Renewal for Minimal Enteral Sedation Level I

Renewal Course for Minimal Sedation (Level 1) Permit




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Course Description

This course presents a general review of concepts and methods applicable to minimal enteral sedation. The course is designed to satisfy TSBDE Sedation continuing education requirements for Minimal Sedation (Level I) permit holders. This course contains seven sections that must be completed sequentially, passing a short examination after each section before moving to the next one.

Course Directors/Faculty

JeskeARTHUR H. JESKE, D.M.D., Ph.D., received his dental training at Georgia Health Sciences Univeristy College of Dental Medicine in 1978. He joined the faculty of the University of Texas School of Dentistry at Houston the same year, later serving as Chair of the Department of Dental Pharmacology (1987-1993) and, subsequently, Chair of the Department of Restorative Dentistry and Biomaterials.


LuceERNEST B. LUCE, D.D.S., received his DDS degree from the University of Texas Health Science Center at Houston in 1985. In June of 1986, he completed a one year General Practice Residency at The University of Texas Health Science Center at San Antonio. Upon completion of the residency, Dr. Luce joined the Department of Comprehensive Dentistry at The University of Texas Health Science Center at San Antonio. Currently, he is a Clinical Associate Professor at the Health Science Center, and he also maintains a part time private practice in general dentistry in San Antonio.

Educational Objectives

  1. Understand patient selection and drug selection criteria in Minimal sedation.
  2. Recognize rules and recording keeping required in minimal sedation.
  3. Utilize techniques useful in monitoring and administration of minimal sedation.
  4. Understand management of urgency /emergency in minimal sedation.

Course Sections Summary

After you have successfully completed at section, you will take a required exam. You must achieve a passing score of 90%. If you fail to answer enough questions correctly, you will be instructed to re-take the exam and a new set of questions will be provided. You will have three chances to fulfill the requirements. If you are not successful, you will be instructed to re-take the section.

section 01: Techniques of Minimal Sedation
This section of the course will review basic concepts and practice of minimal sedation techniques. Topics discussed will include pre operative physical evaluation, informed consent, escorts, management of the routine medications used by the patient, timing of drug administration and the potential of re-administration. The presentation will conclude with a review of appropriate discharge criteria.

section 02: Patient Evaluation & Treatment Planning
This section presents an update on Patient Evaluation & Treatment planning including advantages and disadvantages for level I, minimal sedation & comparing them with those of other sedation modalities including Nitrous Oxide Oxygen inhalation sedation; assessment of patient anxiety levels in order to ensure optimal outcomes; and the detail that is required prior to sedation procedures that should appear in informed consent documents.

section 03: Pharmacology
This section addresses pharmacology of agents used in enteral (oral) and combination inhalation enteral sedation including drug interactions and incompatibilities. The section is presented to address pertinent information on the practical application of pharmacology in enteral and inhalation drugs used for minimal sedation. Also addressed are the pharmacology of sedation agents and emergency drugs for sedation procedures in Minimal Sedation; because the pharmacologic actions of sedative drugs are important in the appropriate selection and administration of drugs for Level I minimal Sedation procedures.

section 04: Monitoring
This section reviews monitoring techniques used in Minimal Sedation.

section 05: Rules and Records
This section will review TSBDE rules regarding the administration and documentation of minimal sedation in Texas.

section 06: Understanding& Managing Drug Interactions
This section presents information to create an understanding of the continuum of sedation through which the dentist can make appropriate choices of pharmacologic agents that can be safely and effectively used for various sedation procedures including Level I Minimal Sedation, Nitrous Oxide and local anesthesia. Utilization of processes to manage team education on adverse drug interactions will also be discussed.

section 07: Complications, Emergencies & Urgencies
This section will review common anticipated urgencies and emergencies in minimal sedation. Discussion will include over sedation, respiratory depression, airway obstruction, nausea and vomiting and aspiration. Emphasis will be placed on team management of an emergency.

Comprehensive Exam
After you have successfully completed the 7 course content sections, you will take the required comprehensive exam to finalize your participation in this course. You will be required to achieve a passing score of 80%. If you fail to answer enough questions correctly, you will be instructed to re-take the exam and a new set of questions will be provided. You will have three chances to fulfill the requirements. If you are not successful, you will be instructed to contact the Office of Continuing Dental Education.

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Participation in the course requires that you:

  • Register online with the our secured server.
  • Pay a $189.00 registration fee.
    • Paying With A Credit Card – Once you complete your registration, an email will automatically be sent to you, at the address you provided, containing your User Code and Password and link to a Logon Session page to begin the course.
    • Not Paying With a Credit Card – Once our office receives your form of payment, the following business day an email will be sent to you, at the address you provided, containing your User Code, Password and a link to a Logon Session page to begin the course
  • Complete all course sections yielding to 8 hours of didactic participation
  • AGD code: 132

At the end of each course section/part, you will take the exam that will be graded and you will see your results instantaneously. You will have 1 month to complete the course. Once you begin the course, you will have the ability to Log Out and Log In.  This may only be done during a presentation not during an examination.  The module exam cannot be paused once started.

POSTED: January 2013

Upon successful completion of this course, you will complete a course evaluation which will direct you to an electronic verification for 8 hour(s) of combined video streaming and testing didactic continuing dental education credit. Print this verification document and save for your reference – follow the prompts allowing you to print the certificate.

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