Illinois Board of Dentistry Rule §1220.500 defines "Minimal Sedation" as a minimally depressed level of consciousness, produced by a pharmacological method, that retains the patient's ability to independently and continually maintain an airway and respond normally to tactile stimulation and verbal command. Although cognitive function and coordination may be modestly impaired, ventilatory and cardiovascular functions are unaffected."
What this means to you: For the first time, Illinois dentists - without an IV permit - can provide their fearful patients with minimal sedation using individualized (e.g. incremental) dosing of oral sedatives so long as the patient's reasonably expected level of consciousness does not exceed the new definition of "Minimal Sedation."
American Dental Association sedation guidelines provide that a dentist should complete at least 16 hours of instructive classroom training with clinically-oriented experiences before providing healthy patients with minimal sedation using oral sedatives.*
*Illinois State Board of Dentistry Rule §1220.505 does not require formal training before dentists provide minimal sedation.
Effective May 5, 2010: Illinois State Board of Dentistry Rule § 1220.245(c)(2)(A) requires dental assistants monitoring minimally sedated patients to be certified in at least twelve (12) combined hours of classroom and clinical instruction in “anatomy, physiology, pharmacology, monitoring, and emergency procedures with an emphasis on airway management.”**
**Dental assistants with a nitrous monitoring certificate must still be certified in at least six (6) additional hours of advanced airway management and monitoring equipment. Dental hygienists with a nitrous certificate do not require additional training.
Most states require dentists to complete a 60-hour didactic course followed by 20 actual clinical patient cases of IV administration plus a permit in order to provide their patients with IV sedation. Find an IV Sedation Training course
Illinois: Regulatory assistance:
DOCS Education membership provides direct access to our full-time Regulatory Counsel for assistance in complying with the training and equipment requirements, obtaining your permit, and addressing advertising issues.
Why Do Oral Sedation?
An estimated 100 Million (nearly 30%) people nationwide are in need of dental care but too fearful to seek you out. To date, access to care for these patients has been limited. Now you can help.
Practicing oral sedation has many advantages for you, not the least of which is treating a more comfortable patient. Other advantages are: performing more dentistry in a single visit instead of having the patient come back again and again; bigger restorative cases from patients who were previously reluctant due to anxiety; and patients feeling little to no post-operative discomfort regardless of the procedure - resulting in more referrals.
And for your patients it means something else. A comfortable experience - often with no recollection of the visit or the time passed. I often hear of patients who call their dentist the next day not to complain, but to express their gratitude and delight in their first ever visit to the dentist without fear.
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