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Friday, 01 August 2014
 
 
Anesthesia Permit Regulations Print E-mail

ANESTHESIA PERMIT REGULATIONS

In August 2011, the Dental Board amended rules regarding the administration of anesthesia.  The new rules now mirror the American Dental Association (ADA) Guidelines for administration of sedation. 

New permits now reflect the  level of sedation   VERSUS  route of administration.  Most licensees who previously held nitrous, parenteral, and/or deep sedation permits will not be impacted.  
 
The group that was impacted that those were dentists who held an Enteral Sedation Permit on June 1, 2011 and wish authority to administer a moderate level of sedation.  Per the ADA Guidelines, the former SBDE Enteral Permit was automatically migrated to the equivalent Level 1 (Minimal Sedation) permit. 

Those dentists who held an Enteral Sedation Permit on June 1, 2011 who wish to administer more than a minimal combination need to apply for the new Level 2 - Moderate Enteral Sedation Permit. 

Continuing Education and Advanced Life Support Changes
The new rules also require continuing education and possible advanced life support certifications for those that hold permits.  Continuing Education requirements for anesthesia permits will be imposed following the 2012 license renewal.  Additionally, effective January 1, 2012, if you sedate children ages 12 or below, you are required to hold a PALS certification.


QUICK LINKS:      (If links do not work, scroll down the web page)

New Categories of Permitting

Annual Registration Certificate - Display of Anesthesia Permits

Permit Matrices

Permit Maintenance, Renewal Fee and CPR and CE Requirements

Upgrading a Level 1 Minimal Sedation Permit to a Level 2 Moderate Enteral Permit

Qualifying and Applying for an Anesthesia Permit

Anesthesia Permit Application - Nitrous and Level 1
Anesthesia Permit Application - Levels 2, 3, 4

Application for Portability


New Categories of Permitting

Chapter 110 (Sedation and Anesthesia) in the SBDE Rules and Regulations is dedicated to the new rules which are based on the current American Dental Association (ADA) Guidelines.  The ADA Guidelines base requirements on the level of sedation versus route of administration.  There are now five categories of permitting available:

Qualifying course documentation must clearly state that you have completed the required minimum number of hours of training and instruction and that you have satisfactorily completed the required management of dental patients for the level of sedation you are applying for. If you completed your education in Nitrous Oxide in dental school you will need to submit a copy of your transcript showing completion of your training.

Nitrous Oxide/Oxygen Inhalation Conscious Sedation   
Stand Alone Permit
Level 1:   
 Minimal Sedation  =Nitrous or Nitrous Plus One Enteral Drug
Level 2:
 Moderate Enteral  =
Multiple Enteral Drug
Level 3:
 Moderate Parenteral =
Limited to Parenteral Routes of Administration
Level 4:
 Deep Sedation/General Anesthesia  
 



Annual Registration Certificate - Display of Anesthesia Permits

Permit Type
Permit Privileges

 Display of Permit Privilege(s)
on the Dentist
Annual Registration Certificate

Nitrous Oxide/
Oxygen Inhalation
Conscious Sedation Permit

Stand Alone Permit
Nitrous Oxide Permit
Level 1
Permit
Minimal Sedation Privileges Only
1 Enteral Drug or
1 Enteral Drug + Nitrous Combination
Level 1 Permit
Level 2
Permit

Moderate Enteral Privileges Only

Level 2 Permit
Level 3
Permit

Moderate Parenteral Privileges Only
Level 3 Permit

Level 4
Permit

Deep Sedation / General Anesthesia
Privileges Only

Level 4 Permit
 Portability Portability  Yes (or) No
 


Permit Matrices

Matrices have been developed to illustrate how your existing permit will be impacted.  Choose below to find the summary of requirements for your current level of permitting:

PERMIT MATRIX
PDF File
Level 1:  Minimal Sedation
       Nitrous Oxide  & Level 1 Minimal Sedation

Level 2:  Moderate Enteral Sedation
       Enteral

Level 3:  Moderate Parenteral Sedation
       Submucosal

       Subcutaneous

       Intramuscular

       Intranasal

       Intravenous

Level 4:
       Deep Sedation/General Anesthesia        



Permit Maintenance, Renewal Fee, CPR and CE Requirements

License Annual Renewal Fee
Dentists holding an anesthesia permit pay a total $435 to renew their license renewal annually.  ($425 Renewal Fee  +  $10 Anesthesia Permit Renewal Fee)  

Basic Life Support (BLS)
BLS Certification is required for all practitioners as the minimum standard of care. 

Pediatric Advanced Life Support (PALS) 
After January 1, 2012, dentists issued a Level 2, 3, or 4 Permit, who treat children under the age of twelve (12) years of age MUST maintain current Pediatric Advanced Life Support (PALS) certification in addition to BLS Certification.

Continuing Education
Continuing Education Courses will be required once every two years in additional CE required annually for license renewal. 
 
Anesthesia Continuing Education
  and CPR
Requirements Chart



Upgrading a Level 1 (Minimal Sedation) Permit to a Level 2 (Moderate Enteral Sedation) Permit

Licensees holding the former enteral sedation permit on or before June 1, 2011, were reclassified to a Level 1 - Minimal Sedation permit in accordance with the ADA Guidelines.  If you wish to 'upgrade' your Level 1- Minimal Sedation permit to the new Level 2 - Moderate Enteral Sedation, please follow the instructions found on the Level 2, 3, 4, application and as listed below:

Submit the following:

-  Application for a Level 2, 3, 4 Anesthesia Permit.  (Select "Level 2: Moderate Enteral Permit" on the application).

    NOTE:  If you do not hold a Level 1 - Minimal Sedation Permit currently, you cannot submit a Level 1 to Level 2 Transition Course Completion Document.

-  $60 Application Fee.  (Personal Check or Money Order)

-  Copy of your current Basic Life Support Card.

-  Copy of your current ACLS  OR PALS Card or a document showing completion of a 2-Day Emergency Anesthesia Course. 
    (Note:  If you treat children under 12 years of age you MUST hold a PALS certification.)

One or more of the following:
 
--  Copy of Advanced Education Program Certificate issued by a ADA CODA-Accredited Program, OR

--  Letter from a ADA CODA-Accredited Program Director or School Official showing proof of completion of a
    comprehensive training program that includes 24 hours of instruction, plus management of at least
    10 case experiences in enteral moderate sedation, OR

--  Level 1 to Level 2 Transition Course Completion Document, OR

--  Board Certification Document, OR

--  Initial Enteral Sedation (Level 2) Course Completion Document issued by a ADA CODA-Accredited Program, OR   


Anesthesia Permit Applications


New LIcensees:  Do not submit an application for an anesthesia permit until your
new Dental License has been received in the mail.
 
 
Application For:
    - Nitrous Oxide Permit   
    - Level 1:  Minimal Sedation Permit

  IMPORTANT NOTES: 
 
    -  The fee is $32.00.
      -  Send a detailed course completion document for each level of sedation
          you are applying for. 


  Questions can be e-mail to:
  This email address is being protected from spam bots, you need Javascript enabled to view it  
 

             

 

New LIcensees:  Do not submit an application for an anesthesia permit until your
new Dental License has been received in the mail.


Application For:
   - Level 2:  Moderate Enteral Sedation Permit
   - Level 3:  Moderate Parenteral Sedation Permit
   - Level 4:  Deep Sedation/General Anesthesia Permit

  IMPORTANT NOTES: 
  -  The Fee is:   $60.00

Questions can be e-mailed to:  This email address is being protected from spam bots, you need Javascript enabled to view it

        



Application for Portability of Anesthesia Privileges for Levels 3 and 4

 Application for Portability of Anesthesia Privileges for Levels 3 and 4

 
NOTE REGARDING PATIENT RECORDS:

 BEFORE you mail your application and 30 patient records to the Board, 
 please read the rules listed below.

 INCOMPLETE or SUBSTANDARD records that FAIL to meet SBDE Rule 
 requirements will result in the application being returned without
 action. 

  



 
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