Adult Oral Sedation Certification Courses

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Oral sedation is a technique used commonly by dentists and physicians to decrease a patient’s anxiety and induce some level of amnesia and somnolence. With this technique, a patient’s airway and communication skills remain stable. Most states refer to oral sedation as ‘enteral’ sedation. Our oral sedation courses adhere to the ADA guidelines for teaching pain control and sedation to dentists and dental students.

ADMA courses teach the following oral conscious sedation techniques:
  1. Single agent protocols with titration
  2. Combination protocols with titration
  3. Combination inhalation protocols

Our comprehensive adult oral sedation courses are developed by a board certified anesthesiologist, with content from oral surgeons, and expert sedation dentists. This course produces a safe, confident and well prepared doctor for oral sedation dentistry. ADMA is the only sedation trainer that teaches new sedation protocols that are safe and effective.

  • Course durations are state specific and developed to exceed regulation minimums.
  • Courses include live cases.
  • 17 simulation cases must be performed to proficiency.

Comprehensive pharmacology
Physiology and the effects of sedation
Sedation protocols
Balanced sedation
Combination nitrous oxide techniques
Pain management
Patient selection
3 Live & 17 simulated case scenarios
Creating a sedation plan
Patient monitoring

Monitoring equipment tutorial
Office setup
Airway management
Emergency protocols
Emergency case scenarios
ACLS review
Discharge criteria
State regulations


• Traditional oral sedation protocols are thoroughly presented.
• Titration is taught by assessing the patient’s clinical need and stability. Dangerous weight and time-based protocols are not used. Every patient reacts differently to sedation.
• By learning the fundamentals of clinical pharmacology and physiology, our dentists receive the best training in the industry.
• New oral sedation protocols that are safe and well established with clinical data are introduced.
• Physician anesthesiologists and expert sedation dentists write our training manuals.
• Clinical points to practice safe and effective sedation dentistry are emphasized and details at the level of a medical anesthesia-training program are available for reference.
• Individual airway management is taught by a board certified anesthesiologist.
• Secure access to your printable certificates, education history, and training materials is provided on our website.

The ADMA Oral Sedation Training Model:
The core of our teaching is based on a safe and effective oral dental sedation training program.  To effectively teach sedation protocols, we further develop a dentist’s understanding of pharmacology and physiology.  Understanding pharmacology and how sedatives affect physiology is crucial to achieving success in dosage manipulation. The Academy of Dental and Medical Anesthesia (ADMA) recognizes that dentists have a strong pharmacology knowledge base.  This strong base allows us to confidently provide training on options to Triazolam protocols.

We teach three protocols in great detail:

• Traditional Triazolam (Halcion) protocols
• Traditional options to Triazolam
• Balanced oral sedation protocols

The actual structure of any oral sedation protocol is simple and can be memorized in minutes.  The dosing ranges are very straightforward and easy to apply.  For example: The traditional Triazolam protocol is approached with doses of .5 mg, .25 mg, or .125 mg.  A single dose or combination of these dosing increments is selected and given to the patient.  The implementation of this protocol in a dental office is not difficult.

HOWEVER, the training a dentist receives in addition to the pharmacology, physiology, and dosing is EQUALLY IMPORTANT.  The ADMA provides an organized course to ensure every dentist receives the following training in addition to dosing protocols:

• Patient selection
• Response training for dental sedation emergencies
• Sedation monitoring
• Airway management
• Patient discharge
• Live case simulation

Providing thorough training on these skills and topics produces a safe and successful sedation dentist. When we train a dentist to administer oral sedation, our anesthesiologists provide individual instruction on each of these training points.  To ensure individual instruction, we keep course volumes low.  The ADMA training model has Q&A periods after every topic. Here is why we thoroughly train in the areas listed:


Having the opportunity to select doses, implementing a sedation plan, and reacting to how a patient responds to sedation develops confidence and proficiency with dosing protocols.


Understanding which patients you SHOULD NOT SEDATE keeps patients safe and protects your dental practice.


Monitoring the patient during your case avoids disasters. Training with a Board Certified Anesthesiologist (someone who has dedicated their entire career to sedation) teaches early recognition of complications and develops sedation skills that make you safer and more confident.


All of our dentists are trained individually and become confident in airway management.  Everyone becomes proficient in the use of an Ambu Bag, Oral Airway, and laryngeal mask airway (LMA).  We allow our clients to intubate on a simulator.  Learning to intubate visually highlights the components of airway anatomy that cause obstruction.


Case scenarios are outlined and presented from the most common occurrence to the least common.  These emergencies are also presented with the simulator.


Knowing when you should allow a sedated patient to go home is the safety net for any dental office.  70% of all lawsuits with oral dental sedation occur from an incident outside of the dental facility. As long as patients are sent home in a safe state, oral sedation in the office is very safe, easy to implement, and beneficial for the patient.

We hope this outline provides a clearer understanding of our course and the objectives we achieve with our training.  As you attend the course, you will realize the ADMA is unique.  Our courses begin at 8:00 am and finish around 5:00 pm.  We routinely stay well past 5:00 pm to continue an open dialogue with our dental clients.  It’s imperative to us that our clients are confident and well trained.  We also find that our clients want to perform extra case simulations and we always accommodate.