Here is an interesting article illuminating the challenges for dentists who treat special needs patients.

In these tough, yet important cases, use of IV sedation is a great tool, as Dr. Foleck is aware. In the right hands it is reasonably safe and effective.  However, it requires full knowledge of the medical history and pharmacology of special needs patients in order to meet the high imperatives in these cases.  At times this may be difficult to obtain, but must be available for review by the clinical staff and for appropriate case selection.

To me, this hammers home the importance of a system that helps the dentist ascertain the medical history, pharmacology, and readiness for care of each patient. Otherwise, the challenge for dentists like Dr. Foleck and myself who utilize IV sedation in our practice are extremely steep.