I agree with and appreciate prior comments/concerns by Dr.'s Wong and Padgett. Truly concerning for patient care. There has most recently been a pediatric dental death in SW Virginia in which a child was treated by an anesthesiologist in a dental practice setting. Regardless of the situation, we never want a poor outcome, let alone a catastrophic event. Aside from the lack of training a dental office has with anesthesia training and continual need for CE to include BLS, ACLS and PALS (if applicable), the ancillary staff is not and will not be adequately trained to appropriately respond to situations which require immediate attention to mitigate a catastrophic event or to optimally treat an event that is catastrophic. We in the healthcare model are here to "do no harm"... Although I want to believe while the reasons behind why the CRNA wants to provide a deeper level of anesthesia to a phobic dental patient is to put their fears at ease in theory is a good omen, in practice this is not a "BEST PRACTICE" situation nor environment and I would not support this model. Appropriate training, i.e. OMFS model, or an appropriate out-patient or hospital setting would be best for a team approach.