presents its

Parenteral Sedation Course

at St. Joseph’s Regional Medical Center

Paterson, NJ


A comprehensive 80-hour, hands-on training program based on ADA guidelines for teaching anesthesia and sedation in dentistry.   Designed to provide the scientific basis for safe sedation as well as simulation and clinical training leading to basic skill acquisition.



At the conclusion of the program, participants will be able to apply for certification for moderate parenteral sedation in states in which they are licensed.  They will also be able to:


  1. Select patients for whom dental office based sedation poses minimal risk
  2. Identify patients who should be referred to hospital-based anesthesia
  3. Discuss the pharmacology of agents commonly used in dental office based sedation
  4. Describe how each of these agents affects respiration and cardiovascular function
  5. Recognize and manage medical emergencies and anesthesia-related complications
  6. Discuss reversal agents, anti-emetics and anti-inflammatories and their appropriate use
  7. Articulate a checklist that might be used to ensure readiness for sedation
  8. Describe critical differences between adults and children as sedation candidates
  9. List all monitoring devices and safety-related equipment needed for sedation
  10. Discuss office protocols and principles of documentation related to sedation



The program includes lectures, seminars, simulation training and supervised clinical experiences as part of the anesthesia/sedation team.



Hillel Ephros, DMD, MD, Course Director, Oral and Maxillofacial Surgeon

Richard P. Szumita, DDS, Oral and Maxillofacial Surgeon

Meredith Blitz, DDS, Oral and Maxillofacial Surgeon

Robert J. DeFalco, DDS, Oral and Maxillofacial Surgeon

Michael Erlichman, DDS, Oral and Maxillofacial Surgeon

Henna DeSimone, DDS, Pediatric Dentist, Dental Anesthesiologist

Jonathan Mendia, DMD, Dental Anesthesiologist

Yasmi O. Crystal, DMD, Pediatric Dentist –

This lecture covers details of sedation techniques for the pediatric patient.
Attendants will become familiar with:
  • indications,
  • case selection and case presentation,
  • drug regimes for oral and intranasal agents,
  • use of local anesthesia with sedation,
  • monitoring,
  • additional behavioral management techniques to use in conjunction with pharmacological agents,
  • equipment required,
  • discharge and documentation
  • guidelines and regulations
We will discuss cases and tips on how to optimize the success of sedation as a viable alternative for the treatment of the pediatric patients with limited cooperation.

Pam Upadya, MD, Anesthesiologist and Director of Simulation, SJRMC

Jonathan Markley, DO, Anesthesiologist

Seth Landa, MD, Anesthesiologist

Steve Winikoff, MD, Chairman, Department of Anesthesiology, SJRMC

Karmei Chan, MD, Pediatric Anesthesiologist

David Crystal, DDS, IV Sedation-trained Dentist

Dominic LU, DDS, Dental Anesthesiologist and Dental Educator

Wade Newman, DDS, IV Sedation-trained Dentist

After becoming certified to render anesthesia in your office, it may take some time to develop the procedures and protocols necessary for successful integration of this treatment modality.  In my segment of this course, I explain in detail the infrastructure that needs to be established, how to do it and in what order.  I go over the practical application of sedation within your office so you can start offering this treatment mode soon after course completion.

Robert Bertollo, Certified EMT, Co-Director of Simulation, SJRMC


The program is open to dentists and dental specialists with or without any prior experience using oral, inhalation or parenteral sedation (including IV, IM, submucosal, or intranasal.)  Space is limited to ten participants per course.  All registrants must have evidence of currency in Basic Life Support from and AHA-approved provider.  ACLS training is included and will take place during the middle weekend of the program (10/25-6). Participants may receive up to an additional 16 hours of CE credit for ACLS beyond the 80 CEU course.


Course Schedule

Lectures cover patient selection, pre-anesthesia evaluation, physiology, pharmacology, monitoring, emergency management, drug interactions, reversal agents,  reducing dosage of sedatives for greater safety, IV techniques and IV solutions as well as legal issues and office and staff preparation for sedation practice. Simulation training takes place on day 4 and live patient interactions commence on the fifth day and continue through the end of the course. The full schedule is posted online here.


Registration / Cancellation

The course fee is $8160 and a place in this space-limited program can be held with a $1020 deposit.  Full refunds will be made up until two weeks prior to the start of the program, however, after that, the $1020 deposit will be forfeited or applied to enrollment in a future sedation course sponsored by ASAAD.  Travel and lodging options and advance course materials including ACLS texts and study guides will be sent to participants when fully registered.


Name (print)____________________________________________Degree(s)_____________________


Type of practice: General____       Perio___          Endo___          Prostho___



ADA#_______________________________________  AGD#________________________________



Please send the form to Dr. Crystal and please call with any questions or concerns:


David Crystal, DDS

Executive Secretary, ASAAD

6 East Union Ave.
Bound Brook, N.J. 08805
Phone: (732) 469-9050

Fax: (732) 271-1985


The program receives no commercial support.

No member of the faculty has any conflicts of interest.