Services

House call Dentistry

To fulfill his goal of making dental care available to all, Dr. Itani offers a carefully designed House Call service in addition to the general dentistry provided in his office. This Special Care Service provides treatment at home, hospital, or assisted living facility to patients for whom a dental office visit is a struggle due to immobility issues related to age, special needs, phobia, or other compromising conditions.

It is carefully structured to bring the experience, expertise, and equipment needed for home treatment of nearly all dental conditions, whether routine or complex, with the utmost care and concern for a patient’s comfort and well being.

Any procedure performed in your place of residence would be performed with the same degree of care and just as they would be performed in a dental office.

An initial visit would include an exam, x-rays and teeth cleaning if needed. If indicated by the exam, more substantial treatment such as fillings or extractions would be scheduled for a follow up appointment. The follow up work would be detailed in a prepared Treatment Plan that would describe the recommended treatment, options, and costs. It would be presented to the patient or appropriate party for discussion and approval prior to treatment.

Procedures that can be performed during a House Call include:

  • Exams
  • X-rays
  • Cleanings
  • Night guards
  • Teeth Whitening
  • Fillings
  • Extractions
  • Veneers
  • Crowns
  • Bridges
  • Dentures

If a patient has a condition such as Cerebral Palsy that may make it difficult for the patient to follow the dentist’s instructions, hospital or dental office treatment with anesthesia may be necessary.

We travel within an approximate 50 mile radius of downtown San Francisco. Exceptions can be made, so ask.

We accept some PPO insurances. There is a travel charge of $650 for non-Membership Plan service within San Francisco and $750 for services within a 50 mile radius outside San Francisco.

An initial and typical house call visit may include:

  • An examination
  • Consultation
  • X-rays
  • Cleaning
  • Hygiene instructions
  • Treatment recommendations

Complex treatment is available at home as appropriate and necessary.

Call us at (415) 685 0011 for information and charges.

HOUSE CALL CONCIERGE SERVICE

If traveling to a dental office is difficult or inconvenient for you in any way, our mobile Concierge Service is designed specifically to meet your needs.

WE TRAVEL

If you:

  • Have a condition that makes it very difficult to travel
  • Don’t have the time to travel
  • Need privacy
  • Have phobia issues
  • Just want the convenience of a home visit

Our Concierge Service will promptly come to your home, assisted living facility, hospital, or office with the experience, expertise, and equipment needed to treat most dental conditions, routine or complex, with the utmost care and concern for your comfort.

Availability

If you are within an approximate 50 mile radius of downtown San Francisco, we’ll be there for you. Exceptions can be made for greater distances, so ask.

Emergency service is available. Call at any time and we will visit you as quickly as possible.

PATIENT HEALTH

The connection between dental health and overall health is well established. Our Concierge Service directly addresses the need that everyone has for dental care by making it available to those who cannot or perhaps will not, for their own reasons, seek dental care in a dental office.

the dental services

Most dental treatments can be readily performed in your place of residence with the same degree of care and just as they would be performed in a dental office. An initial visit would include exam, x-rays, and teeth cleaning if needed. If indicated by the exam, more substantial treatment such as fillings or extractions would be scheduled for a follow up appointment. The follow up work would be detailed in a prepared Treatment Plan that would describe the recommended treatment, options, and costs. It would be presented to the patient or appropriate party for discussion and approval prior to treatment.

Procedures that can be performed with Concierge Service at a patient’s place residence include:

  • Exams
  • X-rays
  • Night Guards
  • Cleanings
  • Teeth whitening
  • Extractions
  • Fillings
  • Veneers
  • Crowns
  • Bridges
  • Dentures

If the patient has a condition such as Cerebral Palsy that may make it difficult for the patient to follow the dentist’s instructions, hospital or dental office treatment with anesthesia may be necessary.

conciergie service membership plan

For those who would like regularly scheduled care with little or no effort required on their part, a Concierge Service Membership Plan is available. It is a worry free way to keep you healthy by having regular preventative treatment with restorative work performed as may be necessary. The Fee is $3000 annually and the at home services provided include:

  • Up to 2 exams and 2 cleanings per year as needed
  • X-rays as needed
  • Same day visits for emergencies
  • No travel charges
  • Restorative and other work such as fillings, dentures, etc. will be performed at a 10% discount

fees and insurance

We accept some PPO insurances. There is a travel charge of $650 for non-Membership Plan service within San Francisco and $750 for services within a 50 mile radius outside San Francisco.

When necessary, Itani Dental offers IV sedation or general anesthesia options to be used in hospital or dental office settings.

Our staff is expertly trained and works with a team of highly qualified specialists, including anesthesiologists who can meet your every need.

geriatric dentistry

Thanks to good health practices and medical advances, longer life spans are making senior citizens an increasingly large segment of our population. Itani Dental has long recognized this trend and has adopted practices and trained its staff to address the comfort and careful care required for high quality geriatric dental treatment.

With years of experience, skilled training, specialists on hand, and knowledge of unique factors that contribute to senior dental problems, Itani Dental has placed itself at the forefront of senior care.

By offering in-office, House Call, hospital, or emergency treatment and all sedation options, Dr. Itani has equipped his practice to readily handle nearly any geriatric treatment event that might arise.

Because an inability to travel is often a factor with senior patients, Dr. Itani’s House Call service is of particular value to them.

When travel to a dental office by a patient is an issue, Itani Dental is completely equipped and experienced to travel to a patient’s home, assisted living facility, or hospital and administer needed treatment, or if necessary, can arrange for the patient’s transport to a hospital or dental office.

Itani Dental takes pride in serving and has been designed to serve our senior citizens with the best dental treatment possible.

Special care DENTISTRY

There are many patients whose conditions require they receive sleep inducing sedation such as IV sedation or general anesthesia in order to be treated, rather than the common valium, nitrous oxide, or novocaine.

These patients usually have a condition that makes it impossible for them to be still during treatment, thus compromising their safety, or they are extremely fearful and can’t undergo treatment while awake.

Conditions that can give rise to this situation include:

  • Autis
  • Alzheimers
  • Parkinsons
  • Cerebral Palsy
  • Down Syndrome
  • Age induced infirmities
  • Extreme Phobia

When necessary, Itani Dental offers IV sedation or general anesthesia options to be used in hospital or dental office settings.

Our staff is hospital credentialed and works with a team of highly qualified specialists including anesthesiologist who can meet your every need.

Sedation dentistry

we offer a full spectrum of sleep (sedation) dentistry options

With more than a decade of experience working with special care and special needs patients, as well as holding several hospital affiliations allowing for intravenous or general anesthesia, Dr. Itani can help you determine your best sedation choice. Your Safety and comfort is our utmost concern.

There are a number of reasons why our patients may need sedation while undergoing treatment. A patient may have:

  • Severe Fear or Phobia
  • Cognitive or General Anxiety Disorders
  • Sensitive Gag Reflex
  • Medical or age-related conditions that compromise his/her ability to remain still enough to ensure the utmost safety during treatment

ITANI DENTAL SAN FRANCISCO OFFERS THE FOLLOWING SEDATION OPTIONS:

CONSCIOUS SEDATION (AWAKE AND AWARE)

Conscious sedation is also known as “relaxation” or “comfortable” dentistry. For patients with minimal anxiety or fear, it can be achieved with nitrous oxide. For patients exhibiting mild fear, a mild gag reflex, or for simpler/quicker procedures, conscious sedation can also be achieved with an oral sedative such as valium. Each option can be used alone, or may be combined to customize the level and duration of sedation.

Nitrous Oxide (inhalation sedation): Used for over 100 years, nitrous oxide is an excellent analgesic administered via a nasal hood, and can be easily fine-tuned by the dentist. All bodily functions remain essentially normal, and effects wear off quickly.

Oral Conscious Sedation: The patient self-administers, usually about an hour before treatment. After consulting with us, we will determine the most appropriate oral sedation medication and dosage based upon your health history and necessary duration of action. An added bonus of this option is that it has an amnesiac that leaves a patient with little or no memory after treatment.

DEEP CONSCIOUS SEDATION (ASLEEP AND UNAWARE)

Deep conscious sedation options exist for patients who need to take sedation to the next level because of extreme phobia, physical, developmental, or mental/emotional limitations that prevent them from being able to remain still and/or cooperative for procedures.

I.V. (intravenous) Sedation: Known as “conscious, or deep conscious sedation” patients feel they are sleeping, but can still respond to direction or inquiry. Sedation is administered directly into the bloodstream intravenously with more potent drugs than used for oral conscious sedation. This option will impact bodily functions and requires specialized monitoring equipment.

UNCONSCIOUS SEDATION (ASLEEP AND UNAWARE)

Unconscious sedation may also be indicated for patients who require multiple treatments that they would like addressed in as few sittings as possible.

General Anesthesia and Hospital Dentistry: In-office treatment, even with IV sedation, may not be a viable option for some patients with extreme phobia or afflictions such as Parkinson’s or Alzheimer’s or perhaps major trauma. For these types of patients, in order to have complete medical attention immediately available for the patient’s comfort, and to enable the dentist to perform the necessary treatment, hospital anesthesia may be necessary. This option is appropriate for patients who have the most severe phobia or physical/ developmental conditions, including severe gag reflexes. General anesthesia must be performed by an anesthesiologist and requires a hospital affiliation. Once anesthetized, a patient is in a complete state of unconsciousness during treatment. The patient will have no sensation or memory of the treatment. Patients with treatment needs that span a number of hours may find general anesthesia the most comfortable option for sedation, and in most cases they can return home safely within 2-4 hours after their procedures.

Emergency

We are here to help you by providing 24 hour emergency treatment:

  • If you have severe dental pain or infection
  • Suffer dental or jaw trauma from an accident
  • Are a tourist or traveler requiring a same day appointment