Making Moderate Sedation Safe in the Dental Office Setting

Robert M. Peskin, DDS


Dr. Robert M. Peskin graduated from Stony Brook University School of Dental Medicine in 1977. He subsequently completed General Practice and Dental Anesthesiology Residencies at Long Island Jewish Medical Center. Since 1983, he has maintained a private dental anesthesiology practice devoted primarily to the management of the anxious, apprehensive and special needs patient in Garden City, New York. In addition, he provides in‐office anesthesia for other dentists throughout the Greater New York metropolitan area. In July, 2011, Dr. Peskin was named Director of the Dental Anesthesiology Residency Program at Wyckoff Heights Medical Center located in Brooklyn, NY. He is also a Clinical Associate Professor in the Department of Hospital Dentistry at Stony Brook University School of Dental Medicine, and an Assistant Attending in the Department of Dental Medicine at Long Island Jewish Medical Center. He is a Diplomate of the National Dental Board of Anesthesiology and a Fellow of the American and International Colleges of Dentists, the American Dental Society of Anesthesiology, the American Association of Hospital Dentists, and the Academy of General Dentistry.


Dr. Peskin is a nationally‐recognized leader in dental anesthesiology, having served on the Board of Directors of the American Dental Society of Anesthesiology, and as Speaker of its House of Delegates. Dr. Peskin has also been extremely active within the tripartite of organized dentistry, including the Nassau County Dental Society, the New York State Dental Association (where he served as Speaker of its House of Delegates of Delegates for six years) and the American Dental Association. He also has a passion for parliamentary procedure, having been elected to the American Institute of Parliamentarians Board of Directors in 2014, and as its Secretary since 2016. Most recently he was elected to the Board of Directors of Special Care Dentistry Association.


Dr. Peskin has published many original manuscripts and book chapters in the scientific literature. In addition, he lectures to undergraduate dental students at the School of Dental Medicine at Stony Brook on a variety of subjects; provides the majority of didactic material to graduate dental hygienists at Farmingdale State University seeking certification in the use infiltration local anesthesia and nitrous oxide administration; and lectures nationally on a broad variety of continuing education topics of interest to practicing dentists.

Course Description

This full‐day course reviews the advanced concepts and techniques necessary for the safe administration of moderate sedation, administered both enterally and parenterally, in the dental office setting. In addition, management of emergencies that may arise from the use of moderate sedation will be discussed in detail.


The objectives of the course include:

  • A thorough understanding of the continuum of anxiety and pain control

  • A synopsis of the 2016 ADA Guidelines for Teaching Pain Control and Sedation to

  • Dentists and Dental Students; the ADA Guidelines for the Use of Sedation and

  • General Anesthesia by Dentists; and the AAP/AAPD Guidelines for Monitoring and

    Management of Pediatric Patients Before, During and After Sedation for Diagnostic and

    Therapeutic Procedures: Update 2016

  • A review of the updated Regulations of the NYS Commissioner of Education Relating to

  • the Dental Anesthesia Certification Requirements for Licensed Dentists*

  • A thorough review of the pharmacokinetics and pharmacodynamics of sedative agents

  • and the pharmacology of agents utilized for moderate sedation

  • Nitrous oxide and its role as an adjunct to moderate sedation

  • Monitoring of patients undergoing moderate sedation

  • Emergency preparedness in the dental office setting

  • Risk Management considerations

Upon completion of the program, participants should have a more comprehensive understanding of moderate sedation as it is used in dentistry including its indications and

contraindications, its limitations, as well as the untoward sequelae that may arise from the use of enterally and parenterally administered agents.