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General Anesthesia

Some children are diagnosed with cavities or have extensive treatment needs beyond their ability to tolerate traditional dental options, including mild oral sedation. Under these circumstances, we advise the use of IV (intravenous) sedation. The procedure includes an anesthesiologist to procure the general anesthesia portion as the dentist focuses on dental care only. This is a safe alternative for more extensive dental needs, one that ensures the treatment will be completed in proper time and management. 


Our practice works with Dr. Babak Razmazma, Board-Certified Dental Anesthesiologist. He resides in Northern Virginia with his young, growing family. He has two children of his own, so he fully understands the needs of our patients. Dr. Babak, as we call him, received his training in Los Angeles, CA, and has extensive years of experience. He works seamlessly with our team of dentists, Dr. Karen and Dr. Bianca.


All dental needs are completed during this time if hospital dentistry is needed or if it's the only option for a patient to receive dental care.


What to consider and expect for hospital dentistry:

  1. A consult is mandatory. Please provide a comprehensive medical history including:

    1. Name and contact information for your child’s pediatrician and other specialists

    2. Cardiac, respiratory, organ function, and metabolic concerns

    3. Medications

    4. Ongoing medical evaluations

    5. Allergies to food and/or medicine

  2. Extensive coordination between our office administrator, the hospital or surgical center Operating Room Coordinator, the child’s pediatrician (and any other specialists), as well as your insurance company (DENTAL & MEDICAL).

  3. Compliance with a History & Physical performed by the child’s pediatrician WITHIN 30 DAYS.

  4. Our office must be able to communicate with you 48 hours prior to your appointment. If we are unable to communicate, your appointment may be canceled.

  5. A LEGAL GUARDIAN must be present on the day of the appointment. They are not allowed to leave the office for any reason until discharge with their child.

  6. Compliance with dietary restrictions: NO FOOD OR DRINK 8 HOURS PRIOR. Failure to meet this results in cancellation.


  8. Anesthesia is administered and monitored by the anesthesiologist and surgical nurse. Dental treatment is secondary to stable anesthesia and is completed by a separate dental team.

  9. Your child is moved into a separate part of the hospital for recovery and assessment for discharge, PACU. A child must meet the criteria for discharge prior to being dismissed from the PACU.

  10. A follow-up appointment is required in the dental office 2-3 weeks following Full Mouth Dental Rehabilitation in a hospital or a surgical center. 


Learn more about the AAPD Guidelines:

Policy on Hospitalization and Operating Room Access for Oral Care of Infants, Children, Adolescents, and Individuals with Special Health Care Needs

Management of Dental Patients with Special Health Care Needs

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