Not all IV Sedation courses are the same!!!
The American Dental Association’s Guidelines for Teaching Pain Control and Sedation to Dentists and Dental Students Adopted by the ADA House of Delegates, October 2016 states:
"A minimum of 60 hours of instruction plus administration of sedation for at least 20 individually managed patients.” This means no sharing of patients. Individually managed to us also means the doctor taking the course starts the IV, administers the sedation to the appropriate level and does dentistry with his staff assisting. To only do sedation while someone else does the dentistry is cheating the participant and does not reflect real life dentistry.
"The course should be directed by a dentist or physician qualified by experience and training. This individual should possess a current permit or license to administer moderate or deep sedation and general anesthesia in at least one state, have had at least three years of experience, including formal postdoctoral training in anxiety and pain control."
Courses with course directors that are not dentists or physicians do not meet these guidelines. Courses in which all of the faculty are not licensed in the state where the course is given and when faculty do not possess a permit to administer moderate sedation or general anesthesia in the state where the course is given should also be avoided.
Things to consider:
Once I complete this training, will my state board of dentistry recognize it and allow me to get a permit to administer IV sedation?
Will I be taught single and multiple drug techniques?
How many days is the course? Many states specify the 60 hours of didactic instruction discussed above must be exclusive of BLS (CPR) and ACLS. The administration of sedation for at least 20 individually managed patients will take at least another 40 hours. A course that meets the ADA guidelines cannot reasonably be offered in less than 12 days.
Finally, who do you want as your course faculty? Do you want to be taught by faculty that aren’t dentists and have never done sedation in a dental office? Do you want to be be taught by faculty that only do sedation as an adjunctive procedure, not their main focus? Do you want to be taught by the highest level experts in the field of anesthesia for dentistry, dual board certified dentist anesthesiologists? This is the only course where 100% of the faculty are dual board certified dentist anesthesiologists practicing the full spectrum of sedation and general anesthesia on a daily basis.
We highly encourage you to “Google" all faculty listed for any parenteral moderate sedation course you are considering attending. Go a few pages back. You deserve to know who the faculty are that will be training you and you deserve to know their backgrounds.
Pediatric patients will not be treated in this course nor do we advocate parenteral moderate sedation for patients under the age of 16.
Critical Information for All Courses:
Doctor requirements prior to enrolling:
- A valid license to practice dentistry in at least one US state or Canadian province
- Current Healthcare Provider BLS (CPR)
- Current ACLS (Advanced Cardiovascular Life Support)
- Current DEA permit allowing the subscription of Schedules II/IIN through V
- Appropriate malpractice insurance
You must bring at least two dental assistants
for the entirety of the clinic sessions. Also, you are strongly encouraged to bring your assistants for all of the didactic sessions. They will benefit from this information and there is no additional tuition charged for your first two assistants. If you wish to bring additional assistants, a small fee will be assessed that only covers our expenses.
You will be completely comfortable with and prepared to go back to your office and sedate and treat patients. This course is very well organized due primarily to the excellent quality of faculty and staff we have been able to secure.
Note: During the clinical portion of the course each participant is required to to bring all armamentarium/supplies required to treat patients.
These are long days! The didactic days are eight hours each and the clinic days are between ten and fourteen hours each. For as long and difficult as this course is, it is also a lot of fun and it is a “good tired” that you'll feel each day.
The Guidelines for Teaching Pain Control and Sedation to Dentists and Dental Students, 2016
states: "The course director must certify the competency of participants upon satisfactory completion of training in each moderate sedation technique, including instruction, clinical experience, managing the airway, intravascular/intraosseous access, and reversal medications."
Each participant must be 100% clear that there is a possibility that if they do not perform satisfactorily during the course that the course director may not be able to write a letter to their state board stating that they are competent in parenteral moderate sedation and airway management. All participants will get the CE hours, but participants may not get a statement of competency from the course director.