Oral Sedation Dentistry Regulations
Effective May 5, 2010: Illinois Board of Dentistry Rule §1220.500 defines "Minimal Sedation" as a minimally depressed level of consciousness, produced by a pharmacological method, that retains the patient's ability to independently and continually maintain an airway and respond normally to tactile stimulation and verbal command. Although cognitive function and coordination may be modestly impaired, ventilatory and cardiovascular functions are unaffected."
What this means to you: For the first time, Illinois dentists - without an IV permit - can provide their fearful patients with minimal sedation using individualized (e.g. incremental) dosing of oral sedatives so long as the patient's reasonably expected level of consciousness does not exceed the new definition of "Minimal Sedation."
American Dental Association sedation guidelines provide that a dentist should complete at least 16 hours of instructive classroom training with clinically-oriented experiences before providing healthy patients with minimal sedation using oral sedatives.* Find available training courses.
*Illinois State Board of Dentistry Rule §1220.505 does not require formal training before dentists provide minimal sedation.
Effective May 5, 2010: Illinois State Board of Dentistry Rule § 1220.245(c)(2)(A) requires dental assistants monitoring minimally sedated patients to be certified in at least twelve (12) combined hours of classroom and clinical instruction in “anatomy, physiology, pharmacology, monitoring, and emergency procedures with an emphasis on airway management.”**
**Dental assistants with a nitrous monitoring certificate must still be certified in at least six (6) additional hours of advanced airway management and monitoring equipment. Dental hygienists with a nitrous certificate do not require additional training.