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Updated Sept. 1, 2022 to note the administration of nitrous oxide and oxygen by itself does not require a permit from the board.
California-licensed dentists who administer or order the administration of general anesthesia, moderate sedation or minimal sedation can now apply for new permits reflecting changes legislated by Senate Bill 501.
Although the bill was signed into law in 2018 and took effect Jan. 1 of this year, dentists could not apply for the permits until the Dental Board of California adopted final regulations implementing the changes. The Office of Administrative Law approved the regulations Aug. 16, and the dental board’s online licensing system BreEZe is now accepting applications for the new permits.
The wait has been long for dentists who were not able to apply for a new permit after their old permit expired in 2022 as well as for recent dental school graduates who were newly applying for a permit. Dentists who hold an existing permit are still able to practice under the terms of that permit until it expires, at which point they will need to apply for one of the new permits created under Senate Bill 501.
As CDA previously reported, only one permit, the oral conscious sedation for adults, remains unchanged by the new regulations.
Two permits ― conscious sedation and oral conscious sedation for minors ― will no longer be issued and instead are replaced with new permits: the moderate sedation and pediatric minimal sedation permits.
The general anesthesia permit remains in place but is now a general anesthesia/deep sedation permit with deep sedation and general anesthesia redefined by the regulations. Dentists are newly required to obtain a pediatric endorsement prior to administering or ordering general anesthesia/ deep sedation to patients under age 7 or moderate sedation to patients under age 13.
The administration of nitrous oxide and oxygen by itself does not require a permit from the board.
The board’s final regulations define the permit application forms, the permit requirements and the acceptable documentation for proof of training.
The significant changes for dentists applying for the new GA/DS permit include:
The significant changes for dentists applying for the new moderate sedation permit include:
The significant changes for dentists applying for the new pediatric minimal sedation permit include:
CDA supported the board’s recommendation to define anesthesia by level of sedation and restructure the permitting system to ensure the appropriate level of expertise is always in the room. The bill was heavily negotiated with dental and physician specialties. CDA successfully pushed for amendments to streamline the new permitting structure, protect access to dental sedation and strike a balance between established practice and evidenced-based changes at all levels of sedation.
Access all the new permit requirements and applications on the dental board’s website. Also log in to your CDA account to see CDA’s resource Sedation and Anesthesia Permits for an updated table of requirements.