Cases we take. Cases we decline.

Which cases suit an office-based anesthetic, which do not, and how every request is reviewed individually.

Assess / Case selection

Individual review determines whether the patient, procedure, and setting are appropriate. A treatment request is not automatic acceptance.

Cases to consider

Patients whose dental anxiety has prevented treatment.
Children and adults who need additional support to receive dental care.
Full-mouth rehabilitation, full-arch implant treatment, and multi-quadrant treatment planned by the dental team.
Longer procedures, a strong gag reflex, or difficulty completing care with local anesthesia alone.

ASA IV or unstable ASA III cases requiring a different level of care.
Airways that require hospital resources.
An outstanding preoperative workup.
A procedure, access route, working space, or recovery arrangement that cannot be supported in the office.

The plan follows individual assessment of the patient, procedure, and office. A procedure name alone does not determine the level of anesthesia.

Experiences of care

A perspective on working alongside Dr. Giesberg.

“She is someone I trust completely in the operatory.”

Dr. Roman Temkin

Board-Certified Oral & Maxillofacial Surgeon