Pain? Dental Emergency?!

Call 402.397.STAR 


Call us at 402.926.4848 for your next cleaning and check up

Dental  Surgery 

      Master, College of Conscious Sedation American Dental Society of Anesthesiology 



Anesthesia for a pleasant escape

Systemic dentistry  for a better life

Michael A. Starkey, DDS MS and The Team

Benefits of our Sedation Dental Center
Dental Implants, bone grafting, teeth in a day, mini implants, dentures

Star Sedation Dentistry   

Specializing in Total Dentistry

                     With Advanced Infusion Therapy                   To Rejuvenate the Mind & Body




Patient Responsibilities

  1. Ultimately the patient is to be responsible for their own dental health. It is not the responsibility of the dentist or dental staff to make you floss:).
  2. Dentistry that we do is often stressful for patients that is why we advise some sort of sedation for the difficult portions of your dental work; the stress caused by dentistry on the cardiac system is severe for those over 50 years old. Please do NOT try to tough out a long appointment with only local anesthetic; it will be hard on you.
  3. When you finish with the active treatment phase you will be ready for a Long Term Maintenance Phase. A few patients have the mistaken belief that after the dental treatment is done they are through with  us. But to make your time and money and effort worthwhile it requires the patient commit to frequent check up and cleanings; depending on the situation as often as every three months.
  4. If you have insurance that is great but sometimes insurance will not cover what Dr. Starkey recommends. In such cases it is the responsibility of the patient.
  5. If a patient does not have the interest commitment or financial means to continue in maintenance phase of treatment then a treatment plan that keeps costs down for example dentures instead of dental implants.
  6. Patients must take responsibility for their over all health: smoking and drinking sodas result in nice dental work failing. A healthy change in life style is critical for the long term success of your dental work
  7. Understand your diagnoses (your problems) and the causes (etiology), and outcome with or without treatment (prognoses)  so you are able to make decisions that are in your best interest concerning what is the best treatment for you
  8. The patient is responsible for making and keeping appointments. The staff can help you arrange appointments but it is the patient's responsibility for follow up and completion of any dental work started in our practice.
  9. Patients keeping appointments on time results in a smoother visit and happier patients.
  10. It is the patient's responsibility to have continuing care done in our practice. That is routine prevention checkups, oral cancer screening, teeth and gum cleaning.
  11. Treatment fees are the responsibility of the patient and NOT the insurance company. We work for the patient NOT the insurance companies. Even though we are happy to help you with your insurance paper work.
  12. Do NOT expect perfection. Perfection is an ideal that we shoot for every day but it is not possible to achieve. We do our best in the way of excellence considering the patient's starting condition. Harsh critics and demanding patients are better going to another dental practice.
  13. Patient's are responsible for keeping the appointment unless the patient gives us 24 hour notice there can be a charge for missed visit or the loss of a deposit for more involved appointments.

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Informed Consent

It is critical that our patients understand their options for treatment along with benefits and risks; advantages and disadvantages. It is a medical legal requirement. Patients that rely on adult children, significant others, professional care givers or spouses for care after care or financial interest in the treatment or insurance companies or an organization with power of attorney may need to be informed and who may have a say in the treatment that the patient selects .

Patient's are ultimately responsible for making and keeping dental appointments. While we can assist the patient it is imprudent for the dental practice to micro manage your appointments. You as the patient must be responsible. Patients that expect the staff to make and force patient to keep appointments means the patient does  not take responsibility for self.

The patient or the legal guardian is responsible for dental fees. It is NOT the insurance company; we ordinarily do NOT bill our patients. We have in the past had patients say they were not obligated to pay a dental bill because the bill was sent months after the service was performed. Fees are due at the time of service.

The practice as a rule does NOT bill patients. 

The patient is responsible for deciding what treatment is wanted; if we find it appropriate and we are able to follow such a treatment t plan then we can proceed. The patient is responsible for follow through.

The patient must be aware that treatment often takes longer than planned and sometimes the main plan cannot be followed and back up or alternative plans must be followed. It is wise for the patient to be aware of the alternative dental plans and NOT be surprised that what was originally planned cannot be followed.

The patient is responsible for pre anesthesia and pre dental surgery instructions such as excellent home care, certain medications and not smoking.

The patient IS responsible for telling the staff and doctor of any changes in health or medications each time the patient comes in.

The patient is responsible for arranging transportation and having an escort. If this is not possible then please notify the staff.

The patient is responsible for following posts operative care instructions.

The patient is responsible listening and reading and having their questions answered regarding and UNDERSTANDING the long term consequences of chosen treatment and what the patient responsibility is for home care and follow up as well as future dental costs and longevity of treatment t as well as functionality and esthetics.

For patient to deny they understood any of then above means the patient did not read the information, did NOT listen to the staff, did NOT pay attention to the importance of the proposed treatment plans and options.

In other words the patient refused to take part in the treatment and post treatment and allow for themselves rexcuxde for not taking care of their health.

Here is the list of our informed consents

  1. HIPPA federal release
  2. Patient Responsibilities
  3. Responsibilities of Adult children, significant others, escorts,those with poser of attorney as well as personal care givers. 
  4. The names of the individuals or entities that may be contacted concerning your dental treatment and their phone numbers.
  5. Dental Anesthesia and Analgesia Informed Consent
  6. Dental Implant Surgery
  7. Bone Grafting
  8. Dental implant Restorations
  9. Extractions
  10. Restorative treatment (fillings & crowns)
  11. Root canal treatment
  12. Orthodontic treatment
  13. TMJ concerns; keeping in mind that some patients can have severe jaw pain after surgery. if you are one that suffers from jaw joint pain or disease we need to work out a plan to minimize your jaw joint pain or to refer you to a specialist