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Safe, in-office dental anesthesia

We bring hospital-grade anesthesia services to your office to ensure optimal patient safety and comfort during dental treatment.

Dr. Ayyash and the Pearl Anesthesia team provides in-office anesthesia services to facilitate the completion of dental procedures. We treat a range of patients, from pediatric to geriatric, from tongue-tie release to full mouth rehabilitation. We also extensively care for patients with disabilities, not limited to Autism, Cerebral Palsy, Intellectual Disability, Down syndrome, and other genetic/physical disorders.

Our services can be helpful to many patients and provide an avenue to complete necessary dental treatment for patients who may experience the following:

Pediatric Patients

Children who are anxious and fearful of the dentist can avoid further discomfort and trauma by undergoing anesthesia for dental treatment.

Phobic Patients

Many patients, regardless of age, have fear and anxiety when visiting the dentist. we are help to ease that burden, and ensure a calm, comforting visit.

Gag Reflex or Inability to Get Numb

Patients that experience a hyperactive gag reflex or issues with numbing, whether allergy or metabolic, can bypass these with sedation.

Extensive Dental Work

Long procedures or extensive dental treatment can be painful and often take multiple visits or prolonged appointments. Under anesthesia, they can be performed comfortably and efficiently.

Chronic Medical Conditions

A variety of illness, such as asthma, metabolic disorders, cardiac disease, HTN, diabetes can limit the ability to receive dental treatment without a trained anesthesia provider.

Patients with Disabilities

Medical conditions such as autism, cerebral palsy, ID, Down syndrome can effect one’s ability to cooperate for treatment. We ensure each patient is treated with utmost care and empathy for their unique needs.

Benefits of Specialized Patient Care

We find that patients of all ages and health history can struggle to undergo dental treatment and stand to benefit from undergoing sedation. Each patient is evaluated and assessed thoroughly to determine their candidacy for in-office anesthesia and to tailor their specific anesthesia needs. As the sole anesthesia provider and monitor for your case, rest assured your safety is our primary concern while your dentist is able to focus on your dental treatment.

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image of a dentist with a patient

Efficient Quality Dental Work

Your dentist is able to focus solely on completing dental treatment, translating to efficient high quality work.

Avoid Long Waits with Hospital

Pediatric and patients with disabilities often had no alternative to undergoing anesthesia at a local hospital or surgery center. This presents with long waitlist, higher costs, and extended waiting times.

Remain at Your Dental Home

We come to you to ease any unfamiliarity with a hospital or surgery center, this improves comfort and confidence for all.

Provider Training and Readiness

Pearl Anesthesia providers completed an ADA CODA accredited residency program in dental anesthesiology.

Pre & Post Operative Communications

Our staff personally communicates with each patient and/or guardian to collect all necessary information, explain the process, and address any questions or concerns.

Safety Equipment and Training

We adhere to strict safety protocols and carry all emergency equipment and medications, although our goal is to always minimize any risk of a medical emergency with proper safety training for all staff. Our anesthesia providers are certified in ACLS, BLS, and PALS.

Thorough In-Person Evaluation

Prior to your appointment, your health history is thoroughly reviewed and assessed. We also evaluate you the day of your appointment and take any health changes into consideration.

image of a dental treatment in progress
image of automotive diagnostic equipment
image of medical aid being provided
image of a dentist with a patient
image of a dental treatment in progress
image of automotive diagnostic equipment
image of medical aid being provided
image of a dentist with a patient

Provider Training and Readiness

Pearl Anesthesia providers completed an ADA CODA accredited residency program in dental anesthesiology.

Pre & Post Operative Communications

Our staff personally communicates with each patient and/or guardian to collect all necessary information, explain the process, and address any questions or concerns.

Safety Equipment and Training

We adhere to strict safety protocols and carry all emergency equipment and medications, although our goal is to always minimize any risk of a medical emergency with proper safety training for all staff. Our anesthesia providers are certified in ACLS, BLS, and PALS.

Thorough In-Person Evaluation

Prior to your appointment, your health history is thoroughly reviewed and assessed. We also evaluate you the day of your appointment and take any health changes into consideration.

Trusted by dental professionals

See how our anesthesia services improve patient care and practice efficiency.

“Our patients are more comfortable and relaxed during procedures. The process is seamless and allows us to focus on treatment.”


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Taylor Kim
Pediatric Dentist

“Having anesthesia provided in-office has made complex cases easier to manage. The team is reliable and attentive to every detail.”

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Jordan Patel
Oral Surgeon

“Ayyash Dental Anesthesia ensures safety and comfort for our most anxious patients. Their expertise is invaluable to our practice.”

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Morgan Lee
General Dentist

Safer sedation. Better dental care.

Expert anesthesia services delivered onsite for a comfortable, efficient, and safe dental experience—tailored for every patient.

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How does onsite anesthesia work?

Our team brings all necessary equipment and medications directly to your practice. We handle pre-op assessment, sedation, monitoring, and recovery, so you can focus on dental care while we ensure patient safety throughout the procedure.

What happens before an appointment?

We review the patient’s medical history, allergies and planned procedure to create an individual sedation plan.  Pre‑operative checks ensure patients are ready for anesthesia

What safety measures are in place?

We use hospital-grade monitoring and follow strict safety protocols. Our providers are board-certified and remain with the patient from start to finish, ensuring continuous observation and rapid response if needed.

What occurs during the procedure?

After induction, we secure the airway if necessary, administer sedation and monitor vital signs throughout. The dental team performs the treatment while we focus on anesthesia

How long is recovery?

Patients are awake & alert within 30 minutes post-op. We stay with the patient until they are stable, awake and safe to go home with a responsible adult. Detailed recovery instructions are provided to caregivers.

image of a dental treatment in progress
image of a dentist with a patient

Office-based dental anesthesia solutions

Hospital-level sedation delivered in your practice.

Board-certified care for all patient needs.

Streamlined, safe, and efficient procedures.

image of a dentist with a patient

In-office anesthesia, safe and convenient

Experienced doctors and staff

Hospital-level safety and monitoring

Tailored care, removing the burden and stress of treatment

Increased accessibility of dental care for all patients

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