5.4 Advanced Behavior Guidance Techniques—Continued
Deep Sedation and General Anesthesia
Note: Much of the information in this section was adapted, with permission,
from American Academy of Pediatric Dentistry, Council on
Clinical Affairs—Committee
on Behavior Guidance. In press. Guideline on behavior guidance
for the pediatric dental patient (revised 2006). http://www.aapd.org/media/policies_guidelines/g_behavguide.pdf
and American Academy of Pediatric Dentistry. 2004. Policy
on the use of deep sedation and general anesthesia in the
pediatric dental office.
In Reference Manual (pp. 50–51). Chicago, IL:
American Academy of Pediatric Dentistry.
Only dentists who have completed an advanced education program that
meets the requirements of the American Dental Association
(ADA) are considered qualified to provide deep sedation and general anesthesia
in practice. These requirements include (1) completion of an advanced
training program in anesthesia and related subjects beyond the predoctoral
dental curriculum that satisfies the requirements described in Part II
of ADA’s Guidelines
for Teaching the Comprehensive Control of Pain and Anxiety
in Dentistry and
(2) completion of an ADA-accredited post-doctoral training
program (e.g., in oral and maxillofacial surgery) that offers the comprehensive
and appropriate training necessary to administer and manage deep sedation
and general anesthesia.
When deep sedation or general anesthesia is provided in a private dental
office, the dentist is responsible for acquiring and maintaining
appropriate training and certifications to be in compliance
with state rules and
regulations associated with the provision of deep sedation
and general anesthesia. The dentist is also responsible for
evaluating the educational
and professional qualifications of any professional in addition
to himself (e.g., a nurse anesthetist, an anesthesiologist)
who administers anesthesia
or sedation in the office. The dentist is also responsible
for establishing a safe environment that complies with state
rules and regulations, as
well as with guidelines such as AAPD's Clinical Guideline on
the Elective Use of Minimal, Moderate, and Deep Sedation
and General Anesthesia
or similar guidelines published by other professional dental
associations.
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