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Girl, 9, dies after procedure at California dental office

  • On March 18, a 9-year-old girl named Silvanna Moreno died hours after undergoing a dental procedure under general anesthesia at Dreamtime Dentistry in Vista, California.
  • Silvanna was referred to Dreamtime Dentistry for dental treatment under general anesthesia due to her young age and acute situational anxiety.
  • Silvanna was continuously monitored by a dentist anesthesiologist, Dr. Ryan Watkins, who has over 20 years of experience administering general anesthesia to children, and she was discharged in stable condition following standard post-anesthesia protocols.
  • According to the medical examiner and statements from Dreamtime Dentistry, Silvanna was found unresponsive at home after sleeping on the car ride home and being put to bed, and despite being taken to Rady Children's Hospital, she was declared dead shortly before 5:45 p.m.
  • The cause of death is currently undetermined and under investigation by the medical examiner, the San Diego Police Department's child abuse unit, and the Dental Board of California may also investigate, while Dr. Watkins was previously on probation from 2020-2023 following a 2016 incident where a patient's heart stopped during a procedure under his care.
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The Independent broke the news in London, United Kingdom on Monday, March 31, 2025.
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