Brownstein – Patient Selection for the Use of Office-Based Sedation & General Anesthesia




This presentation will begin with a review of the continuum for various levels of procedural sedation used in the pediatric dental office setting. The focus will shift to identifying qualified candidates for each modality in an ambulatory setting with an emphasis on patient assessment and preparation. Considered techniques will include nitrous oxide, oral conscious sedation, intramuscular moderate sedation, intravascular moderate sedation, and deep sedation/ general anesthesia. A review of post-procedural patient management and discharge criteria will also be discussed. The information will then be reinforced using actual clinical scenarios, including the opportunity for attendee participation and questions.

Educational Objectives:

  • Appreciate the continuum of depth of sedation
  • Comprehend the components of pre-operative patient assessment and overall preparation
  • Compare and contrast procedural sedation options for the pediatric dental patient
  • Identify indications and contraindications for each level of office-based sedation and general anesthesia
  • Properly select suitable modalities of sedation for a given pediatric patient
  • Discuss post-procedure cate and discharge criteria

CE Credit Units:

1.5 CEUs

Level of skill recommended for participants:

Of interest to Dentists, Students & Residents, Dental Auxiliaries and Office Staff

Instructor Info:

Jeffrey N. Brownstein, DDS, MeCSD is the senior partner at West Valley Pediatric Dentistry & Orthodontics, a multi-facility Pedo-Ortho group practice situated in the western suburbs of Phoenix, Arizona providing dental & orthodontic care for infants, toddlers, adolescents and adults with special healthcare needs. He is also a partner in Arizona Dental Anesthesia and Nebraska Dental Anesthesia, dental anesthesia groups providing mobile office-based care for pediatric and adult patients.

Dr. Brownstein completed his graduate dental training at the Medical College of Virginia/Virginia Commonwealth University and his pediatric dental specialty training at the University of Florida where he served as chief resident during his final year of training. Following his pediatric residency program, Dr. Brownstein completed an extensive Craniofacial Fellowship in the dental management of Cleft Lip & Palate in the Department of Pediatric Plastic Surgery at Washington University School of Medicine/St. Louis Children’s Hospital.

In 2009, after nine years of providing care in a private practice setting, Dr. Brownstein returned to the University of California at Los Angeles to further his training in the area of anesthesiology. Dr. Brownstein is board certified and a Diplomat of the American Board of Pediatric Dentistry, American Dental Board of Anesthesiology and National Board of Dental Anesthesiology. 


Instructor Disclosure of any conflicts of interest:

None disclosed

Refund Policy:

There are no refunds for CSPD Online CE courses. For any questions, please contact CSPD Executive Director, Paul Reggiardo, DDS, at 

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