Lifeguard Sunset Catalina Turtle Orange County

Frequently Asked Questions for Patients



In the opinion of many, a very dangerous law has been passed in California promoted by Oral Surgeons that changes the Dental Assistant regulations and allows an assistant with as little as 110 hours (three weeks) of training (not in the hospital or University but by their own employer) to label syringes, draw up anesthetics, inject medications and monitor patients while under general anesthesia!  This is not allowed in the hospital.  The operating dentist who could have as little as four months of anesthesia training will "supervise" this assistant while performing your surgery. You may even be charged up to twice as much for the anesthesia as a Board Certified Anesthesiologist. You have the right to ask who will be monitoring you and what they will be charging you.  You will never be subjected to this unproven, unstudied procedure in my presence.  Watch this YouTube Video on the Dental Sedation Assistant.



Choosing an Ethical, Safe and Professional Anesthesiologist and Dentist.


These standards of practice are Dr. Davies' opinion based upon his training and experience and his reading of the law as set forth by the California Dental and Medical Boards. Dr. Davies has conveyed his views emphatically and frequently over the years with all of his colleagues.  Most agreed with him, and a few did not so he decided to divest himself of those practices with whom he found no agreement on standard of care or who utilized providers who did not adhere to high standards. You will be treated with the highest professional standards and respect by Dr. Davies at all times.

Before undergoing anesthesia in a dental office you should ask these basic questions of your surgeon and anesthesia provider.  These are not difficult or exceptional criteria. Dr. Davies adheres to them all.  Safety is no accident.  In fact, there has been a recent wrongful death in a dental office in Newport Beach, CA and the MD anesthesiologist found negligent let his anesthesia permit expire over ten years ago.  The California Dental Board recently admitted that there have been 55 deaths in dental offices in the last three years.  It is not known how many were "anesthesia" related because the information isn't released.  You have the right to ask if your provider is permitted and if they have been evaluated by the Board.  I am a General Anesthesia evaluator for the State and  I sucessfully passed the evaluation myself  recently.

  • Ask to see the license and dental General Anesthesia permits of your anesthesiologist.  In California, if the operating dentist hires a nurse anesthetist, the dentist must have the anesthesia permit. It’s easy to check with the medical and dental boards’ web pages to see if the license is current or revoked. Make sure the permit is appropriate for the type of anesthesia to be provided. IE Oral Sedation, Conscious Sedation or General Anesthesia.
  • Confirm that the anesthesiologist is Board Certified in their field, or if a nurse anesthetist, has a certification of advanced anesthesia study. If the dentist is using a nurse anesthetist, ask to see the dentist's permit.  They must have one.
  • Ask how many years the anesthesiologist has been practicing dental anesthesia safely. (Anesthesia for surgery in the airway is more complicated. Experience matters). I have a perfect safety record spanning over 30 years.
  • Ask if the anesthesiologist has insurance for office based anesthesia or if they are only using binding arbitration, or worse, self insured.  Insurance is best, reasonable and readily available.  Arbitration may be used by providers who have trouble obtaining  traditional Occurance or Claims Made coverage.
  • In California, confirm that the anesthesiologist has taken and passed the required Dental Board Office Evaluation even if they have a general anesthesia permit. (Some have refused. Perhaps they know that they will fail.  I am an Evaluator for that Exam.) 
  • Ask if the anesthesiologist will obtain a personalized health history and consent before treatment and if they will call you prior to your appointment to answer any questions you have.
  • Ask if the anesthesiologist will consult with your other health care providers (if appropriate) prior to treatment. (Some office based anesthesiologists falsely claim that unlike hospital based anesthesiologists, they do not need to consult with your specialists.)
  • Ask if the anesthesiologist will have all legally required monitoring equipment present and in working order, including pulse oximeter, ECG, BP, defibrillator, pre-tracheal stethoscope, continuously running IV, and oxygen.
  • Make sure you will NOT be anesthetized before the dentist/surgeon is present and ready to treat you.  I have been asked many times to start the anesthesia without the surgeon present but have always refused.  The fact that they even ask means other anesthesiologist must be doing it.
  • Confirm that the anesthesiologist will be in attendance until you are fully recovered and sent home with a responsible adult.
  • Make sure that the dentist and/or anesthesiologist will NOT be treating other patients at the same time. (Some dentists will leave for hours to work on other patients or take phone calls while you are still under and being charged for the anesthesia.)  On the day of the procedure ask to see the scheduling "day sheet" from your surgeon/dentist.  It will list any other patients in other rooms they have scheduled to treat other than you.  It should be NONE.  Ask them to  cancel those patients or be rescheduled yourself.
  • Get assurance that you will NEVER be left alone with the anesthesiologist during treatment.  This has been common practice in some offices.
  •  Confirm that if the anesthesia provider will be performing nerve blocks (injections thru the face) instead of conventional dental injections, they will use hospital standard sterile techniques not just an alcohol wipe down.
  • Ask if the dentist/surgeon will be providing both the anesthesia and the dentistry at the same time without using another certified anesthesia provider. If so, who will actually be monitoring you and what is their training, license and experience?  Will it be a dental sedation assistant with only 3 weeks of training although you are paying for a Board Certified Anesthesiologist?
  • Ask if the anesthesiologist will intubate via the oral or nasal route or place a nasal airway because you will lose your ability to maintain your own airway. If so, will you be protected from pressure sores, urinary retention, corneal abrasion, and other complications of paralysis or prolonged immobility? (Although an expert in these techniques and are appropriate for the very young or severely mentally challenged, Dr. Davies does not employ them in the dental office due to the depth of anesthesia required and the increased complications.
  • Ask if the anesthesiologist is acknowledged by the surgeon as the ultimate judge of the anesthetic/surgical course. In other words, is patient safety more important than completing the dentistry?
 These simple rules may seem obvious but they are not to some dentists or providers.  You have the right to ask for, and demand, the highest standard of care.
What Type of Anesthesia is Used? 

The type of anesthesia used will depend upon the age and physical condition of the patient as well as the type and length of the surgery. The medications are completely individualized to each patient to ensure a pleasant and safe experience.  You will not be intubated (a breathing tube pushed down your nose or throat through your vocal cords).  Unlike deep general anesthetics that require the breathing tubes, Dr. Davies' technique allows for amnesia and pain free dentistry with the ability to cooperate as necessary allowing the dentist to perform superior dentistry.

How Will I Feel Afterwards?  

You can usually leave the office with a responsible adult within 20 minutes after the procedure is completed. It is common to sleep much of the afternoon, eat a light evening meal, and be completely recuperated by morning. You will be discharged awake and alert by Dr. Davies from the dental office and you will be contaced that evening to make sure everything is alright. Complications of any sort are unusual and mild. 


Will My Insurance Cover The Anesthesia Services?

In these tough economic times this is a very important question.  Whether or not your carrier reimburses you largely depends upon policy restrictions, maximum yearly benefits, and premiums paid by you or your employer. Dr. Davies' staff will send you a dental claim form with his portion completed and will make every effort to assist you in obtaining the maximum benefit allowable under your policy provisions. However, dental insurance have low "yearly maximum" benefits which are often taken up completely by the procedure you are having.  Even though you are having a dental surgery sometimes (rarely) your Medical will pay something but only if the the surgery is covered by medical.  Some anesthesia providers advertise "we bill medical". This is extremely misleading as it implies that medical insurance automatically covers the anesthesia and that you have no financial responsibility.  This is often a "bait and switch" statement. If a provider makes that promise to you, pay nothing down and get in writing that the provider is accepting whatever the insurance pays as payment in full. You won't get such a letter so look for an honest provider elsewhere.

By law, because of Dr. Davies' UCLA medical Certificate in Anesthesiology, if there are benefits under your medical plan, you are reimbursed at the same rate and manner as if any medical anesthesiologist provided your care. To find out if you might have coverage you will need to speak with your claims administer. We cannot do this for you. Medicare will not cover dental anesthesia in the office.


Can I Use My Own Dentist? 

Of course! Dr. Davies provides no dental treatment other than the anesthesia. You continue to visit the dentist and office you are comfortable with. Should your dentist be one of the few without the necessary insurance to work with anesthesia services, Dr. Davies will provide both of you with the names of highly qualified specialists or generalists in your area that he works with who follow the ethical guidelines above.


What About Financial Arrangements? 

Financial arrangements are made directly between Dr. Davies and the patient. They are based upon the time taken by the dentist to provide services plus about one hour on average for induction, emergence and recovery.    Our commitment is to provide patients with a safe, pleasant and relaxing experience the day of treatment.  Because patients generally arrive having taken a prescribed sedative pill and will be drowsy after treatment, financial matters must be dealty with ahead of time.  

Patients may pay prior to the day of surgery by check, VISA, MasterCard, American Express, and Discover cards. 

 wpe3.jpg (2828 bytes)


How To Schedule:  

Contact Dr. Davies @

Ronald O. Davies, DDS 
PMB 620, 28241 Crown Valley Parkway Suite F
Laguna Niguel, CA 92677 

Phone: (949)362-9690
Fax: (949)448-8858