http://www.thewealthydentist.com/blog/256/sedation-dentistry-from-nitrous-oxide-to-oral-conscious-sedation-and-beyond/ Jim Du Molin offers dental marketing news and dental practice management advice for dentists. Mon, 1 Dec 2008 22:24:02 +0000 http://wordpress.org/?v=2.6.3 http://www.thewealthydentist.com/blog/256/sedation-dentistry-from-nitrous-oxide-to-oral-conscious-sedation-and-beyond/#comment-698 Dentist Anesthesiologist Thu, 14 Aug 2008 21:08:30 +0000 http://www.thewealthydentist.com/blog/256/sedation-dentistry-from-nitrous-oxide-to-oral-conscious-sedation-and-beyond/#comment-698 ... very well said Ellen Polsky ... there is no doubt an anesthesiologist should be considered for any case where the operating dentist is not an oral surgeon. The basic training an oral surgeon receives regarding anesthesia (6 months of residency) should be the minimum required to conduct moderate to deep sedation. For complex cases (ie anything more than routine 3rd molar extractions) a wise oral surgeon and/or dentist should request the assistance of an anesthesiologist or CRNA. I predict once JCAHO begins evaluating dental offices (and it has already begun in New York State) anesthesiologits / CRNAs will become a mainstream part of oral surgery and dental procedures performed under sedation & GA. This is in the best interest of all parties involved regarding safety, efficacy and overall patient standard of care. … very well said Ellen Polsky … there is no doubt an anesthesiologist should be considered for any case where the operating dentist is not an oral surgeon. The basic training an oral surgeon receives regarding anesthesia (6 months of residency) should be the minimum required to conduct moderate to deep sedation. For complex cases (ie anything more than routine 3rd molar extractions) a wise oral surgeon and/or dentist should request the assistance of an anesthesiologist or CRNA. I predict once JCAHO begins evaluating dental offices (and it has already begun in New York State) anesthesiologits / CRNAs will become a mainstream part of oral surgery and dental procedures performed under sedation & GA. This is in the best interest of all parties involved regarding safety, efficacy and overall patient standard of care.

]]> http://www.thewealthydentist.com/blog/256/sedation-dentistry-from-nitrous-oxide-to-oral-conscious-sedation-and-beyond/#comment-390 Ellen Polsky Tue, 08 Apr 2008 04:16:40 +0000 http://www.thewealthydentist.com/blog/256/sedation-dentistry-from-nitrous-oxide-to-oral-conscious-sedation-and-beyond/#comment-390 I am a pediatric dentist and I do use ocs, nitrous, and general anesthesia in my office and hospital setting. Most dentist are NOT properly trained in airway management and emergency procedures. Simple weekend classes are not enough to teach how to quickly react if the patient crashes. As a pediatric dentist I did go thought extensive anesthesia rotations ( at least it was a strong part of my program) and it did teach me how to be more conservative, especially in a non hospital setting. With sedations when things go wrong and the dr. is not well trained the results can be fatal. We had enough deaths in dental offices already and that is why certain states are imposing the regulations these days! It is very difficult to do surgeries and monitoring at the same time. There is a reason we have anesthesiologists who monitor patients diligently. The reason is--- IT IS IN THE BEST INTEREST OF THE PATIENT! IT IS SAFER FOR THE PATIENT! Even some oral surgery practices use anesthesia services and these specialist are indeed very well trained in anesthesia and airway management. I am not by far trying to diminish general practitioners out there I think most of them do a great job in treating their patients by different modalities, but you have to realize as a specialist we do have more training and in most cases know better when to stop and not take the unnecessary risks. A lot of times some people who practice out there don't know what they don't know and that gets them in trouble. I am a pediatric dentist and I do use ocs, nitrous, and general anesthesia in my office and hospital setting.
Most dentist are NOT properly trained in airway management and emergency procedures. Simple weekend classes are not enough to teach how to quickly react if the patient crashes. As a pediatric dentist I did go thought extensive anesthesia rotations ( at least it was a strong part of my program) and it did teach me how to be more conservative, especially in a non hospital setting. With sedations when things go wrong and the dr. is not well trained the results can be fatal. We had enough deaths in dental offices already and that is why certain states are imposing the regulations these days!
It is very difficult to do surgeries and monitoring at the same time. There is a reason we have anesthesiologists who monitor patients diligently. The reason is— IT IS IN THE BEST INTEREST OF THE PATIENT! IT IS SAFER FOR THE PATIENT!
Even some oral surgery practices use anesthesia services and these specialist are indeed very well trained in anesthesia and airway management. I am not by far trying to diminish general practitioners out there I think most of them do a great job in treating their patients by different modalities, but you have to realize as a specialist we do have more training and in most cases know better when to stop and not take the unnecessary risks. A lot of times some people who practice out there don’t know what they don’t know and that gets them in trouble.

]]> http://www.thewealthydentist.com/blog/256/sedation-dentistry-from-nitrous-oxide-to-oral-conscious-sedation-and-beyond/#comment-373 Julia Frey Fri, 28 Mar 2008 17:32:04 +0000 http://www.thewealthydentist.com/blog/256/sedation-dentistry-from-nitrous-oxide-to-oral-conscious-sedation-and-beyond/#comment-373 Indeed it is, but the question was phrased so as to differentiate between those doctors who offer only Valium and those who use more advanced meds (like third- or fourth-generation benzodiazapines) in OCS treatment. Indeed it is, but the question was phrased so as to differentiate between those doctors who offer only Valium and those who use more advanced meds (like third- or fourth-generation benzodiazapines) in OCS treatment.

]]> http://www.thewealthydentist.com/blog/256/sedation-dentistry-from-nitrous-oxide-to-oral-conscious-sedation-and-beyond/#comment-372 d. kevin moore dds Thu, 27 Mar 2008 16:42:14 +0000 http://www.thewealthydentist.com/blog/256/sedation-dentistry-from-nitrous-oxide-to-oral-conscious-sedation-and-beyond/#comment-372 Um your "pie" diagram is incorrect. Valium Is an OCS..... Um your “pie” diagram is incorrect. Valium Is an OCS…..

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