Updated  5th. May. 2016


15.45 Monday 25th April 2016.

I have just this afternoon been made aware of a letter sent out to dentists by the Depts. of Health for England, Scotland, Wales and Northern Ireland.

It is a damning condemnation of the IACSD report published almost exactly 12 months ago and which stopped me delivering my courses between April and December 2015.

The IACSD then went on to accept my application later in 2015 to became accredited to deliver sedation training following their guidelines. That I achieved in December 2015.

I have written today to Prof. Richard Ibbetson, Chair of IACSD, Neil Sutcliffe, their administration person with whom I exchanged a large number of e-mails during 2015, copying in also David Craig, IACSD committee member representing DSTG, Mary Clarke current president of  DSTG (The Dental Sedation Teacher's Group) and Dental Protection too.

The reply to my letter is likely to impact the teaching of dental conscious sedation in the immediate future and the requirements for those new to sedation techniques.

Richard Charon BDS


Weds. 27th April 2016

" I have this morning received some further "clarification" from trusted source within IACSD/SAAD & DSTG.

Together with my own interpretation, I believe this means that:

The 2015 guidelines are still the Gold Standard to aim at as it is the distilled knowledge and wisdom of the Royal Colleges & SAAD & DSTG & other stakeholders involved BUT...

the Minimum standards have now been re-set to 2003 by DoH to allow continued provision of NHS services.

My further interpretation (unsubstantiated) is that there is a lack of funding and/or accredited teachers and supervisors currently in conscious sedation to meet the standards set in 2015 and so strict adherence (even 12 months after their publication) to the 2015 guidelines is not currently possible for NHS provision in hospital and community services.. So we now await a verdict from Scotland on what sedation guidelines should look like to satisfy the UK DoHs.

Good to know I am ahead of the curve!

This means that as of  25th April 2016, you may now choose to engage your own local Inhalation Sedation mentor to oversee your first 10 cases, if you so choose and so you may choose to attend only the theory and practical demonstrations on day 1 of the 3 day course.

NB: This one-day course alone WILL NOT make you competent

to undertake independent sedation practice.


The IOSN ( Index of Sedation Need)

SAAD have published a questionnaire aimed at assessing a patient's level of anxiety. The IOSN ( Index of Sedation Need).

This was originally developed as a means to assess the need for sedation resources amongst local populations for NHS commissioning.

However if could be used , especially by inexperienced practitioners to help assess a patient's needs for conscious sedation or to direct a patient towards alternative methods for managing their anxiety or indeed phobia.

It pulls together the MDAS (Modified dental anxiety score) which could be used on its own as an indicator of the degree of anxiety the patient experiences, with additional complicating medical factors and treatment complexity all of which combine to produce the need for sedation.

E.g. a patient with an ASA score of I or II with only a minimal level of anxiety my be escalated into a category needing sedation, if the treatment is complex, lengthy or may be deemed be unpleasant by its nature.


July 2011

I am delighted to announce that I have achieved a City and Guilds Level 4 award in
"Preparing to Teach in the Life-long Learning Sector".  This is a basic, recognized teaching award designed for people running skills or educational workshops on a part-time basis.