Faculty of Dental Surgery (National Advice Centre for Postgraduate Education). The Royal College of Surgeons of England, 35–43 Lincoln's Inn Fields, London. http:www.rcseng.ac.uk
Intercollegiate advisory committee for sedation in dentistry: review of the guidelines published in april 2015 Isabelle Holroyd Dental Update 2024 42:8, 707-709.
Authors
IsabelleHolroyd
BSc, BDS, FDS RCS(Eng) FDS RCS(Paed Dent)
Consultant and Honorary Lecturer in Paediatric Dentistry, Eastman Dental Hospital, University College Hospital Foundation Trust, 256 Gray's Inn Road, London WC1X 8LD, UK
This review article considers the development of the Intercollegiate Advisory Committee for Sedation in Dentistry (IACSD) guideline produced by the four dental faculties of the Royal Colleges and the Royal College of Anaesthetists for conscious sedation use in dentistry. An outline of the scope of the document, which aims to set definitive standards for conscious sedation provision within the dental environment, is given. The IACSD guideline sets a national standard for all aspects of dental conscious sedation provision, from training of the team, environment requirements and clinical delivery; it is therefore a requirement that all dentists, doctors and healthcare professionals providing, or supporting, dental conscious sedation are aware of the content.
CPD/Clinical Relevance: This article should help with the understanding of the development background, scope of the guideline and relevance to the dental practice of dental conscious sedation.
Article
The publication of A Conscious Decision: A Review of the Use of General Anaesthesia and Conscious Sedation in Primary Dental Care in 2000 resulted in the cessation of general anaesthesia for dentistry in the primary care setting.1 Up to this date, there had been an increased emphasis on the safe provision of conscious sedation for management of pain and anxiety in child and adult patients and this continued following the removal of general anaesthesia in primary care.
Several guidelines since 2001 have sought to provide advice and set standards for the provision of conscious sedation to children and young people and adults by general dental practitioners, community dentists and those in the hospital setting.
The Department of Health sponsored an independent working party of the Standing Dental Advisory Committee (SDAC) to develop guidelines which were published in 2003.2 These guidelines were endorsed by the General Dental Council (GDC) and dental professionals were expected to follow them. The SDAC report was considered as professional regulation in combination with the GDC's own Standards guidance of 2005, which has since been updated.3 The publication of the Scottish Dental Clinical Effectiveness Programme's Conscious Sedation in Dentistry (2006 updated 2012) and Standards for Conscious Sedation in Dentistry: Alternative Techniques (2007) extended the SDAC guidance.4,5
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