Guidelines for nitrous oxide sedation
Further training – certification – CED resolution

Nitrous oxide sedation, legal basis

Inhalative nitrous oxide sedation should only be carried out by certified dentists and with the assistance of dental assistants who have the appropriate theoretical, practical and clinical training and can deal with all complications. If these conditions are met, there are none contraindications for use in the dental practice (Dental Sedation Teachers Group, 2000).

The Council of European Dentists Decision 2012 prescribes a theoretical certification course of at least 10 to 14 hours.

Certification according to the guidelines of the Council of European Dentists Decision 2012

Extract from the CED decision May 2012:

The main objective of the Council of European Dentists (CED), which represents over 330,000 dentists across Europe, is to promote high standards of dentistry and dental care for European citizens. Therefore, the CED seeks to continuously review and update its strategic plan to ensure that the profession meets both current and future needs in the field of dental care in Europe. Looking ahead to the future of dentistry, IBD's guiding principle is that every European citizen should have access to quality dental care, delivered by well-trained, qualified and competent dentists in a patient-friendly and cost-effective manner, using the most modern and appropriate technology. Dealing with pain and anxiety is of primary importance in dentistry. As many as 10 to 30 % adults and children have some form of fear of dental treatment. There is strong evidence that these patients are Sedation With Nitrous oxide (N2O) benefit and this kind of Sedation is extremely safe and efficient in the hands of the experienced dentist. Due to the fact that the application of moderate sedation with N2O encountered certain legal problems by dentists in dental practices in some European countries, the CED, with the help of some experts in the field, decided to draft this resolution to assess the benefits, safety and practicality of using Nitrous oxide in the dental practice and to advocate that such an instrument remains in the hands of the practicing dentist and can be used under certain conditions by trained and certified dentists.

You can get the complete CED decision 2012 here -> PDF download CED guidelines>

Certification of the nitrous oxide application by the DGKiZ

After the Council of European Dentists (CED 2012) made recommendations for nitrous oxide sedation, a joint statement was made in 2013 on the "Use of nitrous oxide for minimal sedation of children in dentistry"with the Scientific Working Group on Pediatric Anesthesia of the DGAI and the Interdisciplinary Working Group on Dental Anesthesia of the DGAI, BDA, DGKiZ and DGZMK (Philippi-Höhne et al. 2013). The certification of the DGKiZ is based on these recommendations and statements.

The aim of this certification of the nitrous oxide application is (analogous to SVK 2009):

Setting standards for Germany and keeping them up to date.
the safety of using the inhalation sedation to get or increase
to promote the concept of quality assurance
to promote the safe use of nitrous oxide and further research in dentistry
To set guidelines for training and further education
in a treatment method in which the work areas of dentistry and anesthesia converge, to regulate the cooperation and distribution of tasks between the two medical disciplines.

According to the DGKiZ, "The risks of nitrous oxide sedation are very low and are below the cost of anesthetic treatment, so that sedation is to be preferred." inhalation sedation it is a significant and safe treatment method”.

Study Report "Estimating the current use of nitrous oxide sedation in dentistry in Germany", Dr. Ibraheem Hatout & Prof. Dr. Ch. Splieth (2015):

Quote from the study report: “The results of the study survey show that the success rate of nitrous oxide sedation is surprisingly very high. All nitrous oxide treatments are working and dental treatments have been successfully completed. Some side effects that have been reported are feelings of euphoria and nausea. Serious side effects or even interruption of sedation or dental treatment were not mentioned.

Based on the study results, it is astonishing that the majority of general dentists are not convinced of nitrous oxide sedation or do not know how to assess the role of nitrous oxide sedation in the dental practice.”

Fatzit of the basic legal requirements for nitrous oxide sedation:
With our advanced training we make you fit!

Nitrous oxide sedation is a recurring sedation method that has been receiving more and more attention in dentistry for years. More and more dentists of all specialties are integrating inhalation sedation with N₂O and O₂ in their day-to-day treatment, also because dentists understand the win: win situation.

Our courses offer you and your practice the opportunity to get to know the topic of nitrous oxide sedation and to get a taste of it by taking part in an introductory course from our training portfolio, as well as the opportunity to take part in a complete training course and thus obtain your certification for sedation with nitrous oxide.

In our day courses for nitrous oxide sedation specialists, we make sure that the entire team is trained in addition to the practitioner. "Only when the entire team has understood the advantages of nitrous oxide sedation will it be perfectly integrated into the treatment process." According to our managing director Fabian Baldus. The team is pleased about the appreciation of a high-quality training on a new treatment method.

Book your advanced training as a certified nitrous oxide user!

Guidelines for nitrous oxide sedationFurther training – certification – CED resolution