The comment period has now ended for the second revision of the proposed ADA Guidelines for the Use of Sedation and General Anesthesia by Dentists as well as for Teaching Pain Control and Sedation to Dentists and Dental Students. The ADA should be applauded for regularly updating these important documents which impact all dentists who provide sedation and/or general anesthesia.

I find some of the proposed revisions quite interesting. I see some trends, however, that may not fit well with the unique form of sedation/GA that is practiced in the North American dental office setting, the predominant practice venue for readers of Anesthesia Progress. Currently, I work exclusively in a Joint Commission (JC)-accredited ambulatory surgery center (ASC) providing anesthesia mainly for oral and major maxillofacial surgery. I have provided sedation and general anesthesia in the hospital, dental school, and private dental office...

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