The Howard County Police Department never opened a criminal investigation into Olenick's death, according to police spokeswoman Sherry Llewellyn.
The autoposy report did not speculate on why hypoxia occurred and determined the death was accidental.
The report said Olenick was otherwise a "healthy teenager with no significant medical history."
Not a 'freak' accident?
Olenick's death shocked local dental practitioners, some of whom expressed support and undiminished professional respect for Coletti, and scared some local students facing similar procedures.
At a memorial service for Olenick April 17, Garger called her daughter's death a "freak thing that happened," and told students at the event not to be afraid of anesthesia.
"I don't want anyone to ever be afraid to go under anesthesia, because like the doctors said, this was freak," Garger said at the time.
But last week, Garger said her thoughts had changed and that she had decided to file the malpractice lawsuit after being "horrified" by the autopsy report and other medical records.
"Information was obtained from medical records that suggested this wasn't a freak accident after all," Garger said. "Upon reviewing that information, we decided to pursue legal measures."
Garger would not elaborate.
Both of Olenick's parents and her estate are now plaintiffs in the medical malpractice suit, which was brought against Isaacs; Coletti; Central Maryland Oral and Maxillofacial Surgery PA and Baltimore Washington Oral and Maxillofacial Surgery Center LLC, both Columbia practices in which Coletti is a partner; and Safe Sedation LLC, which the Maryland Board of Physicians Web site lists as Isaacs' primary practice setting.
Coletti did not respond to multiple requests for comment through phone calls to his office and direct emails.
Isaacs, when reached by phone and asked her thoughts on the lawsuit, which names her as the lead plaintiff, said she had been "advised by counsel not to discuss this case" and declined to answer further questions, including whether she has an attorney.
A request for comment to Safe Sedation LLC, which has since been renamed Aisthesis, went unanswered.
The lawsuit, in a total of five counts, includes one claim that Isaacs and Coletti were negligent in their treatment of Olenick, in part by failing to adequately resuscitate her; one claim they failed to properly inform Olenick and her parents of the risks of the procedure and the dental techniques being used; one claim each from both parents that Isaacs and Coletti's negligence caused them to lose the "love, support, guidance, advice and comfort" they received from their daughter; and one claim that their negligence has caused Olenick's parents to incur "dental, surgical, medical, hospital, pharmacological, funeral, burial, and other losses and expenses."
None of the counts list explicit monetary damages, but all state that "the amount in controversy" exceeds $30,000.
Pushing for dental safety
The lawsuit isn't Garger's only effort to actively address her daughter's death. She has also been in touch with the Raven Maria Blanco Foundation, Inc., a group that advocates for dental safety nationwide. The group's Web site now names Jennifer Michelle Olenick in a list of 36 kids who the group says have died in dental-related incidents since 1974.
Garger hopes her daughter's story, and maybe the lawsuit, will help make a difference.
"Every year many people are dying dental-related deaths, and it is not until family make a statement that more stringent dental mandates will ever come about," she said.
Garger would not elaborate on her thoughts about her daughter's case or what she feels went wrong during her daughter's procedure.
Her attorney, Jonathan Schochor, senior managing partner of Schochor, Federico and Staton, P.A., did not respond to multiple requests for comment through phone calls to his firm and direct emails.
Schochor and Olenick's parents have requested a jury trial in the case. A date has not been set.