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Conscious Sedation in Dentistry

Published June 2017 (3rd Edition)

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About this guidance

This guidance aims to promote good clinical practice through recommendations for the safe and effective provision of conscious sedation for dental care. For the third edition, the guidance has been subject to a thorough update using SDCEP’s NICE accredited methodology taking into account specific developments since it was first published in 2006. This has included communication with the Intercollegiate Advisory Committee for Sedation in Dentistry (IACSD) regarding the IACSD Report, published in 2015. The dental faculties of the Royal Colleges of the UK and the Republic of Ireland have all formally endorsed this guidance and the Royal College of Anaesthetists has expressed its support of it.

NICE has accredited the process used by the Scottish Dental Clinical Effectiveness Programme to produce its Conscious Sedation in Dentistry guidance. Accreditation is valid for 5 years from 15 March 2016. More information on accreditation can be viewed at www.nice.org.uk/accreditation. Further information about NICE accreditation of SDCEP guidance can be viewed at NICE Accreditation.

Guidance development

The guidance is based on a review of available evidence and the opinion of dental and medical experts and experienced practitioners, and has been subject to open consultation and peer review prior to finalising for publication. The methodology used for the development of this guidance, including details of the evidence search strategy, evidence appraisals and information about conflict of interests can be found in the Conscious Sedation in Dentistry Methodology document. For further information on the SDCEP guidance development process, please click here or contact the SDCEP office (scottishdental.cep@nes.scot.nhs.uk).

During the development process, potential barriers to the implementation of this guidance were identified. A Guidance Implementation Summary of information about these is provided. For further details visit the TRiaDS website.

Guidance Development Group

A Guidance Development Group comprising individuals from a range of branches of the dental profession and other disciplines, with expertise and experience in dental sedation, and two patient representatives was convened to update this guidance, working with members of SDCEP’s Programme Development Team.

Name Position
Vince Bissell (Chair) Professor of Restorative Dentistry and Dental Education; Deputy Head of the Dental School, University of Glasgow
Mick Allen Specialist in Special Care Dentistry, Newport; Postgraduate Sedation Tutor, Wales Deanery
Lucy Burbridge Consultant in Paediatric Dentistry, Newcastle Dental School; British Society for Paediatric Dentistry Representative
Francis Collier Specialist in Special Care Dentistry, NHS Grampian
Barry Corkey Specialist in Paediatric Dentistry, NHS Fife; Honorary Senior Lecturer, Edinburgh Dental Institute
Paul Coulthard Professor of Oral and Maxillofacial Surgery; Head of School of Dentistry, University of Manchester
Giju George Consultant Anaesthetist, Royal Liverpool and Broadgreen University Hospitals NHS Trust; Association of Dental Anaesthetists Representative
Abigail Heffernan Consultant in Special Care Dentistry, Dundee Dental Hospital
Paul Howlett General Dental Practitioner, Teesside
Dagmar Kerr Patient Representative; Area Coordinator for Greater Glasgow & Clyde, Action for Sick Children Scotland (now Children’s Health Scotland)
Karin Laidlaw Specialist Dental Nurse Tutor, NHS Education for Scotland, Edinburgh
Clare Ledingham Specialist Paediatric Dentist, Liverpool Community Health NHS Trust; Honorary Secretary, British Society of Paediatric Dentistry
Simon Morrow General Dental Practitioner, Ayrshire; Sedation Practice Inspector, NHS Ayrshire & Arran, NHS Greater Glasgow & Clyde, NHS Lanarkshire
Robin Smith Patient Representative, Lothian
Peter Walker Senior Dental Officer (Lead Sedationist), Stobhill Hospital, NHS Greater Glasgow & Clyde; NES Lecturer in Sedation; Honorary Clinical Sedation Teacher, University of Glasgow

SDCEP acknowledges the important contribution of all those who commented during the consultation and peer review stages.

Review and updating

For this guidance, a review of the topic will take place three years after publication and, if this has changed significantly, the guidance will be updated accordingly.