Oral (Enteral) Sedation
for Adult & Pediatric Patients
A competency course that satisfies the La. State Board of Dentistry's latest
requirements - in line with ADA guidelines - for a minimum of 32 hours of instruction
(plus management of at least 10 adult and 10 pediatric case experiences) to obtain a
pediatric certification for a personal permit to administer moderate sedation with
enteral drugs to adult and pediatric patients.
Friday, Saturday & Sunday, May 19-21, 2017
at LSU School of Dentistry in New Orleans
Presented by: Benjamin R. Record, DDS, Alfredo Arribas, DDS, MS, and Michael D. Webb, DDS, MEd
32 hours of clinical CDE credit:
- 8 hours of self-administered study with a test before attending the live course
- Three, 8-hour days live at LSU. The third day is devoted to Pediatric oral sedation training. (14 hours lecture/10 hours participation)
AGD #343 (Oral Sedation)
$595 (Dental Team Member)
To provide time to prepare, review self-administered materials, and take the open-book test, we encourage registering by Friday, April 21, 2017.
Register Online - Course confirmation will be sent by email.
Call: (504) 941-8193
Fax Registration Form to: (504) 941-8193
Mail Registration Form with Payment to: LSU Health New Orleans Continuing Dental Education
1100 Florida Avenue, Box 142-B, New Orleans, LA 70119-2799
IMPORTANT NOTICE REGARDING: ORAL (ENTERAL) SEDATION INTRODUCTION COURSES
Effective May 22, 2017, the CE hour requirements will change to obtain a permit (not renew a permit) to administer moderate sedation with enteral drugs to adult patients only, to adult and pediatric patients, or to pediatric patients only. If you are considering making oral sedation a part of your practice, now is the time to register for one of the introduction courses listed above in order to obtain a permit.
Course OverviewThis introductory competency course is designed as an integrated course in moderate sedation with oral (enteral) drugs that covers adult and pediatric patients and teens.
The Louisiana State Board of Dentistry mandates that it receive by Monday, May 22, 2017 the following: all documentation, fees, and certifications required to obtain a permit. If you have questions, please call the State Board office at (504) 568-8574.
Note: To avoid missing the Monday, May 22, 2017 deadline in order to obtain a permit, the State Board suggests you turn in all your documentation and certifications before taking either one of the introduction courses.
The last part of this course focuses on you the practitioner. You will participate in a review of both adult and pediatric oral sedation patient case presentations taken from the practices of the course faculty. This will enable you to apply your newly acquired sedation knowledge in a simulation environment working with highly trained and experienced practitioners of oral sedation dentistry.
The case presentations will be interactive, with the floor open to questions and feedback for those who are experienced and for those who are beginners in the art of oral sedation dentistry. By Monday morning, you should be able to use some of the recommended oral sedation recipes for predictable results with both adult and pediatric patients; and, you should know where the limits are to avoid complications.
The Louisiana State Board of Dentistry repealed and then promulgated Chapter 15 of the Louisiana Dental Practice Act entitled Anesthesia/Analgesia Administration to provide for modifications to the training requirements for a dentist to receive a permit to do various levels of anesthesia for both adult and pediatric patients. These modifications bring the Louisiana requirements in line with the American Dental Association's 2012 Guidelines for Teaching Pain Control and Sedation to Dentists and Dental Students.
To ensure compliance with Chapter 15 of the Louisiana Dental Practice Act, dentists who orally sedate both adults and pediatric patients should review the following sections of that chapter:
- Section 1502. Types of Permits
- Section 1503. Personal Permits for Sedation/Anesthesia
- Section 1504. Pediatric Certification for Personal Permits
- Section 1505. Personal Permit Renewals
- Section 1506. Intranasal Midazolam
- Section 1508. Oral Administration of Drugs for Sedation
- Section 1509. Third-party Sedation/Anesthesia
- Section 1510. Moderate Sedation
- Section 1511. Required Facilities, Personnel and Equipment for Sedation Procedures
- Section 1611.J (renewal)
In line with Section V (C) of the 2012 ADA guidelines, Louisiana now requires the following additional requirements for a CE course that teaches the administration of moderate sedation with enteral (oral) drugs to adults and pediatric patients:
- Completion of a pediatric or oral and maxillofacial surgery advanced education program accredited by CODA that provides training in the level of sedation allowed by the permit requested, or
- Completion of an additional training course consisting of 8 hours of didactic pediatric sedation training specific to the level of the permit sought and 10 cases of pediatric sedation involving the highest level of sedation allowed by the permit sought, and
- In addition to the above requirements, in order to receive or renew a personal permit with a pediatric certification, the dentist must provide proof of current certification in pediatric life support (PALS), or its equivalent.
- The La. State Board of Dentistry will only accept a PALS course that includes a practical component that is personally attended. If a dentist's practice is restricted to treating only children, the PALS certification will suffice as a substitute for ACLS. If a dentist's practice is not restricted to treating only children, in order to receive a permit with a pediatric certification, both PALS and ACLS certifications are required.
- A minimum of 32 hours of instruction, plus management of at least 10 adult case experiences by the enteral and/or enteral-nitrous oxide/oxygen route are required to achieve competency.
- These ten adult cases must include a least three live clinical dental experiences managed by participants in groups no larger than five.
- The remaining adult cases may include simulations and/or video presentations, but must include one experience in returning (rescuing) a pediatric patient from deep to moderate sedation.
- The course director will certify the competency of participants upon satisfactory training in each adult and pediatric moderate oral sedation technique, including instruction, clinical experience, and airway management.
- Records of the didactic instruction and clinical experience, including the number of patients managed by each participant in each anxiety and pain control modality will be maintained and available for review; and, the course faculty should schedule participants to return for additional didactic or clinical exposure if competency has not been achieved in the time allotted.
During the course, Dr. Michael Webb will review the new joint American Academy of Pediatrics (AAP) and the American Academy of Pediatric Dentistry (AAPD) clinical guidelines on the monitoring and management of pediatric patients before, during, and after sedation for diagnostic and therapeutic procedures.
After completing this introductory competency course in order to obtain a personal permit to administer moderate sedation with oral (enteral) drugs to both adult and pediatric patients, a dentist must be able to:
- Understand the nuts and bolts of oral sedation dentistry and learn:
- The advantages and disadvantage of using both minimal and moderate oral sedation for both adult and pediatric patients
- The complications associated with techniques of oral sedation
- How to assess both adult and pediatric patients' mental and physical status prior to sedation
- The mandated and recommended armamentarium specified by the Louisiana State Board of Dentistry and the Course Faculty
- Recommended "recipes" for sedation dentistry for minimal to moderate sedation for both adult and pediatric patients
- The pharmacology of the drug(s) selected for the administration of oral sedation
- How to administer oral sedation to adult and pediatric patients in a clinical setting in a safe and effective manner
- Prevent emergencies and manage both adult and pediatric patients during adverse events related to oral sedation dentistry and learn:
- How to prepare the dental office and staff for emergencies directly or indirectly related to sedations
- Guidelines that will help prevent emergencies
- Airway management for adult and pediatric patients
- Review and understand the differences between oral sedation dentistry for children and oral sedation dentistry for adults and learn:
- Why children are not tiny adults and understand why they are different
- What works on children, teens, and special needs adults from course faculty who treat all three
- Prepare and train the dental office auxiliary staff for oral sedation dentistry for both adult and pediatric patients, so they learn:
- Proven protocols for repeatable, safe outcomes
- How to read both adult and pediatric patients and identify potential candidates for oral sedation when they walk in the door
- Proper language to use with adult and pediatric oral sedation patients to avoid problems and lead patients to comfort zones for better results
- The abuse potential, occupational hazards, and other untoward effects of the agents utilized to achieve moderate oral sedation
- Remember actual adult and pediatric oral sedation patient cases presented and discussed during the course in order to learn:
- The personal oral sedation "recipes" that course faculty successfully use in their practices
- Adult and pediatric oral sedation patient cases from the practices of course faculty where oral sedation worked and more importantly, where it didn't work (and how they fixed it)
- The precautions, indications, contraindications, and adverse reactions associated with the oral drug(s) selected
||Benjamin R. Record, DDS|
A general dentist in private practice in the Baton Rouge area, Dr. Record received his DDS from LSU. Prior to entering private practice, he served as director of the General Practice Residency Program and assistant professor in the Department of Comprehensive Dentistry and Biomaterials at LSU School of Dentistry and as director of a dental clinic in Pineville, Louisiana. For LSU Health New Orleans Continuing Dental Education, Dr. Record has directed and taught the Local Anesthesia Update CE Course for dentists and hygienists and serves as the director of the Introduction to Oral (Enteral) Sedation Courses and as director of the Review of Oral (Enteral) Sedation Courses.
||Alfredo R. Arribas, DDS, MS|
Prior to his current position as associate professor in the Department of Oral & Maxillofacial Surgery at The University of Texas Health Science Center, School of Dentistry in San Antonio, he was an oral surgeon in private practice in El Paso. Dr. Arribas received his DDS for the Universidad Peruana Cayetano Heredia in Lima, Peru, and completed the following post-doctoral programs: an AEGD certificate from Maryland, a 2-year GPR certificate from LSU, a MS in health care management from the University of New Orleans, and a 4-year oral surgery residency at LSU. He served as director of the GPR program at LSU and associate program director of AEGD at Maryland.
||Michael D. Webb, DDS, MEd|
Before his current position as director of the Pediatric Residency Program at East Carolina University School of Dental Medicine, he was in private pediatric dental practice in the Richmond, Virginia area. Dr. Webb is a graduate of Northwestern University Dental School and a board-certified pediatric dentist. He completed a certificate in pediatric dentistry from Children's Hospital in Pittsburgh and then completed a residency in dental anesthesiology from the University of Pittsburgh School of Dental Medicine. In addition to serving as an EMT since 2005 and a basic cardiac life support instructor since 2006, Dr. Webb is a fellow in Anesthesiology of the American Dental Society of Anesthesiology and a diplomate of both the American Board of Dental Anesthesiology and the National Dental Board of Anesthesiology.
Please check back or call (504) 941-8193 to inquire about hotel room block availability.
LSU Health New Orleans School of Dentistry/The Louisiana Academy of Continuing Dental Education, Inc. (d/b/a: LSU Health New Orleans Continuing Dental Education) is an ADA CERP Recognized Provider. ADA CERP is service of the American Dental Associationto assist dental professionals in identifying quality providers of continuing dental education. ADA CERP does not approve or endorse individual courses or instructors, nor does it imply acceptance of credit hours by boards of dentistry. LSU Health New Orleans Continuing Dental Education designates this activity for a maximum of 32 continuing education credits.
Cancellation & Refund Policy:
The Louisiana Academy of Continuing Dental Education, Inc. (d/b/a: LSU Health New Orleans Continuing Dental Education) reserves the right to cancel any course should circumstances warrant such action. In the event this course is cancelled or filled, the Academy will refund the full tuition. If you cancel your registration for a course or workshop, you will receive a refund (minus an administrative cancellation fee of 10% of the tuition paid) if LSU Health New Orleans Continuing Dental Education receives written notification of your cancellation no later than April 21, 2017. Notification of cancellation received after April 21, 2017 will result in forfeiture of the entire tuition.
Nonrefundable Airline Ticket, Flight Change, or Hotel Reservation:
The Louisiana Academy of Continuing Dental Education, Inc./ (d/b/a: LSU Health New Orleans Continuing Dental Education) cannot be held responsible for the cost of a nonrefundable airline ticket, flight change, or hotel room reservation in the event a course is cancelled or rescheduled.