Course Description:

This is a one-hour course on anatomy and physiology as it relates to children and dental sedation, instructed by Dr. Leslie Fang.

Sedation dentistry methodology and protocols for children are very different than for adults, depending on a thorough appreciation and understanding of the anatomical, physiologic, and pharmacologic differences between the varying ages and rates of growth. This course focuses on children 6 years to puberty (12-13 years old), with a look at the anatomy and physiology of this age group, tracing the journey of Midazolam and how it affects different parts of the body.

Course Objectives:


  • Learn why it’s important to minimize transit time through the stomach
  • Discover how fatty food affect transit through the stomach, and why it’s important to keep the child NPO after midnight

Hepatic & Renal

  • Learn the differences between child and adult liver physiology and function
  • Understand the role of the liver in the metabolism of drugs
  • See how sedation drugs travel from the intestines to the liver
  • Understand the function of the kidneys in sedation


  • Learn what normal blood pressure for kids looks, pulse rate and cardiac function and how to monitor each during sedation
  • Take a look at heart anatomy: normal and abnormal
  • Understand the body’s electrical system
  • Recognize normal sinus rhythm vs. atrial fibrillation
  • Find out how to pick up on anomalies and congenital heart defects, including obstruction of flow or abnormal flow; heart blocks; arrhythmias

Central Nervous System

  • Study the blood-brain barrier, the site of active transport of drugs and how Midazolam interacts with anatomical and physiological barriers
  • Review the parts of the brain and sedation
  • Understand the reticular activating system (RAS) functions and process
  • Understand GABA receptors and benzodiazepines

Respiratory System

  • Learn why this is the most important system related to sedation
  • Discover the anatomy of the human airway
  • Find out the major causes of cardiopulmonary emergencies and how to avoid them
  • Learn what drives the central process hypercapnic drive and the peripheral hypoxemic receptors
  • Learn about monitoring respiration, measuring partial pressure of oxygen


Scientific support and additional resources are available here. 

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.

Watch the video and complete the quiz to earn one CE credit.

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

(AGD Code - Definition - Hours)

430 Pediatric Dentistry (Growth and development) - 1 hour

Total hours: 1 hour

Original release date: 7/17/2019

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



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.