A Seventh-day Adventist Organization

What to Expect

Before Your Visit

A visit to the Koppel Special Care Dentistry Clinic is very different from that of a typical dental clinic. Becoming our patient is unlike most dental clinics, we must determine your eligibility to be seen at our clinic with a phone interview.

This phone interview goes over the following topics:

  • Insurance
  • Health issues
    • Asthma
    • Heart problems
    • Diabetes
    • Allergies
    • Medications
    • Prior surgeries
    • Sleep apnea
    • Problems with general anethesia
  • Patient information (age, sex, conditions)

If you have any health issues, you will be asked to schedule a screening at our clinic. These take place in the afternoon, Monday through Wednesday.

During Your Visit

The following describes the process of a typical visit to our clinic:

  1. Check in

    When you first arrive at your check-in time, you will need to sign-in and fill out paperwork. The front office will process your paperwork, determine your insurance coverage, and collect your co-payment, if applicable. When this process is completed the patient's chart will be passed onto the preoperative nurse and you will wait to be called for the medical examination.

  2. Medical examination

    Patients are escorted to a private room where they will receive a physical examination from one of our doctors. The preoperative nurse will also be present, assisting the doctor with the examination and taking the patient's medical history.

  3. Anethesia consultation (pre-op)

    After the medical examination is complete, a dental anethesia resident will conduct their evaluation, ask questions about the patient's medical history, and explain the process and risks of general anethesia. The resident will answer any questions about general anethesia. After the consultation, the patient will need to sign a consent form in order to receive anethesia.

  4. Operating room set up

    Once the proper paper work, consents and examinations are complete, the operating room is prepared for treatment. You will again be asked to wait during this process.

  5. Induction anethesia

    When the room is ready, you will be brought back to the room to begin anesthesia. Parents and caregivers are allowed to be in the room as the patient falls asleep, but must leave the room before treatment begins.

  6. X-rays/exam/treatment plan

    Shortly after the anesthesia takes effect, the parents and caregivers will be asked to return to the waiting room. At this time the patient will receive further examinations, including x-rays to determine the course of treatment.

  7. Parent consent/consultation

    Before the dentists begin with the treatment plan, they will meet with the parent/caregiver to discuss the treatment plan options and ask for further consent to perform the treatment plan as discussed.

  8. Procedure

    After consent is received, the patient will immediately receive treatment. It is important that this process goes as quickly as possible to reduce the amount of time the patient is under anesthesia.

    This will take several hours, be prepared for a long visit.

  9. Recovery

    Immediately after the treatment is finished, the patient will be transferred to the recovery room. Here the patient will be monitored before they are discharged. Parents/caregivers will be allowed into the recovery room when the patient begins to wake up. During this time the nurse will inform the parent/caregiver on how the procedure went and provide any care instructions they will need to follow. All questions will be answered.

  10. Discharge

    Upon discharge, the patient will be taken out of the recovery room on a wheelchair and parents/caregivers will receive post-operative care instruction manuals. The nurse will also accompany the patient to the vehicle and help you transfer the patient from the wheelchair.

After Your Visit

Typical Symptoms After Anethesia

After undergoing anesthesia, there are some very normal symptoms that you should be aware of. If you your child/client experience any of the following symptoms, there is no cause for concern:

  • Low grade fever (less than 101)
  • A fever in excess of 101 Fahrenheit
  • Dental discomfort
  • Nausea/vomiting
  • Bleeding
  • Difficulty breathing
  • Red/swollen face
  • Grogginess/lethargy for six to eight hours after procedure
  • Dizziness
  • Blurred vision
  • Excessive discomfort that you cannot control with pain medication
  • Excessive vomiting (more than three times post-op)
  • Bleeding that you cannot control by biting on gauze
  • Increased swelling after the third day following your surgery

When you call, please ask for the dental anesthesiologist resident on call. Please feel free to contact us if you have any additional concerns or questions.