Course Description:

 2-Month Trial
DOCS Membership*


For a limited time only, explore the many benefits of a DOCS membership for only $1.

This course contains three modules and five videos. You’ll earn 4 CE credit hours upon completion.

Sedation dentists are increasingly treating older patients. Frequently, these patients have health issues (including respiratory and cardiovascular diseases) that are treated with prescription drugs, surgical implants, and various therapies. To protect patients (and themselves), dentists must know how to measure risks correctly prior to treatment. They must also know how to intervene during treatment, should trouble occur.

In this course, Dr. Leslie Fang explains over three modules how to screen patients for medical problems, quietly, according to the ASA classification. In the fourth module, Dr. Anthony Feck teaches how nitrous oxide works and how it changes inside the body upon administration. In the fifth module, Dr. Feck takes a close look at the way respiratory diseases compromise airways.

Patient Assessment for Sedation Dentistry

Sedation dentists could get overwhelmed trying to categorize patients’ risks according to disease and condition. That’s why categorization should be done rigidly, says Dr. Fang, author of The Ultimate Cheat Sheets: A Practical Guide for Dentists. All diseases and conditions should be able to fit on a one-page summary. If they can’t, it may be that they don’t pose a health problem. In this module, you’ll learn why assigning patients, even non-sedation ones, according to the ASA classification is a good practice.

In addition, you’ll learn:

  • How to spot red flags in a patient’s health history
  • Why premedication is not needed for patients with stints
  • Why Plavix and Aspirin can be a dangerous combination for some patients
  • How to distinguish between stable and unstable angina
  • The reality of screening new patients for HIV
  • The meaning of the “Rule of Four”

… and more.

Pharmacology of Nitrous Oxide

The nitrous oxide/oxygen combination has long been used safely as a dental sedative. Now, though, few dentists fully understand the pharmacokinetic action of the drug. Knowing how the body absorbs, distributes, metabolizes, and excretes nitrous oxide will help ensure that you continue to use it safely. In this module, Dr. Feck traces the movement of nitrous oxide when administered in a dental chair.

In addition, you’ll learn:

  • How to calculate a drug’s half-life  
  • The difference between MAC in medicine and dentistry
  • Why nitrous oxide displaces nitrogen in the body’s cavities

… and more.

Respiratory Disease and Sedation

Why are respiratory diseases so concerning to sedation dentists? Because breathing is life! Any drug, including sedation drugs, that slows down a compromised respiratory system should be applied very carefully and judiciously. In this module, Dr. Feck summarizes the problems with treating patients with lung diseases like COPD and provides options for keeping them safe.

In addition, you’ll learn:

  • The primary purpose of the respiratory system
  • Why all dentists should be a little “scared” to treat patients
  • How the body responds to low levels of oxygen

… and more.

Stay current with changes in patient demographics that will surely affect your practice.

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.

You can download this course and watch it anywhere using the DOCS APP. Get it on Google Play or the Apple Store.

Watch the video and complete the quiz to earn 4 CE credits.

Scientific support and additional resources are available here. 

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

To learn more about what Membership benefits are available to you, visit our Membership page.

*After 60 days, the Trial Membership will upgrade to a Standard Membership at $54.95/mo for a one-year commitment. Refer to terms of service for details. 2-month Trial Membership Offer is open to individuals who have not participated in the Trial Membership program within the past two (2) years.

Learn patient assessment for sedation, pharmacology of nitrous oxide and sedation with patients having respiratory diseases. 

(AGD Code - Definition - Hours)

340 (Anesthesia and Pain Management) - 3.5 hours 

730 (Oral Medicine, Oral Diagnosis, Oral Pathology) – 0.5 hours 

Original release date: 4/15/2019

DOCS online courses are available to the purchaser for one year from date of purchase.
No refund of course tuition is available.



Dr. Anthony Feck
Dr. Leslie Fang
Dr. Leslie Fang

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.