When detailed clear vision is required for complex dentistry along with loupes  we use throw away head lamps. The advantage over reusable ones is lower risk  of contamination.

The Medications and the System we use for sedation in our practice

Your safety is our First Priority; we have a dedicated sedation monitoring assistant with  20 years of experience; we use the safest sedation medication with quickest recovery; Dr. Starkey has performed IV sedation since 1985 and has done over 2,500 sedations safely. Doctor is a member of the American Dental Society of Anesthesiology. He is a Master in the College of Conscious Sedation, American Dental Society of Anesthesiology. He is the only general dentist in Nebraska that has attained that level of mastery. We use a computerized pump for smooth induction and even level of sedation. Dr, has been trained in advanced cardiac life support.

ALL of our medications are single use in disposable viles. Therefore there is no risk of any patient contamination

​Propofol

You may know this as the MIchael Jackson drug; I have heard one anesthesiologist say: "If it is good enough for Michael Jackson it is good enough for our patients.:


I use propofol because it is the safest and most effective of the anesthesia medications that can be used for moderate sedation. Propofol is the most widely used anesthesia drug in the world today. The advantages of propofol in addition to sedation is that there is a quicker recovery time for the patient.

​There are less complications with propofol use than with a mix of narcotics and diazepams.


​Further propofol can be titrated more evenly and used with automatic pump for smooth induction.

​Dr. Starkey is the only

general dentist in the state of Nebraska and one of the few qualified the nation to use this exceptionally wonderful medication.

I am blessed that I have the opportunity to use it for my patients as the safest and best form of dental anesthesia.

In our practice we use what Dr. Stanley Malamed, DDS, MD Anesthesiologist

refers to as a "Stress Reduction Protocol."

Of course a pertinent pre anesthesia health history and evaluation is taken prior to any anesthesia or treatment procedure.

This works well for patients over the age of 50 because it reduces the physical stress on the cardiovascular system. Also for more elderly patients the IV system maintains a critical line in case of emergency.

The stress reduction protocol involves a patient taking a sedative orally the night before; most often this is Halcion (trade marked); in the morning an hour before visit an oral sedative is taken and then at the office we may have the patient take one or more depending on the anxiety level. It is important to note that it is not necessary nor a good idea for EVERY patient to follow this regimen. It depends on patient.


The next step is to have our patient back to the surgery operatory and obtain vitals review treatment plan and health history.







Relaxing Gas

we next start our patient on relaxing gas and oxygen prior to starting the IV line. This helps relax the patient further. In addition having the nose piece on patient prevents patient from inhaling any tooth dust or particles during treatment procedure.

Adjuncts

By having the IV line we can now place any additional medications that might help with patient recovery, healing and pain as well as swelling prevention; the meds in this category:      

Zofran (TM) ( Ondansetron generic) for preventing nausea. It along with all the meds listed are more effective when given intravenously.

Glycopyrolate reduces saliva patient has better airway as well as allow the doctor to do procedures without saliva contaminating the surgical area as easily.

Dexamethasone to prevent swelling or at least reduce the severity

Nalbuphine HCl for pain control (non narcotic)

sometimes an antibiotic IV such as Cefazolin

We have several other medications available as needed to help keep patient safe and comfortable

We use no narcotics and no controlled substances in our practice.

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







e.

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