The Royal College of Dental Surgeons of Ontario requires those dentists providing moderate sedation with oral sedatives to successfully complete "training that has specifically incorporated the teaching of techniques utilizing any modality to produce moderate sedation, as well as appropriate airway management, and has evaluated and attested to the competency of the candidate".*
The RCDSO also requires those dentists providing moderate sedation with oral sedatives to be registered and obtain a facility permit.
*When the intent is minimal sedation utilizing a single oral sedative with nitrous oxide, the RCDSO requires successful completion of "training that has specifically incorporated the teaching of this technique, and has evaluated and attested to the competency of the candidate."
When the intent is minimal sedation utilizing a single oral sedative (without nitrous oxide), the RCDSO requires successful completion of a "training program designed to produce competency in the specific modality of sedation."
DISCLAIMER: The RCDSO does not approve or endorse any particular product, service, or company.
UPDATE 1: RCDSO sedation guidelines contain a specific dosage restriction during moderate oral sedation: When a dentist is administering more than one drug, neither of the drugs can be incremented ("supplemented") above those drugs' respective MRD. However, a single drug may be incremented above the drug's MRD. For those of you who have taken DOCS's "Oral Sedation Dentistry" course, the protocols you can use if you are registered as a moderate oral sedation provider are Chapter 6 ALL (single-dose) and Chapter 9 #1, 3 (incremental). If you are NOT registered as a moderate oral sedation provider, you are limited to using Chapter 6 #1, 2, and 4.
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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