Section 1044.3 - Board Approved Education(a) The goal of an instructional program in oral medications and sedation is to provide the educational opportunity for dentists to receive training in the techniques and skills required to safely and effectively administer oral pharmacologic agents, alone or in combination with nitrous oxide-oxygen inhalation, for the purpose of obtaining conscious sedation in the adult dental patient.(b) The educational program shall be approved by the Board and shall consist of satisfactory completion of at least 25 hours of instruction including a clinical component utilizing at least one age-appropriate patient. The program shall include but not be limited to the following areas:(1) Historical, philosophical, and legal aspects of age-appropriate oral conscious sedation of dental patients, including the Code.(2) Indications and contraindications for the utilization of age-appropriate oral conscious sedation in dental patients.(3) Patient evaluation and selection through a review of the medical history, physical assessment, and medical consultation.(4) Definitions and characteristics for levels of sedation achieved with oral sedative agents, with special emphasis on the distinctions between moderate sedation, deep sedation, and general anesthesia as recognized by such organizations as the American Dental Association and the Board.(5) Review of respiratory and circulatory physiology and related anatomy, with special emphasis on, and clinical experience in, establishing and maintaining an age-appropriate patent airway in the patient.(6) Pharmacology of agents used in contemporary oral conscious sedation techniques, including drug interactions, incompatibilities and side effects and adverse reactions.(7) Indications, contraindications, and technique considerations in the use of different contemporary age-appropriate oral conscious sedation modalities for dental patients.(8) Patient monitoring during all stages of the procedure by clinical observation and appropriate mechanical devices for responsiveness, airway patency, and recording of vital signs.(9) Importance of and techniques for maintaining proper documentation of the procedure, including aspects of informed consent, pre- and post-operative instructions, dietary considerations, preoperative health evaluation, rationale for the procedure, baseline and intermittent vital signs, a detailed record of all oral and inhalation drugs administered, the patient response to the drugs, and recovery and discharge criteria.(10) Prevention, recognition and management of complications and life-threatening situations that may arise during age-appropriate oral conscious sedation of the dental patient, including the principles of advanced life support.(c) A provider of a course in oral medications and sedation intending to meet the requirements of this section shall submit to the Board an application, on Form OCS-6 (Rev. 07/07), "Application for Course Approval for Oral Conscious Sedation," incorporated herein by reference. The Board may approve or deny approval of any such course. Approval shall be granted after an evaluation of all components of the course has been performed and such evaluation indicates that the course meets the requirements of this section.(d) Approval by the Board of a course in oral medications and sedation shall remain in effect for a period of twenty-four months, unless withdrawn sooner, after which a new application for approval must be submitted to the Board.Cal. Code Regs. Tit. 16, § 1044.3
1. New section filed 3-14-2000; operative 4-13-2000 (Register 2000, No. 11).
2. Amendment of section and NOTE filed 12-13-2007; operative 12-13-2007 pursuant to Government Code section 11343.4 (Register 2007, No. 50).
3. Amendment of subsections (a)-(b)(1) and (b)(4) and amendment of NOTE filed 8-16-2022; operative 8-16-2022 pursuant to Government Code section 11343.4(b)(3) (Register 2022, No. 33). Note: Authority cited: Section 1614, Business and Professions Code. Reference: Section 1647.20, Business and Professions Code.
1. New section filed 3-14-2000; operative 4-13-2000 (Register 2000, No. 11).
2. Amendment of section andNote filed 12-13-2007; operative 12-13-2007 pursuant to Government Code section 11343.4(Register 2007, No. 50).
3. Amendment of subsections (a)-(b)(1) and (b)(4) and amendment of NOTE filed 8-16-2022; operative 8/16/2022 pursuant to Government Code section 11343.4(b)(3) (Register 2022, No. 33).