What must permit holders do if they lack sufficient cases to receive a pediatric endorsement?

To receive a pediatric endorsement, permit holders must demonstrate sufficient clinical experience in administering sedation to pediatric patients. If they do not have enough cases to support this endorsement, the appropriate course of action is to administer moderate sedation under direct supervision. This ensures that patient safety is prioritized while still allowing the permit holder to gain the necessary experience in a controlled environment.

Direct supervision means that a qualified individual is present to oversee the sedation process, which provides guidance and support, especially in pediatric cases where extra care is crucial due to the unique physiological and psychological needs of children. This approach aligns with the ethical standards of patient care and protective measures outlined in dental law.

The other responses suggest actions that either do not effectively address the lack of sufficient cases for endorsement or could compromise patient safety. Administering sedation independently or with minimal monitoring without the requisite experience could lead to significant risks for patients, highlighting the importance of proper supervision in these sensitive situations.