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Monitoring the Administration of Nitrous Oxide for Dental Hygienists and Dental Assistants

Course overview

Texas State Board of Dental Examiners offers an optional Nitrous Oxide Monitoring Certificate for Dental Hygienists and Dental Assistants. This course will cover: History and Safety, Patient Monitoring, Effects of N2O, etc. This program is intended to provide sufficient information to dental hygienists and dental assistants to gain knowledge and to understand their responsibility of monitoring the patients when they assist their dentist during the administration of nitrous oxide.

This course was approved by the Texas State Board of Dental Examiners to certify dental hygienists and dental assistants. If you wish to be certified to monitor Nitrous Oxide in another state, contact your State Board for a list of approved providers.

Participation in the didactic portion of the course requires that you:

  • Register online with our secured server.
  • Pay a registration fee of US $120.00
  • Complete all reading assignments and submit quiz answers via Internet at the completion of each chapter.
  • Each quiz will be graded and you will see your scores instantaneously.
  • You will have 30 days to complete the course.
  • Once you begin the course, you will have the ability to Log Out and Log In while reading the material.  The quizzes/tests are timed.

  • Table of Contents

    1. Introduction
      Bibliography
    2. Biobehavior Aspects of Anxiety
      Bibliography
      Quiz I
    3. History and Safety
      Bibliography
      Quiz II
    4. Purpose, Objectives, Advantages, and Disadvantages of Nitrous Oxide
      Bibliography
      Quiz III
    5. Technique for Administering Nitrous Oxide Conscious Sedation
      Bibliography
      Quiz IV
    6. Equipment
      Bibliography
      Quiz V
    7. Physiology and Pharmacology of Nitrous Oxide
      Bibliography
      Quiz VI
    8. The Effects of Nitrous Oxide Concentration
      Bibliography
      Quiz VII
    9. Planes of Analgesia Related to Stages
      Bibliography
      Quiz VIII
    10. Patient Monitoring
      Bibliography
      Quiz IX
    11. Indications and Contraindications for the Use of Nitrous Oxide
      Bibliography
      Quiz X
    12. Complications that May Be Encountered With Nitrous Oxide Conscious Sedation
      Bibliography
      Quiz XI
    13. Nitrous Oxide/Oxygen Sedation in Pediatric Dentistry
      Bibliography
      Quiz XII
    14. Health Hazards and Protection from Exposure to Nitrous Oxide
      Bibliography
      Quiz XIII
    15. Nitrous Oxide and the Medically Compromised Patient
      Bibliography
      Quiz XIV
    16. The Abuse and Social Use of Nitrous Oxide
      Bibliography
      Quiz XV
    17. Hypnosis and Nitrous Oxide Conscious Sedation
      Bibliography
      Quiz XVI


    Presenter(s)

    • 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.
    Disclosure

    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.

    Continuing Dental Education Staff members have nothing to disclose.


    Tuition

    Course Fee: $120

    Credit

    Hours: 9

    Important Course Information

    This interactive course is the same didactic material that is required of a dentist to become certified in nitrous oxide. Please be advised that only licensed certified dentists can administer nitrous oxide. Some of the material you will read includes information pertaining to the administration of nitrous oxide. This is for your information only. When seeing a statement such as "The following is a suggested ‘step by step’ technique for administering nitrous oxide - oxygen conscious sedation", this should not be interpreted as a dental hygienist or dental assistant administering nitrous oxide.

    Upon successful completion of this course, you will receive an electronic verification for 9 hours of didactic continuing dental education. Print this document and save the verification for your records - follow the prompts allowing you to print the certificate.

    Your next step will be to fill out and mail in an “Application for Nitrous Oxide Monitoring Certificate” to the State Board in order to complete certification. This form, for both Dental Hygienists and Dental Assistant, can be located on the Board’s website: www.tsbde.texas.gov/licensing/ under Optional Certifications (Dental Hygiene/Dental Assistants).

    Before mailing in the application be sure to complete the form by attaching all the requested information, such as a copy of your completion certificate, a copy of your active CPR card, etc. Please note: There is an application fee that must be included, made payable to the State Board for processing this application. If you have any questions regarding the application, please address them to the State Board at (512) 463-6400.
    On behalf of the Office of Continuing Dental Education, congratulations and the best of luck in your career.

    Register now!

    Original Date: 09/01/2012 | Review Date: 08/31/2020 | Expiration Date: 08/30/2025

    Register now!

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

    UT Health San Antonio
    School of Dentistry

    7703 Floyd Curl Drive
    San Antonio, TX 78229

    210-567-7000

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