Newport Beach 3-Day Adult Oral Sedation

IN DEPTH COURSE OVERVIEW

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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. [/half][half]

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. [row][half]

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ADMA Instructors   

Course Cancellation Policy

All course cancellations are subject to a 3% processing fee and $450 course manual charge.

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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

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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:

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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.

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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.

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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.