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
Renal (kidney) and endocrine system
Altered Mental Status
Psychological issues that could compromise dental work or doctor patient relationship.
American Dental Society of Anesthesiology
As well as Modern IV Sedation Dentistry
Master, College of Conscious Sedation
|Phase||Diagnoses||Etiology||Prognoses w/o Tx||Prognoses w/Tx||Urgent Definitive Optional|
Oral Cancer Screening
immune system function
|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|
be dealt with
|this is focus||on the||patient's ||pain or ||emergency|
|Phase III||this is needed work||fillings||root canals||extractions|
Oral Cancer Screening soft tissue
|Soft Tissue/Periodontal Case Type|
#of teeth missing; strategic?
angle of bone
|TMJ ||the jaw joint|
|can be considered||elective||it may be ||a good idea||but the patient can decide|
Does the patient's cuspids protect her teeth as they are designed to do?
condition of implants and available jaw bone
Missing teeth and condition of jaw
Long Term Maintenance
Proximity to office
|this is the maintenance phase||this is misunderstood||and under appreciated||for long term success of patients work|