Why Refer?

Pediatric Dental Surgical Associates

Why is it important to refer patients for dental surgical rehabilitation?

Epidemiologic data from national surveys clearly indicate that ECC is highly prevalent and increasing in poor and near poor US preschool children and is largely untreated in children under age three.

Those children with caries experience have been shown to have high numbers of teeth affected. Consequences of ECC include a higher risk of new carious lesions in both the primary and permanent dentitions, hospitalizations and emergency room visits, increased treatment costs, risk for delayed physical growth and development, loss of school days and increased days with restricted activity, diminished ability to learn, and diminished oral health-related quality of life.

– AAPD-Policy on Early Childhood Caries (ECC): Classifications, Consequences, and Preventive Strategies


Use of Papoose

Protective stabilization should be used only when less restrictive interventions are not effective. It should not be used as a means of discipline, convenience, or retaliation. Furthermore, the use of protective stabilization should not induce pain for the patient.

Protective stabilization is contraindicated for:

  • Cooperative non-sedated patients.
  • Patients who cannot be immobilized safely due to associated medical, psychological, or physical conditions.
  • Patients with a history of physical or psychological trauma due to restraint (unless no other alternatives are available).
  • Patients with non-emergent treatment needs in order to accomplish full mouth or multiple quadrant dental rehabilitation

In-Office Anesthesia

This is a great option for healthy, well children, but may not be the best solution when:

  • in-office anesthesia is not covered by the patient’s dental insurance
  • it raises the out-of-pocket costs for patients
  • you experience additional costs in preparing for potential emergency situations with in-office anesthesia
  • it increases your practice liability

Pediatric Dental Surgical Associates provides general anesthesia administered by a certified pediatric anesthesiologist in the hospital setting, with most PPO and Medicaid insurances accepted.

To refer your patient, simply complete the form on our Patient Referrals page.