Course Description
Procedural sedation is an advanced behavior guidance technique requiring knowledge in the successful diagnosis, assessment, medication, and rescue of the airway. This resident/faculty course features recognized leaders in both pediatric dentistry and dental anesthesia education. Material will betaught using didactic lectures, case studies, film clip sessions, panel discussions and hands-on opportunity with personalized attention in airway adjuncts.

There will be dedicated question/answer forums and ample opportunities to discuss specific issues with course faculty, discuss techniques for effective communication with the patient and parent to address unusually challenging and complex situations. Additionally, attendees will be required to pre-read and discuss evidence presented in the AAPD Core curriculum reading list as well as seminal literature on child behavior, growth, and development. As part of a ‘train the trainer’ approach, faculty will be presented with literature and dedicated seminars on effective clinical teaching.

This course will focus on the processes of patient assessment, treatment planning, risks/benefits/alternatives, and patient rescue. Specific regimens will be a secondary discussion. This course is intended for pediatric dental residents in training, as well as academic faculty who provide supervision. This course is consistent with the American Dental Association’s Guidelines on Teaching Pain Control and Sedation to Dentists and Dental Students in a Continuing Education Program. The level of this course, according to the ADA’s Guidelines, Part II, Definitions, Education Courses, does not offer direct, clinical patient management.

Course Objectives
Upon completion of this course, the participant should have a better understanding of the:

• Pediatric anatomy and physiology of the respiratory, cardiovascular, and central nervous system related to sedation
• The appropriate physical assessment of the pediatric patient including risk assessment
• The appropriate monitoring equipment its indications based on depth of sedation and troubleshooting
• Guidelines and best practice literature associated with the sedation of pediatric patients
• Safe and judicious use of local anesthetics in combination with procedural sedation in the pediatric patient
• The principles of creating a protocol to enhancing patient safety during oral procedural sedation
• Intra-operative room and restorative preparation associated with sedation visits
• The use of nitrous oxide when used in combination with other sedative agents for use in pediatric patients
• Advantages and disadvantages of sedation and consider alternatives
• Identification and management of complications associated with sedation of the pediatric patient
• Literature on pediatric growth and development related to behavior
• Evidence on use of procedural sedation as an advanced behavior guidance technique
• Principles of clinical education when supervising resident in sedation clinic as part of an entrustable professional activity (EPA) schema. (Applies to Faculty Attendees Only)

Course Chair and Speaker:

Bobby Thikkurissy, D.D.S., M.S.; sarat.thikkurissy@cchmc.org

Speakers:

Stephen Wilson, D.M.D., M.A., Ph.D.; pedosw46@gmail.com

Scott Papineau, D.D.S, PharmD; spapinea@iu.edu

Cara Riley, D.M.D., M.S., D.A.D.B.A; cjcarajoy@gmail.com

Christine Quinn, D.D.S., M.S.; CQuinn@dentistry.ucla.edu

Jae Grymes, D.D.S.; jmgrymes@gmail.com

Ability to claim CE expires on October 18, 2028. Video content available to view until October 18, 2030.