Despite the fever history, Dreamtime Dentistry stated they were “not aware of a fever nor any illness.” The office claimed Silvanna’s mother marked “NO” on a pre-operative form asking if the child was sick.
“All medications were administered according to manufacturer guidelines based on Silvanna’s age and weight,” Dr. Watkins said in a statement obtained by PEOPLE. “She never exhibited warning signs of methemoglobinemia,” he added, noting that continuous oxygen monitoring showed no abnormalities.
In complex dental cases involving sedation, malpractice insurance, hospital liability, and legal responsibility are central issues — particularly when a minor suffers complications or death during what was considered a low-risk outpatient procedure.
Final Moments: “Out of It” and “Mumbling”
Silvanna was monitored in recovery until she was described as awake with “stable vital signs,” according to Watkins. She was evaluated for oxygenation, consciousness, pain, nausea, vomiting, and mobility before being discharged in a wheelchair. Although reportedly able to stand, she needed assistance into her family’s car.
On the ride home, she fell asleep and began snoring loudly.
At home, she remained asleep for an hour and a half, with her snoring gradually quieting and slowing, the autopsy report noted. Family members, concerned, used a blood pressure cuff after finding her unresponsive.
