Pediatric Sedation Dentistry

$3,497.00

Do you want to be more successful in treating pediatric patients?

More children are coming to our practices with more cavities than ever before.

Parents are juggling jobs, kids, school work, appointments—they're stressed.

The last thing they want to hear is that their child has cavities and needs to come in for multiple appointments.

But more often than not, that's the reality. And it doesn't get any easier: parents want to minimize the amount of time they have to take off work and take their kids out of school, so appointments are scheduled after school. Kids come to your office tired from a full day at school and not happy about being at the dentist; parents come in stressed and annoyed; you're taking the brunt of it all. Something needs to change.

What's the game changer in pediatric dentistry? Using midazolam (Versed®) supplemented with nitrous oxide. Minimal conscious sedation using an orally administered sedative and amnesic (no memory) drug with N2O analgesia can change the way you treat pediatric patients.

Transform these multiple appointment and difficult cases into a single "no memory" appointment.

What makes the Pediatric Sedation Dentistry (PSD) course better than other pediatric sedation courses?

  1. Some courses give you a shopping list of drugs you can use. PSD gives you one drug that's been proven to be one of the safest and most effective in medicine.
  2. PSD is taught by renowned practicing pediatric dentists and physicians: Roger Sanger, DDS, MS (pediatric dentist), Leslie Fang, MD, PhD (internist and nephrologist), Peter Chiang, DDS (pediatric dentist) and Kenji Saisho, MD, DDS (family practice physician and general dentist).
  3. Instruction is focused on clinically-relevant information that you can put to use immediately in your practice.
  4. You will learn advanced pediatric airway management using high-fidelity human simulators and animal cadaver material so you can be prepared should an emergency arise.
  5. The team members you bring are trained by Dr. Chiang in their own day-long breakout session designed exclusively for team members.

With pediatric sedation you can complete a child's dental treatment in one single appointment, of which the child will have no memory. Reduced chair time means more time for you to treat other cases, and less time patients and their parents have to spend at appointments. Less stress for everyone involved; increased patient and parent satisfaction; more productivity for you. Stop dreading afternoon appointments.

What You'll Learn

In this 3-day course you will develop a foundational skill set that will allow you to safely and confidently use sedation on pediatric patients. You will learn how to determine which child and parent are good candidates for pediatric oral sedation; pediatric anatomy, physiology and physical evaluation; what equipment, supplies and management techniques are necessary to start sedation procedures in your office.

You will engage in intensive study of pediatric sedation dentistry: from case selection to the science of sedation to safety to implementation.

Get Started

Live Patient Experience(s) (LPE): This course may also fulfill the regulations of your state. If you are a dentist licensed in California, plan to attend the upcoming Seattle or San Francisco seminars to fulfill your state's live patient requirement.

A portion of this course (five CE hours) is taught via an online lecture that you can take at your convenience prior to the course. You will receive a link to the online course upon registration.

Bring Your Team! Successful implementation of new skills depends not just on an intelligent doctor—but an intelligent team. Led by Dr. Peter Chiang, PSD includes a team training breakout session designed exclusively for team members to provide them with the confidence, skills and preparation to ensure pediatric sedation is implemented safely and efficiently in your practice. Read more in "Why should I bring my team?" below.

Clinician Testimonial

I would like to thank the DOCS Education team for facilitating the best pediatric sedation course that I have ever attended. As a pediatric dentist we are constantly training to provide our young patients with the safest sedation modalities available. The DOCS Education pediatric sedation course not only provides a pediatric dentist with that training but it also gives you the know-how to implement what you have learned in a practical way. I highly recommend this course for any general dentist interested in sedation and any pediatric dentist with experience in sedation looking to strengthen his or her knowledge.

- Frederick Ballard, DDS of Kool Koala Pediatric and Adolescent Dentistry
  • Course Details


    Pediatrics is among the fastest-growing areas of dentistry.

    Day One:

    It is important to make clear what pediatric oral conscious sedation is and what it isn't. Pharmacology will be discussed at length for the purpose of understanding the science behind the skills. Through a live video feed of an actual patient being sedated in a dental setting it will be possible to define the benefits of oral conscious sedation in the pediatric dental patient. Because the sedative drug's will be administered orally, it will be shown how the drug's will produce their effect while going through the oral cavity, esophagus, stomach, small intestine, liver, cardiovascular system, and into the brain. There will also be discussion of how other drugs and common medical conditions can influence the effect(s) of the sedative drug(s).

    • Review of drug regimens
    • Principles of pharmacology for sedation medications
    • Anatomical and physiological considerations
    • The complicated patient
    • Metabolism of drugs and drug-drug interaction
    • Pediatric emergencies
    • Live patient experience

    Day Two:

    Advanced Pediatric Airway Module with High Fidelity Human Simulation (APAM)

    DOCS Education strongly encourages dentists to enroll in the American Heart Association's HeartCode PALS Part 1 prior to enrolling in Pediatric Sedation Dentistry. If you successfully complete HeartCode PALS Part 1, you have the opportunity to become PALS-certified or re-certified by attending Pediatric Sedation Dentistry, which fulfills Parts 2 and 3. However, spaces for recertification testing will be limited. If you are interested in becoming certified or recertified, please inquire with your Customer Service Representative to learn more.

    John Bovia brings his 30 years of experience in emergency medical services in order to lead attendees through six emergency scenarios.

    These six scenarios will be programmed into the high fidelity human simulators that have direct application for pediatric dentists who sedate children in their office. These include preparation for scenarios including:

    • Asthma: A patient may experience an attack while under sedation, thus causing an airway emergency.
    • Excess of local anesthetic: A patient could experience an overdose (toxicity) of local anesthesia causing a biphasic (excitation then depression) reaction.
    • Allergic reaction: This could result in first a cutaneous reaction progressing to anaphylaxis with airway emergency.
    • Sinus Tachycardia (ST) or Supra Ventricular Tachycardia (SVT): Possibly from elevated temp, stress, etc. during sedation requiring initial vagal stimulation.
    • Foreign body introduction: Gauze, tooth, crown, bur, etc. in oropharyngeal area during sedation causing an airway emergency.
    • Diabetes: Patient could experience an episode of hypoglycemia during sedation.

    Day two will also include a team training breakout session. Successful implementation of new skills depends not just on an intelligent doctor—but an intelligent team. Led by Dr. Peter Chiang, a practicing pediatric dentist and lecturer, this course is designed exclusively for team members and will provide them with the confidence, skills and preparation to ensure pediatric sedation is implemented safely and efficiently in your practice.

    Doctor:

    • Airway evaluation
    • Review of six real life emergency scenarios
    • Protection and positioning equipment
    • Monitoring and emergency preparedness
    • Pediatric sedation protocols

    Team:

    Special Team Training Breakout Section

    This section is led by DOCS Education faculty Dr. Peter Chiang. A practicing pediatric dentist and lecturer, Dr. Chiang brings a wealth of knowledge and expertise to his role as an instructor. He will provide your team members with the vital skills they need to ensure your practice implements pediatric sedation dentistry as efficiently, intelligently and safely as possible.

    • Oral conscious sedation policy statement
    • Brief overview of the pediatric patients and levels of sedation
    • Oral conscious sedation procedures and important points of communication (with DOCS Education regulatory council John Bitting, Esq.)
    • Description of dental team duties (both front office and clinical team)
    • Sedative medications, nitrous oxide and local anesthesia
    • Introduction to monitoring equipment and protective devices
    • Monitoring, record keeping, sedation records and consent
    • Preparing the office for emergencies: Airway, CPR, PALS
    • Wrap up and Q/A

    Day Three:

    The step-by-step approach to case selection, parent communication, drug/s selection and dosage, drug/s administration will be discussed. Since the use of sedative drugs, nitrous oxide oxygen analgesia, and local anesthesia in pediatric dentistry is regulated by both professional and governmental organization, the guidelines that mandate monitoring, stabilization equipment, staff support, consent, record keeping, emergency preparedness and patient billing issues will be discussed.

    Prior to the completion of the course, there will be actual cases where the attendee will make decisions as to the case selection of a particular child, if acceptable for sedation the drug/s chosen and the dosage to be administered to the child, and common problems that can occur before, during, and after sedation.

    • Treatment planning considerations
    • Case selection
    • Drug selection and dosage
    • Drug administration
    • Local anesthesia
    • Nitrous oxide/oxygen sedation
    • Parent communication and management
    • Financial arrangements
    • Informed consent, record-keeping and documentation
    • Legal and regulatory issues
    • Staff support
  • What is APAM?

    Advanced Pediatric Airway Module with High Fidelity Human Simulation (APAM)

    A pediatric emergency could occur on any patient in your practice. In either situation, you are the first responder. Are you prepared? Can you recognize pediatric emergencies and manage successful outcomes? Are your “hands-on” life support skills current?

    APAM stands for Advanced Pediatric Airway Module. This device is a replica of a pediatric patient. By perfectly mimicking real patient behavior, the APAM helps in the training process to provide doctors with the skills for safe and effective airway management.

    John Bovia brings his 30 years of experience in emergency medical services in order to lead attendees through six emergency scenarios.

    These six scenarios will be programmed into the high fidelity human simulators that have direct application for pediatric dentists who sedate children in their office. These include preparation for scenarios including:

    • Asthma: A patient may experience an attack while under sedation, thus causing an airway emergency.
    • Excess of local anesthetic: A patient could experience an overdose (toxicity) of local anesthesia causing a biphasic (excitation then depression) reaction.
    • Allergic reaction: This could result in first a cutaneous reaction progressing to anaphylaxis with airway emergency.
    • Sinus Tachycardia (ST) or Supra Ventricular Tachycardia (SVT): Possibly from elevated temp, stress, etc. during sedation requiring initial vagal stimulation.
    • Foreign body introduction: Gauze, tooth, crown, bur, etc. in oropharyngeal area during sedation causing an airway emergency.
    • Diabetes: Patient could experience an episode of hypoglycemia during sedation.
  • Locations

    Schedule Information

    Date(s): 5/19/17 - 5/21/17
    Times: 7:30am-5pm
    Meals: Lunch

    Location Information

    Location: Reston, WA
    Closest Airport: Dulles International Airport

    Hotel Information

    Hotel: Hyatt Regency Reston
    1800 Presidents Street
    Reston, VA 20190
    Phone: 703-709-1234
    Cost: $149/night
    Discount cutoff date: 4/26/2017

    Directions:

    Driving Directions

    What to do in the city:

    Want to know what there is to do in Washington DC? Check out the Visitor's Bureau site.

    Attending Faculty

    Dr. Anthony S. Feck, Dr. Michael Silverman, Dr. Leslie Fang, Dr. Tim Modic, Dr. Richard Gesker, Dr. Gary Imm,
    Dr. Jerome Wellbrock, Dr. Terry M. Gordon, Dr. Howard Ngo, Dr. Justin Neibauer, Dr. Gopal Pal, Dr. Aaron Stump,
    Dr. JC Wolfe and Dr. Steven Jackson

    Schedule Information

    Date(s): 8/18/2017 - 8/20/2017
    Times: 7:30am-5pm
    Meals: Lunch

    Location Information

    Location: Memphis
    Closest Airport: Memphis International Airport

    Hotel Information

    Hotel: The Peabody Memphis
    149 Union Ave
    Memphis, TN 38103
    Phone: 901-529-4000
    Cost: $189/night
    Cutoff date for discounted price: 7/21/2017
    Parking: Discounted for HOTEL GUESTS at $10/day

    Directions:

    Driving Directions

    What to do in the city:

    Want to know what there is to do in Memphis? Check out the Visitor's Bureau site.

    Attending Faculty

    Dr. Anthony S. Feck DMD; Dr. Michael Silverman DMD; Dr. Leslie Fang PhD; Dr. Tim Modic; Dr. Richard Gesker DMD,MBA; Dr. Gary Imm; Dr. Jerome Wellbrock DMD, MAGD; Dr. Terry M. Gordon, DDS; D. Howard Ngo, DDS; Dr. J.C. Wolfe, DDS; Dr. Justin Neibauer; DDS, Dr. Aaron Stump, DDS and Dr. Gopal Pal, DDS

    Schedule Information

    Date(s): 11/10/2017 - 11/12/2017
    Times: 7:30am-5pm
    Meals: Lunch

    Location Information

    Location: Seattle
    Closest Airport: Seattle Tacoma International Airport

    Hotel Information

    Hotel: Westin Bellevue
    600 Bellevue Way NE
    Bellevue, WA 98004
    Phone: 425-638-1000

    Cost: $195/night

    Directions:

    Driving Directions

    What to do in the city:

    Want to know what there is to do in Seattle? Check out the Visitor's Bureau site.
  • Why should I bring my team?

    DOCS Education considers the dental team a vital part of good patient care and urges every dentist to bring at least one staff member to courses. Whether assisting the doctor during the actual appointment, or tending to the practical concerns of appointment scheduling and recordkeeping, a doctor cannot perform pediatric sedation without the help of his or her team. Thus it's imperative your team members be knowledgeable about the pediatric sedation process to better serve the patient and the dentist.

    NEW Special Team Training Breakout Section

    This section is led by DOCS Education faculty Dr. Peter Chiang. A practicing pediatric dentist and lecturer, Dr. Chiang brings a wealth of knowledge and expertise to his role as an instructor. He will provide your team members with the vital skills they need to ensure your practice implements pediatric sedation dentistry as efficiently, intelligently and safely as possible.

    • Oral conscious sedation policy statement
    • Brief overview of the pediatric patients and levels of sedation
    • Oral conscious sedation procedures and important points of communication (with DOCS Education regulatory council John Bitting, Esq.)
    • Description of dental team duties (both front office and clinical team)
    • Sedative medications, nitrous oxide and local anesthesia
    • Introduction to monitoring equipment and protective devices
    • Monitoring, record keeping, sedation records and consent
    • Preparing the office for emergencies: Airway, CPR, PALS
    • Wrap up and Q/A

    "I brought some of the team with me, including two hygienists and our assistant manager—all of whom are extremely reluctant to try new things. I sat at lunch today listening with amazement as they told me what we need to do to implement this in our practice! Your enthusiasm is infectious, and I will be sending the rest of the team to this course!"

    - Karen Harriman, DDS

    States differ in their sedation regulations. Visit www.SedationRegulations.com to learn more.

  • Faculty

    Dr. Roger Sanger

    Dr. Roger Sanger, DOCS Education's Pediatric Sedation Dentistry lead instructor, is a graduate of the University of Southern California (USC) School of Dentistry. He completed a residency in pediatric dentistry as well as a fellowship in rehabilitation and received a Masters in Health Care from USC Medical Center and Hospitals prior to entering private practice. A lifelong educator, Dr. Sanger has served as an attending faculty member at USC Children's Hospital and the University of Colorado Medical Center. In private practice for over 27 years, he went on to found a multi-doctor, multi-office children's dental group serving six counties on the central coast of California. The group was a leader in establishing two children's dental surgicenters that treat over 5,000 cases of pediatric oral sedation a year.

    Dr. Sanger has personally completed over 10,000 pediatric cases over the course of his career. He has authored two clinical textbooks and numerous scientific articles, as well as a textbook on pediatric dental practice management. With fine attention to detail and a passion for writing, he has also been a contributing editor for Dentistry Today. Utilizing the safest drugs and latest technology, Dr. Sanger believes that pediatric oral conscious sedation can allow dental practices to offer comprehensive care to anxious and unmanageable children while simultaneously reducing parental anxiety and increasing practice success.

    His warm and open teaching style coupled with his vast experience and passion for treating children enables Dr. Sanger to easily impart his knowledge to those he teaches.

    Dr. Peter Chiang

    Dr. Peter C.J. Chiang received his dental degree from the University of California at Los Angeles Medical Center where he also completed a residency in pediatric dentistry. His pediatric dental specialties include growth and development, prevention, education, and maintenance of children's dental health.

    A passionate educator as well as a dedicated practitioner, Dr. Chiang serves as a pediatric dentistry lecturer at UCLA and is the managing partner of the Central Coast Pediatric Dental Group, a regional multi-office, multi-doctor pediatric dental group serving the dental needs of children and teenagers in the six counties comprising California's central coast. The group is a pioneer for advancing orally administered sedative medication techniques as an adjunct to comprehensive care for children and teenagers with dental anxiety and fear.

    Notably, Dr. Chiang designed the first children's surgicenter in California.

    He is a Diplomate of the American Board of Pediatric Dentistry, an active member of the Monterey Bay Dental Society, American Dental Association, American Academy of Pediatric Dentistry, and the California Society of Pediatric Dentistry.

    Dr. Chiang joins two of his Central Coast Pediatric Dental Group colleagues, Dr. Roger G. Sanger and Dr. Kenji B, Saisho, as a faculty member and instructor of DOCS Education's Pediatric Sedation Dentistry course.

    John Bovia

    John Bovia has 30 years of experience in emergency medical services dating back to his time in the U.S. military. He was one of the first paramedics to be licensed in the state of Michigan in the late seventies.

    John is the co-founder of Life Support Services, Inc., and he has been recognized over the years as an outstanding instructor for the American Heart Association (AHA). He has trained over 200,000 health care providers including nurses, EMTs, physicians and dentists.

    At this time, he instructs the ACLS course for DOCS Education. He also runs one of the largest training centers for the AHA, instructing health care providers and other trainers on the topic of resuscitation.

    Dr. Leslie Fang

    Dr. Leslie Shu-Tung Fang is the John R. Gallagher III and Katherine A. Gallagher Endowed Chair in Clinical Excellence at Massachusetts General Hospital and Harvard Medical School.

    He is a world-renowned physician, educator, businessman and speaker. He received his PhD in Physiology and Biophysics from the University of Illinois and his Doctorate of Medicine from Harvard Medical School. He is board certified in both Nephrology and Internal Medicine and has been repeatedly honored as one of “America’s Top Doctors” and “The Best Doctors of Boston.”

    While maintaining an active international practice in Internal Medicine and Nephrology in Boston, Dr. Fang also serves as a key teacher at Harvard Medical School and in Postgraduate Courses in Medicine. He has received numerous awards for excellence in teaching and is a highly sought-after teacher. At the Massachusetts General Hospital, he was Firm Chief of the Walter Bauer Firm and was the Chairman of the Internship Selection Committee in Medicine for 13 years. At Harvard Medical School, he was on the Clinical Clerkship Committee and on the Faculty Council.

    As a businessman, Dr. Fang has been associated with: FerruMax, MEDAcorp, Leerink Swann, Exit Strategy, Channel Three, LVI Global, WorldCare International, SpectraMed among many others.

    Widely respected in the medical, dental and academic communities, Dr. Fang is frequently a featured speaker at medical and dental conferences. He has authored many medical texts, teaching series and reference manuals. In dentistry, his textbooks Principles and Practice of Oral Medicine and Oral Medicine Secrets have received rave reviews. He co-authored interactive DVD from the EndoMagic Interactive Teaching Series, Antibiotics in Dentistry, was the top-selling DVD in the Series. His latest publication The Ultimate Cheat Sheets, a Practical Guide for the Dentist, has been named Educational Product of the Year by Clinicians’ Report every year from 2007 to 2015. In 2016, The Ultimate Cheat Sheets was named a Classic by Clinicians’ Report.

    A highly sought-after international speaker, Dr. Fang is on-stage over 100 times a year, teaching Medicine and Dentistry and often acts as a bridge between the two disciplines. He was named in the “Top 100 Clinicians in Continuing Education” by Dentistry Today in 2008.

    As faculty member of DOCS Education, Dr. Fang plays an integral part in the development of the curriculum, providing the medical backbone in sedation. He is involved in the teaching of Oral Sedation Dentistry, Master Series in Sedation, Pediatric Sedation Dentistry, Teen Sedation Dentistry, Sedation Recertification, IV Sedation and IV Sedation Recertification.

  • Letter from Dr. Sanger

    Dr. Roger Sanger is DOCS Education's lead instructor for Pediatric Sedation Dentistry and has personally performed over 13,000 pediatric sedation cases. He explains why, if performed by a skilled and responsible doctor, sedation dentistry is a safe, dependable and important method of treatment for children with anxiety:

    I am a believer that with the proper training and regulatory guidance, a general dentist can perform safe and effective sedation to aid in the dental treatment of children and teens. Proper training must include (among many other subjects) the selection of proper drug(s) and their safe use, and MOST IMPORTANTLY, the proper selection of the child or teen.

    Minimal oral conscious sedation performed by trained GPs provides children with a much more pleasant dental experience, thus making them better patients for the rest of their lives.

    For the majority of cases a general dentist will encounter in practice where oral conscious minimal sedation will be beneficial, the use of one drug (midazolam is the most popular) given at or below the maximum recommended therapeutic dose (MRTD) with nitrous oxide, oxygen inhalation, analgesia and injectable local anesthesia will suffice. Cases requiring a higher degree of sedation because of patient selection or length of treatment can be referred to the pediatric specialist who may want to achieve moderate sedation.

    If one drug is sufficient, why use nitrous oxide or local anesthesia? Nitrous oxide is the safest drug we have to achieve analgesia. Along with injectable local anesthesia, nitrous oxide analgesia will reduce pain sensation thus allowing for a lesser amount of the sedative drug to achieve a better and safer level of minimal sedation.

    Why do some states allow a GP to administer a second sedative drug? The second sedative drug (hydroxyzine is the most commonly used) will be synergistic to the first drug thus allowing a lower dose of the first. The second sedative drug is usually for great working time and antiemetic, antihistaminic, antisialologue properties.

    I believe that allowing a GP to administer one sedative drug without nitrous would not allow the child or teen to whom the sedation is intended to receive the most comfortable dental treatment. I also believe many states are correct in establishing educational requirements for its regs. I also know that in a child it is AIRWAY, AIRWAY, AIRWAY. Therefore, I encourage states to establish a requirement that any dentist sedating a child be certified by the AHA in PALS (Pediatric Advanced Life Support) and recertified every two years by the AHA. I also feel strongly that the dentist should have a CE requirement for recertification of the sedation regulations by a state.

    The four major reasons for complications during dentist administered oral sedation are as follows:

    1. They picked the wrong patient due to physical, mental, medical, drug, etc. compromising conditions. (EDUCATION)
    2. They used an overdose of the sedative drug(s). (EDUCATION)
    3. They used an overdose of the local anesthetic drug(s). (EDUCATION)
    4. They allowed a foreign body to go down the throat by not protecting the airway (no rubber dam or suitable isolation). (EDUCATION)

    All these topics should be educational requirements established by the regulations.

  • Does insurance cover pediatric sedation dentistry?

    Many dental insurance carriers will pay for sedation. Again, there is wide variability in this area.

  • Where can I meet requirements?

    To learn more about DOCS Education's wide range of courses, visit our Continuing Education section or www.SedationRegulations.com, which lists the latest regulatory developments. We particularly encourage membership in DOCS Education, which offers round-the-clock personal attention from the nation's leading legal authority on dental regulations.

  • Who is DOCS Education?

    DOCS Education consists of over 3,000 members committed to offering safe dentistry to all patients, including those suffering from anxiety. DOCS Education graduates have safely treated an estimated 2 million patients across the United States and Canada. Since it's estimated around 30 percent of people fear the dentist, many individuals remain to be helped. That's why DOCS Education frequently updates its courses and information.