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The American Academy of Pediatric Dentistry has identified the Dentist Anesthesiologist as the ideal anesthesia provider for the delivery of care in an office-based dental setting.

(See chart below.)

Comparison of Anesthesia for Dental/Oral Surgery by Office-Based Dentist Anesthesiologist Verses Operating Room-Based Physician Anesthesiologist

Four levels of pharmacologic behavior modification.

For starters, there are 4 levels of procedural sedation and anesthesia. The ideal level to facilitate the delivery of needed dental care for a given patient will be determined through a collaboration between the patient's parents, you, and our anesthesia team, with a focus on the specific needs of that individual child. Because we offer a variety of pharmacologic options, our recommendations will be based on the speed of the procedure, size of the patient, extent of needed oral rehabilitation, and individual patient variables.

Minimal sedation.

A drug-induced state during which patients respond normally to verbal commands. Cognitive function and coordination may be slightly impaired. Ideal for helping to alleviate minor procedural anxiety.

Moderate sedation.

 A drug-induced depression of consciousness where the patient maintains the ability to respond purposely to verbal direction either alone or accompanied by light tactile stimulation. Ideal for young children unable to cope with the delivery of small amounts of dental treatment.

child receiving anesthesia

Deep sedation.

A drug-induced depression of consciousness during which patients cannot be easily aroused, but respond purposefully following repeated or painful stimulation. Sometimes known as twilight sedation. Ideal for the delivery of minimal to moderate amounts of dental care where occasional movements will not affect the overall quality of care.

General anesthesia.

A drug-induced loss of consciousness during which patients are not arousable, even during all forms of painful surgical stimulation. Ideal for young patients, elevated levels of anxiety, those with special healthcare needs, and/or individuals with extensive restorative or surgical needs. 

Office-based sedation and anesthesia defined.

Office-based sedation and anesthesia allow patients to remain comfortable during the delivery of invasive dental care that would otherwise be uncomfortable or frightening. Patients are insulated from the smells, sounds, and sensations encountered during dental work, and are instead able to relax and completely lose track of time.

This care can be provided safely right in the comforts of your office!  In about an hour, we will transform a traditional dental operatory into a mobile surgical suite, allowing you to deliver the highest quality of dental care possible, and at a fraction of the cost it would be in a surgical center or hospital setting.


The main advantages of office-based sedation and anesthesia provided by NEDA include:

  • A safe experience with a state-certified anesthesiologist specializing exclusively in office-based dental services (physician & CRNA’s are not certified by the state dental board which increases liability exposure for the dentist).
  • A familiar and comfortable setting for the dentist, staff, and patient.
  • Full access to all office materials, supplies, and equipment.
  • Dentist Anesthesiologists are specifically trained to provide care for dental patients receiving the most experience for this unique patient population.
  • Dentist is able to treat patients between sedation and anesthesia cases (eliminates downtime).
  • Improved access to care for patients with special healthcare needs or disabilities.
  • Avoid the need for COVID-19 testing for patients.
  • Expeditious treatment (avoids the need for multiple visits or waiting for OR space).
  • Complete elimination of pain, even in patients for whom local anesthetics are ineffective.
  • No need for physical restraint (which can create a dangerous or fearful environment).
  • An ideal environment for young children who are unable to sit still for the delivery of invasive care.
  • The ability to sleep soundly through lengthy or extensive procedures.
  • No need to maintain hospital or facility credentials.
  • Dentist is no longer at the mercy of hospital block or secondary scheduling practices.
  • Liability shifted from the dentist to the anesthesiologist (we are the only anesthesia providers that minimize the liability to the dentist)
  • Office facility fee creates a new revenue stream for the dentist (most office’s charge a $100-250 facility fee to cover incidentals such as oxygen or N2O).

Why is a dentist anesthesiologist your best choice?

Dentist Anesthesiologists have received 3-years of postdoctoral medical training in anesthesia both in a hospital and dental office setting. This education, training, and experience is all specifically designed for the unique complexities associated with performing care within the airway during the delivery of dental care. On the other hand, medical anesthesiologists and CRNA's receive focused training for care solely in a hospital setting and with little or no experience on dental patients. Because dentist anesthesiologists work exclusively in dental offices, we are also familiar with the procedures, intricacies, and specific needs associated with the delivery of dental care. We transform the dental operatory into a state-of-the-art surgical suite, complete with hospital-grade monitors and equipment, and we follow the same protocols and procedures used in all ambulatory surgical centers and hospital settings.

With over 25-years of total experience working exclusively on pediatric dental patients in an office-based setting, NEDA is the premier provider of sedation and anesthesia services within the states of Nebraska, South Dakota, Iowa, and Kansas.


The safety record for office-based sedation and anesthesia administered by a Board Certified Dentist Anesthesiologist is unsurpassed by any other professional when all precautions are implemented. Because safety is our primary objective, we will closely scrutinize each patient’s medical history to eliminate any individual who is not an ideal candidate for this care. It is important for dentist to understand that our #1 priority is to ensure safety and we appreciate their support should we determine that a potential candidate is best suited for an alternative treatment environment; as mitigating risk for the dentist and his/her office is our highest priority.

Personalized, one-on-one doctor-patient care epitomizes the safest care possible, as complications dramatically increase when patients are passed off to a less qualified healthcare provider. Unlike other mobile anesthesia options, we remain by the patient's side for the extent of care, and patients are never handed off to a nurse with inferior training at any point. Each and every step of care is provided directly by the anesthesiologist, from evaluating the candidacy for office-based services, to deciding what is the ideal option for care, to consulting with the patient's physicians, to preparing the parents for the upcoming care the night before the procedure, to starting the child's IV, to delivering aesthetic medications, to reviewing post-operative instructions with the patients - literally every step will be handled by the anesthesiologist, ultimately improving outcomes and mitigating the risk to everyone.

Should you have any questions or concerns pertaining specifically to safety, please feel free to contact us so we can help educate you on all the precautionary steps we take to protect all individuals involved.

Already working with another mobile anesthesia provider?

If you are already utilizing another mobile anesthesia provider (physician or dentist anesthesiologist, or CRNA) for your office's pediatric and adult special needs patients, we'd love the opportunity to prove to you and your staff that we are, by far, the better option. We are so confident that the quality of our care is the best, we are willing to offer you the opportunity to work with us, free of cost, for up to 3 of your patients. Let us show you why dentists around the country prefer to work with a Dentist Anesthesiologist, with superior training and experience, over any other type of anesthesia provider; and why NEDA is considered the preeminent providers of mobile dental anesthesiology in the Midwest.

Contact Us

Interested in offering office-based sedation and anesthesia services to your patients?

Please contact us so we can discuss your needs.