Page 1

Teaching, Lecturing & Mentoring in Inhalation Sedation Accredited by IACSD 14th Dec 2015

“I find being able to treat someone that hasn’t been able to visit the dentist due to fear much more inspirational than reading the 1000th article about veneers and bleaching we find in every journal!”

Inhalation Sedation

3-day Accredited Courses with Richard Charon BDS

Dr Uzman al Haq

In 2003, with the assistance of his wife Chris Charon, he developed a one-day, hands-on, focused teaching day, covering the theory and practical aspects of Inhalation Sedation (I.S.), often still referred to by its former name of Relative Analgesia (RA). The aim was to assist practitioners to introduce the technique to their patients successfully and safely. In 2011, Richard Charon also undertook a basic teaching award (City and Guilds: PTLLS Level 4) to underpin these teaching activities. These courses have proven highly successful as witnessed by the many positive testimonials received. Dental teams have travelled from Inverness to the Channel Islands, from the Baltic states to the West coast of Ireland and from the Middle East to Nairobi. Other highly experienced IV sedationists have attended and recommend these courses too.

“Mum, will you buy me one of these!”

43 of these one-day courses were run at venues around the UK and Ireland until early 2015. April 2015 IACSD Guidelines The Intercollegiate Advisory Committee on Sedation in Dentistry published, after 6-years of deliberations, these guidelines. They affect everyone involved with delivering, learning and teaching any sedation technique. IACSD include The Dental Faculties of The Royal Colleges of Surgeons of England and Scotland, The Royal College of Anaesthetists, SAAD, DSTG, NEBDN, and many other stakeholders. Details; can be found online. Search IACSD.

Anon, 5 year old child.

“Thanks ever so much for making this afternoon such a painless experience! I really would never have believed it possible.” Matt


“You have fixed a broken part of my personality.” Anon.

A unique feature of these courses are the small class sizes and one-to-one mentoring program with Dr. Charon.

Three day course: Who is it for? The 3-day course presented here was accredited by IACSD in December 2015 with the stated aim of teaching Inhalation Sedation to dentists and DCPs new to the technique (as it is within their scope of practice) to undertake the technique without further supervision, having received a certificate of competency. Dentists GDPs and specialists registered with the GDC and practicing in the UK and Northern Ireland including those in Private and NHS practice and recent UK graduates should have at least 3 years post-qualification experience. Dental Hygienists and Therapists: The GDC permit DCPs to act as operator-sedationists in the UK, underlining the safety record of the technique and as above those registered and working in the UK are welcome to apply. Training will be at the same level as for dentists and an appropriately trained RDN must be available as a chairside assistant at all times with sedated patients. SAAD have confirmed that a dentist does not have to be on the premises as Inhalation Sedation is inherently safer than L.A. Overseas dentists Overseas dentists will also be considered if places are available. They will be responsible for ensuring that they comply with their own country’s local laws and dental


responsible bodies. They will not be required to undertake the 10 cases under supervision required by the GDC but if they wish and at their own cost, this can be arranged in some (but not all) cases. Dental nurses Dental nurses, unless already possessing the NEBDN Certificate in Dental Nurse Sedation may attend the first day with the dentist or DCP they will be working with. Two such RDNs may attend per candidate. This will provide appropriate training and vCPD hours but not provide a certificate of competence for which the NEBDN course should be sought. Who else would benefit? In addition Endodontic, Periodontic and Paediatric dental specialists will find the technique extremely useful. Experienced practitioners with many years of previous experience wanting to re-train and or return to using Inhalation Sedation. Course Numbers Normally 5-6 candidates on each course. Places are limited since I am required to personally provide the mentoring at practices/ clinics around the UK. Course Frequency The three-day courses are held in general 2-3 times each year.

Course Fees Please click here for current course fee details.

What’s in it for me? – Attract more patients. Grow your practices. –R  educe failures and cancellation of appointments through anxiety. –G  ain uptake of advanced treatment plans from anxious patients. –R  educe time wasted on failed attempts at treatment with anxious patients or gaggers. – I ncrease productivity with anxious patients. No more one filling at a time! –R  educe stress for you and your team. Far few ”heart-sink” patients on your day-list. –A  dd a new service, get local people talking positively about your practice. –A  certificate of competency from an accredited course provider

Dr. Richard Charon BDS (V.U.Manc. 1975)

Richard Charon has been a General Dental Practitioner since qualifying in Manchester in 1975. Since 1999 this has been in private practice in Newbury, Berkshire. He has been successfully utilizing “RA” since 1977 and by 2013 will have undertaken well over 8000 administrations on close to 5-6000 patients. The technique has been an integral part of his daily general practice. Richard has been a member of SAAD since the mid 1980s and of the Dental Sedation Teachers Group since 2007. Richard has authored a number of articles for the dental press (Private Dentistry, Dentistry magazine, Dental Nursing, DH&T, Dental Therapy Update) and on-line for example for dentinaltubules.com. By invitation in 2011, he wrote a chapter in the compilation book edited by Dr. Stephen Hudson: Messages from Dental Masters I together with many thought leaders in UK and Irish Dentistry. In October 2013 Richard delivered a lecture on the subject as part of a Deanery update on conscious sedation at Liverpool Dental School.


FAQs Q What is the cost of setting up? A In 2016 the set up costs are about £5000 but this will vary according to whether a mobile or fixed and the type of active scavenging arrangement. Please contact suppliers for specific and detailed advice.

Course Structure 3-4 minutes and would be ready to leave the practice after 15-30 minutes when assessed fit by the sedationist. At least 30 minutes before driving but can return to work or school or to care for others. So no escort for adults normally.

Q Do I have to bring my nurse on a course? A It is advisable. Either your nurse will have little or no experience at assisting with sedated patients or perhaps will be experienced but in need of an update (12hrs every 5 yrs). If the RDN assisting has the NEBDN Cert. in DSN and has the required 12hrs vCPD every 5 years or has say has completed the SAAD weekend course in conscious sedation in the previous 2 years, then there is no need for them to attend.

Q What level of Life support training is needed? A Inhalation Sedation now required both ILS & PILS (Paediatric) which is age-appropriate. IACSD have confirmed this does not have to be a Resuscitation Council courses but of course they could be. During 2016 independent course providers may offer such age-appropriate one-day ILS & PILS courses for practitioners offering Inhalation Sedation thus excluding learning aimed at life support for neonates and infants which is inappropriate to our needs.

Q Do patients need an escort? A In general patients recover rapidly. They can usually leave the treatment room after

Richard Charon is happy to exchange e-mail or telephone support for those who have attended the course or undertaken mentoring.

Patient testimonial

Even grown ups get scared sometimes and when you get time to think about it you find it’s just the fear of the unknown, you always fear the worst. When you discussed the technique of extracting my wisdom tooth that alone would make a grown man shiver! Then you offered happy gas thoroughly explaining the benefits and how my fear would fade! How right you were, you could of extracted every tooth and I wouldn’t of cared! The downside? You turned it off when you had finished, from space cadet back to everyday life, gutted! But, at the same time eternally grateful for your guidance and true professionalism. Well done, good job done and fear now gone. Malcolm Ricks Read more testimonials from patients and RA Coaching alumni on our website the-ra-coach.co.uk

Day 1: Didactic teaching of theory with practical demonstrations and discussions including a literature review from a pre-course reading list. Day 2 & 3: Mentoring & Work-Based Assessments.10
cases must now be undertaken under supervision before a candidate goes on to provide Inhalation Sedation alone. The requirements are for 
a mix of children (under 12 years old) and adults/young people (12-16). Basic WBA Program Two days are required. 5 cases each day. 1 hour per case with time for discussion and set -up between cases. An hour for lunch. 45 minutes must be allowed for the final MCQ and discussion at the end of the second day. I have developed a structured mentoring program for these 2 days and undertaken these for a number of practitioners since 2011. I can supply names and references if required. These cases will be carried out at the candidate’s place of work and preferably with their own installed equipment under close supervision combined with mentoring to assist and help candidates to succeed. The practitioner’s performance will be assessed with formative and summative assessments. A written report is provided to the practitioner at the end of the process and can be used for future reference. The summative assessment takes the form of a multiple-choice questionnaire with a 70% pass mark. At the discretion of the mentor, this may be supplemented with an oral examination.

The final decision To date, no candidate has failed to achieve their competency certificate but I retain the right to make a judgment as to whether in my opinion the candidate is ready to safely and effectively practice Inhalation Sedation unsupervised. This arrangement has been approved by the IACSD accreditation Subcommittee. Please note that SAAD are unable to provide competency certification as they do not have the personnel to undertake this service.

Candidate testimonial

Richard’s course for new RA operators was fundamental to my career in sedation. His course was comprehensive and gave me the confidence to complete cases safely and effectively. His knowledge of anaesthesia in general is outstanding and it is a pleasure to discuss treatments and cases with him. Dr Rob Endicott BDS Stratford Dental Candidate testimonial

Richard is a great tutor, made me change my mind about dentistry and the ways to build a patient list. Sedation may not be as glamorous as smile design etc but its such a fantastic thing for patients that I’ve incorporated wholly into my practice. Dr.Uzman Ul Haq the-ra-coach.co.uk

Contact Richard Charon T: 07884 230 995 richard@the-ra-coaching.co.uk the-ra-coach.co.uk theracoach.blogspot.com

Profile for Richard Charon

Inhalation Sedation accredited course brochure 2016-17  

Richard Charon BDS (Manc.1975) accredited by IACSD in December 2015, offers 3-day courses for "New Starters" to Inhalation Sedation. Dentis...

Inhalation Sedation accredited course brochure 2016-17  

Richard Charon BDS (Manc.1975) accredited by IACSD in December 2015, offers 3-day courses for "New Starters" to Inhalation Sedation. Dentis...