Bay Anesthesia functions to make dental treatment less demanding for you and your patients.
Dentists find that offering anesthesia services in their office significantly increases their scope of practice, treatment plan acceptance, and productivity. Challenging patients can be managed safely and effectively in-house, and are better able to afford treatment compared to the hospital setting.
A professional relationship with a residency trained anesthesia provider can transform your practice into an advanced full-service patient care center.
Types of Sedation
The type of anesthetic technique selection will be based on various factors including patient factors such as health history and physical examination, the type of oral health services being provided, and the length of procedure. We will work with you and the patient to develop a safe and efficient anesthetic plan for each case. Anesthetic services provided can range from IV moderate sedation to general anesthesia. A variety of airway techniques can be employed which may include the use of endotracheal tubes, laryngeal mask airways (LMAs), nasopharyngeal airways, and protective throat screens.
A drug-induced depression of consciousness during which patients respond purposefully to verbal commands, either alone or accompanied by light tactile stimulation. No interventions are required to maintain a patent airway, and spontaneous ventilation is adequate. Cardiovascular function is usually maintained. Note: In accord with this particular definition, the drugs and/or techniques used should carry a margin of safety wide enough to render unintended loss of consciousness unlikely. Repeated dosing of an agent before the effects of previous dosing can be fully appreciated may result in a greater alteration of the state of consciousness than is the intent of the dentist. Further, a patient whose only response is reflex withdrawal from a painful stimulus is not considered to be in a state of moderate sedation. The following definition applies to the administration of moderate or greater sedation: titration – administration of incremental doses of a drug until a desired effect is reached. Knowledge of each drug’s time of onset, peak response and duration of action is essential to avoid over sedation. Although the concept of titration of a drug to effect is critical for patient safety, when the intent is moderate sedation one must know whether the previous dose has taken full effect before administering an additional drug increment.
A drug-induced depression of consciousness during which patients cannot be easily aroused but respond purposefully following repeated or painful stimulation. The ability to independently maintain ventilatory function may be impaired. Patients may require assistance in maintaining a patent airway, and spontaneous ventilation may be inadequate. Cardiovascular function is usually maintained.
A drug-induced loss of consciousness during which patients are not arousable, even by painful stimulation. The ability to independently maintain ventilatory function is often impaired. Patients often require assistance in maintaining a patent airway, and positive pressure ventilation may be required because of depressed spontaneous ventilation or drug-induced depression of neuromuscular function. Cardiovascular function may be impaired. Because sedation and general anesthesia are a continuum, it is not always possible to predict how an individual patient will respond. Hence, practitioners intending to produce a given level of sedation should be able to diagnose and manage the physiologic consequences (rescue) for patients whose level of sedation becomes deeper than initially intended.
Our anesthesiologists will arrive approximately 30 minutes prior to the appointment and set up the operatory with the required anesthesia equipment. This typically requires a small amount of space and will have minimal impact on operating and assisting.
Prior to beginning the procedure, a pre-operative assessment and evaluation will be completed. This will include a focused physical examination, a review of the patient's medical history status, NPO status, and anesthetic plan.
Once the patient is ready for treatment, the anesthesiologist will begin administering medications and the dental surgeon will be able to begin treatment shortly thereafter.
Upon completion of oral health services, the patient will be recovered by the anesthesiologist and subsequently discharged when the patient demonstrates adequate recovery. Patients can recover in the same treatment chair or moved to a recovery room.
When you and your patient are ready to proceed with scheduling for their anesthesia needs, please contact our office to coordinate a date for treatment.
Please be ready to provide your patients estimated treatment length and purposed treatment plan so that we can find the best available appointment for your office.
Once your appointment has been scheduled, our office will contact your patient directly to review all pre-operative information and discuss completion of our online health history forms and consents via OnPatient.
Alternatively, the forms can be found under the Payment & Forms tab on our website. They can be returned to your dental office or sent directly to us by email at [email protected] or faxed to 650-282-4187.
Dental anesthesia is typically a 1/3 the cost of hospital anesthesia. Part of the reason for the cost savings is there are no hospital facility fees, which can run as high as $6,000. Our fees depend on the duration of surgery being performed. A $300 pediatric deposit and $500 adult deposit will be collected from your patient at the time of scheduling. The balance of their anesthesia fee will be required on the day of surgery. We accept all major credit cards as well as CareCredit on a six-month interest free term.
In order to ensure the safety of our patients, any violation of preanesthetic instructions including food and drink less than 7-hours before surgery may result in the cancellation of the case, and forfeiture of their deposit. Cancellations will be made at the anesthesiologists’ discretion in order to provide safe care to our patients.
Bay Anesthesia Group does not accept insurance. Payment for anesthesia services will be due in full on the day of treatment. Some medical and dental insurances may cover total or partial reimbursement for your patient. We will recommend your patient contact their carrier directly to determine their Out-of-Network benefit eligibility. Upon request, we can provide them with an itemized receipt and a copy of the anesthesia record, from the day of treatment, which they may submit directly to their insurance company for potential reimbursement. If your patient would like to inquire about seeking insurance reimbursement, feel free to have them contact our office directly for additional information.