Hospital Dentistry for Special Needs Cases in NJ

What is Hospital Dentistry?

Hospital dentistry is a highly specialized section of dentistry that may incorporate procedures such as oral surgery, maxillofacial surgery, and pediatric dentistry. Doctor Howard Kotkin’s services focus on restorative dentistry, cases for children with special needs and nursing bottle syndrome.

If a patient requires sedation for dental care, Dr. Howie and his team will provide treatment at Mountainside Hospital in Montclair, NJ. Here, a certified medical anesthesiologist will administer general anesthesia and help monitor the patient for the duration of any dental procedures.

Dr. Howie’s office has been utilizing hospital dentistry to great effect since 1999, treating hundreds of patients along the way. While not necessary for many of his patients, hospital dentistry does allow for a safe, stress-free environment for your child to receive their dental treatment. Hospital dentistry typically allows for superior dental care to be performed.


What to Expect from General Anesthesia for Hospital Dentistry

In cases where general anesthesia is being utilized, appointments will be in the morning since eating or drinking fluids prior to anesthesia isn’t allowed. To make our kids feel their most relaxed, we recommend their favorite, most comfortable clothing. Doc Howie himself prefers superhero or princess pajamas.

Upon arriving at Mountainside Hospital, your child will be checked to ensure that they are in good health and not suffering from flu, diarrhea, sore throat, or other health conditions.  Once proper health has been ensured, anesthesia will be administered until the patient is asleep.


Treatment and Recovery

While asleep, an IV will be placed at the top of the hand. This will allow for any necessary rehydration of the patient as well as efficient delivery of any necessary medication. In addition, an endotracheal tube is placed in the nose for breathing during treatment.

Once all dental work has been completed, the patient will be moved to the recovery room for 30 minutes to an hour, until they have awakened and responded appropriately. It’s important to know that your child may be disoriented, drowsy, nauseated, or less coordinated. Because of this, it’s advisable that two adults be there for the drive home, allowing one to sit next to the child while the other drives.


Post-Treatment Care

Before departure from the hospital, you will be given instructions on what is best to eat, drink, and do for the rest of the day. Normal activities afterwards may be fine, but it’s important to make sure that your child is symptom-free. Any side effects from anesthesia should dissipate within 24 hours.


Directions to Mountainside Hospital

Hackensack UMC Mountainside Hospital is located at 1 Bay Avenue, Montclair, NJ, 07042. It’s about 15 miles away from our offices in Chatham, NJ and approximately a 30-minute drive. From Chatham, the easiest route to Mountainside Hospital is via the John F. Kennedy Parkway to 280-E.


Please refer to the map below for full directions.