Virginia Regulatory Town Hall
Department of Health Professions
Board of Dentistry
Regulations Governing Dental Practice [18 VAC 60 ‑ 20]
Action Sedation and anesthesia permits for dentists
Stage Emergency/NOIRA
Comment Period Ended on 11/7/2012
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11/7/12  12:41 pm
Commenter: Scott golrich

Dental sedation - proposed new guidelines

As a dentist who has been using both IV and oral sedation in my office since 1993, I have to voice my concern about the request to mandate EKG usage for all moderate sedation cases. The only time I have ever had to call 911 was because I did NOT sedate a patient who developed an anxiety induced angina episode during local anesthesia.   The safety is beyond question, and with the routine use of pulse oximetry, and reversal agents for opioids and benzodiazapines, over effect can be quickly controlled.  The concept of mandating the dentist to be in the operatory at all times will have a cost increase effect which will likely make sedaation unaffordable for many patients, who will in ten avoid treatment to their own detriment. As well trained staff can safely monitor patients, and alert of any concerns with vital signs , it seems to be overkill with these newly proposed regulations. I am certain that many of the prescription drugs provided by physicians, are used either accidtly or otherwise, to create effects similar to or beyond what is considered Moderate conscious sedation in a dental office, yet withNO monitoring whatsoever .

Please reconsider the implementation of these new regulations .


CommentID: 24463