10704.1 Because sedation is a continuum, it is not always possible to predict how an individual patient will respond. Therefore, dentists and dental facilities intending to produce a given level of sedation shall have the training, skills, and knowledge to be able to recover, manage, and/or reverse as indicated patients whose level of sedation becomes deeper than initially intended, and shall meet the following requirements:
(a) Holders of a Class I dentist or dental facility certification shall be able to recover, manage, and/or reverse patients who enter a state of moderate or deep sedation;(b) Holders of a Class II dentist or dental facility certification shall be able to recover, manage, and/or reverse patients who enter a state of moderate or deep sedation, or general anesthesia; and(c) Holders of a Class III dentist or dental facility certification shall be able to recover, manage, and/or reverse patients who enter a state of moderate or deep sedation, or general anesthesia.10704.2 To qualify for a Class I dental certification, all applicants without exception shall furnish proof satisfactory to the Board that the applicant:
(a) Successfully completed an educational program in the practice of dentistry at an institution recognized by the Commission on Dental Accreditation of the American Dental Association (ADA) at the time the applicant graduated in accordance with § 504(d) of the Act, D.C. Official Code § 3-1205.04(d);(b) Is currently licensed to practice dentistry in the District of Columbia;(c) Successfully passed the Dental Sedation/Anesthesia Competency Assessment Exam required in § 10705 of this chapter for the specific level of sedation for the level of certification sought;(d) Successfully passed the clinical evaluation required in § 10705 of this chapter;(e) Holds current certification in Advanced Cardiac Life Support (ACLS), and if sedating patients twelve (12) years of age or under, shall also have a current certification in Pediatric Advanced Life Support (PALS), both of which the applicant may not allow to expire; and(f) Has successfully completed a Board-approved course of instruction that documents training of at least one hundred and twenty (120) hours of didactic instruction plus management of at least twenty (20) dental patients, of which not more than five (5) may be simulated, per participant in moderate sedation; or(g) Has successfully completed a postdoctoral training program accredited by the Commission on Dental Accreditation or its successor organization that affords comprehensive and appropriate training necessary to administer and manage moderate sedation; or(h) Has successfully completed a Board-approved postdoctoral training program that affords comprehensive and appropriate training necessary to administer and manage moderate sedation.10704.3 To qualify for a Class II dental certification, all applicants without exception shall furnish proof satisfactory to the Board that the applicant:
(a) Successfully completed an educational program in the practice of dentistry at an institution recognized by the Commission on Dental Accreditation of the American Dental Association (ADA) at the time the applicant graduated in accordance with § 504(d) of the Act, D.C. Official Code § 3-1205.04(d);(b) Is currently licensed to practice dentistry in the District of Columbia;(c) Successfully passed the Dental Sedation/Anesthesia Competency Assessment Exam required in § 10705 of this chapter for the specific level of sedation for the level of certification sought;(d) Successfully passed the clinical evaluation required in § 10705 of this chapter;(e) Successfully completed an on-site facility inspection evaluation conducted by an organization recognized by the Board;(f) Holds current certification in Advanced Cardiac Life Support (ACLS), and if sedating patients twelve (12) years of age or under, shall also have a current certification in Pediatric Advanced Life Support (PALS), both of which the applicant may not allow to expire; and(g) Has successfully completed a Board-approved course of instruction that documents training of at least one hundred and twenty (120) hours of didactic instruction plus management of at least twenty (20) dental patients, of which not more than five (5) may be simulated, per participant in deep sedation; or(h) Has successfully completed a postdoctoral training program accredited by the Commission on Dental Accreditation or its successor organization that affords comprehensive and appropriate training necessary to administer and manage deep sedation; or(i) Has successfully completed a Board-approved postdoctoral training program that affords comprehensive and appropriate training necessary to administer and manage deep sedation.10704.4 To qualify for a Class III dental certification, all applicants without exception shall furnish proof satisfactory to the Board that the applicant:
(a) Successfully completed an educational program in the practice of dentistry at an institution recognized by the Commission on Dental Accreditation of the American Dental Association (ADA) at the time the applicant graduated;(b) Is currently licensed to practice dentistry in the District of Columbia;(c) Successfully passed the clinical evaluation required in § 10705 of this chapter;(d) Holds current certification in Advanced Cardiac Life Support (ACLS), and if sedating patients twelve (12) years of age or under, shall also have a current certification in Pediatric Advanced Life Support (PALS), both of which the applicant may not allow to expire; and(e) Has successfully completed a Board-approved course of instruction that documents training of at least one hundred and twenty (120) hours of didactic instruction plus management of at least twenty (20) dental patients, of which not more than five (5) may be simulated, per participant in general anesthesia; or(f) Has successfully completed a postdoctoral training program accredited by the Commission on Dental Accreditation or its successor organization that affords comprehensive and appropriate training necessary to administer and manage general anesthesia; or(g) Has successfully completed a Board-approved postdoctoral training program that affords comprehensive and appropriate training necessary to administer and manage general anesthesia.10704.5 To protect the continuity of patient care, an applicant for any Class of dental certification who does not meet all of the requirements for certification at the time of submitting the application may apply for a provisional certification.
10704.6 Except as provided in § 10702.4 of this chapter, the Board may approve a provisional certification, not to exceed one (1) year, if the Board finds that the applicant substantially meets the requirements for a certification, and can be reasonably expected to satisfy the outstanding requirements within one (1) year.
10704.7 The Board may approve an extension, not to exceed six (6) months, of a provisional certification if good cause is found, such as circumstances beyond the control of the applicant. However, the Board shall not approve the renewal of a provisional certification for an applicant who has not demonstrated a good faith effort to fully satisfy the requirements for certification, such as failing to take actions within the applicant's control.
10704.8 In addition to the requirements outlined in this chapter, before sedating patients twelve (12) years of age or under, a dentist shall have completed a formal residency training program, such as oral and maxillofacial surgery, pediatric dentistry, and dental anesthesiology, or an equivalent training program or course(s), acceptable to the Board.
10704.9 In addition to the requirements outlined in this chapter, an applicant for a dental certification to administer sedation or general anesthesia shall:
(a) Receive a successful evaluation by the Board or its designee;(b) Provide an affidavit to the Board indicating whether the applicant has ever had an incident while treating a patient under general anesthesia; and(c) Submit any other pertinent documents or information requested by the Board.10704.10 An affidavit provided to the Board under § 10704.9(b) of this chapter shall include the following:
(a) The date of the incident;(b) The name, age, and address of the patient;(c) The type of anesthesia and dosages of drugs administered to the patient;(d) The location where the incident took place;(e) The techniques used in administering the drugs;(f) The preoperative physical condition of the patient;(g) The name and contact information of all other persons present during the incident;(h) The patient's original complete dental records;(i) Any adverse occurrence including: (1) The patient's signs and symptoms;(2) The treatments instituted in response to adverse occurrences;(3) The patient's response to the treatment; and(4) The patient's condition on termination of any procedures undertaken; and(j) A narrative description of the incident, including approximate times, the evolution of symptoms, and the outcome of the incident.D.C. Mun. Regs. tit. 17, r. 17-10704
Final Rulemaking published at 67 DCR 7779 (6/19/2020); amended by Final Rulemaking published at 67 DCR 8806 (7/17/2020)