Advanced conscious sedation training--the pilot course, training and impact on a hospital service

Advanced conscious sedation techniques for dental procedures include continuous propofol infusion and combinations of midazolam and fentanyl. A course based on the Independent Expert Group on Training & Standards for Sedation in Dentistry (IEGTSSD) training syllabus was set up in 2012 to provide training in these techniques. Training involved: self-directed study modules; attendance at didactic teaching day; presentation by candidates of knowledge; medical emergency simulated training; written examination; supervised cases; and submission of case logbook. A dedicated clinic was set up by dentists to provide training for supervised cases.

nine dentists are now trained in advanced sedation techniques and over 250 patients have been successfully treated using continuous propofol infusion.

the advanced sedation training course based on the EGTSSD curriculum was a successful way to train dentists experienced in standard sedation techniques to be confident and knowledgeable to deliver advanced sedation in a dental setting. Patients mostly preferred propofol to midazolam, however, as amnesia is not guaranteed; propofol may be more appropriate for mild to moderately anxious patients.