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Letters: Sedation

February 05, 2018

Good for Dr. Leonard J. Carapezza: I agree with his views on sedation in his Jan. 8 My View "Back to the Future."

A pedodontist taking one or a dozen courses in sedation is definitely not qualified to administer, monitor and take care of any possible complications. Anesthesia is not to be taken lightly; adverse outcomes do happen. Oral surgeons are trained in administering anesthesia during their residency and have at least four years of experience during their residency. One must be adept at recognizing problems, treating the problems and have the ability to understand all the monitoring devices that should accompany an IV anesthetic. Being skilled in advanced cardiac life support is also mandatory for anyone who administers an anesthetic. If a child is so difficult to manage, there are children's hospitals where they can be safely cared for.

Jeffrey M. Gitelman, D.D.S.
Washington, D.C

Editor's note from the ADA Council on Dental Education and Licensure: Regulation of dental practice, including the administration of sedation and dental anesthesia, is under the purview of state boards of dentistry. In most states, dental boards issue permit(s) to dentists in accord with the level of sedation or anesthesia they are formally trained to administer.  Some states issue separate permits for dentists trained to administer sedation to pediatric patients. The ADA Guidelines for the Use of Sedation and General Anesthesia by Dentists available on the ADA website offers guidance to both providers and state boards on the provision of sedation and anesthesia to adults. For the pediatric population, the ADA refers to the "American Academy of Pediatrics/American Academy of Pediatric Dentistry Guidelines for Monitoring and Management of Pediatric Patients During and After Sedation for Diagnostic and Therapeutic Procedures."