Guidelines for nitrous oxide sedation
Training - Certification - CED decision
Nitrous oxide sedation, legal basis
Inhaled 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 requirements are met, there are no 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 primary goal of the Council of European Dentists (CED), which represents over 330,000 dentists across Europe, is to promote high standards in dentistry and dental care for European citizens. Therefore, the CED strives to continuously review and update its strategic plan to ensure that the profession takes into account both current and future needs in the field of dental care in Europe. With a view to the future of dentistry, it is crucial for the CED that every European citizen should have access to high-quality dental care that is provided by well-trained, qualified and competent dentists in a patient-friendly and cost-effective manner using the most modern and best-suited technology. Dealing with pain and anxiety is of primary importance in dentistry. No less than 10 to 30 % adults and children are afraid of dental treatment in any form. There is solid evidence that these patients benefit from nitrous oxide (N2O) sedation and that this type of sedation is extremely safe and efficient in the hands of the experienced dentist. Due to the fact that the use of moderate sedation with N2O by dentists in the dental practice in some European countries has encountered certain legal problems, the CED, with the help of some experts in the field, has decided to elaborate this resolution in order to take advantage of safety and to emphasize the practicality of the use of 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 Child Anesthesia at DGAI and the Interdisciplinary Working Group on Dental Anesthesia from DGAI, BDA, DGKiZ and DGZMK (Philippi-Höhne et al. 2013). The DGKiZ certification is based on these recommendations and statements.
The aim of this certification of the nitrous oxide application is (analogous to SVK 2009):
- To set standards for Germany and to keep them up to date.
- to maintain or increase the safety of using inhalation sedation
- 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 division of tasks between the two medical specialties.
According to the DGKiZ, “the risks of nitrous oxide sedation are very low and are below the cost of anesthesia treatment, so sedation is preferable.” Furthermore, "Inhalation sedation is an important and safe method of treatment".
Study Report “Estimating the current use of nitrous oxide sedation in dentistry in Germany”, Dr. Ibraheem Hatout & Prof. Dr. Ch. Splieth (2015):
Quotation 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 work and the dental treatments have been successfully completed. Some side effects that have been reported include feeling euphoric and nausea. Serious side effects or even interruption of sedation or dental treatment were not mentioned.
Based on the results of the study, 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 increasing attention in dentistry for years. More and more dentists of all specialties integrate inhalation sedation with N.2O and O2 in their day-to-day treatment, also because dentists understand the win: win situation.
Our course offers offer you and your practice the opportunity to get to know the subject of nitrous oxide sedation and to take a sniff from our training portfolio by participating in an introductory course, as well as the opportunity to take part in a complete training course and thus obtain your certification for sedation with nitrous oxide.
With our one-day courses to become a laughing gas sedation specialist, 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." So our managing director Fabian Baldus. The team is pleased that the high-quality training on a new treatment method is valued.
Book your advanced training as a certified nitrous oxide user!
Register now at our N2O Academy here: www.baldus-sedation.de/n2o-akademie/