760 Certification in Pediatric Oral Sedation

This course is designed to meet the educational requirements for certification in the use of oral conscious sedation for pediatric patients as described in the California Code of Regulations, Title 16 Article 5.5, Section 1044.3. The purpose of this course is to prepare the participant to deliver safe and effective pharmacologic oral sedation. At the conclusion of this course, the participant should be able to select an optimal oral sedative regimen for a given patient and use that regimen safely in the clinical setting in full compliance with state law.

After completing this course, you should be able to:

1. Define and contrast conscious sedation, deep sedation, and general anesthesia in relation to California law and how these terms vary in guidelines established by the American Dental Association and the American Academy of Pediatric Dentistry.
2. Describe the rationale for and content of state laws and regulations governing the use of sedative/anesthetic drugs in dentistry.
3. Describe the advantages and disadvantages of the oral route of drug administration for fear and anxiety control.
4. Discuss the appropriate use of nitrous oxide/oxygen in combination with oral sedation.
5. Describe pharmacokinetic principles that affect drugs used for oral sedation, such as the influence of lipid solubility on drug onset, potency, and duration of effect.
6. Compare different drugs used for oral sedation with regard to their therapeutic benefits and liabilities, and select an appropriate agent for oral anxiety control in a given clinical situation.
7. Describe age-related differences in anatomy, physiology, and psychology with respect to oral sedation and anesthesia.
8. Describe age-specific behavioral management strategies used in conjunction with oral sedation.
9. List the indications, contraindications, and drug interactions for oral conscious sedation in general and with respect to specific clinical situations.
10. Describe performance and documentation requirements for the medical history and physical evaluation, medical consultation, informed consent, pre- and postoperative instructions, reason for the sedation, and time-dependent vital signs and drug administration recording.
11. Describe and use appropriate monitoring methods for oral sedation techniques.
12. Discuss management of the patient during recovery from oral sedation and criteria for discharge.
13. Outline possible adverse effects associated with oral sedation and appropriate preventive and corrective measures.
14. Demonstrate, in a simulation session, proper management of the obstructed airway, positive pressure ventilation of the child patient, and administration of emergency drugs in accordance with the principles of pediatric advanced life support.
15. Describe California requirements for emergency drugs and supplies, monitoring and back-up equipment, and the operatory facilities.
16. Demonstrate the use oral conscious sedation safely in the child dental patient.

Instructors

Steven Ganzberg, DMD, MS
Clinical Professor and Chair, Section of Dental Anesthesiology, UCLA

Christine Quinn, DDS, MS
Clinical Professor and Residency Program Director, Section of Dental Anesthesiology, UCLA

Donald F. Duperon, DDS, MSc, MRCD
Professor Emeritus and Former Chair, Section of Pediatric Dentistry, UCLA