Michael McCracken, DDS, PhD & Guy Rosentiel, DMD, MAGD
IV Sedation for the General Dentist
A Competency Course in Moderate Parenteral Sedation
Safely and effectively treat patients who would otherwise not seek or receive dental care.
This includes fearful patients, patients with special needs, and patients who simply desire sedation as part of complex treatment. While many specialists in a given community offer sedation, they are typically not qualified or comfortable providing extensive restorative work, such as multiple operative restorations or crown preparations. For this reason, and to increase overall access to care, it is necessary to train general dentists in the appropriate use of parenteral sedation. Plus, it is a terrific practice builder!
Click each of the following to expand the information
This curriculum conforms to the recommended ADA Guidelines, Teaching Pain Control and Sedation to Dentists and Dental Students. As per guidelines, this course provides 60 hours of didactic instruction, and the clinical management of at least 20 patients.
Our course has the following didactic requirements:
- Didactic lectures in-class (53 hours)
- Online modules (5 hours)
- Didactic during clinical week training (5 hours)
The successful candidate will, after completing this training, meet the following objectives:
- List and discuss the advantages and disadvantages of moderate sedation.
- Discuss the prevention, recognition and management of complications associated with moderate sedation.
- Administer moderate sedation to patients in a clinical setting in a safe and effective manner.
- Discuss the abuse potential, occupational hazards and other untoward effects of the agents utilized to achieve moderate sedation.
- Describe and demonstrate the technique of intravenous access, intramuscular injection and other sedation techniques.
- Discuss the pharmacology of the drug(s) selected for administration.
- Discuss the precautions, indications, contraindications and adverse reactions associated with the drug(s) selected.
- Administer the selected drug(s) to dental patients in a clinical setting in a safe and effective manner.
- List the complications associated with techniques of moderate sedation.
- Describe a protocol for management of emergencies in the dental ofﬁce and list and discuss the emergency drugs and equipment required for the prevention and management of emergency situations.
- Demonstrate the management of various medical emergencies in live-action drills.
- Effectively evaluate patients and asses their suitability for moderate sedation; perform a satisfactory history and physical with review of systems.
- Know principles of advanced cardiac life support and associated emergency equipment.
- Pass a written examination documenting successful retention of facts and information necessary for performing moderate sedation.
Our faculty are academicians and private practitioners with a depth of experience and knowledge in the area of sedation, anesthesia, physiology, pharmacology, medicine, emergency management, and airway control.
Guy Rosenstiel, DMD, MAGD, MaCCS
After receiving training in anesthesia and sedation during a GPR residency, Dr. Rosenstiel continued his education in this field with training at the Medical College of Georgia. He introduced parenteral sedation into his private practice in 2008, and has since performed over 1000 successful sedation and anxiety management procedures. He received a Masters certificate in the College of Conscious Sedation (MaCCS) with the American Society of Dental Anesthesiology, and is calibrated as a faculty for simulation instruction for the ADA course on Emergency Medical Management. Dr. Rosenstiel currently serves as the course director for IV Parenteral Sedation for the Lutheran Medical Center AEGD program at the Foundry Dental Center in Bessemer, Alabama. He received his dental training at the UAB School of Dentistry, and is a Master in the Academy of General Dentistry.
Nitin Chabra, MD
Dr. Chabra manages a private practice in Birmingham, Alabama, focused on pain management. He also performs outpatient anesthesia services for dental offices in the Birmingham area, and is therefore familiar with the unique requirements of moderate sedation for dental procedures.
Michael Edwards, DMD
Dr. Edwards speaks nationally on the topic of sedation and anxiety management. He earned his Doctor of Dental Medicine degree from the University of Alabama School of Dentistry. Dr. Edwards received additional training in the United States Public Health Service and has earned his Fellowship and Mastership in the Academy of General Dentistry. Dr. Edwards is very active in the profession having served in all the offices of his Alabama district dental society and the Alabama Academy of General Dentistry, including president in 1995. Dr. Edwards has served as chairman of the ADA anesthesia committee and is serving on the ADA Council on Dental Education. Dr Edwards lectures nationally on the subject of sedation and anxiety reduction in dentistry. In October of 2011, Dr. Edwards was awarded Fellowship in the International College of Dentists and served as a delegate to the American Dental Association. He has also received the Fellowship Award and the Mastership Award of the Academy of General Dentistry. Dr. Edwards currently serves as a Clinical Associate Professor at the UAB School of Dentistry.
Dennis Pillion, PhD
A professor in the School of Medicine, Dr. Pillion serves in the Department of Pharmacology and Toxicology. His past roles within the University include the Director of the Basic Science Systems Course, where he was responsible for the basic science education of UAB dental students. He has also served as the director of the Dental Pharmacology course. He has in-depth knowledge in the field of pharmacology of the medications used in enteral, parenteral, and inhalation sedatives, as well as the physiology associated with these medications.
Mr. Dockery has extensive experience in the field of Emergency Medicine. Rodger served Tuscaloosa Fire & Rescue for 24 years as a Paramedic and retired as Captain/EMS Supervisor. During this time Rodger also worked with the Program in Emergency Medicine at the University of Alabama and advanced to become Assistant to the Director. He currently owns and operates EMS Training Center, which has become a regionally-recognized training facility for ACLS, BCLS, and “train-the-trainer” educational programs. He has a relaxed but informative teaching style that makes the most complex concepts manageable for students.
Mary Vogen, RN, MSN
Ms. Vogan serves as Director of Clinical Education at St Vincent’s Hospital in Birmingham Alabama, where she is responsible for training nurses in venipuncture. As this is an essential skill for the effective and confident administration of IV sedation dentistry, her knowledge in this area is an important addition to the course.
David Stillwell, DMD
Senior Associate Director
LMC Advanced Education in General Dentistry. Dr. Stillwell has taught sedation techniques academically at the UAB Hospital GPR program, and continues to teach at the post-doctoral level. He received his dental degree for Louisiana State University, and continued his education with a hospital residency at the University of Colorado School of Dentistry. He is adept at the medical evaluation of complex patients, , as well as oral conscious sedation techniques.
Paul Eleazer, DDS, MS
Professor and Chair of the Department of Endodontics and Pulp Biology at the University of Alabama at Birmingham School of Dentistry
Dr. Eleazer served in the United States Public Health Service in Alaska and Arizona, and taught endodontics at the Medical College of Virginia/Virginia Commonwealth University before maintaining a full-time private practice limited to endodontics in Albany, Ga., for 21 years. While in practice, he also taught dental pharmacology to dental hygiene students. In 1996, he led the residency program in endodontics and was later promoted to chair of the Department of Periodontics, Endodontics and Dental Hygiene at the University of Louisville in Kentucky. He lectures internationally on topics realated to endodontics, local anesthesia, and nitrous oxide sedation.
Anthony Caputo, DDS.
Past President, American Society of Dentist Anesthesiologists
President, Southwest Dental Anesthesia Services
Dr. Caputo brings extensive experience to the course as a dental anesthesiologist. He received his dental degree from the University of Colorado, and continued his education with post-doctoral certificates from UCLA and University of Pittsburgh. He is board certified in dental anesthesiology and is a Diplomat of both the American Dental Board of Anesthesiology and the National Dental Board of Anesthesiology. He currently directs a private practice that provides anesthesia for pediatric, special needs, and adult patients in Arizona, and is also an Associate Director for the Lutheran Medical Center AEGD program.
Greg Sikora, DMD
Dr. Sikora served on a Navy submarine before becoming a dentist. His post-doctoral training includes an AEGD residency at the LMC program in Arizona, as well as formal training in dental anesthesiology at UCLA. He is active in a private practice focusing on dental anesthesia.
Michael McCracken, DDS, PhD
Dr. McCracken is a Professor at the UAB School of Dentistry as well as an Associate Director of the LMC AEGD program in Alabama. Dr. McCracken serves as a clinical faculty for this course and is a strong advocate for “live patient” emergency medical scenarios. He serves as the Executive Director of the Foundry Dental Center.
Matt Holley, DMD
Dr. Holley has completed the moderate sedation course at the Foundry Dental Center and teaches these procedures in the AEGD program. As a clinical faculty he oversees delegates as they perform clinical procedures.
Course delegates will be assessed to determine competency in the area of moderate parenteral sedation.
Assessments will include:
- Written quizzes on lecture modules (online, and in class)
- Final examination on didactic information (in class)
- Test Sedation: this is a formal clinical assessment of a test sedation that will document clinical competency in patient evaluation and sedation management
- Emergency Management: this is a formal clinical assessment that will evaluate the course delegate during a simulated medical emergency
All assessments are graded pass/fail. Delegates must pass all 4 assessment areas to receive a passing grade in the course.
Delegates who fail a portion of the assessment must gain additional knowledge before challenging the exam again. This includes self-directed reading, as well as faculty-guided instruction. Delegates may then re-challenge the assessment. Delegates who fail 3 times must retake the course.
To operate on patients in our clinic, you must have 1) a current, valid dental license to practice somewhere in the US, and 2) proof of professional insurance. Your professional insurance must list “Foundry Dental Center, 1700 6th Ave North, Bessemer, Alabama, 35020” as a Certificate Holder and Additional Insured.
State Board Approval
This course conforms to ADA guidelines for Moderate Parenteral Sedation. However, in most states, individual courses must be approved by the state dental board. It is incumbent upon each individual to send this syllabus to your state board to verify that this course meets individual state requirements. Anyone is welcome obviously to take this course solely as a CE opportunity, but most clinicians will want to implement these techniques into their private practice, so contact your state agency to confirm acceptance of these credentials.
The cost of this course is $14,500. This is one of the few courses in the country with intensive emergency drilling, actual “non-shared” patient experiences to gain the competency you need, and the chance to do dental procedures on your own sedated patient to practice sedating and working at the same time. A deposit of $3,500 holds you position in the course.