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Update for Combined Inhalation-Enteral Conscious Sedation for the Adult Dental Patient410-706-2282

Friday, Jan. 24 through Saturday, Jan. 25, 2014, from 8 a.m. until 4:30 p.m. at the University of Maryland School of Dentistry

Presented by: Marvin Leventer, DDS, and Richard L. Wynn, PhD

Speaker Biographies:

Dr. Leventer

Dr. Leventer received his dental degree from the University of Maryland School of Dentistry in 1990. He then completed a two-year general practice residency and a two-year dental anesthesiology residency at Brookdale Hospital Medical Center in New York. Dr. Leventer is a Diplomate of the American Board of Dental Anesthesiology and a Fellow of the American Dental Society of Anesthesiology. He is also a member of the American Society of Dental Anesthesiologists and the Academy of General Dentistry. Dr. Leventer is an assistant professor of dental anesthesia at the University of Maryland School of Dentistry, and provides general dentistry within the faculty practice.



Dr. Wynn

Dr. Wynn is a professor of pharmacology at the University of Maryland School of Dentistry. He has served as a dental researcher for his entire professional career. He holds a bachelor's degree in pharmacy and a doctorate in pharmacology from the University of Maryland. Dr. Wynn chaired the Department of Pharmacology at the University of Maryland School of Dentistry from 1980 to 1995. Previously, he chaired the Department of Oral Biology at the Kentucky College of Dentistry. Dr. Wynn has authored more than 300 publications and has given more than 500 continuing education seminars, nationally and internationally.



Course Description:

This two-day, 12-credit-hour course meets the requirements for renewal of a Class 1 permit for the use of non-parenteral anesthetic technique to attain the level of moderate sedation in adult dental patients. The Maryland State Board of Dental Examiners requires Class 1 permit holders to complete at least 10 hours of continuing education related to sedation or anesthesia in a classroom setting during the five-year term of the permit. This course will be offerent in January and June, 2013. Each day-long course can be taken individually in January or June, or they can be taken together at either offering.

Day One: Pharacology Update of Enteral-Inhalation Sedation

Course Objectives:

Upon completion of this course, the participants should be able to:

  • Describe the pharmacological differences between anxiolysis (no permit required) and moderate sedation (Class 1 permit)
  • List any new drugs recently developed by the "sleep drug industry"
  • Define the current mechanisms of sedation induced by triazolam (Halcion), midazolam (Versed), lorazepam (Alivan), hydoxyzine (Atarax, Vistaril), zaleplon (Sonata), zolpidem (Ambien), and nitrous oxied; describe the unse and mechanisms of action of flumazenil (Romazicon)
  • Descirbe the dosings, precautions, patient variability in response, overdose syndrome, abuse potential and hallucinatory syndromes associated with sedative drugs
  • Define and describe the important druge adverse interactions between sedative druges and the most common medications, including new blood thinners and herbal supplements taken by medically-compromised patients
  • Discuss the literature reports on the use of triazolam (Halcion) as an oral sedative in dentistry; discuss pharmacokinetic data associate with oral and sublingual triazolam (Halcion)
  • Describe the use of local anesthetics during the sedation paradigm
  • Disucss the use of post-operative analgesics in teh patient recovering from sedation
  • List the antinauseant drugs that are somewhat effective in treating postoperative nausea/vomiting

Day Two: Airway Management for Dentistry with Sedation | Management of Emergencies

Course Description:
Safety in sedation for dentistry is largely dependent on maintaining a clear and patent airway, as well as preparing for emergencies. This course will cover the most common "what if" scenarios. The presentation includes videos, hands-on management with manikins, as well as a PowerPoint presentation. Dr. Leventer will cover emergency scenarios as listed in the Maryland State Board of Dentistry requirements for a Class 1 oral sedation permit. He will also discuss airway anatomy, respiratory mechanics and monitors, such as pulse oximeter and precordial stethoscope.

Course Objectives:
Management of Dentistry with Sedation

Upon the completion of this course, participants should be able to:

  • Review the anatomy of the upper and lower airway
  • Understand the criteria for preoperative airway evaluation
  • Review respiratory mechanics
  • Explain the physiology of exchange of oxygen and carbon dioxide
  • Understand methods of supplemental oxygen
  • Provide examples of airway obstructions
  • Utilize airway adjuncts, including bag valve mask ventilation
  • Develop a comprehensive understanding of advanced airway management
  • Use the precordial stethoscope and pulse oximeter

Management of Emergencies:

Upon the completing of this course, participants should be able to manage the following emergencies:

  • Laryngospasm
  • Foreign body airway obstruction
  • Emesis and aspiration
  • Acute allergic reaction
  • Bronchospasm
  • Angina
  • Conditions requiring advance cardiac life support, including:
    • Bradycardia
    • Tachycardia, ventricular fibrillation
    • Cardiac arrest
    • Hypotension
    • Hypertension
    • Seizure
    • Syncope
    • Venipuncture complication


Friday: Pharmacology Update of Enteral-Conscious Sedation
5 CDE credit hours / lecture

  • Dentist: $425

Saturday: Airway Management for Dentistry with Sedation | Management of Emergencies
7 CDE credit hours / lecture, hands-on

Tuition for both Friday and Saturday courses together:

  • Dentist: $720


  • Dentist with prior sedation training

Register here