assistant.
  6. IV sedation reduces the catacholamines that are automatically released into your system even when you are outwardly calm and in control. These Reactive proteins place stress on the cardiac system as well as kidneys and other vital organs.
  7. With parenteral sedation the patient is able to relax comfortably in a "twilight sleep"  through the visit
  8. The patient can have an extended visit with IV sedation and get more work done; that means less visits and can save patients time and money in that regard.
  9. An extended visit of say 3 hours feels only like a few moments.
  10. Patients rarely recall the visit and those stressful things such as the noise of the drill and don’t experience pain from the injections in the mouth.
  11. Patients over the age of 60 are especially helped with IV sedation because the cardiac system and stress reduction system of the adreno-kidney-pituitary system works at about half of what it pumped out when the patient was 18 years old.
  12. Patients that are older say in late sixties on benefit by having an IV line that is placed before surgery so that in the event of any medical emergency the doctor can immediately place any needed IV meds.
  13. Patients with severe gag reflex
  14. or claustrophobia
  15. or Meniere's disease
  16. or who have difficult getting numb
  17. Busy patients that do not want to make a lot of dental appointments but would rather get more done in one visit.
  18. Regulating the patients blood pressure and heart rate and breathing rate and oxygen level is paramount. This cannot be done without IV sedation.
  19. The safety of our patients is always of paramount concern. Our  patients are carefully monitored with precordial stethoscope, pulse oximetry, automatic blood pressure readings and expired CO2 graph. 
  20. Dr Starkey uses no narcotics and no diazepam in his sedation system. There are no controlled substances in the office. Instead Dr. Starkey uses Propofol; this is the most widely used drug for anesthesia in the world and propofol is the safest anesthetic in use today. 
  21. We  have on hand and have been trained in the case of emergency care.
  22. The State of Nebraska does periodic inspection  and permitting of our practice to make sure it conforms to the requirements of a safe and effective out patient sedation practice. (Ne license 004)
  23. Post operative recovery with Propofol  is relatively quick and does not give the hang over that patients experience from narcotics and diazepams.
  24. Our IV sedation technique takes advantage of using a drying agent in the system so that the doctor has a clear dry field in which to work. That means he can see better and it means saliva and bacteria in the saliva are less likely to contaminate the surgery zone.
  25. Dr. Starkey also uses steroid medication in the IV to reduce post surgery swelling and make post operative recovery less painful and for the patient to not f

Not all our patient needs or want IV sedation but might want other ways such as oral sedation only or Nitrous Oxide or some combination; some patients prefer Hypnosis which I understand works well for some patients. We do NOT offer hypnosis in our practice.

Dr. Starkey provides IV sedation for healthy patients; according to the American Society of Anesthesiology that is ASA I and II.

Patients that have health issues greater than that are referred to Oral Surgery Specialists or Hospital based dentists. That is more expensive and less convenient but patient safety is the number one priority.


Moderate IV Sedation or IV Conscious Sedation has the benefits of general anesthesia but without the risks, without the high costs, without the long recovery time; without being intubated; one obtains the amnesia so has little to no memory of the visit, more importantly the visit seems so short just as in general anesthesia, and the patient breaths on their own the entire time making the procedure much safer than general anesthesia.


There are risks with any anesthesia procedure; most often local anesthetic will be needed;  you have to have a ride; we refer you to the informed consent part of our web site so that you understand the risks as well as benefits of IV sedation.

Why Sedation Dentistry? Because Dental work causes disconcerting to dangerous problems for patients

Our aim is to make your dental surgery procedures as comfortable and safe as possible and often this means providing safe effective  modern IV sedation dentistry.