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model is considered that can lower patient anxiety levels and provide a shorter and equally safe, if not safer, surgery. 9 In this alternative to the SSPA model, a dedicated dentist anesthesiologist is added to the oral and maxillofacial surgery team, and this is called the surgeon and dentist anesthesiologist (SDA) model. In the SDA model, the presence of the dedicated anesthesiologist is expected to lower the average operative time of the extraction procedure, which is presumed to allow for improved and safer surgical outcomes. The reduction of operative

General anesthesia is a form of advanced behavior management utilized by dentists to provide quality dental care for children otherwise unable to tolerate dentistry in an outpatient setting. 1 The use of local anesthesia in conjunction with general anesthesia is an area with conflicting research. The addition of local anesthesia during dental rehabilitations has some potential benefits: decreased postoperative pain, improved hemorrhage control, and reduced need for anesthesiologist intervention. In regards to postoperative pain

The discipline of dental anesthesiology across the United States and Canada has been a growing facet of dentistry for several years. Previous literature has shown limited review of the practices of dentist anesthesiologists. 1 These specialized practitioners in the dental field provide unique treatment modalities and professional perspectives. A survey of the members of the American Society of Dentist Anesthesiologists (ASDA) presents information for current and potential future colleagues to gauge the dynamics and scope of dental

American Dental Society of Anesthesiology (ADSA) in 1953. The incipient ADSA comprised a small group of dentists who were dedicated to the idea that treating a patient's psychological and physiological needs associated with the delivery of dental care was just as important as treating their oral health needs. Among the chief goals of these pioneer dentist anesthesiologists was to further the educational needs of all dentists in advanced pain and anxiety control techniques and to obtain specialty status for anesthesiology within dentistry. The American Dental

Dentist anesthesiologists are unique anesthesia providers. They are the only class of anesthesia providers in dentistry who do not use the operator-anesthetist model as their primary method of delivering anesthesia care. 1 Postdoctoral residency programs in dental anesthesiology are the only accredited advanced dental education programs that focus exclusively on providing a full spectrum of anesthesia services for all types of dental procedures in both the hospital/ambulatory surgery center (ASC) operating room and dental office environment

modification. There are neither clear guidelines for preoperative IM sedation nor data about the practice patterns of dentist anesthesiologists who use this technique. Specifically, it is not known what drug regimens are typically used, how frequently preoperative sedatives are administered by the IM route, what factors influence clinical decisions regarding the use of preoperative IM sedation, or what the perceived success of preoperative IM sedation is. We conducted a survey of dentist anesthesiologists in North America to characterize their current use of

medical anesthesiologist, nurse anesthetist, or anesthesia assistant on select pediatric dental patients in an appropriately equipped and staffed facility. 4 In the report titled Project USAP 2000–use of sedative agents by pediatric dentist: a 15 year follow-up survey , it was reported that of the 1778 respondents to the survey, 1224 used sedation other than nitrous oxide. In a typical 3-month period, they performed 77 112 sedations for pediatric dental patients with approximately 80% of sedations being performed by 27% of the respondents. The author concluded

to the depth and effectiveness of sedation that can be provided using this technique. 1 , 2 , 3 The use of dentist anesthesiologists appears to be an emerging trend in pediatric dental practice. 4 Dentist anesthesiologists provide a broader range of anesthesia services, ranging from moderate sedation to general anesthesia. The addition of a dentist anesthesiologist to the pediatric dental office team provides a way to expand depth, scope, and effectiveness of office-based sedation and anesthesia services. 4 However, the number of dentist anesthesiologists

radiographs, we can ask whether an H&P by a primary care provider physician is useful prior to outpatient surgery on a reportedly healthy child. Does an H&P performed by a primary care physician create needless logistic and financial hurdles for primary care providers and patient families, as well as possibly conflicting clinical findings? Can the dentist anesthesiologist's (DA's) H&P provide adequate safeguards? This study compares physician-performed H&Ps with those completed by DAs for purposes of dental care of children under general anesthesia. It looks at