Pain? Dental Emergency?!
Master, College of Conscious Sedation American Dental Society of Anesthesiology
Advanced Systemic Health Care through the Mouth
All your dental treatment needs met in one location
Michael A. Starkey, DDS MS and The Team
To make sure your visit is comfortable and enjoyable and calm we must plan for it:
We must evaluate the general health of the patient which is described as
American Society of Anesthesiology classification 1,2,3 or 4
In our practice we treat only adult ASA I and II patients. Which is pretty healthy. Hospital dentistry or specialty treatment is required for patients with severe health issues.
A review of patient medications and contra indications.
There is as you know increase in Americans taking narcotic medications and other drugs for the purpose of self medication or they are under physician care. We are not here to judge but we need to know if you are taking narcotics or street drugs in order to take care of you properly. Some medications we use can interact with narcotics and act as a reversal agent and this causes agitation in the patient which is not a very pleasant experience.
We review Respiratory status.
eg, oxygen up take percent
respiratory rate, sleep apnea,
gag reflex, restricted airway bronchitis, copd, etc.
Allergies of the patient is critical
Renal (kidney) and endocrine system
Altered Mental Status
Psychological issues that could compromise dental work or doctor patient relationship.
Phase I Treatment/Evaluation is to make sure we can safely and successfullyi treat you in our practice or do we need to have you see a specialist or other type of care
Do you have problems getting numb?
Do you have a strong gag reflex?
Can you breath through your nose?
Can you be laid back in a dental chair?
Is there any other problems we should know about in order to properly take care of you?
Is it possible to treat in the practice or is a referral necessary or does patient need to be transferred to Emergency Room at Methodist?