AAPD Policy for Selecting Anesthesia Providers for the Delivery of Office-based Deep Sedation/General Anesthesia
The American Academy of Pediatric Dentistry (AAPD) recognizes that it is the exclusive responsibility of dental practitioners, when employing anesthesia providers to administer office-based deep sedation/general anesthesia, to verify and carefully review the credentials and experience of those providers.1 An understanding of the educational and training requirements of the various anesthesia professions and candid discussions with potential anesthesia providers can assist in the vetting and selection of highly skilled licensed providers in order to help minimize risk to patients.
Monitoring and Management of Pediatric Patients Before, During, and After Sedation for Diagnostic and Therapeutic Procedures: Update 2016
This report was developed through a collaborative effort of the American Academy of Pediatrics and the American Academy of Pediatric Dentistry to offer pediatric providers updated information and guidance in delivering safe sedation to children.
Use of Anesthesia Providers in the Administration of Office-based Deep Sedation/General Anesthesia to the Pediatric Dental Patient
The AAPD intends this guideline to assist the dental practitioner who elects to use a licensed anesthesia provider for the administration of deep sedation/general anesthesia for pediatric dental patients in a dental office or other facility outside of an accredited hospital or ambulatory surgical center. This document discusses personnel, facilities, documentation, and quality assurance mechanisms necessary to provide optimal and responsible patient care.
A model sedation record developed by the American Academy of Pediatric Dentistry.
ADA Guidelines for the Use of Sedation and General Anesthesia by Dentists
Guidance for the delivery of safe and effective sedation and anesthesia.
Texas Health and Human Services Commission Inspector General Pediatric Dental Sedation Inspection Medicaid Dental Providers
This document was developed following the Texas investigations into sedation-related adverse events in dental practices treating children on Medicaid to determine if the case procedures met the criteria for medical necessity and standard of care.
American Dental Society of Anesthesiology (ASDA) Free APP for Medical/Sedative Emergencies
The app is the result of several years of work by academic and clinical volunteers at Tufts University School of Dental Medicine. “This is about creating a culture of patient safety in dentistry. […] It’s out there available for any provider.”
To find the app, search for “ADSA Ten Minutes Saves A Life!” in Google Play or Apple’s App Store.
Within the app, there are flow charts for evaluating emergency events including allergic reactions, choking, hypertension, chest pain, low blood sugar and more. Providers can catalog and track drug expiration dates and also input patient age and weight to personalize needed emergency drug dosages.