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CSPD Position Statement and Legislative Policy on Sedation Approved and Adopted

Friday, July 20, 2018   (0 Comments)
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CSPD President, Dr. Jonathon Lee, announced on July 19, 2018 that the CSPD Board of Directors adopted a Position Statement and Legislative Policy regarding Minimal, Moderate and Deep Sedation/General Anesthesia used during Dental Treatment of Children.

Dr. Lee expressed a Big Thanks to Committee Chair Dr. Natalie Mansour, the members of the Patient Services Committee (Drs. Aparna Aghi, MyLinh Ngo, Bonnie Roy, Jamie Sahouria, Gary Sabbadini, Thomas Tanbonliong, and Andrew Tong) and CSPD Public Policy Advocate Dr. Paul Reggiardo for developing this position statement and legislative policy. He thanks all involved "For putting the safety of children first!"


THE CALIFORNIA SOCIETY OF PEDIATRIC DENTISTRY POSITION STATEMENT and LEGISLATIVE POLICY REGARDING MINIMAL, MODERATE AND DEEP SEDATION/GENERAL ANESTHESIA USED DURING DENTAL TREATMENT OF CHILDREN
Adopted by the California Society of Pediatric Dentistry Board of Directors:
JULY 19, 2018

The Mission of the California Society of Pediatric Dentistry (CSPD) is to serve its membership and the public by advocating optimal oral health of infants, children and adolescents.

CSPD through its Patient Services Committee1 is making a position statement and legislative policy regarding minimal, moderate, and deep sedation/general anesthesia used during dental treatment of children. It is this position statement and legislative policy that will guide CSPD in its position on legislation regarding the practice of minimal, moderate, and deep sedation/general anesthesia used during dental treatment of children.

Our members put children first in everything they do, and at the highest standards of ethics and patient safety. As such, CSPD is THE leading advocate in the State of California dedicated exclusively to children’s oral health. CSPD is the embodiment of our members’ expertise as the authorities and experts on pediatric oral health.

CSPD supports and endorses the American Academy of Pediatric Dentistry (AAPD) Policy on Patient Safety Revision 2018.2

CSPD supports and endorses the AAPD Best Practices on Monitoring and Management of Pediatric Dental Patients, Before, During and After Sedation for Diagnostic and Therapeutic Procedures: Update 2016.3

CSPD adheres to the definitions of minimal, moderate and deep sedation/general anesthesia as set forth by the 2017-2018 AAPD Reference Manual.3

CSPD supports the personnel requirements for each level of sedation for children that are outlined in the AAP4 and ADA5 endorsed AAPD Best Practices on Monitoring and Management of Pediatric Dental Patients, Before, During and After Sedation for Diagnostic and Therapeutic Procedures: Update 20163 and The 2018-2019 AAPD Best Practices on Use of Anesthesia Providers in the Administration of Office-based Deep Sedation/General Anesthesia to the Pediatric Dental Patient.6

In minimal sedation, “children who have received minimal sedation generally will not require more than observation and intermittent assessment of their level of sedation.” 3

In moderate sedation, personnel requirements include:

  1. A skilled dental provider who could rescue the child when airway compromise occurs and who is PALS certified or trained in advanced airway management.3
  2. An observer who will monitor the patient but who may also assist with interruptible tasks who should be trained in advanced airway management.3

In deep/general anesthesia, personnel requirements include:

  1. At least 3 individuals should be present:
    a. operating dentist6
    b. support personnel6
    c. an independently practicing and currently licensed anesthesia provider.6

REFERENCES

1. The Patient Services Committee is a standing committee of CSPD. The duty of this committee to promote and make recommendations to improve patient safety in the dental office and to advise recognized professional, lay and governmental organizations of the Clinical Guidelines and Oral Health Policies of this organization and the American Academy of Pediatric Dentistry (AAPD) as they relate to all phases of dentistry for infants, children, and adolescents including those with special health care needs.

2. Policy on Patient Safety. (n.d.). Retrieved July 15, 2018, from http://www.aapd.org/media/Policies_Guidelines/P_PatientSafety.pdf OFFICIAL BUT UNFORMATTED

3. Pediatric Dentistry Volume 39 / Issue 2 American Academy of Pediatric Dentistry, Reference Manual. Monitoring and Management of Pediatric Dental Patients, Before, During and After Sedation for Diagnostic and Therapeutic Procedures: Update 2016. 278-307.

4. Pediatrics July 2016, Volume 138 / Issue 1 From the American Academy of Pediatrics Clinical Report Guidelines for Monitoring and Management of Pediatric Patients Before, During, and After Sedation for Diagnostic and Therapeutic Procedures: Update 2016

5. American Dental Association, GUIDELINES for the Use of Sedation and General Anesthesia by Dentists Adopted by the ADA House of Delegates, October 2016

6. Use of Anesthesia Providers in the Administration of Office-based Deep Sedation/General Anesthesia to the Pediatric Dental Patient. (n.d.). Retrieved July 15, 2018, from http://www.aapd.org/media/Policies_Guidelines/BP_AnesthesiaPersonnel.pdf OFFICIAL BUT UNFORMATTED


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