Sleep Dentistry
is a new term that has surfaced, usually advertised or promoted by "Sleep
Dentist" websites or Dental Practices, implying that with the administration
of a pill a patient will sleep through dental treatment. Many patients
are confused about the term "sleep dentistry."
You first need to understand some basic
sedation terms and definitions, and rule changes regulating advertising that
have been proposed by the Florida State Board of Dentistry will also be
noted.
Conscious Sedation: "a
depressed level of consciousness accompanied by partial loss of protective
reflexes, including either or both the inability to continually maintain an
airway independently or to respond appropriately to physical stimulation or
verbal command."
Deep Sedation: "a depressed
level of consciousness accompanied by partial loss of protective reflexes,
including either or both the inability to continually maintain an airway
independently or to respond appropriately to physical stimulation or verbal
command."
General Anesthesia: "a
controlled state of unconsciousness... accompanied by a partial or complete
loss of protective reflexes, including the partial of complete inability to
independently maintain an airway and respond purposefully to physical
stimulation or verbal command."
"Additionally, the ADA says:
patients whose only response is reflex withdrawal from painful stimuli would
not be considered to be in a state of conscious sedation" (quoted from
Florida Dental Society of Anesthesiology Newsletter, Spring, 2002.
Editor and President: Dr. Clive Rayner, D.M.D.)
Changes in the way dentists are allowed to
promote or advertise sleep dentistry or sedation in the State of Florida are
impending, according to the same issue of the Florida Dental Society of
Anesthesiology Newsletter.
If proposed changes by the Florida Board
of Dentistry are made law, the term "sleep dentist" or sleep dentistry"
could be used by a dentist in Florida who has a General Anesthesia permit:
Typically Oral and Dental Anesthesiologists. Only holders of a
General Anesthesia permit would then be allowed to advertise or promote
"sleep dentistry" and only dentists who have a Conscious Sedation permit
would be able to advertise or promote "sedation dentistry."
Only dentists with the General
Anesthesia permit are able to deepen sedation to the stage where the a
patient is unconscious per existing regulations in Florida.
Our practice has the Parenternal
Conscious Sedation permit. With this permit and the associated
training involved to obtain it: we can provide oral, inhalation, or IV
conscious sedation for our patients. General anesthesia is possible
for our patients who choose to have their work completed in a local surgery
center. General anesthesia is provided by a licensed medical
anesthesiologist.