Pinnacle Dental Anesthesia: Our Dental Anesthesiologist will help you sleep and relax at the dentist.
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​What To Expect On Your Anesthesia Day
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Let us help you reach the pinnacle of your next dental experience.
It is important not to eat or drink from midnight the night before the scheduled appointment or at least eight hours prior. If you are taking medication, you might need to continue taking some while refraining from taking the others.  Follow the instructions of your anesthesiologist and managing physician. Refrain from smoking at least one day prior to the procedure.  If you use a nicotine patch, please stop using it at least 24 hours prior to the anesthesia. Have family member or trusted friend to escort you and be responsible to drive you back home after the procedure. Taking a ride from a taxi or an UBER or LYFT by yourself is not permitted- your case may be cancelled until a responsible party can agree to those arrangements.  Do not plan anything for the remainder of the day. Anesthetics are normally given in the morning because you cannot eat or drink before an anesthetic.  You will wake up that morning, have nothing to eat or drink, be driven to their appointment wearing pajamas or loose fitting clothing.

Upon arrival at the office you will be assessed to make sure that you are fit for anesthesia and that you do not have a cold, flu, vomiting, diarrhea or sore throat.  If you are healthy, your procedure will proceed as planned. Once you are under anesthesia you will be taken to the treatment room and continuously monitored for safety.

After you are asleep an intravenous catheter (IV) will be placed to rehydrate and deliver medications quickly and efficiently.  This catheter will normally be placed on the top of the hand.  Once asleep an endotracheal tube will be inserted in your nose to help you breath.  All the monitors, IV’s, and tubes will remain in place for the duration of treatment.

After all dental treatment is completed, the endotracheal tube is removed and you will be taken to a recovery room.  You will remain in recovery for 30-45 minutes or until appropriate responses are observed.  Responding appropriately involves eye opening, talking, or crying. We ensure that all of our patients meet the criteria for safe discharge.

It is recommended that there be two adults present when our patients are driven home. You will likely sleep on the way home and will require close supervision for the first few hours following anesthesia as you may not be steady on your feet and may fall down. It is not uncommon for you to be very hungry following anesthesia.  Eat whatever you can tolerate based on the extent and invasiveness of your treatment.  We will most likely make suggestions about meal options.

Anesthetic drugs have occasional after effects including nausea, dizziness, sleepiness and loss of normal body coordination.  Some patients may experience a sore throat and minor aches.  Usually these effects will have dissipated within twenty four hours after discharge. The majority of patients don’t have dizzy spells or bodily weakness the next morning.  The decision to continue daily activities should be based on the presence of any unusual signs or symptoms.  It is important to drink plenty of fluids to stay hydrated and take pain medication as directed by your dentist. 

Avoid foods and drinks that may cause upset stomach or gas.  Some of these are coffee, milk, cauliflower, chocolate, fried foods and baked beans.  Too much sugar can distend the stomach because water is drawn into the stomach to dilute the sugar.  We also advise against carbonated drinks, as the resulting gas could similarly distend the stomach, causing further discomfort. Because certain drugs can interact with local anesthetic solutions, tell your dentist about all medications, both prescription and over the counter,  you are taking.

Anesthesia and surgery affect the entire body, it is important for the anesthesia care provider to be able to anticipate the affects of all anesthetics in relation to the drugs and medications that the patient is taking and may have been used in the recent past.  This includes all prescription or non-prescription drugs; over the counter, herbals, or ‘street drugs’.  Even marijuana, alcohol and tobacco use affects the way anesthetic drugs work in the body.  Many patients may have chronic medical conditions, such as diabetes, renal failure, heart or lung problems that can make routine dental work challenging in the conventional dental office setting.  These conditions necessitate careful monitoring of vital signs during the procedure.  Additionally, anesthesia may be provided to control pain, anxiety and delirious physiological responses, such as elevated blood pressure and heart rate that accompany them.
Our latest review:
"Dr. Subido was comforting and reassuring. He made our experience amazing. We are blessed to have been in his care!"

"My 4.5 year old needed some dental work done and  Dr. Subido did an amazing job! Not only did he go over everything with me days before the appointment but even the day of as well! The whole team is so compassionate, caring, and knowledgeable! I was concerned for my daughter with her being so small and everyone including the front office staff assured me she was going to be okay. They even gave me updates in the waiting room during the surgery (which helped ease my mind while I waited). I am so happy with the results! My daughter is back to her normal happy outgoing self! The team helped me carry my things out to my car while I carried my daughter! You are all a blessing! Thank you so much for making this experience easier than I ever could imagine!

"My 2 year old had extensive work done and needed sedation. The entire process was overwhelming for me. Dr. Subido took the time to explain everything to put me at ease. I would definitely choose Dr. Subido if any of my children needed anesthesia again.

"Dr. Subido is so friendly and welcoming. He made sure that my child was well taken care of and safe. He is amazing. I highly recommend Dr. Subido for your anesthesia needs."

"Let me just say I've never been more pleased with any of my children's appointments! He is amazing and so kind hearted I can't thank him enough for how he took such wonderful care of my son. Thank you Dr. Subido"

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"My son had to be put under anesthesia and I was nervous until I met Dr. Subido. Not only did he educate me and my husband about the anesthesia process, but my son (4 years old) absolutely loved him!  During recovery Dr. Subido sat with us until my child was fully awake and ready to get in the car. His awesome team  walked us out to the car to make sure we were safe. Dr. Subido does not get enough credit for the work he does. He seems to deal with parents and children in a high anxiety environment. Dr. Subido was able to calm my child  and the concerns I had as a parent. He is a true talent! I will forever be grateful for my son's first experience with anesthesia! Dr. Subido deserves a great review. I was very thankful for the follow up call when he told us "thank you for allowing me to take care of your child! Just amazing all around."

"We appreciate you preparing us for such a stressful event. Dr. Subido, you were amazing!"

"Thank you for being so patient and kind to our kids. Their nana was very appreciative of your demeanor. "

"I can’t begin to tell you  how wonderful it was to work with Dr. Subido and his staff.   He was able to take a horrible, anxiety ridden experience and turn it into a pleasant one- and that’s saying a lot.  Let me explain: my 3 yr old needed extensive dental surgery and if that’s not bad enough she needed to go under general anesthesia.   Dr. Subido took the time to walk me thru the entire procedure, answer my barrage of questions, as an RN I had a lot and he calmed my fears. He is highly educated, has the top of the line equipment, plans ahead  for even the most  remote problems, allows for collaboration with the parents to plan for the easiest induction and is all around an amazing anesthesiologist.  He explains in terms everyone can understand while elaborating on the details if requested- I requested everything.  As a nervous mother and a nurse, which is a bad combo, I was not the easiest of parents and he was professional, knowledgeable and dedicated to provide the best of care. He truly cares about his patient and it shows in every way, from the many phone calls before and after to check on my daughter, to walking us to the car to make sure we were ok.  If you need an anesthesiologist- this is it. Look no further,  he is amazing!

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