Schedule Parameters

Endodontic Scheduling

To maintain appropriate clinical efficiency, patient safety, and procedural quality standards, scheduling should generally not exceed four (4) molar root canal procedures within a single clinical day.

Sedation & Complex Procedure Blocks

Sedation cases involving mixed implant and/or endodontic therapy shall generally be scheduled as dedicated single-focus procedural blocks. Due to elevated monitoring requirements, procedural complexity, anesthesia considerations, informed consent obligations, and patient safety standards, concurrent scheduling of additional operative patients, hygiene examinations, or routine clinical interruptions is generally not recommended during active sedation treatment. Patients undergoing sedation shall remain under continuous clinical supervision and shall not be left unattended by a provider. 

        Minimal Sedation (22 TAC § 110.4) 22 TAC § 110.4(4), which states:

"The dentist administering the sedation must remain in the operatory room to monitor the patient until the patient meets the criteria for discharge to the recovery area."

Sedation Equipment & Monitoring

Sedation procedures require dedicated monitoring equipment, operatory continuity, and uninterrupted clinical oversight throughout the sedation encounter. Accordingly, sedation appointments should generally be treated as protected clinical blocks with continuous access to appropriate patient monitoring systems and emergency equipment. Patients undergoing sedation shall remain under continuous clinical supervision and shall not be left unattended by a provider. See Rule Texas Dental Board Rule 22 TAC § 110.4(4) link above.

Scheduling Flexibility

Contractor reserves the right to modify, defer, or reschedule excessive same-day procedural scheduling when clinical complexity, staffing limitations, equipment availability, patient acuity, or time constraints may compromise treatment quality, monitoring integrity, or continuity of care.