Sedation and Anesthesia Permits

Does a dentist need a separate permit from the Dental Board of California to . . . .

Prescribe medication to patients

No

 

Provide at the dental office to a patient 13 years or older, before treatment, oral medication to reduce anxiety so long as the dose provided is less than or equal to the single maximum recommended dose that can be prescribed for home use

No

 

Provide at the dental office to a patient 13 years or older, before treatment, oral medication in a dose that will exceed the single maximum recommended dose that can be prescribed for home use in order to induce a minimally depressed level of consciousness

Yes

Business and Professions Code, Section 1647.18, defines Oral Conscious Sedation as, "a minimally depressed level of consciousness produced by oral medication that retains the patient's ability to maintain independently and continuously an airway, and respond appropriately to physical stimulation or verbal command. "Oral conscious sedation" does not include dosages less than or equal to the single maximum recommended dose that can be prescribed for home use."
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Induce conscious sedation in a patient under 13 yrs of age through provision of oral medication

Yes

Business and Professions Code, Section 1647.10, defines Oral Conscious Sedation for Minor Patients as, "...a minimally depressed level of consciousness produced by oral medication that retains the patient's ability to maintain independently and continuously an airway, and respond appropriately to physical stimulation or verbal command." This permit applies to dental patients under the age of 13 years.
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Use a mixture of nitrous oxide and oxygen on a patient

No

 

Use a mixture of nitrous oxide and oxygen on a patient in combination with oral medication not exceeding the single maximum recommended dose that can be prescribed for home use.

No

 

Induce conscious sedation in a patient without oral medication or a mixture of nitrous oxide and oxygen.

Yes

Business and Professions Code, Section 1647.1, defines Conscious Sedation as, "...a minimally depressed level of consciousness produced by a pharmacologic or nonpharmacologic method, or a combination thereof, that retains the patient's ability to maintain independently and continuously an airway, and respond appropriately to physical stimulation or verbal command. "Conscious sedation" does not include the administration of oral medications or the administration of a mixture of nitrous oxide and oxygen, whether administered alone or in combination with each other."
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Administer general anesthesia to a patient

Yes

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Posted August 2007