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Combination Inhalation-Enteral (Oral) Minimal Sedation

Level I Sedation

Course Overview

This course is intended to provide the required course curriculum necessary for a dentist to apply for and be granted a Level 1 minimal enteral sedation permit in Texas. The curriculum covers multiple aspects of minimal sedation including the Texas rules for sedation, documentation in sedation, selection of appropriate patients, pharmacology of enteral sedation, monitoring of the sedated patient, use of nitrous oxide/oxygen in minimal sedation, emergency management, and techniques in sedation.


Objectives

  1. The participant will learn the Texas Dental Board rules governing minimal sedation.
  2. The participant will learn appropriate documentation in minimal sedation.
  3. The participant will learn important patient selection criteria and appreciate patients who are not good candidates for office minimal sedation.
  4. The participant will learn drug selection and pharmacology of drugs used in minimal sedation.
  5. The participant will learn monitoring techniques in minimal sedation including benefits and limitations of different monitoring devices.
  6. The participant will learn the techniques of minimal sedation including proper discharge.
  7. The participant will learn how to incorporate nitrous oxide/oxygen analgesia in the delivery of minimal sedation.
  8. The participant will learn how to recognize and provide initial management of a number of medical and sedation emergencies in minimal enteral sedation.


Presenter(s)

  • Ernest B. Luce, DDS
    • ERNEST B. LUCE, DDS, received his DDS degree from the University of Texas Health Science Center at Houston in 1985. In June of 1986, he completed a one year General Practice Residency at The University of Texas Health Science Center at San Antonio. Upon completion of the residency, Dr. Luce joined the Department of General Dentistry at The University of Texas Health Science Center at San Antonio. Currently he is a Clinical Associate Professor at the Health Science Center, and he also maintains a part time private practice in general dentistry in San Antonio.

      His teaching duties include didactic presentations as well as clinical supervision of graduate general dentistry residents. Dr. Luce served as Head of the Graduate Division of the Department of General Dentistry and Program Director for the General Practice Residency at The University of Texas Health Science Center at San Antonio from 1993 to 1999. He also served as the Department Chairman for the Department of Hospital Dentistry, University Hospital, in San Antonio during that same time period. You may contact this author at luce@uthscsa.edu
  • Ernest E. Valdez, DDS
    • ERNEST E. VALDEZ, DDS, received his DDS degree from The University of Texas Health Science Center at San Antonio, Dental School in 1993. He pursued a two year General Practice Residency at The University of Texas Health Science Center at San Antonio which he completed in 2001. Dr. Valdez also served as Clinical Assistant Professor in the Department of General Dentistry at The University of Texas Health Science Center at San Antonio as well as the Department of Dental Hygiene at the Texas State Technical College in Harlingen, Texas from 1996 to 1999.

      Dr. Valdez has served as co-investigator of numerous research projects. In 2000, he published articles in the Journal of Oral & Maxillofacial Surgery, British Journal of Oral & Maxillofacial Surgery, and the Journal of Periodontal Research. Dr. Valdez was the recipient of the 2000 Biotene Award for Excellence in Hospital Dentistry by the American Association of Hospital Dentists and Laclede Professional Products, Inc. He has been a member of the International Association of Student Clinicians since 1991, during which time he was the recipient of the ADA/Dentsply Student Clinician Program Award. He is also a member of the American Association of Hospital Dentists and Delta Sigma Delta Dental Fraternity.

      His experiences have included serving as staff dentist for a dental clinic, Las Clinicas Del Norte, in Ojo Caliente, New Mexico from 1993 to 1996, and Dental Department Director of Su Clinica Familiar in Harlingen, Texas from 1996 to 1999. While residing in Harlingen, Texas and Ojo Caliente, New Mexico, Dr. Valdez was active in community activities and served to facilitate and promote dental and medical health issues and presentations. Dr. Valdez also served as a Volunteer Fireman and on the Volunteer First Responders Team in Ojo Caliente, New Mexico. Dr. Valdez currently serves as an associate in a private practice in San Antonio.

      You may contact this author by texting 210-838-6414 or via email at drvaldez@sedasurge.com
Disclosures & Policies

No Recording and Transcription Policy
To protect the privacy, security, and integrity of our programs, meetings, and events, recording of any kind is strictly prohibited unless expressly authorized in writing by the department director. This includes, but is not limited to:
- Video recordings (camera, phone, webcam, or other devices)
- Audio recordings (phone, microphone, digital recorders, etc.)
- Screen captures or screen recordings
- AI-based or automated transcription tools (e.g., apps or software that convert speech to text)

Guidelines: All participants are expected to respect this policy at all times. If recording is necessary as an accommodation, or for education or administrative purposes, prior approval must be obtained in writing. Unauthorized recording or transcription may result in removal from the session and/or further administrative action. Exceptions may only be granted by the department director in advance. Taking detailed notes is encouraged, and participants are welcome to take pictures of the presentation slides for personal use.

Purpose: This policy ensures a safe and respectful environment, protects sensitive and proprietary information, and upholds the confidentiality of all participants.

Course Refund Policy
Please review the Course Refund Policy by clicking here. This policy includes information regarding requirements that attendees must comply with to remain eligible to receive CE, cancelling your registration, course transfers, etc.

Financial Disclosure Statement
It is the policy of the UT Health San Antonio Office of Continuing Dental Education to ensure balance, independence, objectivity, and scientific rigor in all of its sponsored educational activities. All participating speakers, course directors, and planning committee members are required to disclose to the program audience any financial relationships related to the subject matter of this program. Relationships of spouse/partner with proprietary entities producing health care goods or services should be disclosed if they are of a nature that may influence the objectivity of the individual in a position to control the content of the CDE activity. Disclosure information is reviewed in advance in order to manage and resolve any possible conflicts of interest. Specific disclosure information for each speaker, course director, and planning committee member will be shared with the audience prior to the speaker’s presentation.

This educational activity is free from commercial bias. The planning committee, presenters, and authors have disclosed all financial relationships with commercial interests relevant to this content, and any potential conflicts have been identified and mitigated according to ADA CERP standards. No commercial entities have influenced the content, selection, or presentation of materials, and no product endorsements or promotional activities are included in this presentation. Any mention of products, services, or companies is solely for educational purposes and does not imply endorsement.

There is nothing to disclose for this course.


Tuition

  • Course Fee: $615

Credit

Hours: 16

This activity has been planned and implemented in accordance with the standards of the ADA Continuing Education Recognition Program (ADA CERP) through joint efforts of UT Health San Antonio. UT Health San Antonio is recognized by the ADA CERP as a provider of continuing dental education. ADA CERP does not approve or endorse individual courses or instructors, nor does it imply acceptance of credit hours by boards of dentistry.

Specialty/AGD Code

  • 340 - Anesthesia and Pain Management
  • 153 - Psychosocial Anxiety & Fear In Dentistry

Register now!

Original Date: 11/01/2025 | Review Date: 11/01/2025 | Expiration Date: 11/01/2028

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Note About Videos In Course
Some of the modules in this course feature videos. If the purple play/pause button seems not to work properly, move your mouse to hovering over the video and a gray play/pause button and video controls should appear and function properly.

Information Regarding This Course
This online course is an independent learning activity, meaning that it is to be completed at your own pace (within the 30 days allotted for course completion) and involves learning and self-studying from prerecorded materials. It is asynchronous and does not include live interaction with the speaker. Once you watch and review all of the prerecorded materials, you will then complete an exam to asses your mastery and understanding of the content. If you have questions regarding the course content, please email Dr. Luce at luce@uthscsa.edu and please contact Dr. Valdez by texting 210-838-6414 or via email at drvaldez@sedasurge.com.

  • For help or questions about this program, you can contact us at:
  • Phone: 210-567-3177
    Email: smile@uthscsa.edu

    Business hours are Monday - Friday, 8:00 AM - 5:00 PM Central Time


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UT Health San Antonio Training Future Generations

The UT Health San Antonio, School of Dentistry is an ADA CERP Recognized Provider. ADA CERP is a service of the American Dental Association to assist dental professionals in identifying quality providers of continuing dental education.
ADA CERP does not approve or endorse individual courses or instructors, nor does it imply acceptance of credit hours by boards of dentistry. UTHSCSA designates the number of credit hours for each course individually. Concerns or complaints about a CE provider may be directed to the provider or to ADA CERP at www.ada.org/cerp.

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