Last April, Dental Tribune International first spoke with Drs Rita Agarwal and James Tom, paediatric anaesthesiologist and dentist anaesthesiologist, respectively, about the ongoing efforts towards improved safety in anaesthesia in dentistry. That conversation was continued in a second interview, and in this third part, they offer a critical look at attempts to improve safety for dental patients undergoing anaesthesia in the US, explain where insurance companies fit in and make suggestions for immediate changes towards protecting dental patients.