To make sure your sedation visit is comfortable and enjoyable and calm we plan for it:

We always use pre anesthesia evaluation chart which  includes

We must evaluate the general health of the patient which in anesthesiology 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 with sedation. 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.

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

Cardiovascular status

neuro/muscular condition

Renal (kidney) and endocrine system

Glaucoma/ sight

Hearing

Altered Mental Status


Psychological issues that could compromise dental work or doctor patient relationship.

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

 

Phase
Diagnoses
Etiology
Prognoses w/o Tx
Prognoses w/Tx
Urgent Definitive Optional
The Diagnostic Grid

Phase I

Systemic/Medical

Health

Tobacco

Age/Geriatric

Colas/sweets

Airway

lungs

throat

gag reflex

swallowing

PO2

endurance

​Oral Cancer Screening


immune system function

Inflammation


ASA Status

BP/Pulse

What is the cause of patient's problems
What will happen if the patient does not get treatment for problem
What kind of results can we expect with the different treatment options

medical

systemic

issues must

be dealt with

first.


Analgesia/ Anesthesia

Anxiety/ Stress

Psy Social

Phobia

pain

emotional stress

Difficult time





Phase II

this is focus
on the
patient's
pain or
emergency
Phase III
this is needed work
fillings
root canals
extractions

Head/Neck

Oral Cancer Screening soft tissue






Oral Hygiene

Saliva Function






Radiographic





Soft Tissue/Periodontal Case Type

bone loss

recession

mobility





Hard Tissue

Cavitations (cavities)

Edentulous 

Implant consideration

#of teeth missing; strategic?

bone volume

bone density

angle of bone





TMJ
the jaw joint




Phase IV

elective

can be considered
elective
it may be
a good idea
but the patient can decide
Function-Occlusion

Missing teeth

Teeth grinding

clenching

Incisal wear

Does the patient's cuspids protect her teeth as they are designed to do?





cosmetic

implants

improved restorations

condition of implants and available jaw  bone


Missing teeth and condition of jaw


Orthodontic


Cosmetic concerns

Long Term Maintenance


Proximity to office

financial consideratoins

Available time







Phase V

Maintenance

this is the maintenance phase

this is misunderstood
and under appreciated
for long term success of patients work