What is the responsibility of the dentist-in-charge?

• A. Determine if the patient is ready for the procedure and fit to be discharged
• B. Prepare post-procedure instructions
• C. Schedule follow-up visits
• D. Ensure payment collection

Answer: (A)

In sedation monitoring, the dentist-in-charge bears the ultimate responsibility for patient safety throughout the procedure, which includes deciding when it is appropriate to proceed and when the patient is safe to discharge. Before starting, they must assess readiness to undergo the procedure—considering medical history, airway risk, and overall suitability for sedation. After the procedure, they determine if recovery has progressed enough to discharge safely—stable vital signs, maintained airway, adequate responsiveness, minimal sedation, and the ability to return home with an escort. While other tasks like giving post-procedure instructions, arranging follow-ups, or handling payments are important, they do not capture the central safety and decision-making role of the dentist-in-charge in this context.