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Pediatric Dentistry: When Does the Case Call for an Anesthesiologist
Educational Objectives
After completing this webinar, participants will be able to:
- Know the key factors when evaluating an anesthesiologist.
- Learn what pediatric patients to sedate in the office and the “hard no” patients.
- Understand metabolic equivalents (METS) and its significance.
- Consider the patients that can be sedated by an anesthesiologist in the dental office.
- Learn the risks and considerations of sedating pediatric patients with:
- Asthma
- Seizure disorders
- Cerebral palsy
- Autism
- Obesity
- Examine the MTHFR gene deficiency and the use of N2O
Abstract
Increase your confidence level when providing pediatric dental sedation and determining when to call in an anesthesiologist in this informative course presented by Dr. Roger Sanger, DDS, and Dr. Steve Yun, MD, an anesthesiologist and pediatric specialist.
Drs. Sanger and Yun will explain how to become a “choice architect” when determining which cases merit bringing in an anesthesiologist for pediatric sedation dental procedures. You’ll learn to recognize a physician’s inherent bias and what the minimum requirements are when evaluating and working with an anesthesiologist. Through previously recorded polling results, they will discuss individual levels of comfort and how building a relationship with a medical or dental anesthesiologist can help you better implement oral sedation protocols with pediatric patients.
Additional Information
Author Bio
Dr. Roger Sanger
Dr. Roger Sanger is a graduate of the University of Southern California (USC) School of Dentistry. As a Mott Foundation Fellow, he completed a three-year residency and fellowship in pediatric dentistry from USC Hospitals. He then went on the faculty and attending staff at USC Children’s Hospital Los Angeles as Director of their residency program. He also was an NIH Fellow and obtained a Master’s in Health Care from USC.
Dr. Sanger continued on to join faculty and attending staff at the University of Colorado Medical Center, Denver, where he attained the rank of tenured Full Professor in Pediatric Dentistry, Chair of the Department of Pediatric Dentistry/Orthodontics, and Assistant Dean for Hospital Programs. He was also a WHO Fellow in the Far East for sabbatical oral health research.
After a successful academic career, Dr. Sanger founded a private practice that became, through three decades, one of the largest regional multi-doctor, multi-facility pediatric dental groups in California, serving six counties and employing over 150 people. The group was a leader in establishing two children's dental surgicenters treating over 5,000 cases of pediatric oral sedation every year, a hospital-based practice, and an orthodontic alliance practice. He co-founded a non-profit 501(C)3 foundation with private grant support for affiliated school-based, mobile dental clinics.
When Dr. Sanger sold this practice internally in 2011 to devote more time to other dental entrepreneurial activities, this group was billing over $34 million annually through provider participation in Commercial Indemnity/PPO Plans, Medicaid, CHIP, Headstart, and Migrant Headstart. Over 40% of this production was surgicenter-based, with the majority being enteral conscious sedation administered, full mouth rehabilitation care.
Dr. Sanger also founded The Sanger Group which developed practice management seminars for national study groups and dental consulting companies. He is both a “wet fingered, in the trenches dentist” as well as a “leader in innovative practice solutions.” Dr. Sanger trademarked the terms “Pedonomics” and “Pedometrics,” which conceptualize the financial impact of pediatric dentistry in today’s dental practice.
Dr. Sanger enjoys helping dentists become entrepreneurial in the business of dental care delivery. He believes that the “pedonomics” concept using oral conscious sedation can make a meaningful financial impact on delivering pediatric dental care. He believes that dental care for children can be “better, faster, and easier” with the new game-changing technology in pediatric dentistry. He not only enjoys teaching through seminars but also mentoring through individual coaching. Dr. Sanger’s evaluations highlight his personal involvement with his audience through both interactive teaching and spirited comments appropriate to the subjects he presents. He believes that the “idealism” in dental school education must be tempered with the “realism” in dental practice, and he strives to bridge this gap through his seminars and mentorship.
Dr. Sanger lectures at numerous multiday courses each year as well as being involved in personal learning experiences courses. Besides being intravenous sedation trained, he has personally performed over 15,000 cases of in-office, pediatric enteral sedation with full mouth reconstruction.
Dr. Steve Yun
Dr. Steve Yun is a board-certified M.D. anesthesiologist whose mission is to bring the safety of hospital-grade anesthesia to the dental office. He maintains active privileges at Saddleback Memorial Medical Center, which was recently chosen the best hospital in Orange County, California; he also performs complex anesthesia cases at Rady's Children's Hospital in San Diego. The majority of his patients in dental offices are children, and Dr. Yun is a member of the Society for Pediatric Anesthesia, the American Academy of Pediatric Dentistry, and the California Society of Pediatric Dentistry.
Dr. Yun received his MD with Honors in 1996 from the University of Southern California, with an additional 3 years of training in Anesthesiology at the UCLA Medical Center, and is certified in Adult and Pediatric Advanced Life Support. He is an Examiner and Expert Consultant for the Dental Board of California, and a Safety Inspector for the American Association for Accreditation of Ambulatory Surgical Facilities.
Dr. Yun regularly teaches students as a Clinical Professor at Western University of Health Sciences and a Lecturer at the Loma Linda School of Dentistry. For the last 15+ years, he has been the Director of Anesthesia for Dr. Daniel Kharrazi, former Team Physician for the Los Angeles Lakers.
Disclosures
Commercial Disclosure
This free Dental Learning presentation is made possible through the continued support of . Dr. Roger Sanger and Dr. Steve Yun are consultant and/or speaker for the following companies and/or organizations: Dental Learning, . Dr. Roger Sanger and Dr. Steve Yun may receive an honorarium as compensation from the CE Supporter of this presentation and/or from Dental Learning for the time involved in preparing and delivering this online presentation.
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