Current Concepts in Dentistry Day IV

Part of: Current Concepts in Dentistry

Course description

Anxiety Control in Dental Practice - The Art of Oral and Inhalational Adult Minimal Sedation

Tuesday, Nov. 12, 2019
Presented by Mark Donaldson, BSP, RPH, ACPR, PHARMD, FASHP, FACHE

Providing dental care to anxious and fearful patients continues to be a major challenge facing dentists. Despite advances in management techniques and treatment delivery, patients’ pre-existing opinions and experiences contribute to dental anxiety and fear.  Feelings of apprehension create psychological obstacles that prevent dental patients from seeking and receiving care.   Of the current techniques to facilitate coping or to minimize procedure apprehension, in-office enteral sedation or oral conscious sedation has garnered the most attention. 

In recent years, the use of oral benzodiazepines such as triazolam and lorazepam (with or without nitrous oxide) for the diminution of perioperative anxiety and fear in dental patients has increased.   Provincial and State dental boards, in response, have changed or developed new regulations outlining the training and equipment needed for in-office minimal, moderate and deep sedation. 

This dynamic course will cover both the science and art of oral and inhalational adult minimal sedation in an interactive and engaging multimedia presentation.  The pharmacological basis of therapeutics will be addressed, taking the principles of academia into the realm of clinical practice.  Treatment strategies and protocols will be discussed in a comprehensive, case-based approach.  Most importantly, attendees will return to work with knowledge and techniques they can implement at chairside on Monday morning.

Learning objectives

  • Discuss the principles of pharmacokinetics and pharmacodynamics
  • Describe the continuum of consciousness
  • List the characteristics of the ideal sedative for in-office use
  • Discuss the advantages and disadvantages of oral conscious sedation versus other modalities
  • Describe the mechanism of action and pharmacological properties of the benzodiazepine family of medications
  • Match the right drug at the right dose to the right patient and the right procedure
  • Understand the tremendous safety and utility of nitrous oxide
  • Describe what is in your emergency kit, and why


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