Sedating and Managing the Pediatric Patient: A Recertification Course for Advanced Practitioners

Sunday, January 26

Arthur A. Dugoni School of Dentistry
155 Fifth Street, San Francisco, CA 94103

 This lecture course, with optional SimMan clinical training, will review the current practice of pediatric minimal and moderate sedation beginning with the basics in physiology and pharmacology and progressing through monitoring, drug selection and office protocols. Despite best practices, sedation and medical emergencies can and will happen, and significant time will be given to identifying and managing these events.

An optional four-hour module on clinical simulation through the use of SimMan proprietary technology and staffed by professional trainers will help the trained pediatric dentist to be better prepared to identify and intervene early in an emergent situation. Pediatric Advanced Life Support (PALS) certification will be available. This course is structured to meet many states’ requirements for renewal of sedation permits. Please check with your state board for applicability.


  • Guidelines, laws and regulations
  • Choosing the child for sedation
  • Anatomic and physiologic differences of child vs. adult
  • Pharmacology and drug interactions
  • Local anesthesia as an adjunct to pediatric sedations
  • Documents and documentation
  • Monitors and monitoring
  • Sedation drug choices: pros and cons
  • Post-treatment and discharge criteria
  • Emergency preparedness, protocols and intervention

You Will Learn

  • Pediatric physiology: why and how kids are different than adults
  • Pain control and local anesthesia: why poor pain control is often misunderstood for behavioral issues and how to assess
  • Non-pharmacologic behavior management
  • Pediatric pharmacology: how and where drugs work and their metabolism in children
  • Inhalation therapy: nitrous oxide/oxygen analgesia and why it’s the near perfect drug for sedations
  • Medications for oral and IV sedation: choosing the “best” drug or drugs based on length and severity
  • Monitoring, evaluating and treating medical emergencies
  • Who Should Attend

This program is intended for permit holders looking to renew their oral conscious sedation permit for minors and adults.

Lecture Only

Tuition: $395 (includes lunch and coffee/tea service in the morning)
Program: 8:00 am – 5:00 pm Saturday
Check-in: 7:30 am
Location: Arthur A. Dugoni School of Dentistry, 155 Fifth Street, SF
Credits: This activity is designated for 8 units of continuing education credit.

Lecture + PALS Certification (Hands-on)

Early Bird Tuition: $695 (for registrations received by January 3)
Regular Tuition: $745
Program: 8:00 am – 5:00 pm Saturday; 8:00 am – 12 noon Sunday
Check-in: 7:30 am Saturday
Location: Arthur A. Dugoni School of Dentistry, 155 Fifth Street, SF
Credits: The course is designated for 12 units of continuing education credit.

PALS workshop is limited to 40 attendees and includes lunch on Saturday and morning coffee/tea service on Saturday and Sunday.


David L. Rothman, DDS is a Board-Certified Pediatric Dentist in practice in San Francisco and Associate Clinical Professor at CWRU.  He completed a GPR and Anesthesia Residency He is past Chair of Pediatric Dentistry at UOP and has been President of the College of Diplomates of the American Board of Pediatric Dentistry and the California Society of Pediatric Dentistry. He is currently Vice President of the American Dental Society of Anesthesiology. He is a member of OKU, Pierre Fauchard, ACD and ICD.  He lectures and publishes nationally and internationally on pediatric dentistry, anesthesia and sedation.

Rick Ritt, EMT-P, MA, has been a paramedic for more than 35 years practicing in a variety of healthcare settings, including clinical and educational. He was head of training at Laerdal and a key contributor and developer of SimMan simulation training. He is devoted to patient safety in dentistry and is president of Dental Simulation Specialists, an in-office emergency training program for dentists and their staff.

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This event requires registration.