Dental Office-Based Anesthesia
The Anesthesiologist’s job is to have the most comprehensive view of the patient care situation and act upon training and insight to ensure patient SAFETY (physical, physiological, and psychological). This duty includes having a thorough understanding of the surgery and environment of care and integrate applicable solutions to optimize outcomes.
The office based environment presents unique challenges that must be addressed. The American Society of Anesthesiologists (ASA) recognizes the unique needs of the office-based anesthesia (OBA) environments and the increased requests for Anesthesiologists to provide OBA for health care practitioners. Since OBA is a subset of ambulatory anesthesia, all applicable Standards and Guidelines including the ASA “Guidelines for Ambulatory Anesthesia and Surgery” should be followed in the office setting.
Dentist-Anesthesiologists are uniquely trained to safely provide comprehensive anesthesia services for dental treatment in office-based settings. The practice of anesthesiology in dentistry has a long history that includes an outstanding attention to the development and use of anesthesia safety standards, in particular in the office based setting. This strong record of safety is no doubt the result of dental anesthesiology’s dental specific training and special attention to the comprehensive evaluation, monitoring, and care of the unique needs of its patient populations.
Specialty Anesthesia Partners, PLLC dutifully strives to seamlessly integrate all professional guidelines and best practices at all locations where we render Anesthesia services. We are confident that when we perform anesthesia in our settings we have optimized patient safety and to reduced risk to make our services available to a community of patients who would otherwise face significant barriers to receiving treatment, including the possibility of not receiving treatment at all.
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Services
Specialty Anesthesia Partners, PLLC supports all levels of anesthetic and sedation care. Sedation occurs on a continuum and entirely independent on the route of administration. The level of sedation a patient experiences depends on several factors, including the type of procedure you’re having and how the body responds to anesthesia. Age, medical conditions, and health habits may all affect the type of anesthesia that is delivered. The anesthetic plan addresses both the needs of the dentist and patient while be carefully adjusted for the environment of care.
All service levels include:
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Preprocedural assessment and management of patient comorbidity and periprocedural risk
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Diagnosis and management of clinical problems that occur during the procedure
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Support of vital functions inclusive of hemodynamic stability, airway management, and appropriate management of the procedure induced pathologic changes as they affect the patient’s coexisting medical morbidities
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Administration of sedatives, analgesics, hypnotics, anesthetic agents, or other medications as necessary for patient safety
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Psychological support and physical comfort
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Provision of other medical services as needed to complete the procedure safely
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Immediate Postoperative medical and pain management
Robert A. Busto, DMD, MBA, MS
Chief Anesthesiologist,
Specialty Anesthesia Partners, PLLC
Dr. Busto is Board-Certified Dentist Anesthesiologist exclusively focusing on Anesthesiology and the medical management of dental patients as well as the improvement of dental patient perioperative safety and access to care with office-based anesthesia practice. Dr. Busto has practiced Anesthesiology in all patient care settings including Hospitals, Ambulatory Surgical Centers, Private and Public Clinics, and Office-Based Settings on patients of all ages and medical complexity. Dr. Busto previously served as Assistant Professor-Clinical at the Ohio State University with a dual appointment in both the Department of Anesthesiology, College of Medicine, Wexner Medical Center and the Division of Oral and Maxillofacial Surgery and Dental Anesthesiology, College of Dentistry. He maintained Anesthesia attending privileges at the the Wexner Medical Center and the James Cancer Hospital in good standing. During this time, he also served as Program Director for the Dental Anesthesiology Residency at the Ohio State University. Dr. Busto has published and presented on Medical Management of the Dental Patient and Dental Office Based General Anesthesia.  Dr. Busto has clinically trained many Physician and Dental Anesthesiology Residents as well as presented and lectured on multiple Anesthesia and Medicine topics at both local and national levels to practicing physicians and dentists, residents, Students, Oral Maxillofacial Surgeons, ENT Surgeons, Nurses, and support staff.  He completed his DMD at Tufts University, a General Practice Residency at Long Island Jewish Medical Center, and maintained a private general dental practice for 11 years in South Florida before receiving his Clinical Anesthesiology training at the The Ohio State University Wexner Medical Center's CODA-accredited Anesthesiology Residency Program at during which he additionally earned a Master of Science Degree in Dental Anesthesiology. He is a Diplomate of the American Dental Board of Anesthesiology. He has earned multiple teaching awards in Anesthesiology as well as Fellowships from the Academy of General Dentistry and the International Congress of Oral Implantologists, and an Associate Fellowship from the American Academy of Implant Dentistry. He is a current member of the ADA, TDA, ASDA, and ADSA.
