The Art and Science of Anxiolysis and Sedation in 2013 and Beyond –
Nitrous Oxide and Oral Sedation
Fred Quarnstrom, DDS, FAGD, FICD, FADSA;
David Donaldson, BDS, FDSRCS, MDS, FADSA, FADC;
Mark Donaldson, BSc (Pharm), RPh, PharmD
This course can satisfy the requirement in Washington State (WAC 246-817-701 through -790), Oregon State (§818-026), Idaho State (§19.01.01.060.01) and the American Dental Association. Actual number of hours required by each state can vary.
Friday, October 12, Saturday, October 13 and/or
Sunday, October 14, 2012
Registration and Continental Breakfast: 8:00am – 8:30am
Course: 8:30am – 4:30pm
TUITION – price includes lunch:
CREDITS: 7, 14 or 21 hours
* This course is eligible for a 10% tuition discount if you are a current member of the UW Dental Alumni Association.
TOPICS FOR EACH DAY:
* Wondering how many hours of continuing ed you need?
Who should attend this course
This course is applicable to all dental professionals interested in providing minimal and moderate sedation in their office, and is an excellent refresher for those practitioners already experienced with these modalities.
Dental practitioners, hygienists and team members interested in providing safe and effective minimal and moderate sedation for their patients should come to this course. For those practitioners already familiar with these modalities, this course represents the most comprehensive and up-to-date approaches for ensuring successful outcomes for you, your Team, and your patients. Our internationally-renowned Faculty has designed the curriculum to meet ADA guidelines, and will review state-wide adaptations based on these recommendations. They have taught well over 20,000 dentists how to safely sedate dental patients, and offer a multimedia approach including relevant and useful pharmacology. Whether you are interested in getting started, or have been practicing with these tools for years, this is an excellent university-sponsored continuing dental education program taught by top professionals practicing in this field.
Instruction in all aspects of inhalational analgesia and oral conscious sedation, including effective methods in dealing with anxiety control in general practice will be discussed. Participants will learn various techniques and protocols designed to achieve certification in nitrous oxide/oxygen sedation as well as competency in providing oral anxiolysis. A patient-centered approach to care is emphasized with lectures on appropriate patient selection, medication selection, necessary monitoring and practical emergency management. Case studies will augment the delivery of key points and a problem-based learning approach is encouraged so that each participant’s questions are addressed.
As a result of attending this course, you should be able to:
- Describe the most recent ADA guidelines and State Regulations for anxiolysis and sedation.
- Provide safe and effective anxiolysis and sedation using oral and inhalational techniques.
- Identify and describe areas of controversy regarding traditional dental relaxation methods and approaches to analgesia.
- Discuss new pharmacologic agents and their optimal use in dentistry.
- Understand why some drugs work and some don’t for postoperative dental pain.
- Understand the principles of drug metabolism including liver enzyme induction and inhibition.
- Modify dental treatment in relation to overall therapeutic regimen and recognize and manage potential emergencies.
- Discuss local anesthetic controversies, equipment and techniques useful for the overall treatment of the anxious patient.
Topics to be covered each day:
- Etiology of Dental Anxiety & Comparison of Techniques – Why Oral Sedation?
- Pharmacology of Oral Sedatives
- Reversal Agents and Flumazenil
- Oral Sedation Techniques, Protocols and Case Studies
- What’s in Your Emergency Kit and Practical Sessions on Airway
- Local Anesthesia Update
- Oral Sedation “Politics”, Rules and Regulations
- From Inhalation to Intravenous Sedation
- Pharmacology 101
- Applied Physiology & Anatomy of Respiration
- Nitrous Oxide Equipment
- Pain Theory
- Incremental Induction techniques
- First Clinic
- Drug Interactions and Databases
- Medical Emergencies
- Second Demonstration – Rapid Induction Technique
- Second Clinic
- Nitrous Oxide Installation
- Nitrous Oxide and Oxygen Pharmacology
- Medical Emergencies Continued
- Contamination and Scavenging
- Nitrous Oxide Complications / Contraindications
FRED QUARNSTROM is a dental anesthesiologist who received his dental degree from the UW School of Dentistry, and then completed a post-graduate residency in anesthesiology at Washington Hospital Center in Washington, DC. He was a pioneer in establishing the effectiveness of benzodiazepines for use in oral conscious sedation and he maintains a general practice in Seattle. Dr. Quarnstrom is an Affiliate Assistant Professor in the UW School of Dentistry and Clinical Assistant Professor in the Faculty of Dentistry at the University of British Columbia.
DAVID DONALDSON obtained his dental degree at St. Andrews University in Scotland, and completed his Fellowship in Dental Surgery through the Royal College of Surgeons in Edinburgh. Upon earning his Masters Degree in Restorative Dentistry at Dundee University, he assumed the position of Director of Pain and Anxiety Control in the Faculty of Dentistry at the University of British Columbia. He has held many academic and administrative positions including Assistant Dean, Director of Clinics, Chairman of the Curriculum Committee, Member of the University Senate and head of three departments. He currently maintains two clinics on Vancouver Island specializing in chronic head and neck pain.
MARK DONALDSON received his BSc.(Pharm.) from the University of British Columbia and Doctorate in Clinical Pharmacy from the UW. He is the Director of Pharmaceutical Services at Kalispell Regional Medical Center in Kalispell, Montana, Clinical Professor in the Department of Pharmacy at the University of Montana, and Clinical Associate Professor in the School of Dentistry at Oregon Health & Science University. He has been a primary author and investigator for the National Institutes of Health (N.I.H.) Consensus Development Committee to define the guidelines for enteral sedation in the United States, and he currently sits on the Editorial Board for the Journal of the American Dental Association (J.A.D.A.).
The University of Washington is an ADA CERP Recognized Provider.
ADA CERP is a service of the American Dental Association to assist dental professionals in identifying quality providers of continuing dental education. ADA CERP does not approve or endorse individual courses or instructors, nor does it imply acceptance of credit hours by boards of dentistry.
The University of Washington is a member of the Association for Continuing Dental Education.
University of Washington designates this activity for 7, 14, or 21 continuing education credits.