California Code of Regulations › Title 16 - Professional and Vocational Regulations › Division 10 - Dental Board of California › Chapter 2 - Dentists › Article 5.5 - Oral Conscious Sedation › Section 1044.3 - Board Approved Education

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a)
				  The goal of an instructional program in oral medications and sedation is to
				  provide the educational opportunity for dentists to receive training in the
				  techniques and skills required to safely and effectively administer oral
				  pharmacologic agents, alone or in combination with nitrous oxide-oxygen
				  inhalation, for the purpose of obtaining conscious sedation in the adult dental
				  patient.
(b) The educational
				  program shall be approved by the Board and shall consist of satisfactory
				  completion of at least 25 hours of instruction including a clinical component
				  utilizing at least one age-appropriate patient. The program shall include but
				  not be limited to the following areas:
(1)
				  Historical, philosophical, and legal aspects of age-appropriate oral conscious
				  sedation of dental patients, including the Code.
(2) Indications and contraindications for the
				  utilization of age-appropriate oral conscious sedation in dental
				  patients.
(3) Patient evaluation
				  and selection through a review of the medical history, physical assessment, and
				  medical consultation.
(4)
				  Definitions and characteristics for levels of sedation achieved with oral
				  sedative agents, with special emphasis on the distinctions between moderate
				  sedation, deep sedation, and general anesthesia as recognized by such
				  organizations as the American Dental Association and the Board.
(5) Review of respiratory and circulatory
				  physiology and related anatomy, with special emphasis on, and clinical
				  experience in, establishing and maintaining an age-appropriate patent airway in
				  the patient.
(6) Pharmacology of
				  agents used in contemporary oral conscious sedation techniques, including drug
				  interactions, incompatibilities and side effects and adverse
				  reactions.
(7) Indications,
				  contraindications, and technique considerations in the use of different
				  contemporary age-appropriate oral conscious sedation modalities for dental
				  patients.
(8) Patient monitoring
				  during all stages of the procedure by clinical observation and appropriate
				  mechanical devices for responsiveness, airway patency, and recording of vital
				  signs.
(9) Importance of and
				  techniques for maintaining proper documentation of the procedure, including
				  aspects of informed consent, pre- and post-operative instructions, dietary
				  considerations, preoperative health evaluation, rationale for the procedure,
				  baseline and intermittent vital signs, a detailed record of all oral and
				  inhalation drugs administered, the patient response to the drugs, and recovery
				  and discharge criteria.
(10)
				  Prevention, recognition and management of complications and life-threatening
				  situations that may arise during age-appropriate oral conscious sedation of the
				  dental patient, including the principles of advanced life
				  support.