Royal College of
Dental Surgeons of Ontario
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What is minimal sedation?

  • Nitrous oxide oxygen ONLY
    • Can be used for both adult and pediatric patients.
  • Oral sedation at MINIMAL dose
    • Can be used on adult patients.
    • Must have training, authorization and permit for Oral Moderate Conscious Sedation to treat pediatric patients.
  • Nitrous oxide oxygen and oral sedation at a MINIMAL dose combined
    • Must have training, authorization and permit for Oral Moderate Conscious Sedation to treat adult and pediatric patients. 

What is a minimal dose of oral sedation?

Refer to the Standard of Practice for this information.

I missed the deadline, what should I do?

You can apply for authorization at any time. You don’t need to register for sedation right away if you are not administering any sedation, you can register for it later. The only caveat is that you cannot administer sedation in Ontario until you are authorized by the RCDSO to do so. So just make sure you apply, pay for, and are approved by the RCDSO before you start doing any sedation, in order to remain compliant with the RCDSO Standard of Practice.

What happens if I don’t obtain authorization?

  • You are no longer able to provide nitrous oxide oxygen to any patients or administer oral sedation of any dose to ALL patients – adult and pediatric patients.
  • It does not matter if you have provided the service for years or obtained training - you MUST obtain authorization.
  • If you continue to provide minimal sedation without authorization by the RCDSO, you are in breach of the Standard of Practice.

Application Guide

What will I need before I start my application?

  • Access to a desktop or laptop computer with internet connection. Mobile devices (smartphones, tablets) are not recommended. Use of Google Chrome is not recommended
  • Your RCDSO Member Resource Centre (MRC) password
  • Credit Card Payment information (Visa, Mastercard, American Express)

How do I complete my application?

  1. Log in to your Member Resource Centre
  2. Click the dropdown menu in the top right-hand corner, then click “Minimal Sedation”
  3. Click "Minimal Sedation Application” in the left-hand menu, then click “Create Application” to proceed
  4. Complete the application and submit your application fee

    Receipt and Member Authorization Certificate

    • Your receipt and authorization certificate will be available for download through the Member Resource Centre 24 to 48 hours after approval of your application and fee. 
    • Receipt – Navigate to the “My Receipts” section of your MRC.
    • Certificate – Navigate to the “Minimal Sedation” section of your MRC. In the table, click on your authorization, then click “Minimal Sedation Certificate”.

    FAQs

    Why and when do I have to apply?

    In November 2018, the updated Standard of Practice on Use of Sedation and General Anesthesia in Dental Practice was approved by the College's Council. As per the Standard, all dentists administering minimal sedation must have authorization from the RCDSO to do so. If you intend on administering minimal sedation, you must be authorized on or before September 15, 2020.

    I’m not able to complete my CPR because of COVID-19, what should I do?

    The WSIB - Ministry of Labour under Regulation 1101 sent out a notice to all authorized providers to temporarily extend CPR certification if it expired after March 1, 2020. See FAQs for more information. 

    Each course provider associated with either the Heart and Stroke or Red Cross has different grace period policies. It is advised that members refer to their sites for more information:

    Red Cross:

    https://www.redcross.org/take-a-class/coronavirus-information/120-day-certification-extension-course

    Heart and Stroke:

    https://cpr.heartandstroke.ca/s/article/COVID-19-FAQs?language=en_US

    Where feasible, continue to take advantage of the grace periods provided to defer in-person training if suitable training is not available in your area. Where training is required, and you have internet access, please utilize Blended Learning options for BLS or Interim Training Courses for BLS, ACLS & PALS for the cognitive portion of courses. WSIB will accept the Online Portion of the blended Training Program as a valid interim certificate during the social distancing protocols. When permissible by municipal, provincial, and federal legislation or regulation, obtain the second part for Skills for Interim Training/Interim Self-Directed Learning or if available in-classroom courses in alignment with In-Person Training and mandatory guidelines from public health and other governing authorities.

    Note that the College does not accept online-only Basic or Advanced Life Support.

    How long is my authorization valid?

    Your authorization is valid until March 31, 2021, regardless of the date of issuance. To be maintained, it will have to be renewed annually.

    What do I do if my application is denied?

    If there was an error in your submission, email sedation@rcdso.org

    Otherwise, you may re-apply for authorization once you meet the requirements.

    How much does it cost to apply?

    The application fee is $150. You are required to renew your authorization annually by March 31.

    When will I receive my receipt and certificate?

    1. Your receipt and authorization certificate will be available for download through the Member Resource Centre 24 to 48 hours after approval of your application and fee. 
    2. Receipt – Navigate to the “My Receipts” section of your MRC.
    3. Certificate – Navigate to the “Minimal Sedation” section of your MRC. In the table, click on your authorization, then click “Minimal Sedation Certificate”.

    In addition to my authorization to administer minimal sedation, does my office need a permit for minimal sedation?

    No.

    I’m already authorized to do sedation at a higher modality, do I need to apply for minimal?

    No, your current authorization includes the administration of minimal.

    I don’t remember if I applied for this already, how can I check?

    You can check if you’ve already applied for/received minimal authorization by checking the "Minimal Sedation" section of the Member Resource Centre.