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9-year-old San Diego girl's death after dental procedure ruled an accident
9-year-old San Diego girl's death after dental procedure ruled an accident

Yahoo

time3 days ago

  • General
  • Yahoo

9-year-old San Diego girl's death after dental procedure ruled an accident

More than two months after a 9-year-old San Diego girl died following a dental procedure, officials have released new details on her death. The San Diego County Medical Examiner's Office ruled the death of Silvanna Moreno an accident, according to an updated summary report. The girl died after she underwent anesthesia. The medical examiner listed her cause of death as "methemoglobinemia in the setting of recent nitrous oxide administration." Contributing conditions included the administration of multiple anesthetic medications. Methemoglobinemia is a very rare blood disorder that affects how red blood cells deliver oxygen, according to the Cleveland Clinic. Not everyone experiences symptoms, but nearly all people with the disorder have skin, lips or nails that are blue or purple. In some cases, it can be life-threatening. People can inherit the disorder, but it usually happens "when people use certain medications or recreational drugs or exposure to certain chemicals," according to the Cleveland Clinic. The dental procedure took place on March 18 at Dreamtime Dentistry in Vista. Dr. Ryan Watkins, the office's trained anesthesiologist, said methemoglobinemia can occur with the administration of nitrous oxide, commonly known as laughing gas. He said Silvanna never exhibited signs that something was wrong during the procedure. "If we had observed any indication of methemoglobinemia, we would have immediately discontinued the procedure and transported her to the hospital for emergency treatment," he said in a statement. The day before the procedure, Silvanna had a fever and was given children's Tylenol, People magazine reported, citing an autopsy report. The day of, she complained of a headache but did not appear to be distressed, it said. The dental procedure was three hours long, People reported. The dentist's office said Silvanna was a new patient and had been referred to them for a root canal on a molar. Doctors completed the root canal and restored the tooth with a crown. Some decayed "baby teeth" were extracted, as well as some decayed permanent teeth. One permanent tooth needed a crown, the office said, noting that three hours is normal for these procedures. Watkins said Silvanna was "a healthy 9-year-old with a history of regular medical checkups" and underwent the office's standard preoperative evaluation. He said he evaluated her as "an appropriate candidate for outpatient general anesthesia" and continuously monitored Silvanna throughout the procedure. Afterward, she was monitored in a recovery area "until she was awake with stable vital signs," he said. She was evaluated before she was released into her mother's care, he said. Silvanna's family could not be reached for comment on Friday. According to the medical examiner's summary report, Silvanna fell asleep during the car ride home and stayed sleeping upon her arrival. Family members put her in bed and checked on her throughout the day. Her family later found her unresponsive and called 911, according to the summary report. She was rushed to the hospital, where she was pronounced dead. Watkins said the office is conducting an internal review of the case and will consult with experts "to ensure we continue to provide the safest possible care for our patients." "We are profoundly saddened by the tragic loss of Silvanna Moreno, and our hearts continue to go out to her family during this incredibly difficult time," he said. Watkins was previously investigated by the Dental Board of California after a 54-year-old patient nearly died in 2016, according to NBC San Diego. State investigators said the man was put under anesthesia and was given two drugs, which led to his heart stopping. Investigators had said that one of the drugs should never have been given to the man. Watkins was put on probation from 2020 to 2023, according to a decision order. The man ended up filing a lawsuit against Watkins, which was later settled, NBC San Diego reported. This article was originally published on

9-year-old San Diego girl's death after dental procedure ruled an accident
9-year-old San Diego girl's death after dental procedure ruled an accident

NBC News

time3 days ago

  • Health
  • NBC News

9-year-old San Diego girl's death after dental procedure ruled an accident

More than two months after a 9-year-old San Diego girl died after she underwent anesthesia for a dental procedure, officials have released new details in her death. The San Diego County Medical Examiner's Office ruled the March 18 death of Silvanna Moreno an accident, according to an updated summary report. It listed her cause of death as "methemoglobinemia in the setting of recent nitrous oxide administration." Contributing conditions included the administration of multiple anesthetic medications. Methemoglobinemia is a very rare blood disorder that affects how red blood cells deliver oxygen, according to the Cleveland Clinic. Not everyone experiences symptoms, but nearly all people with the disorder have skin, lips or nails that are blue or purple. In some cases, it can be life-threatening. People can inherit the disorder, but it usually happens "when people use certain medications or recreational drugs or exposure to certain chemicals," according to the Cleveland Clinic. The dental procedure took place on March 18 at Dreamtime Dentistry in Vista. Dr. Ryan Watkins, the office's trained anesthesiologist, said methemoglobinemia can occur with the administration of nitrous oxide. He said Silvanna never exhibited signs that something was wrong during the procedure. "If we had observed any indication of methemoglobinemia, we would have immediately discontinued the procedure and transported her to the hospital for emergency treatment," he said in a statement. The day before the procedure, Silvanna had a fever and was given children's Tylenol, People magazine reported, citing an autopsy report. The day of, she complained of a headache but did not appear to be distressed, it said. The dental procedure was three hours long. Watkins said Silvanna was "a healthy nine-year-old with a history of regular medical checkups" and underwent the office's standard preoperative evaluation. He said he evaluated her as "an appropriate candidate for outpatient general anesthesia" and continuously monitored Silvanna throughout the procedure. Afterwards, she was monitored in a recovery area "until she was awake with stable vital signs," he said. She was evaluated before she was released into her mother's care, he said. Silvanna's family could not be reached for comment on Friday. According to the medical examiner's summary report, Silvanna fell asleep during the car ride home and stayed sleeping upon her arrival. Family members put her in bed and checked on her throughout the day. Her family later found her unresponsive and called 911, according to the summary report. She was rushed to the hospital, where she was pronounced dead. Watkins said the office is conducting an internal review of the case and will consult with experts "to ensure we continue to provide the safest possible care for our patients." "We are profoundly saddened by the tragic loss of Silvanna Moreno, and our hearts continue to go out to her family during this incredibly difficult time," he said. Watkins was previously investigated by the Dental Board of California after a 54-year-old patient nearly died in 2016, according to NBC San Diego. State investigators said the man was put under anesthesia and was given two drugs, which led to his heart stopping. Investigators had said that one of the drugs should never have been given to the man. Watkins was put on probation from 2020 to 2023, according to a decision order. The man ended up filing a lawsuit against Watkins, which was later settled, NBC San Diego reported.

Cause of Death Revealed for 9-Year-Old Who Was Placed Under Anesthesia for Dental Procedure
Cause of Death Revealed for 9-Year-Old Who Was Placed Under Anesthesia for Dental Procedure

Yahoo

time3 days ago

  • General
  • Yahoo

Cause of Death Revealed for 9-Year-Old Who Was Placed Under Anesthesia for Dental Procedure

Silvanna Moreno, a Southern California third-grader, died on March 18, hours after surgery at Dreamtime Dentistry in Vista Her cause of death was listed as methemoglobinemia in the setting of recent nitrous oxide administration Methemoglobinemia occurs when excessive amounts of nitrous oxide get into someone's hemoglobin and tissues don't receive enough oxygenThe cause of death has been revealed for a 9-year-old girl who underwent anesthesia for a dental procedure earlier this year. Silvanna Moreno, a Southern California third-grader, died on March 18 hours after surgery at Dreamtime Dentistry in Vista, Calif., according to a new San Diego County Medical Examiner's Office (SDCME) autopsy report obtained by PEOPLE. Silvanna's cause of death was listed as methemoglobinemia in the setting of recent nitrous oxide administration. Methemoglobinemia occurs when excessive amounts of nitrous oxide get into someone's hemoglobin (the protein contained in red blood cells that delivers oxygen to the tissues) and cause hypoxia, so tissues do not receive enough oxygen. Nitrous oxide was among the anesthetics Silvanna was administered during her procedure, according to the autopsy report. Silvanna's autopsy states she had surgery after she complained of tooth pain in October 2024, She was referred to Dreamtime Dentistry, which booked her for a Tuesday, March 18, procedure. The day before, she had a fever but her symptoms resolved after being given children's Tylenol, according to the autopsy report. The day of her surgery, she complained of a headache 'without appearing distressed,' according to the report. She was administered anesthesia at 10 a.m. for a three-hour procedure. Once she woke up, she was moved to a recovery room and then discharged, the autopsy states. On the way home, she was described as being 'out of it' and later was snoring heavily but was also initially able to open her eyes and stand. Never miss a story — sign up for to stay up-to-date on the best of what PEOPLE has to offer​​, from celebrity news to compelling human interest stories. Once Silvanna arrived home, she was carried inside and remained asleep for around 90 minutes before her snoring got noticeably quieter and slower, according to the autopsy. Her grandmother then administered two separate readings of her heart rate. After the second reading, she remained unresponsive and 911 was called at 4:46 p.m. local time — about six hours after her getting anesthesia. A dispatcher instructed the grandmother to administer chest compressions while they waited for emergency personnel to arrive. She was taken to Rady Children's Hospital Emergency Department, where she was in asystole — a condition in which the heart's electrical system fails, causing the heart to stop pumping, according to the Cleveland Clinic. Silvanna was administered several life-saving tactics but was pronounced dead at 5:44 p.m. Dreamtime did not immediately respond to a call and email seeking comment on the autopsy. In a previous statement, a representative for Dreamtime's Dr. Ryan Watkins told PEOPLE, in part, "We are deeply saddened by the tragic passing of our young patient, which occurred several hours after her completed dental procedure." "Throughout the procedure, she was continuously monitored by our dentist anesthesiologist, who ... has over 20 years of experience successfully administering general anesthesia on children, with no complications observed," the statement continued. "Following the procedure, [Silvanna] was discharged in stable condition—awake, with stable vital signs and protective reflexes intact—into her mother's care, following our standard post-anesthesia protocols," according to Dreamtime's previous statement. "The safety and well-being of our patients have always been and remain our highest priority," Watkins said, adding, "Our hearts break for the family during this unimaginable time of grief, and we extend our deepest condolences as we maintain our focus on supporting the family and cooperating fully with the medical investigation." Read the original article on People

Girl dies after trip to the dentist
Girl dies after trip to the dentist

Yahoo

time03-04-2025

  • Health
  • Yahoo

Girl dies after trip to the dentist

A 9-year-old girl in California died hours after being placed under general anesthesia to undergo oral surgery, officials said. Silvanna Moreno died hours after the oral procedure, which was performed under anesthesia at Dreamtime Dentistry in Vista, California, on March 18, according to the San Diego County Medical Examiner's Office. "She was the sunshine in every room she entered, always greeting staff and classmates with a big smile and an even bigger hug," a GoFundMe organizer wrote. "Her friends described her as kind, caring, and always happy, a true friend to everyone she met." 'Magical' Massachusetts Boy, 12, Identified As Victim In Fatal Run-in With Tree On New Hampshire Ski Slope Dreamtime Dentisty, in a statement obtained by Fox News Digital, said that Morena was referred to their office for dental treatment under general anesthesia "due to her young age and situational anxiety." "Throughout the procedure, she was continuously monitored by our dentist anesthesiologist, who is a Diplomate of the National Dental Board of Anesthesiology as well as a Fellow in Anesthesiology from [the] American Dental Society of Anesthesiology and [an] active member of the American Society of Dentist Anesthesiologists who has over 20 years of experience successfully administering general anesthesia on children, with no complications observed," the statement by Dr. Ryan Watkins said. Read On The Fox News App Following the procedure, the dentist's office said that she was discharged in stable condition. They noted that when she awoke and was checked for stable vital signs, she was released into her mother's care. The medical examiner's office said that Moreno, on the way home, fell back asleep and was transitioned into her bed at home. Her family checked on her throughout the day and later found her unresponsive in bed. Popular Spring Break Activity Lands American Tourist In Hospital: 'Felt Like I Was In A Car Accident' Moreno was transported to Rady Children's Hospital in San Diego after her family called 911. She was later pronounced dead shortly before 6 p.m. local time, the medical examiner's office said. Her cause of death is pending, and the San Diego Police Department is investigating. Dreamtime Dentistry said that they are fully cooperating with authorities as they continue their investigation. "We cannot discuss specific details due to privacy laws and the active investigation," they said. "We respectfully ask for patience as the medical examiner completes their work, as premature speculation may cause additional pain to the family." Here To Get The Fox News App Fox News Digital has reached out to the San Diego Police Department for article source: Girl dies after trip to the dentist

Girl dies after trip to the dentist
Girl dies after trip to the dentist

Fox News

time03-04-2025

  • Health
  • Fox News

Girl dies after trip to the dentist

A 9-year-old girl in California died hours after being placed under general anesthesia to undergo oral surgery, officials said. Silvanna Moreno died hours after the oral procedure, which was performed under anesthesia at Dreamtime Dentistry in Vista, California, on March 18, according to the San Diego County Medical Examiner's Office. "She was the sunshine in every room she entered, always greeting staff and classmates with a big smile and an even bigger hug," a GoFundMe organizer wrote. "Her friends described her as kind, caring, and always happy, a true friend to everyone she met." Dreamtime Dentisty, in a statement obtained by Fox News Digital, said that Morena was referred to their office for dental treatment under general anesthesia "due to her young age and situational anxiety." "Throughout the procedure, she was continuously monitored by our dentist anesthesiologist, who is a Diplomate of the National Dental Board of Anesthesiology as well as a Fellow in Anesthesiology from [the] American Dental Society of Anesthesiology and [an] active member of the American Society of Dentist Anesthesiologists who has over 20 years of experience successfully administering general anesthesia on children, with no complications observed," the statement by Dr. Ryan Watkins said. Following the procedure, the dentist's office said that she was discharged in stable condition. They noted that when she awoke and was checked for stable vital signs, she was released into her mother's care. The medical examiner's office said that Moreno, on the way home, fell back asleep and was transitioned into her bed at home. Her family checked on her throughout the day and later found her unresponsive in bed. Moreno was transported to Rady Children's Hospital in San Diego after her family called 911. She was later pronounced dead shortly before 6 p.m. local time, the medical examiner's office said. Her cause of death is pending, and the San Diego Police Department is investigating. Dreamtime Dentistry said that they are fully cooperating with authorities as they continue their investigation. "We cannot discuss specific details due to privacy laws and the active investigation," they said. "We respectfully ask for patience as the medical examiner completes their work, as premature speculation may cause additional pain to the family." Fox News Digital has reached out to the San Diego Police Department for comment.

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