Dental CPD

Aims & Objectives:

To provide participants with essential information on current conscious sedation practice, to ensure that their developing practice is underpinned by a strong foundation of knowledge and that they are able to apply the Conscious Sedation in Dentistry SDCEP (2017) to their practice to ensure quality of care and patient safety at all times. This on line resource is designed as an introductory module to the practical skills course which will be delivered within the trainees’ clinical setting. 

Anticipated Learning Outcomes

1) Discuss the practice of conscious sedation within the public dental service and the implications of the SDCEP Conscious Sedation In Dentoistry guidance 2017 for this dental service.

2) Discuss the complexities of obtaining consent within the context of the Public Dental Service and apply local guidelines and legislation to practice

3) Provide a thorough assessment of the patient in relation to managing dental anxiety and select the most appropriate modality of treatment

4) Critically evaluate the range of conscious sedation techniques available

5) Ensure a safe sedation environment at all times.

6) Apply the principles of safe sedation practice when treating patients including peri-operative care

Prior to attending the Inhalation Sedation course

Prior to commencing this inhalation sedation course it is essential that you familiarise yourself with the equipment used in inhalation sedation. During the course we will refer to different parts of the equipment and apparatus, therefore it is crucial that you are already familiar with its basic functions.

You should have a clearly defined plan of how sufficient experience in IHS can be achieved (access to surgery with equipment, nursing staff, patient numbers and referral sources. 

Identify a mentor and designate space in both diaries for mentored sessions.

Your inhalation sedation portfolio should contain the following elements; 

• SLEs for each of your 10 supervised cases
• 2-3 mini CEX for the pre sedation assessment appointments, therapists should replace mini CEX with Case Based Discussion.
• 2 Case Based Discussions, unless you are a therapist. 
• Your sedation log book
• IHS Mentor form

Your portfolio should be submitted to  reducing.inequalities@nes.scot.nhs.uk  in a readable electronic format making sure that all patient identifiable information is removed. 

Introduction to Dental Conscious Sedation

The following videos are designed to complement the in person teaching.

Maintaining Equipment

In this video David Jones will explain some of the key components and safety features integral to your IHS equipment. Your set up locally may vary, so it is essential that your mentor explains this. Excellent information on the set up, features and maintenance schedules for IHS equipment can be found at http://ramedical.com/info-resource/http://ramedical.com/info-resources/

Properties of Nitrous Oxide

Nitrous oxide has a number of properties which make it ideal for use in a dental setting. Here these properties are discussed, beginning with what makes it safe enough to satisfy the requirements in the definition of conscious sedation. 

Contraindications to inhalation sedation. 

In this video Peter Walker talks about consent.