dentist

Is it Safe for Children to Receive Sedation/Anesthesia from an Oral Surgeon or Dentist using a Single Provider/Operator Model?

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Recently on this site there has been much discussion on updated guidelines put out by various groups that argue that children having deep sedation and anesthesia are not safely being served by dentists and oral surgeons using a single provider/operator model. Instead these guidelines call for a multi-provider model where the person doing the dental work or oral surgery and the person administering and monitoring the sedation/anesthesia are two separate individuals. See the posts AAOMS Pushes Back on Anesthesia Guidelines for Pediatric Patients and Updated Sedation Guidelines in Dentistry for Children for additional details. Some of the individuals leading the charge against the current anesthesia delivery model for children have published a new opinion piece titled “The Single-Clinician–Operator/Anesthetist Model for Dental Deep Sedation/Anesthesia: A Major Safety Issue for Children” published online in JAMA Pediatrics on Oct. 28, 2019 (written by … Read more

AAOMS Pushes Back on Anesthesia Guidelines for Pediatric Patients

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Earlier this year in 2019, the American Society of Anesthesiologists (ASA), the Society for Pediatric Anesthesia (SPA), the American Society of Dentist Anesthesiologists (ASDA), the Society for Pediatric Sedation (SPS), the American Academy of Pediatric Dentistry (AAPD), and the American Academy of Pediatrics (AAP) put out updated guidelines regarding the use of deep sedation and general anesthesia for children at a dental facility. The ASA, SPA, ASDA, and SPS put out a separate distinct set of guidelines from the AAPD/AAP. These guidelines are available from https://www.asahq.org/advocacy-and-asapac/advocacy-topics/office-based-anesthesia-and-dental-anesthesia/joint-statement-pediatric-dental-sedation and the June 2019 edition of Pediatrics in an article titled “Guidelines for Monitoring and Management of Pediatric Patients Before, During, and After Sedation for Diagnostic and Therapeutic Procedures” written by Coté and Wilson, which was previously discussed in the blog post Updated Sedation Guidelines in Dentistry for Children. The guidelines are slightly different but the … Read more

The Single Operator Model of Sedation Leads to Caleb’s Law

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Oral and maxillofacial surgeons who practice in the United States provide anesthesia differently than do others in the medical profession. This has been discussed before on this site in posts such as Updated Sedation Guidelines in Dentistry for Children. Oral and maxillofacial surgeons are allowed to provide anesthesia using what is known as a single operator model. The single operator model allows for one trained and certified operator in anesthesia to administer both the sedation and/or anesthesia and perform the dental work. In many of these cases with a single operator model a dental assistant with no medical training monitors the patient’s vital signs. All other doctors in medicine provide anesthesia using a dual operator model where there are at least two individuals who have training and up-to-date certification in patient rescue. Some patients and doctors/doctor groups in medicine do … Read more

Five Benefits of a regular dental visit

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There’s nothing better in this world than a healthy body, yet many people overlook medical checkups which are important. There are many medical checkups which an individual must undergo every year, and a dental checkup is one of them. Teeth are a prominent part of the face and have a direct impact on the personality of an individual. There are many benefits of a regular dental checkup, however in this article you will be guided through some of them. In most countries, doctors recommend patients visit a dentist at least once every 6 months. Some benefits of a regular dental visit are: 1.      Early detection of problems Most people are unaware of their dental problems for a long time. A regular visit to the dentist can help a person getting to know about any chronic issues present. The doctor will … Read more

Quality Data Registry in Dentistry

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Recently on this site there was a discussion of using an outcomes data registry for dentistry to help assess surgical outcomes, complications, and possible gaps in treatment.  The goal with such a data registry is to better monitor what is going on in clinical practice to help improve the quality of care that patients receive. Such efforts have been limited in dentistry although present in other aspects of healthcare for many years. According to the “Quality Measurement in Dentistry A Guidebook” produced by the Dental Quality Alliance in June 2019, retrospective claims data are the only data currently collected in dentistry. In an article titled “Swedish Quality Registry for Caries and Periodontal Diseases – a framework for quality development in dentistry,” by Bultzingslowen et al. appearing in the International Dental Journal in 2019, the authors discuss an automatic data retrieval … Read more