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Dentists  \nDisclaimer: This document was developed by the former College of Dental Surgeons of BC before the amalgamation of BC’s four oral health regulatory colleges in 2022 and the introduction of BCCOHP’s Professional Standards for the Oral Health Team (Professional Standards), effective June 30, 2025. The Professional Standards define the minimum expectations for professional and ethical conduct, performance, and behaviour for regulated oral health professionals in BC.  \nWhile BCCOHP is in the process of rescinding and replacing all legacy practice resources with unified standards, this document remains applicable.  \n\n| | | STANDARDS & GUIDELINES |\n| --- | --- | --- |\n| August 2018\u003Cbr>Minimal and Moderate Sedation Services in Dentistry\u003Cbr>(Non-Hospital Facilities)\u003Cbr>TABLE OF CONTENTS 1. Introduction 4 2. Definitions 5 3. Sedation Overview 8 4. Professional Responsibilities and Qualifications 9 5. Equipment Requirements 14 6. Responsibilities of the Facility Owner 15 7. Controlled Drugs/Targeted Substances 16 8. Clinical Standards for Minimal and Moderate Sedation 17 9. Minimal Sedation 19 10. Oral (Enteral) Moderate Sedation 23 11. Parenteral Moderate Sedation 28 12. Emergency Management 33 Appendices 34\u003Cbr>Standards and guidelines inform practitioners and the public of CDSBC’s expectations for registrants. This document primarily contains standards, which are, by definition, mandatory and must be applied. Standards are clearly identified by mandatory language such as “must”and “required”. This document also contains guidelines that are highly recommended but– while being evidence of a standard– are not, strictly speaking, mandatory. Guidelines contain permissive language such as “should” and “may”. |  |  |\n\nCollege of Dental Surgeons of BC  \n| TABLE OF CONTENTS |  |  |\n| --- | --- | --- |\n| 1. | Introduction | 4 |\n| 2. | Definitions | 5 |\n| 3. | Sedation Overview | 8 |\n|  | 3.1 Usual Modalities for Minimal Sedation | 8 |\n|  | 3.2 Usual Modalities for Moderate Sedation | 8 |\n| 4. | Professional Responsibilities and Qualifications | 9 |\n|  | 4.1 Facility and Armamentarium | 9 |\n|  | 4.2 Registration | 9 |\n|  | 4.3 Dentist Qualifications and Sedation Team Requirements | 9 |\n| 5. | Equipment Requirements | 14 |\n|  | 5.1 Inventory of Mandatory Equipment | 14 |\n|  | 5.2 Minimum Requirements for Inhalation Equipment Used during Sedation | 14 |\n|  | 5.3 Equipment Maintenance Requirements | 14 |\n| 6. | Responsibilities of the Facility Owner | 15 |\n| 7. | Controlled Drugs/Targeted Substances | 16 |\n| 8. | Clinical Standards for Minimal and Moderate Sedation | 17 |\n|  | 8.1 Medical History | 17 |\n|  | 8.2 Physical Status | 17 |\n|  | 8.3 The Safe Sedation of Children | 17 |\n|  | 8.4 Emergency Management | 18 |\n| 9. | Minimal Sedation | 19 |\n|  | 9.1 Personnel Requirements for Minimal Sedation | 19 |\n|  | 9.2 Responsibilities of Team Members during Minimal Sedation Procedures | 19 |\n|  | 9.3 Pre-operative Patient Evaluation | 20 |\n|  | 9.4 Pre-and Intra-operative Requirements for Minimal Sedation | 20 |\n|  | 9.5 Post-operative Requirements for Minimal Sedation | 22 |\n| 10. | Oral (Enteral) Moderate Sedation | 23 |\n|  | 10.1 Personnel Requirements for Oral (Enteral) Moderate Sedation | 23 |\n|  | 10.2 Responsibilities of Team Members during Procedures Utilizing Oral (Enteral) Moderate Sedation | 24 |\n|  | 10.3 Equipment Requirements for Oral (Enteral) Moderate Sedation | 24 |\n|  | 10.4 Pre-operative Patient Evaluation for Oral (Enteral) Moderate Sedation | 24 |\n|  | 10.5 Pre-operative Requirements for Oral (Enteral) Moderate Sedation | 25 |\n\n10.6 Intra-and Post-operative Requirements for Oral (Enteral) Moderate Sedation 26  \n CDSBC | Minimal and Moderate Sedation Services in Dentistry 2   \n| 11. Parenteral Moderate Sedation | 28 |\n| --- | --- |\n| 11.1 Personnel Requirements and Qualifications for Parenteral Moderate Sedation | 28 |\n| 11.2 Respo","cbCaitf4XZfwDN0U","https://ap.wps.com/l/cbCaitf4XZfwDN0U","pdf",727721,"English","# Introduction\n# Definitions\n# Sedation Overview\n## Usual Modalities for Minimal Sedation\n## Usual Modalities for Moderate Sedation\n# Professional Responsibilities and Qualifications\n## Facility and Armamentarium\n## Registration\n## Dentist Qualifications and Sedation Team Requirements\n# Equipment Requirements\n## Inventory of Mandatory Equipment\n## Minimum Requirements for Inhalation Equipment Used during Sedation\n## Equipment Maintenance Requirements\n# Responsibilities of the Facility Owner\n# Controlled Drugs/Targeted Substances\n# Clinical Standards for Minimal and Moderate Sedation\n## Medical History\n## Physical Status\n## The Safe Sedation of Children\n## Emergency Management\n# Minimal Sedation\n## Personnel Requirements for Minimal Sedation\n## Responsibilities of Team Members during Minimal Sedation Procedures\n## Pre-operative Patient Evaluation\n## Pre-and Intra-operative Requirements for Minimal Sedation\n## Post-operative Requirements for Minimal Sedation\n# Oral (Enteral) Moderate Sedation\n## Personnel Requirements for Oral (Enteral) Moderate Sedation\n## Responsibilities of Team Members during Procedures Utilizing Oral (Enteral) Moderate Sedation\n## Equipment Requirements for Oral (Enteral) Moderate Sedation\n## Pre-operative Patient Evaluation for Oral (Enteral) Moderate Sedation\n## Pre-operative Requirements for Oral (Enteral) Moderate Sedation\n## Intra-and Post-operative Requirements for Oral (Enteral) Moderate Sedation\n# Parenteral Moderate Sedation\n## Personnel Requirements and Qualifications for Parenteral Moderate Sedation\n## Responsibilities of Team Members during Procedures Utilizing Parenteral Moderate Sedation\n## Equipment Requirements for Parenteral Moderate Sedation\n## Pre-operative Patient Evaluation for Parenteral Moderate Sedation\n## Pre-operative Requirements for Parenteral Moderate Sedation\n## Intra-and Post-operative Requirements for Parenteral Moderate Sedation\n# Emergency Management\n## Professional Responsibilities\n## Recommendations and Requirements for Emergency Drills\n## When a Resuscitation Record Is Required\n## When a Critical Incident Report Must Be Filed\n# Appendices","[{\"question\":\"What is the purpose of the standards for minimal and moderate sedation in dentistry?\",\"answer\":\"To assist dentists in delivering safe and effective minimal and moderate sedation and to set requirements for dental offices where sedation is administered outside hospitals.\"},{\"question\":\"How do the document’s standards differ from its guidelines?\",\"answer\":\"Standards are mandatory and use terms such as “must” and “required.” Guidelines are highly recommended but not strictly mandatory and use permissive language such as “should” and “may.”\"},{\"question\":\"When may sedation techniques be indicated in dental care?\",\"answer\":\"Sedation may be indicated to address patient anxiety, enable treatment for patients with cognitive impairment or motor dysfunction, support patients below the age of reason, or facilitate invasive or extensive dental procedures, used only when indicated as an adjunct to appropriate non-pharmacological management.\"}]","Minimal and Moderate Sedation Services in Dentistry - Non-Hospital Facilities - Applies to Dentists | PDF",1790760441,151]