Mobile IV Sedation for Dental Practices
For Dentists: Bring Moderate IV Sedation to Your Practice
Welcome to Dr. Schaake's mobile anesthesia page. This page is for other dentists that are seeking to work with Dr. Schaake on IV sedation cases in their practice.
Important: Dr. Schaake is not an anesthesiologist or specialist and has not completed a residency in anesthesia.
Dr. Schaake is an experienced general dentist with extensive IV sedation experience and is highly-skilled in keeping patients comfortable during major and involved dental work. He sedates patients 14 years and up.
Keep Complex Cases in Your Office — We Bring the Sedation to You
Some of your patients need IV sedation to get the care you've already diagnosed. Referring them out means a case leaves your practice and sometimes never comes back.
We come to you instead. Dr. Michael Schaake is an IV sedation trained general dentist who holds a level 3 sedation permit and ASA 3 endorsement with the TSBDE. He travels to your office with the equipment, monitoring, and clinical experience to deliver moderate IV sedation for your patients in your operatory, while you perform the dentistry. Your case stays your case. Your patient stays your patient.
Call to schedule a sedation case: (817) 374-4767
What mobile IV sedation is
Mobile IV sedation - also called mobile dental anesthesia - is a visiting sedation provider who brings sedation services on-site to a host dental practice. Dr. Schaake arrives with the sedation medications, monitoring equipment, and emergency drugs and airway kit, establishes and manages the IV, monitors the patient throughout the procedure, and stays until the patient meets discharge criteria.
You keep doing what you do best. We handle the patient's comfort and their vitals from start to finish.
Rapid Relaxation: The effects of IV sedation are almost immediate, helping the patient feel calm within minutes.
Adjustable Sedation Level: We can customize the amount of sedation to fit your needs, ensuring you stay comfortable throughout the procedure.
Comfortable Experience: Many patients report little to no memory of the procedure afterward, making future visits less intimidating.
Cases We Commonly Support:
Moderate IV sedation can be a great option for various use-cases
Full Mouth Rehabilitation and full-arch implant cases.
Multiple and/or surgical extractions, including 3rd molars.
Long or Complex Treatments: For patients needing extended or multiple treatments in one appointment, sedation can make the time pass more comfortably.
Long restorative appointments
Patients with severe dental anxiety or dental phobia
Patients with a strong gag reflex
Patients who have had difficulty achieving profound local anesthesia
How a sedation day works
We want to make the process as seamless and smooth for your office and patient as possible. This is how the process works:
Scheduling and Case Review
Call our office to schedule the case and send us the patient's medical history, medication list, and planned treatment. We review for sedation candidacy and contact the patient for a remote consult and collect payment from the patient directly.
Pre and Post Operative Instructions
We provide written and verbal pre and post-operative instructions - fasting, medication changes, and the care-giver contract. We also bring a wheel chair to escort patient to their care-giver's vehicle.
The Appointment
Dr. Schaake arrives ahead of the scheduled start, sets up in your operatory, and reviews the patient's history and vitals. He starts the IV, titrates the patient to a moderate level of sedation, administers local anesthetic and monitors continuously using pulse oximetry, blood pressure, ECG and capnography for the entire procedure as well as completing a board-compliant sedation record you can add to your chart. You perform the dentistry.
Post-Treatment Care and Recovery
Recovery and discharge. We stay with the patient through recovery, confirm they meet discharge criteria, and release them to their caregiver with written post-operative instructions. Dr. Schaake also does a next-day call to the patient, plus a written sedation record you can add to your chart.
Why not just Refer out? Advantages of in-house IV sedation
IV sedation in your office minimizes the number of trips that patients need to take to specialist's offices just because they need sedation. Often, you are able to do the procedure, but the patient cannot tolerate it without sedation. Many patients are very appreciative of being able to keep the sedation in-house.
You keep the case. Full-mouth rehab, multiple extractions, implant placement, and long restorative appointments stay in your practice instead of going to an outside specialist.
Treatment actually gets completed. Fearful patients who have deferred care for years will often say yes to sedation when they won't say yes to another appointment.
Fewer, longer visits. Work that would take four appointments can often be consolidated into one sedated visit - better for your schedule and for the patient.
No capital outlay. No sedation permit, no monitors, no emergency drug inventory, no continuing-education burden on your team.
Your patients stay in a familiar office with the dentist they already trust.
Is IV Sedation Safe?
Dr. Michael Schaake holds a Level 3 Sedation Permit in Texas, having received his training through the Academy of Dental and Medical Anesthesia and is ACLS certified. He has 2 years of experience providing IV sedation and 4 years of experience providing oral conscious and nitrous oxide sedation.
Dr. Schaake routinely sedates and treats patients in his own practice with moderate IV sedation and stays current on topics in sedation dentistry and pharmacology.
Every patient is screened for sedation candidacy before the appointment via a phone consultation with Dr. Schaake, monitored continuously during it, and discharged only after meeting objective recovery criteria.
What we Bring
There will be no additional cost to your practice - We handle everything
Sedation medications, reversal agents, and emergency drug kit/crashcart with advanced airways, Portable oxygen, backup suction and lighting, AED, etc.
IV supplies and monitoring equipment
Complete sedation record for the patient's record so you can add it to their chart for your documentation.
Areas We serve
We come to you! Serving a radius of 70 miles from Weatherford, Texas. Contact us for our fee schedule outside this radius.
We provide mobile IV sedation to dental practices in Weatherford, Fort Worth, Aledo, Willow Park, Hudson Oaks, Springtown, Mineral Wells, Azle, Granbury, Stephenville, and the surrounding North Texas area.
Common questions from dentists
Q: Do I need a sedation permit to host you?
A: No. Dr. Schaake's sedation permit covers the sedation.
Q: Who is responsible for the patient?
A: Dr. Schaake is responsible for the sedation and for the patient's airway and vitals. You remain responsible for the dental treatment you perform.
Q: How far in advance do I need to schedule?
Availability varies. Please reach out as soon as the patient has indicated they are ready to move forward with treatment to reserve your appointment time. From there, we will reach out to the patient to complete the phone consultation and payment.
Q: How is it billed?
We require payment up front from the patient for the procedure. Rescheduling or Cancellations within 72 hours will be refunded at 50% of the total fee. Cancellations within 72 hours will not be refunded
Q: Who will administer the local anesthetic?
A: Dr. Schaake prefers to administer the local anesthetic. This both saves you time and energy and allows him to accurately record the amount of local anesthetic that was administered for toxicity and documentation purposes.
Q: Can you sedate more than one patient in a day?
A: Yes. Many practices block a full sedation day and schedule several cases back to back.
Q: What if a patient isn't a candidate?
A: Dr. Schaake will screen the patient during the pre-op phone call with the patient and advise you if they are not a good candidate moderate IV sedation. Sometimes this involves recommending a dental anesthesiologist.
Q: How is moderate sedation different from deep sedation?
It is very different. Unlike deep sedation/general anesthesia, we do not guarantee the patient will be asleep for the procedure - although they will often drift off to sleep at times. They can be easily awakened verbally. Your patient will be comfortable and relaxed while still maintaining their own airway. In deep sedation, patients can lose competency of their airway, which requires intubation.
Q: Will my patient remember the procedure?
A: Yes, most likely they will remember parts of the procedure. This varies widely, with some patients remembering all of the procedure and others remembering almost nothing. However, we usually find that patients who remember the procedure remember it as being non-traumatic and positive. This is thanks to the beneficial effects of the opioid and benzodiazepine medications we use.
Q: Is moderate sedation really better than minimal sedation?
A: The effects are much more profound in moderate sedation. Minimal sedation only allows the use of one medication at a time, usually a benzodiazepine. Moderate sedation allows the use both sedative and pain-reducing (analgesic) medications which can be titrated to the optimal level for the patient based on the dosage required.
Q: Will you give my patient anything to help with pain?
A: Yes, if indicated and there are no medical contraindications, Dr. Schaake can administer IV Toradol and/or IV dexamethasone to help reduce post op pain and swelling from the procedure.
Pricing and Billing
We have a one-hour case minimum of $800. Each additional hour is billed at $350 per hour.
The patient will pay in full ahead of time for their appointment. Their total will be based on the time estimate your office gives us when you schedule the sedation appointment.
Cancellations before 72 hours ahead of the appointment time will be refunded at 50%. Cancellations will not be refunded if made within 72 hours of the appointment time.
If the patient has to reschedule their appointment, there will be a $200 fee to roll their appointment to a future date. They will not have to pay for the sedation a second time. However, once an appointment has been rescheduled, it is no longer eligible for the 50% cancellation refund.
Financing is available through Proceed Finance, CareCredit and Cherry as well as other 3rd-Party options for patients with low credit scores. Please check the financing tab on this site or give us a call to discuss options.
Bring IV Sedation To Your Practice
Tell us about the case and we'll let you know if we can help.
Call (817) 374-4767 to schedule a sedation appointment.
We Make It Convenient For Your Smile To Be Exceptional.
We plan around your busy schedule and even offer emergency dental services if the need arises.
