Course Description:

This course contains four video modules. You’ll earn four (4) hours of continuing education credit upon completion.


Science of Sedation

Dentists who administer oral sedation are charged with doing so safely. To ensure this, dentists should be versed in pharmacology – the study of the body’s reaction to drugs. Understanding the full range of normal reactions to drugs lowers the risk of an adverse reaction, even in vulnerable patients.

Over three modules, Dr. Anthony Feck explains how common oral sedatives work inside the body. He traces the path of sedatives during administration, absorption, and excretion. He discusses common properties of drug classes, including benzodiazepines, antihistamines, and hypnotics. He also elaborates on the benefits of using nitrous oxide for sedation.

In addition, you’ll learn:

  • How to distinguish between pharmacokinetics, pharmacodynamics, and pharmacotherapeutics
  • The advantages of administering oral sedation
  • The disadvantages of administering oral sedation
  • How emotions affect the GI Tract
  • Why oral sedatives are given to patients the night before a procedure
  • Why confusion between a drug’s potency and efficacy exists
  • How to understand a drug’s therapeutic range
  • How to calculate a drug’s half-life
  • The purpose of sedative-hypnotic drugs
  • Why posthypnotic suggestions work
  • Why benzodiazepines are ubiquitous in sedation dentistry
  • How to avoid respiratory depression when administering triazolam
  • Medical condition contraindications for using sedation drugs
  • Drug and food contraindications for using sedation drugs
  • Why ignorance is no longer acceptable for dentists tasked with analyzing drug interactions


Top Dose

Most patients respond predictably to sedation drugs. However, a small percentage of patients lie outside the traditional response curve. Dentists who administer sedatives incrementally should recognize the signs and symptoms of these outlier patients. They should also know how to stay within a drug’s margin of safety while keeping patients content.

In this module, Dr. Feck explains what T.O.P. dose is. He compares it with the more common, but less meaningful, maximum recommended dose (MRD). He provides the three unbreakable commandments of T.O.P. dose protocol.

In addition, you’ll learn:

  • How to identify hyperresponsive and hyporesponsive patients
  • Factors that contribute to hypoactivity
  • Why drug manufacturers’ MRD isn’t always reliable
  • How to calculate T.O.P. dose
  • The two drugs used in T.O.P. dose protocol

… and more.

Reacquaint yourself with the effects and mode of action of sedation drugs.

Purchase of this course grants access for one year and requires an internet connection, computer with video and audio capabilities, and in some cases, Adobe Reader to view handouts and articles. 

This course requires an active sedation permit or previous attendance at Adult Oral Sedation Dentistry, Light Sedation: N2O and Oral Sedatives, Pediatric Sedation Dentistry, Master Series – Advanced Sedation, IV Sedation Certification or IV Sedation Recertification.



Dr. Anthony Feck

How can I meet my state’s requirements?

To learn more about how DOCS Education’s full range of courses can satisfy your state’s regulatory requirements, visit This unique online resource is kept up-to-date with the latest in sedation legislation by DOCS Education’s fulltime regulatory counsel. Contact one of our course advisers with any questions or visit our course listings to see upcoming classes and locations.

DOCS Education courses carry the AGD PACE certification

DOCS Education is the nation’s premier provider of safe sedation and advanced dentistry education, having trained almost 24,000 dentists. Since 2000, our courses have been accepted by the AGD for Fellowship/Mastership and membership maintenance credit. We offer extensive CE opportunities, both in-person and online, that meet your needs.

What is DOCS Education?

DOCS Education is an exclusive community of professionals serving at the forefront of dentistry. We offer world-class courses on safe sedation and advanced dentistry, relying on instructors who are consistently ranked among the very best in the nation. We also are a supportive network of members who guide one another to be better, more confident, more successful dentists.