Description
ADULT ORAL SEDATION SCHEDULE
Day One
- 0800 – 0830 ◊ Check in | Government ID Required
- 0830 – 0930 ◊ Pharmacology
- 0930 – 1030 ◊ Physiology & Monitoring
- 1030 – 1100 ◊ Traditional Dosing Protocols
- 1100 – 1200 ◊ New Dosing Protocols
- 1200 – 1300 ◊ Break
- 1300 – 1400 ◊ Live Monitor Training
- 1400 – 1500 ◊ Capnography Tutorial
- 1500 – 1700 ◊ Pre-Screening & Discharge
Day Two
- 0800 – 0900 ◊ Review Day 1
- 0900 – 1000 ◊ Dosing Review
- 1000 – 1200 ◊ Medical Emergencies
- 1200 – 1300 ◊ Break
- 1300 – 1400 ◊ Airway Management
- 1400 – 1500 ◊ Office Set Up
- 1500 – 1600 ◊ Live Simulation: Typical Cases
- 1600 – 1700 ◊ Live Simulation: Emergencies
Day Three
- 0800 – 0900 ◊ Review Day 2
- 0900 – 1000 ◊ Hands-On Airway Challenges
- 1000 – 1200 ◊ Live Simulations: New protocols
- 1200 – 1300 ◊ Break
- 1300 – 1600 ◊ Live Cases, Medical Emergencies
- 1600 – 1700 ◊ Credentialing
IN DEPTH COURSE OVERVIEW
Sedation Pharmacology
In order to safely and effectively administer sedation, practitioners must understand the uses, effects, and modes of action of the drugs they give their patients. The ADMA OCS course teaches these topics in an accessible, practical, and informative manner to prepare you for making successful dosing decisions.
Patient Physiology
Understanding the way the human body reacts to sedation is a key component of safety and a boon to the savvy sedation dentist. By teaching students how to understand topics like receptor sites, airway anatomy, and neuromuscular coordination, the ADMA produces a wise practitioner.
Dosing Approaches and Techniques
Many sedation educators stick to teaching single-agent benzodiazepoine protocols. Although these work very effectively in some cases, they can be dramatically improved when combined with an opiate, nitrous oxide, or titration. Depending on your state’s regulations, you can integrate these newer, more effective dosing approaches to lower your overall medication, improve patient satisfaction, and produce a more balanced level of sedation for easier procedures.
Prescreening Selection
It is important to recognize which patients are appropriate candidates for dental sedation. The ADMA will teach you and your staff which patients you should and should not sedate to keep your patients and your practice safe.
Patient Discharge
Once your sedation dentistry procedure is complete, it is crucial to ensure your patient has the appropriate arrangements in place. Knowing when you should allow a sedated patient to go home is the safety net for any dental office. The majority of oral dental sedation lawsuits focus on incidents occurring outside the dental facility. The ADMA will teach you how to send your patients home in a safe state
Emergency Response
Oral sedation in the dental office is very safe, easy to implement, and beneficial for the patient. However, it is important to be prepared in case of an emergency. The ADMA teaches ACLS-based emergency response procedures catered specifically for the most common dental sedation emergencies including: Laryngospasm, Bronchospasm, Emesis & Aspiration, Airway Blockage by Foreign Body, Angina Pectoris, Myocardial Infarction, Hyper/Hypotension, Allergic and Toxicity Reactions, Seizures, Syncope, Phlebitis, Hyper/Hypoventilation, Cardiac Arrest, and Cardiac Arrhythmias.
Airway Management
Memorizing ER procedures can feel like a daunting task at first. That’s why the ADMA has developed a simple, straightforward airway algorithm that makes diagnosis a breeze. In-person attendees will receive individualized, hands-on training on our high-fidelity simulation manakin. For their turns, webinar attendees direct the in-person dentists remotely via live video feed.
Monitor Interpretation
In addition to monitoring the patient directly, it is important to understand how to implement and interpret electronic monitoring. In this course, the ADMA will show you how to interpret patient vital signs on a monitor to recognize complications and develop sedation skills that make you safer and more confident.
Sedation Billing
Common sedation billing structures are discussed so you can return to your practice with a pricing scale that is in line with industry standards.
Documentation
Integrating sedation into your practice requires diligent documentation. This ensures patient consent and expectations are acknowledged and recorded. If your dental board ever wants to audit your cases, proper documentation helps tell the story for decisions made, and how your patient responded to sedation. In addition, referring back to past notes can aid you in formulating a more effective sedation plan. Upon course completion, the ADMA will provide you with boiler-plate forms for prescreening, discharge, medication logs, and sedation flow sheets for use in your own office.
Office Setup
This course will walk you through what you need to do to prepare your office for a streamlined sedation structure.
Live and Simulated Sedation Case Experiences
In this course, you will get to experience live sedation cases in real-time. This will help you recognize the hallmark aspects of dental sedation. Additionally, you will receive individualized, hands-on training on our high-fidelity simulation manakin. For their turns, webinar attendees direct the in-person dentists remotely via live video feed.
ADMA Instructors
- Shanetta Sutton, DMD, Dental Director
- Cory Pickens, MD, CEO, Anesthesiologist, Didactics Only
- Gary Mermel, MD, Board Certified Anesthesiologist, Medical Director
- Erwin Washington, Aerospace ENGR, COO, Chief of Simulation
- Leigh-Ann Schuerman, DMD, Pediatric Dental Sedation Director
- Jeff Hansen, MD, BCOS, Sedation Instructor
Additional instructors for each course will participate in their area of expertise. Instructors subject to change based on availability.
Course Cancellation Policy
All course cancellations are subject to a 3% processing fee and $450 course manual charge.
STATE |
ORAL (ENTERAL) SEDATION TRAINING |
IV (PARENTERAL) SEDATION TRAINING |
Reference Requirements |
Hour of training / OCS Code / OCS Training Requirements |
IV Training Requirements with training hours listed |
| Alabama | 16 hours / 270-X-2-.21 / Oral Conscious Sedation Permit | 60 hours of didactics and 20 clinical cases |
| Alaska | 60 hours / 12 AAC 28.015 / Permit to Administer Moderate Sedation | Same as the current ADA house of delegates guidelines 60 hours of didactics and 20 clinical cases |
| Arizona | 30 hours / R4-11-1303 / 1303 Oral Sedation Permit | 102 Parenteral Sedation Permiot 60 hours of didactics and 20 clinical cases |
| Arkansas | 60 hours / Article XIII (2) (a) (ADA Guidelines pg.64) / Moderate Sedation Permit | Moderate Sedation Permit 60 hours of didactics and 20 clinical cases |
| California | 25 hours / 16 CCR § 1044.1 & 16 CCR § 1044.3 / Adult Oral Conscious Sedation Permit | Conscious Sedation Permit 60 hours of didactics and 20 clinical cases |
| Colorado | Minimal – 16 hours / CCR 709-1 / Minimal Sedation Permit | Moderate Sedation Permit 60 hours of didactics and 20 clinical cases |
| Connecticut | 60 hours / Sec. 20-123b-4 / Conscious Sedation Permit | Same as the current ADA house of delegates guidelines 60 hours of didactics and 20 clinical cases |
| Delaware | 14 hours / Restricted Permit II Conscious Sedation | Restricted Permit I Conscious Sedation 60 hours of didactics and 20 clinical cases |
| Florida | 60 hours / 64B5-14.003 / Sedation Permit for Moderate Sedation | Sedation Permit for Moderate Sedation 60 hours of didactics and 20 clinical cases |
| Georgia | 24 hours / Rule 150-13-.01 / Moderate Enteral Conscious Sedation Permit (minimal no permit required) | Moderate Parenteral Conscious Sedation 60 hours of didactics and 20 clinical cases |
| Hawaii | 60 hours / §16-79-78 / Moderate (Conscious) Sedation (no permit required for minimal) | Moderate (Conscious) Sedation 60 hours of didactics and 20 clinical cases |
| Idaho | 24 hours / Section 043 of IDAPA 19.01.01 / Moderate Enteral Sedation Permit | Moderate sedation 60 hours of didactics and 20 clinical cases |
| Illinois | Minimal – 24 hours & no permit required code 1220.505 Moderate – Moderate Sedation (Conscious Sedation) Permit A 75 hours | Permit A for Moderate Sedation (Conscious Sedation) Permit 60 hours of didactics and 20 clinical cases |
| Indiana | 60 hours / 828 IAC 3-1-1 | Light Parenteral Conscious Sedation Permit 60 hours of didactics and 20 clinical cases |
| Iowa | Minimal – 16 hours & no permit required code60 hours / Moderate – 60 hours / Moderate (Conscious) Sedation | 60 hours of didactics and 20 clinical cases |
| Kansas | 18 hours / 71-5-10 / Level I permit: enteral conscious sedation or combination inhalation-enteral conscious sedation | Level II permit: parenteral conscious sedation 60 hours of didactics and 20 clinical cases |
| Kentucky | Minimal – 24 hours & no permit required / Section 04 201 KAR 8:550 Moderate – 60 hours / Section 05 201 KAR 8:550 / Moderate Enteral Sedation Permit. | Moderate Parenteral Sedation Permit. (peds requires CODA) 60 hours of didactics and 20 clinical cases |
| Louisiana | Minimal – 24 hours & no permit required / §1503 / Moderate – 60 hours / §1503 / Moderate Sedation Permit | IV 60 hours of didactics and 20 clinical cases |
| Maine | 24 hours / 02 313 Ch. 14 / Moderate Sedation Level 1 (Enteral) | Permit for Moderate Sedation Level II (Parenteral) 60 hours of didactics and 20 clinical cases |
| Maryland | 24 hours / 10.44.12.08 / Class I: Moderate Enteral Sedation Permit | Class II: Moderate Parenteral Sedation Permi 60 hours of didactics and 20 clinical cases |
| Massachusetts | Minimal – 24 hours / ADA Guidelines 234 CMR 6.13 Moderate – 60 hours / Moderate Enteral Sedation ADA Guidelines 234 CMR 6.12 | Same as the current ADA house of delegates guidelines 60 hours of didactics and 20 clinical cases |
| Michigan | 60 hours / R 338.11605 / ADA guidelines | Intravaneous conscious sedation 60 hours of didactics and 20 clinical cases |
| Minnesota | Minimal – 24 hours / 3100.3600 Subp. 3. / minimal | Moderate Sedation 60 hours of didactics and 20 clinical cases |
| Mississippi | 22 hours / Board Regulation number 29 pg. 77 / | Parenteral Conscious Sedation 60 hours of didactics and 20 clinical cases |
| Missouri | 24 hours / 20 CSR 2110-4.020 / permit to administer enteral moderate sedation | permit to administer parenteral moderate sedation 60 hours of didactics and 20 clinical cases |
| Montana | 16 hours / 24.138.3221 (Min & Mod) / Minimal / combination | Moderate Sedation 60 hours of didactics and 20 clinical cases |
| Nebraska | 24 hours / 38-1141 / Permit to administer minimal sedation | Permit to administer moderate sedation 60 hours of didactics and 20 clinical cases |
| Nevada | Minimal – 24 hours ADA recommendation Moderate – 60 hours / NRS 631.265 / Moderate Sedation | Moderate Sedation 60 hours of didactics and 20 clinical cases |
| New Hampshire | Minimal – 24 hours / Den 304.06 (Min enteral) Moderate – 60 hours / Den 304.04 (Mod enteral) / Restricted Permit for Moderate Sedation Only | Unrestricted Permit for Moderate Sedation Only 60 hours of didactics and 20 clinical cases |
| New Jersey | 40 hours / 13:30‐8.4 / Enteral Sedation Permit | Parenteral Conscious Sedation 60 hours of didactics and 20 clinical cases |
| New Mexico | Minimal – 16 hours / 16.5.15.13 (Minimal) / Minimal Enteral Sedation Permit Moderate – 16.5.15.14 (Moderate) | Moderate Enteral Sedation Permit 60 hours of didactics and 20 clinical cases |
| New York | 60 hours / §61.10 C-1-iv / Dental, Enteral Conscious (Moderate) Sedation for patients 13 years old and older | Dental Parenteral Conscious (Moderate) Sedation for patients 13 years old and older 60 hours of didactics and 20 clinical cases |
| North Carolina | Minimal – 18 hours / 21 NCAC 16Q .0401 (Min) Moderate – 24 additional hours / 21 NCAC 16Q .0301 (Mod) | Moderate Parenteral Sedation Permit 60 hours of didactics and 20 clinical cases |
| North Dakota | Minimal – 16 hours Moderate Enteral Sedation Permit | Moderate Parenteral Sedation Permit 60 hours of didactics and 20 clinical cases |
| Ohio | 60 hours / 1028285 / conscious sedation permit (no permit for anxiolysis) | Conscious Sedation Permit 60 hours of didactics and 20 clinical cases |
| Oklahoma | Minimal – 24 hours 195: 20-1-7 (Min) / Moderate -60 hours / Enteral Conscious Sedation | Parenteral Conscious Sedation 60 hours of didactics and 20 clinical cases |
| Oregon | Minimal – 16 hours / rule 818-026-0050 Moderate – 24 hours / rule 818-026-0050 Moderate Sedation Permit | Moderate Sedation Permit 60 hours of didactics and 20 clinical cases |
| Pennsylvania | 14 hours / 33.337 / Restricted Permit II | Restricted Permit I 60 hours of didactics and 20 clinical cases |
| Rhode Island | Minimal – 24 hours / 2.11.3(c) (minimal) Moderate – 60 hours / 2.11.3(d) (moderate) | Moderate Sedation 60 hours of didactics and 20 clinical cases |
| South Carolina | 24 hours / 40–15–400(C)(1) / Moderate Enteral Sedation | Moderate Parenteral Sedation Permit 60 hours of didactics and 20 clinical cases |
| South Dakota | Minimal – 24 hours / 20:43:09:06.02 (Minimal) Moderate – 60 hours / 20:43:09:04 (Moderate) / ADA guidlines | Moderate Sedation Permit 60 hours of didactics and 20 clinical cases |
| Tennessee | 24 hours / Rule 0460-02-.07 (See 6) / Limited Conscious Sedation Permit | Comprehensive Conscious Sedation Permit 60 hours of didactics and 20 clinical cases |
| Texas | 14 hours for a level 1 permit / RULE §110.4/110.5 / 24 hours for a Level 2 permit / RULE §110.4/110.5 | Level 3 “Moderate Parenteral Sedation Permit” 60 hours of didactics and 20 clinical cases |
| Utah | Minimal – 24 hours / R156-69-202 / Moderate – 60 hours / Class II Permit | Class III Permit 60 hours of didactics and 20 clinical cases |
| Vermont | 60 hours / 5.11 / Oral Conscious sedation permit | Parenteral Conscious Sedation 60 hours of didactics and 20 clinical cases |
| Virginia | 60 hours / 18VAC60-21-280 / ADA guidelines | Moderate Sedation Permit 60 hours of didactics and 20 clinical cases |
| Washington | Minimal – 14 hours / Rule WAC § 246-817-745 / “Minimal” Sedation (single & multiple distinction) Moderate – 21 hours / “Moderate” Sedation (multiple agents assumed) | Moderate sedation with parenteral agents 60 hours of didactics and 20 clinical cases |
| West Virginia | 24 hours / §30-4A-6 / Class 1 & Class 2 | Class 3b 60 hours of didactics and 20 clinical cases |
| Wisconsin | 18 hours / DE 11.05 / “Class 1 Permit” | Class II Permit 60 hours of didactics and 20 clinical cases |
| Wyoming | 60 hours / Section 4, Section 5, Section 6 / No Permit Required, ADA | 60 hours of didactics and 20 clinical cases |
EXPLANATION OF ORAL SEDATION PERMIT REQUIREMENTS
Each state dental board has unique credentialing methods for dentists. Please Note: The ADMA is a sedation training company. We strive to prove the highest quality of sedation training available. As a complementary service to our learners, we also share information regarding state permit requirements as we interpret them. It is ultimately the responsibility of the licensed dentist to understand their state’s regulations. Please trust but verify the permit requirements found on our site as your state’s dental board website will have the most current regulatory information. In general, a state falls into one of three categories:
1) 60 hour course
CO [moderate], DE, FL, HI, LA, MI, NV, OH, SD, VT, VA, and WY
60 Hour Training Course: These states have mandated that Oral Conscious Sedation Training needs to be essentially equivalent to that of an IV Sedation Training Course (Colorado [moderate], Delaware, Florida, Hawaii, Louisiana, Michigan, Nevada, Ohio, South Dakota, Vermont, Virginia, and Wyoming). These courses can be completed in one or two training modules. They require 60 hours of didactics and 20 clinical cases. A dentist can come to the ADMA’s training facility in Ohio and complete the course in one module. The dentist can also break the training into two modules. With this option the dentist needs to complete Module I (Any 30 hour oral sedation course with the ADMA) and Module II. Module II includes 30 hours of didactics and 20 clinical cases. Module II takes place in Dayton, OH at the ADMA’s training facility and can be scheduled by calling 855-406-7671.
2) DBE Course
AL, AZ, AR, CO [Minimal], ID, MT, MN, MS, NE, NH, NM, NY, ND, OK, OR, PA, RI, SC, TN, TX, UT, WA, and WV
Dental Board Evaluation of Sedation Application: The Dental Board Evaluates each dentist and the training program on a case by case basis. The state will require an ADA CERP, AGD PACE, or a University Based program. The ADMA training programs are at the highest level of credentialing. The ADMA training programs are officially approved by Kettering Health Residency and University Affiliated.
3) Pre Qualified Course
AK, CA, GA, KS, KY, MO, NC, NJ, NE, and WI
Pre-Qualified Oral Sedation Training Program: The state dental board has reviewed the ADMA Oral Conscious Sedation Curriculum and approved the ADMA as a training provider for an Oral Sedation Permit. Some of these states divide Oral Conscious Sedation into Minimal Oral Sedation and Moderate Oral Conscious Sedation. When the state divides Oral Conscious sedation into two categories, the dentist must complete the ADMA Minimal Oral Sedation Course (or a course equivalent) before they take the Moderate Oral Conscious Sedation Course.
