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Surgery Center Accreditation and Anesthesia Services

Since 1993 Dr. Faerber has maintained accreditation of his
oce-based surgery center with the Accreditation Association
for Ambulatory Health Care (AAAHC). Meeting and exceeding
AAAHC standards helps to improve the safety and eciency of
the surgery center operation and experience for each patient.
Dr. Faerber maintains the commitment to outside evaluation
and assessment by AAAHC and the American Association of
Oral and Maxillofacial Surgeons (AAOMS) of his surgery center
and anesthesia operations.
Dr. Faerber practices on both medical and dental licenses and
utilizes the strict guidelines for his accredited oce basedsurgery center in the following areas:
l Pre-operative anesthesia assessment
l Anesthesia emergency crash cart supplies and drills
l Anesthesia emergency drills including ACLS and PALS
l Anesthesia patient monitoring and recovery room
guidelines
l Outside anesthesia providers for complex cases
l Sterilization monitoring and maintenance
l Quality assurance programs for assessment of
administrative and clinical operations
l Safety checklist adherence for patient protection
In addition to AAAHC accreditation Dr. Faerber utilizes
national AAOMS guidelines for oce anesthesia evaluation
that involves oce site evaluation by an outside surgeon.
Dr. Faerber maintains current ACLS and PALS certifications and
attends national anesthesia training curriculum. He is also a
member of the American Dental Society of Anesthesiology
(ADSA) as well as board certified by the National Dental Board
of Anesthesiology as well as the American Board of Oral and
Maxillofacial Surgeons
Dr. Faerber is committed to continual outside evaluation of
his oce surgery center and anesthesia operations to provide
continual improvement.

What are some of the little things that we do that we feel are important?
We use sterile saline for all surgery cases for strip that allows for gauze to be located on
x-rays if accidentally swallowed or aspirated.
irrigation and lavage.
We maintain complete crash cart supplies
We use medical (operating room style)
gauze that contains a radiographic marking including dantrolene for malignant

Advanced airway supplies.

All gauze used in anesthesia cases is

Medical Grade with X-ray Identification.

hyperthermia as well as several airway

maintenance devices.

Medical and anesthesia

emergency prevention.

Detailed crash cart emergency supplies.

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Reconstructive Bone and Soft Tissue Grafting Procedures

Dr. Faerber provides reconstructive bone grafting and soft
tissue procedures on a daily basis. Many dierent situations
require advanced reconstructive procedures in oral and
maxillofacial surgery practice:
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Missing teeth from previous extractions

Congenitally missing teeth with underdeveloped
bone
Long term bone loss associated with denture wear
A low sinus cavity leaving minimal bone below the
sinus for implant placement
Bone loss associated with chronic infection of teeth
with root canals and fractures
Gum recession associated with previous dental
treatment
Gum deficiencies from brushing trauma and
periodontal disease
Jaw defects from cyst and tumor resections
Jaw defects and abnormalities associated with
impacted teeth

Tissue recession with exposed roots.

Sinus Cavity

Dr. Faerber has completed more than 3,000 bone and soft
tissue grafting procedures and these are often combined with
tooth extraction and immediate implant placements. Secondary
surgeries involving implant exposures often require
additional soft tissue augmentation. Reconstructive bone
grafting is often required prior to placing dental implants
due to severe bone loss.

After the socket graft has healed, the

width (not shown) of the jaw has been
preserved but more bone height is required
due to the low sinus cavity.

A sinus bone graft then establishes the

appropriate bone height in the sinus. The
implant is then placed simultaneously with
the sinus bone graft.

All reconstructive procedures are completed under either

loupe or microscopic magnification from 2.5 to 20 power
magnification. This level of magnification provides improved
visualization of the surgical problems and challenges.

Dr. Faerber has treated patients with extensive facial

trauma from gunshot and automobile accidents.
This background allows a strong foundation in
reconstruction of the oral and facial region that
assists with the reconstruction of bone and soft
tissue deficiencies.

Frequently upper infected teeth with

previous root canal treatment require
extraction. This can then require additional
future bone grafting due to a low sinus.

The initial socket graft helps maintain

the width (not shown) of the socket.

Dr. Faerber has an advanced surgery background involving

training in general surgery and oral and maxillofacial surgery.
He completed seven years of residency training in oral and
maxillofacial surgery following dental school combined with
medical school and general surgery. He has treated patients
with extensive facial trauma from gunshot and automobile
accidents. This background allows a strong foundation in
reconstruction of the oral and facial region that assists with
the reconstruction of bone and soft tissue deficiencies.
All procedures are performed in his AAAHC accredited
surgery center.

Reconstructive bone and soft tissue procedures are often

augmented with the addition of the patients own growth
factors that are created from a small blood draw from the
patient while they are often sedated. The blood is prepared
in a medical centrifuge and the components are separated
to create a higher concentration of the patients own growth
factors that enhance and expedite healing.

Improved tissue (gum) contours

after reconstructive surgery.

3D CT scanning provides
three dimensional
treatment planning.
This is essential
in complex
reconstructive
bone graft cases.

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Dental Implants Immediate and Delayed

Dr. Faerber has been involved in dental implant surgery for
30 years. He has witnessed and has been a part of tremendous
innovations in the area and continues to seek constant
improvement in the implant procedures that he provides.
Since many patients are referred to our oce for removal of
failing and damaged teeth Dr. Faerber can often place dental
implants after these failed teeth have been removed at the
time of extraction under IV sedation.
Patients who have had root canals often have extremely
dicult teeth to remove. These teeth are like fossils to remove.
Dr. Faerber often can remove these severely fused teeth while
the patient is sedated. If the bone structure is preserved he
can actually place a dental implant into the extraction socket
after the extraction has been completed with the patient
asleep. This is a great benefit that many patients appreciate
since these teeth are very dicult to remove and require
extensive manipulation of the jaw to preserve the bone.

Often teeth can be removed on the lower

jaw and implants placed followed by an
immediate denture (by another doctor)
on the same day.

Dr. Faerber also works with other dental specialists to provide

immediate fixed teeth on implants after teeth are removed.
Dr. Faerbers background in reconstructive surgery often
allows him to treat patients with advanced medical problems.
These patients often require medical evaluation prior to
having surgery. These patients can have their surgery often
completed in our AAAHC accredited surgery center with
outside anesthesia providers.
Frequently young patients are referred for the removal of
wisdom teeth and also have missing permanent teeth. Often
the wisdom teeth can be removed and implants placed into
the missing teeth locations. Bone grafting is often needed at
these deficient sites and this can be completed at the time the
wisdom teeth are removed.

Frequently bone is deficient in the back

lower jaw. Advanced bone grafting can
allow implants to be placed.

Dr. Faerber also performs advanced bone grafting procedures

when bone loss from missing teeth is present. Sinus bone
grafting can be completed at the same time that implants are
placed. Dr. Faerber often draws blood from patients prior to
surgery to create concentrated growth factors that assist with
accelerated healing.

Actual sinus lift

reconstruction and
implants prior to
crown placement by
the restorative dentist.

The upper jaw often has inadequate

bone below the sinus. A sinus bone graft
allows implants to be placed into the
sinus that are of appropriate proportion.

In certain situations implants

can be placed below the sinus
and avoid the sinus bone graft.

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Wisdom Teeth (Third Molars) and Other Impacted Teeth

For almost fifty years, studies have documented the presence
of periodontal disease around asymptomatic third molars.
The majority of patients with impacted or malpositioned third
molars benefit from their removal due to the well known
adverse side eects of their retention. Large-scale studies
are now documenting that increased periodontal pockets
develop and that once established these pockets are persistent
and progressive. Often these problems are subtle and do not
create pain or swelling until the problem becomes advanced
and may have adversely aected the adjacent second molar.

Upper inflamed third molar in the adult

with roots that extend into the sinus cavity.

Third molars are best removed when patients are generally

in the age ranges of 14-19 years old. Third molar roots
continue to grow until patients are approximately 24-26
years old. Removing these teeth before the roots have totally
developed creates a less traumatic and safer surgery for
patients reducing the risks of sensory nerve and sinus damage.
This surgery is performed in our AAAHC accredited surgery
center under IV anesthesia.
Often patients are referred for other impacted teeth such as
upper or lower canines that need assistance for orthodontic
treatment. These surgeries can often be combined with the
removal of third molars to maximize treatment and reduce
repeat anesthesia events. In addition areas of missing teeth
can be treated with implants and bone grafting when other
impacted teeth are removed. The third molar extraction sites
can often be used for bone grafting harvest for use with other
areas of the mouth during the same surgery.

Lower inflamed third molar in the adult with

roots that extend adjacent to the nerve.

Obscure and unusual positions of impacted teeth are clearly demonstrated by our oce CT scans.

Impacted canine and bicuspid teeth are often in dicult anatomic locations and CT scanning creates clear identification for more ecient surgery.

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CT Scanning in our Oce to Optimize Diagnosis and Treatment

In oce cone beam

CT scanning allows us to:
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Properly evaluate the position and

proportions of critical anatomic
structures such as nerves, the sinus
cavity and adjacent teeth when
planning for implant surgery
Evaluate the position of impacted teeth
to assist with orthodontic treatment
and future exposure or removal
Evaluate teeth that require extraction
for the potential of immediate implant
placement
Evaluate suspicious lesions in the jaws
Evaluate painful teeth and infections

Dr. Faerber uses state-of-the-art CT (computed tomography)

cone beam scans for patients. These scans provide a 3D nonmagnified image of specific regions of the jaw that assists with
the diagnosis of a variety of problems. Conventional dental xrays serve a purpose in the evaluation of routine dental problems
such as decay and periodontal disease. Conventional dental
x-rays however are one- dimensional and are magnified often
in the 10-40% range. Cone beam CT scanning now oers
views that conventional dental x-rays cant provide. A recent
article in the medical/dental literature has indicated that
certain problems in molar teeth can go undiagnosed if only
conventional dental x-rays are used in the patient evaluation.
(1). In addition the resorption (dissolving) of adjacent tooth
roots by impacted third molars (wisdom teeth) has been
indicated to be better documented by cone beam CT
scanning than conventional panoramic 2D x-rays. (2).

generated provides a detailed evaluation and expedites

treatment and improves safety. The ability to visualize
adjacent anatomy and teeth provides safer and more ecient
surgery. Radiation dosage from our CT scanner is minimal
(Carestream 9000). All of us are exposed to daily background
radiation often measured in a unit termed the millisievert
(mSv) that is the eective radiation dosage to the body. The
dosage that our unit produces is equivalent to 1-2 days of
routine background radiation which is low.
Medical CT scans create exposure ranges anywhere from the
equivalent of 8-20 months of background radiation due to
larger areas of exposure and higher energy usage. Therefore
cone beam CT scanning in the child and adolescent is safe and
a fraction of the radiation used in medical CT scans. Additional
information on CT scanning can be obtained at fda.gov and
additional sites such as imagegently.org.

Cone beam CT scanning is often essential in the evaluation

of impacted teeth in children and young adults. The 3D image

(1)Lofthag-Hansen, Sara et al. Oral Surgery, Oral Medicine, Oral Pathology, Oral
Radiology and Endodontics, Vol. 103, Issue 1, 114-119, 2007
(2)Oenning, Anne et al. J Oral and Maxillofac Surg 72:1444-1455, 2014

Teenage patient congenitally missing eight teeth. Sinus bone level was improved from 7mm to 21mm with reconstructive sinus bone grafting bilaterally augmented with growth factors.
Bone graft and sinus reconstruction allowed placement of eight implants to replace missing teeth and help normal function.

Cone beam CT scanning is often essential in the evaluation

of impacted teeth in children and young adults. The 3D image
generated provides a detailed evaluation and expedites
treatment and improves safety.

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Continuing Education at Faerber Surgical Arts

Dr. Faerber has been a speaker at national surgery meetings

throughout his career in addition to being a board examiner.
In addition he previously was a surgery center site examiner
for the Accreditation Association for Ambulatory Health Care
(AAAHC) a national surgery center accreditation organization.
In these capacities Dr. Faerber has been involved with the
examination of surgeons and their surgical facilities for both
quality and safety. These activities have allowed Dr. Faerber to
examine and improve his own practice while benchmarking
with the best surgeons in the country.
Along with educational activities on the national level
Dr. Faerber has run his own study clubs for local doctors
for over 20 years. These study clubs allow local dentists to
work with advanced techniques in diagnosis and treatment
planning as well as providing a group think tank with other
specialists for complex restorative cases. These study clubs
allow local dentists to receive continuing education credit as
well as assisting in the diagnosis and treatment planning of
complex cases. This education and group analysis benefit
patients in the end with improved outcomes and safer treatment.
In addition to continuing surgery education and study
club activity Dr. Faerber and his sta renew their CPR and
Advanced Cardiac Life Support training on the appropriate
schedules. Anesthesia training is ongoing and surgery center
sta receive continual training via national surgery and
anesthesia organizations.

Your consultation and Surgery Appointments

We see many patients who are referred by their general dentist
or dental specialist for a variety of oral and maxillofacial surgery
procedures. These procedures can vary from removing one tooth
or a small lesion in the mouth to large reconstructive surgeries of
the jaws that lead to eventual dental implant reconstruction.
All patients have an initial medical evaluation by Dr. Faerber to
assess the procedure requested and fitness of the patient to
safely undergo such procedures. Larger cases such as wisdom
teeth, multiple tooth extractions, dental implants with bone
grafting, soft tissue (gum) procedures are completed under
IV sedation in our AAAHC accredited surgery center. Some
patients need to first have a consultation initially followed by
surgery at a later date to allow for various medical issues to be
resolved such as blood thinning medications, pre-operative

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Humanitarian Services at Faerber Surgical Arts

Dr. Faerber has been involved with and continues to provide a
variety of humanitarian surgical services in his practice. He has
been a volunteer with the Kansas Mission of Mercy as well as
being a ten-year participant with the Dental Lifeline Network.
Both of these organizations provide free dental and oral
surgery services to patients in need. In addition Dr. Faerber
has donated oral and maxillofacial surgery services for the
Federal Indian Health Service.
Starting private practice in 1991 Dr. Faerber has been on active
emergency room call at Shawnee Mission Medical Center. Many
of these services are often provided with no reimbursement to
our practice. Dr. Faerber continues to assist other organizations
when needed with donated surgery.

antibiotics, heart condition evaluation, etc.

Some patients that have medical issues may require a medical
clearance by their primary care physician or medical specialist
such as their cardiologist before a surgery can be completed.
Dr. Faerber utilizes the guidelines of his national surgery and
anesthesia organizations as well as the AAAHC guidelines that
his surgery center is accredited with regarding when to proceed
with a surgery and when additional medical pre-operative
evaluation is required.
Our business oce sta will help with any insurance coverage
questions that you may have regarding upcoming procedures.
Some insurance carriers require a pre-determination prior to
any treatment being rendered. Our business sta will make

every eort to assess your insurance coverage and inform you

of your payment responsibilities prior to your surgery being
scheduled.
At the end of your consultation you will receive informed
consent regarding your procedure that will detail the procedure
and potential risks and complications. You will also receive
pre-operative instructions as well as post-operative instructions
and information about your procedure. Surgery scheduling is
often completed at the consultation appointment or a later
date when more information is available.
We encourage you to call with any questions that were not
made clear during your consultation so that these questions
are answered prior to your pending surgery.

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What our patients are saying.

Dawn OMalley
I was involved in a bike accident
that knocked out my two front
teeth. Over time, my gums
started to receed, I didnt like
that, and certainly didnt want
to lose any more teeth.
My dentist sent me to see
Dr. Faerber. For the first time I
felt I was talking to someone
who really listened to me and
knew what was best for me. He explained in great detail what he was
going to do, and although it involved quite a journey, I had complete
trust in him. I was fitted with braces, because my teeth had become so
miss-aligned. I wore them for almost 2 years in preparation to receive
implants. Dr Faerber installed the implants perfectly. To say I am more
than happy and pleased with the outcome is an understatement.
Dr Faerber made it happen, he gave me back my quality of life, my
confidence, I am no longer afraid to smile. I know I was in the best
hands I could possibly be in, so much so that, that I had him extract the
wisdom teeth of my two girls.

me where an infection had settled on my sinus cavity bone and had

slowly eroded the bone making the insertion of implants out of the
question. However he explained how everything could be resolved, he
was very clear about how he was going to proceed re-building the
bone through grafting. The bone grafting process was so impressive.
He drew my blood and separated the components necessary to build
back the bone... so its still all my bone.
Its now approaching 10 months of work and I feel great and grateful
about everything. The implants are solid and have healed to where I
will soon have my teeth installed and it will be a relief to start chewing
on that side after all these years. In the meantime my wife had
Dr. Faerber put an implant in for her, she said it couldnt have gone
easier. She was thrilled, and so am I.

Dr. Faerber Out of the Oce

Diana Hatfield
I have always had dental
problems even though I was
always diligent about taking
care of my teeth regular
brushing, flossing, using a
water pic etc., Inspite of that I
had implants that had failed.
They had become loose and I
was scared to death they would
simply fall out while I was eating
out with friendsI was referred to Dr. Faerber. I was so impressed with
his professionalism, how thorough he was; he looked me in the eye
and explained my problems and what was involved in his planned
course of action. He explained that I had an auto-immune deficiency
that resulted in my bone being eaten away and therefore its failure to
hold the implants. Because of this deficiency, he started building back
my bone with a bone graft augmented with growth factors from my own
bloodstream. I now have firm beautiful implants. He healed my bone
and made my mouth healthy, and I am such a believer that a healthy
mouth is so vital to your entire well being. I am so grateful for what
Dr Faerber did for me he made me emotionally and physically better.
David Raccuglia
It started at my dentist during a
routine check-up. The X-ray,
showed a grey spot on an old
root canal. It was a cracked root.
He referred me to Dr.Faerber...
and the process began. From
the beginning he was very
professional, he explained
everything clearly, made
suggestions and also gave me
options. I also asked him about a large gap in my back teeth that was
left from a missing tooth. After viewing a 3-D scan Dr Faerber asked
me if I had symptoms of a sinus infection (I didnt think so), he showed

Dr. Faerber has been married for 35 years and has three children.
He enjoys spending time with his family and staying physically fit.
He and his wife Ann enjoy traveling and hiking national parks. He
has previously trained and has competed in short course triathlons
and hopes to return to these in the coming summers if his knees
allow it. If the knees dont cooperate, cycling in the park and
basement will have to suce.
Preparing for visits to historical sites, national museums relating to
history, architecture and natural sciences are a passion when traveling.
His favorite historical visit is the WWII beaches of Normandy and
surrounding battlegrounds, museums, and national cemeteries.
Another cherished museum for Dr. Faerber is the WWl Museum
here in Kansas City.