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. 2019 Summer;66(2):77-86.
doi: 10.2344/anpr-66-01-08.

Illinois Dental Anesthesia and Sedation Survey for 2016

William Flick  1 , Michael Lloyd  2
Affiliations

Illinois Dental Anesthesia and Sedation Survey for 2016

William Flick et al. Anesth Prog. 2019 Summer.

Abstract

A statewide decennial survey was sent to practicing dentists holding sedation or general anesthesia permits to identify office sedation/general anesthesia trends and practices over the last 10 years. This survey constitutes the third such survey, spanning a total of 20 years. Of the 234 respondents in the 2016 survey, 34% held an Illinois moderate sedation permit and 64% held a general anesthesia permit. Oral and maxillofacial surgeons represented the majority of respondents (143/234; 61%). The remainder of responses were from general dentists (39; 17%) pediatric dentists (32; 14%), periodontists (16; 7%), dentist anesthesiologists (3; 1.3%) and 1 periodontist/dentist anesthesiologist. Surveys over the 20 years revealed the following significant trends: an increase in practitioners current in advanced cardiac life support certification, an increase in the number of non-oral maxillofacial surgeons with a sedation permit, an increase in providers of moderate sedation, and an increase in offices equipped with end-tidal CO2 and electrocardiogram monitoring. However, a number of providers were identified as not compliant with certain state mandates. For example, many respondents failed to meet minimum office team staffing requirements during sedation, hold semiannual office emergency drills, and establish written emergency management protocols.

Keywords: Dental anesthesia; Dental sedation; Morbidity and mortality; Practice parameters.

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Figures

Figure 1.
Figure 1.
Anesthesia permit type.
Figure 2.
Figure 2.
Scope of practice distribution over 20 years.
Figure 3.
Figure 3.
Oral and maxillofacial surgeons—single versus dual degree.
Figure 4.
Figure 4.
Office team configuration. DA indicates dental assistant; CRNA, certified registered nurse anesthetist; A, dentist anesthesiologist; and RN, registered nurse.
Figure 5.
Figure 5.
Intravenous medication preference.
Figure 6.
Figure 6.
Number of sedation cases.
Figure 7.
Figure 7.
Advanced cardiac life support certification status.
Figure 8.
Figure 8.
Intravenous medication use in 2016 by permit type (%).
Figure 9.
Figure 9.
Oral medication use in 2016 by permit type (%).
Figure 10.
Figure 10.
Intravenous medication use in 2016 by specialty (%).
See this image and copyright information in PMC

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References

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    1. Illinois Dental Practice Act. Ill Admin Code Database. (2014);68(7b):1220.500–1220.530.

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