N.H. Admin. Code § Den 304.04

Current through Register No. 45, November 7, 2024

Section Den 304.04 - Permits for Moderate Sedation Only

(a) In order to receive an unrestricted permit or a restricted permit to use moderate sedation only, the dentist shall:

(1) Apply on a prescribed application form to the board, as specified in Den 304.05 below;

(2) Submit the application fee specified in Den 301.08; and

(3) Provide evidence that he or she:

a. Has met the requirements of Part V of the American Dental Association 2016"Guidelines for Teaching Pain Control and Sedation to Dentists and Dental Students", as specified in Appendix II; and

b. Has a properly staffed and equipped facility as set forth in:

1. The 8th edition of the "Office Anesthesia Evaluation Manual" of the American Association of Oral and Maxillofacial Surgeons, 2012, as specified in Appendix II; or

2. Part IV B. of the American Dental Association 2016 "Guidelines for the Use of Sedation and General Anesthesia by Dentists", as specified in Appendix II;

(b) The following shall apply to an unrestricted moderate sedation permit:

(1) Patients shall be of any age, however for pre-pubertal patients treatment shall follow the American Academy of Pediatric Dentistry 2016 "Guidelines for Monitoring and Management of Pediatric Patients During and After Sedation for Diagnostic and Therapeutic Procedures", as specified in Appendix II;

(2) Routes of administration shall be enteral, parenteral or any combination with inhalation sedation;

(3) With or without inhalation sedation, agents shall be limited to a single dose of one or more drugs, or a multi-dose of a single drug using manufacturer guidelines;

(4) To renew their permit, dentists shall document 6 cases per year or 4 hours of continuing education in sedation training per biennium; and

(5) Case documentation shall include:

a. Age and sex of patient;

b. ASA classification;

c. Procedures;

d. Drugs and dosage; and

e. Level of sedation.

(c) The following shall apply to a restricted moderate sedation permit:

(1) Patients shall be post-pubertal;

(2) Routes of administration shall be enteral or combination enteral-inhalation. Parenteral administration shall not be used;

(3) With or without inhalation sedation, agents shall be limited to a single dose of one or more drugs, or a multi-dose of a single drug using manufacturer guidelines;

(4) To renew their permit, dentists shall document 6 cases per year or 4 hours continuing education in sedation training per biennium; and