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PLACE

Nothing prepares parents for the squeals, screams and tears!

Kids squeal because we delight their senses. It might be the office visuals designed just for them or the “real talk” we engage them in. A little screaming around here is normal. Often, upon seeing their favorite doctor or crew-member, our kids let out a scream, or a giggle as they run for that welcome hug. Tears. More than one of our kids has cried when the time came to leave this place. Crazy. Right?

No secrets. No hiding.

Our office, this place, was designed intentionally in an open layout, from the reception area to the treatment area. There are no partitions or closed doors. What happens here is all good. Our kids intuitively recognize this.

The office attempts to schedule appointments at your convenience and when time is available. Children under 6 will be seen in the morning because they are fresher and we can work more slowly with them for their comfort. Missing school can be kept to a minimum when regular dental care is continued.

Since appointed times are reserved exclusively for each patient we ask that you please notify our office 24 hours in advance of your scheduled appointment time if you are unable to keep your appointment. Another patient, who needs our care, could be scheduled if we have sufficient time to notify them. We realize that unexpected things can happen, but we ask for your assistance in this regard.

If you fail your appointment, there will be a charge for the dentistry that would have been performed on that day. Further appointments will not be made until the failure charge has been paid. It is imperative that you do not fail your first appointment. If you do, no future appointments will be made.

A parent will be allowed in the treatment area while the child is being treated. Please do not join the discussion while the doctor is speaking to your child. If you talk while the doctor is talking, your child will listen to no one.

Dental sedation is a technique that can be used when a patient suffers from dental anxiety or dental phobia. We are happy to offer a number of solutions for our patients to make their dental visit as comfortable as possible. Sedation dentistry techniques enable patients who might otherwise avoid the dentist, to receive dental treatment necessary for a healthy smile. Depending on the extent of the anxiety or phobia, varying degrees of dental sedation can be utilized as described below:

Nitrous Oxide

Nitrous oxide sedation, commonly known as 'laughing gas,' is often used to relax children for dental treatment. Two gases, nitrous oxide and oxygen, are blended together and given through a small flavored breathing mask which is placed over the child's nose, inducing a state of relaxation. While inhaling the nitrous oxide/oxygen, your child remains fully conscious and keeps all of his/her natural reflexes. The American Academy of Pediatric Dentistry recognizes this technique as safe and effective to use for treating children's dental needs. The non-addictive gas has a mild flavor, and with normal breathing, is quickly eliminated from the body.

Prior to your appointment:
  • Please inform us of any change to your child's health and/or medical condition.
  • Tell us about any respiratory condition that makes breathing through the nose difficult for your child. It may limit the effectiveness of the nitrous oxide/oxygen.
  • Let us know if your child is taking any medication on the day of the appointment.
Conscious Sedation

Conscious Sedation is recommended for apprehensive children, very young children, and children with special needs. It is used to calm your child and to reduce the anxiety or discomfort associated with dental treatments. Your child may be quite drowsy, and may even fall asleep, but they will not become unconscious.

There are a variety of different medications, which can be used for conscious sedation. The doctor will prescribe the medication best suited for your child's overall health and dental treatment recommendations. We will be happy to answer any questions you might have concerning the specific drugs we plan to give to your child.

I.V. Sedation

I.V. Sedation is recommended for apprehensive children, very young children, and children with special needs that will not tolerate dental care in the routine setting. Our goal is to complete your child's dental work safely and provide the most pleasant dental experience for your child. We work with a group of pediatric physician anesthesiologists, all of whom have extensive experience in caring for children. Dr. Khatri performs the dental treatment in our office with the child anesthetized under I.V. sedation. Please visit their website at www.pediatricsedation.com.

  • Please notify us of any change in your child's health and/or medical condition. Do not bring your child for treatment with a fever, ear infection or cold. Should your child become ill, contact us to see if it is necessary to postpone the appointment.
  • You must tell the doctor of any drugs that your child is currently taking and any drug reactions and/or change in medical history.
  • Please dress your child in loose fitting, comfortable clothing.
  • Please make sure that your child goes to the bathroom immediately prior to arriving at the office.
  • Your child should not have milk or solid food after midnight prior to the scheduled procedure and clear liquids ONLY (water, apple juice, Gatorade) for up to 6 hours prior to the appointment.
  • The child's parent or legal guardian must remain at the office during the complete procedure.
After the sedation appointment:
  • Your child will be drowsy and will need to be monitored very closely. Keep your child away from areas of potential harm.
  • If your child wants to sleep, place them on their side with their chin up. Wake your child every hour and encourage them to have something to drink in order to prevent dehydration. At first it is best to give your child sips of clear liquids to prevent nausea. The first meal should be light and easily digestible.
  • If your child vomits, help them bend over and turn their head to the side to insure that they do not inhale the vomit.
  • Please call our office for any questions or concerns that you might have.
Outpatient General Anesthesia

Outpatient General Anesthesia is recommended for apprehensive children, very young children, and children with special needs that would not work well under conscious sedation or I.V. sedation. General anesthesia renders your child completely asleep. This would be the same as if he/she was having their tonsils removed, ear tubes, or hernia repaired. This is performed in a hospital or outpatientsetting only.

While the assumed risks are greater than that of other treatment options, if this is suggested for your child, the benefits of treatment this way have been deemed to outweigh the risks. Most pediatric medical literature places the risk of a serious reaction in the range of 1 in 25,000 to 1 in 200,000, far better than the assumed risk of even driving a car daily. The inherent risks if this is not chosen are multiple appointments, potential for physical restraint to complete treatment and possible emotional and/or physical injury to your child in order to complete their dental treatment. The risks of NO treatment include tooth pain, infection, swelling, the spread of new decay, damage to their developing adult teeth and possible life threatening hospitalization from a dental infection.

DIAGNOdent® is a breakthrough diagnostic tool used for cavity detection. With a harmless laser, we are able to quickly and efficiently scan your teeth and identify cavities and potential cavities. DIAGNOdent® helps us detect possible problems early on, allowing us to reverse the effects of tooth decay and avoid using fillings.

Our practice now offers a new product (OraVerse™) that reverses the effects of local anesthesia. This new measure of comfort is for patients who dislike the lingering numbness that can last for 3-5 hours after leaving our office.

To deliver superior care, we're always finding better ways to ensure comfort and improve your child's dental experience. OraVerse™ is the first and only product proven safe and effective in accelerating a return to normal sensation and function after a local anesthetic containing a vasoconstrictor has been used. Talk to Dr. Janoff or Dr. Khatri about its indications for your child, and read about it online at www.OraVerse.com.

You can pay for your office visits and any treatments by cash, check, credit or debit card at the time of treatment. We also accept most major dental insurances.

Our Office Policy Regarding Dental Insurance If we have received all of your insurance information on the day of the appointment, we will be happy to file your claim for you. You must be familiar with your insurance benefits, as we will collect from you the estimated amount insurance is not expected to pay. By law your insurance company is required to pay each claim within 30 days of receipt. You are responsible for any balance on your account after 30 days, whether insurance has paid or not.

PLEASE UNDERSTAND that we file dental insurance as a courtesy to our patients. We do not have a contract with your insurance company, only you do. We are not responsible for how your insurance company handles its claims or for what benefits they pay on a claim. We can only assist you in estimating your portion of the cost of treatment.

Fact 1 - NO INSURANCE COMPANY PAYS 100% OF ALL PROCEDURES

Dental insurance is meant to be an aid in receiving dental care. Many patients think that their insurance pays 90%-100% of all dental fees. This is not true! Most plans only pay between 50%-80% of the average total fee. Some pay more, some pay less. The percentage paid is usually determined by how much you or your employer has paid for coverage, or the type of contract your employer has set up with the insurance company.

Fact 2 - BENEFITS ARE NOT DETERMINED BY OUR OFFICE

You may have noticed that sometimes your dental insurer reimburses you or the dentist at a lower rate than the dentist's actual fee. Frequently, insurance companies state that the reimbursement was reduced because your dentist's fee has exceeded the usual, customary, or reasonable fee ("UCR") used by the company.

A statement such as this gives the impression that any fee greater than the amount paid by the insurance company is unreasonable, or well above what most dentists in the area charge for a certain service. This can be very misleading and simply is not accurate.

Insurance companies set their own schedules, and each company uses a different set of fees they consider allowable. These allowable fees may vary widely, because each company collects fee information from claims it processes. The insurance company then takes this data and arbitrarily chooses a level they call the "allowable" UCR Fee. Frequently, this data can be three to five years old and these "allowable" fees are set by the insurance company so they can make a net 20%-30% profit.

Unfortunately, insurance companies imply that your dentist is "overcharging", rather than say that they are "underpaying", or that their benefits are low. In general, the less expensive insurance policy will use a lower usual, customary, or reasonable (UCR) figure.

Fact 3 - DEDUCTIBLES & CO-PAYMENTS MUST BE CONSIDERED

When estimating dental benefits, deductibles and percentages must be considered. To illustrate, assume the fee for service is $150.00. Assuming that the insurance company allows $150.00 as its usual and customary (UCR) fee, we can figure out what benefits will be paid. First a deductible (paid by you), on average $50, is subtracted, leaving $100.00. The plan then pays 80% for this particular procedure. The insurance company will then pay 80% of $100.00, or $80.00. Out of a $150.00 fee they will pay an estimated $80.00 leaving a remaining portion of $70.00 (to be paid by the patient). Of course, if the UCR is less than $150.00 or your plan pays only at 50% then the insurance benefits will also be significantly less.

MOST IMPORTANTLY, please keep us informed of any insurance changes such as policy name, insurance company address, or a change of employment.

Office Hours

Monday 8:00 am – 5:00 pm by phone only
Tuesday 8:00 am – 5:00 pm
Wednesday 8:00 am – 5:00 pm
Thursday 8:00 am – 5:00 pm
Friday 8:00 am – 5:00 pm

Crew-members assist families by phone, Monday through Friday, 8:00 am until 5:00 pm. We see our kids Tuesday through Friday. Our hours are flexible. When can you be with us?

Emergency & After Hours

Dental emergencies are never convenient. In any emergency, current patients, call 941-484-2629. Carefully follow the prompts.