Ok. I'm betting they'll drop the charge for you. You should probably clarify with the dentist how charges work for future visits. Please don't take this as snark, it's not. But did you read the AAPD position paper? Some of your answers will be there, and the rest will come from the interpretation of how it went down from your particular dentist. I can assure you, you did not do the work alone, despite your being the one to hold your daughter for the procedure. It takes teamwork, and expertise of the staff, in order to have a successful experience. Do you think it's easy for a dentist to do such a procedure on a squirming, sweaty, uncooperative kid? It's not. He seems to have done a stellar, swift job. He assessed the situation, and intervened in ways you weren't aware of and ways he may not even be able to point out himself, because it becomes instinctual after a while; not something you think a lot about. (And of course, all this is based on education and training they've had because they are a specialty. If it was so easy, anyone could do it, right?) Put it this way: had your child been perfectly cooperative, there wouldn't have been a charge. Because she was upset, there was. Something had to happen in order to get the job done, and it did. That is the best I can explain it. I'm sure others may see it differently, but this is likely the way your dentist sees it. I do wish you well, and certainly hope this was helpful.