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Officials investigating her death found that a 9-year-old San Diego girl from San Diego would not respond at her home after undergoing dental surgery.
Her anesthesiology dentist was disciplined by the state due to a 2016 incident in which she was accused of accidentally “over-administering” drugs or treatments to a 54-year-old man whose heart had temporarily stopped during a dental procedure.
On March 18th, Silvanna Moreno was placed under anesthesia for a dental surgery at Dream-Time Dentistry. This is explained on the website as they strive to be “the best office in sedative dentistry in Vista, California.”
In a statement, Dreamtime Dentistry said he was “deeply saddened by the tragic passage of the young patient.”
“The patient was referred to our office for dental care under general anesthesia due to young age and acute circumstances anxiety,” the statement said.
During the surgical procedure, Dr. Ryan Watkins, a licensed dentist trained and qualified in anesthesiology, observed Silvanna and noted that there were no complications, the dentist said.
According to the San Diego Clinic office, after the procedure she was discharged to care for her mother and sent home.
“Following the procedure, she was expelled in a stable condition — she woke up, left stable vital signs and protective reflexes intact, and fell into maternal care following standard post-anaesthesia protocols,” the statement said.
Silvanna went back to her car and fell asleep, and when she arrived home, she was moved to her bed about sleeping, according to the medical examination room.
Her family checked her all day and later discovered that she didn’t respond when they called 911.
Paramedics transported the child to Rady Children’s Hospital-San Diego, providing life-saving measures during transport.
When Silvanna arrived at the hospital, medical staff assumed the lifesaving measures would be useless and declared she was dead, according to the examination room.
Police Department spokesman Abby Madison said the San Diego Police Department’s child abuse squad is investigating the girl’s death as the unit is dead as the victim died when she was under the age of 17.
A verified GoFundMe account created to help pay funeral expenses described the third graders at Sherman Elementary School as “greeting staff and classmates with the sunshine in every room she entered, with always big smiles and even bigger embraces.”
Silvanna is survived by her parents, Itzel de Jesus and Roberto Moreno, and three brothers.
According to a news release, Watkins, a dental anesthesiologist, has more than 20 years of experience administering general anesthesia to children and owns a dentist at Dream Time.
However, in 2020, Watkins was placed on disciplinary probation for 35 months after the 54-year-old patient’s heart stopped beating under anesthesia, according to the California Dental Board.
According to the complaint filed, Watkins was administering anesthesia to a patient, a triathlete who thought he was in excellent health and had the right vital signs on the day of the surgery.
Once the surgery began, the patient’s vital signs declined. His heart rate and blood pressure have dropped. Watkins administered medication to treat hypertension and another medication to restore the balance between the liquid and electrolytes. The patient’s heart rate rose until it stopped.
The first responder was called and transported the patient to a local hospital. When I arrived there, “we were able to respond nonverbally by opening our eyes in response to our voices.”
The patient was discharged from the hospital two days after admission, and doctors reported that the cause of his medical visit was “cardiac arrest,” and “addicted, accidental, first encounters, primarily due to other drugs that affect the autonomic nervous system.”
Watkins agreed to a suspension under a prescribed settlement with the state’s dental board.
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