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Dreamtime Dentistry, the Vista, Calif., facility where Moreno underwent surgery, responded to the medical examiner’s report by saying the death was “not due to dosage but instead due to her rare but undiagnosed/undetected medical condition.”

Moreno was referred to Dreamtime Dentistry after complaining about a toothache four months prior, according to the autopsy reviewed by The Times.

Representatives for Dreamtime Dentistry told The Times they were not aware of her fever and noted that Moreno’s mother, “completed and signed a pre-operative check-in form indicating ‘No’ when asked if the patient was sick.”

The pre-op evaluation included a thorough review of Moreno’s medical and dental history, assessment of vital signs, a physical examination including heart, lung sounds and airway evaluation, among other procedures, according to a statement from Dreamtime Dentistry.

On March 18, Silvanna Moreno was placed under anesthesia for a dental surgery at Dreamtime Dentistry, a facility that is described in its website as striving “to be the premier office for sedation dentistry in Vista, CA.”