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Sedation and Anesthesia


Sedation and Anesthesia Permits

​​In July 2020, new rules for dentist-administered sedation and anesthesia took effect. These changes were initiated to align Kentucky with the American Dental Association’s updated Guidelines for the Use of Sedation and General Anesthesia by Dentists as well as the Guidelines for Teaching Pain Control and Sedation to Dentists and Dental Students. Revisions to 201 KAR 8:550 include consolidated sedation permit categories and a simplified application process. The Board of Dentistry now issues the following permits:

  • Moderate Sedation (adult and/or pediatric)
  • Deep Sedation/General Anesthesia (adult and/or pediatric)

Visit on the following link to read the revised rules in full: 

201 KAR 8:550 Anesthesia and Sedation
 

Permit requirements and application process

Dentists must have a permit to administer anything stronger than minimal sedation. The experience needed to obtain a permit depends on the level of sedation and age of the patient. Generally, a dentist must complete an approved or accredited training program and maintain one or more life support certifications. The following Sedation/Anesthesia Permit Requirements document describes the permit categories and their specific training requirements. When ready to apply, use the Application for Sedation/Anesthesia Permit below for all permit categories:

Sedation/Anesthesia Permit Requirements 

Application for Sedation/Anesthesia Permit 
 

What if I already have a sedation permit?

While all new sedation applications will be processed under the new regulations, existing permit holders will be impacted in different ways. The previous sedation permit categories are affected as follows:

  • Minimal Pediatric Sedation – This category has been eliminated. A permit is no longer required to administer minimal sedation of any kind. 
  • Moderate Pediatric, Enteral, and Parenteral Sedation – These permits have been discontinued in favor of a single category that no longer distinguishes between the three original types of moderate sedation. Existing permits will remain active until they expire on Dec. 31, 2021, at which point they must be renewed as the new Moderate Sedation permit. However, current Moderate Adult Enteral and Parenteral Sedation permit holders will have until the end of 2023 to meet the enhanced educational requirements of the consolidated Moderate Sedation permit.    
  • Deep Sedation or General Anesthesia – This permit type remains unchanged except that we will identify if the permit is for adult and/or pediatric patients.

Permit renewal requirements

Just like dental licenses, all sedation permits in Kentucky must be renewed by Dec. 31 of odd numbered years. In addition to the 30 hours of Continuing Education required for license renewal, sedation permit holders must also obtain another four hours of sedation or anesthesia training in a classroom setting. For details, visit the Sedation & Anesthesia Continuing Education page.

Changes to sedation permit locations

Permit holders are required to notify the Board of any changes to where they administer sedation within ten business days. If you need to add or delete a location associated​ with your sedation permit, please complete and submit the following form.

Sedation Permit Location Notification Form

​Sedation and Anesthesia Facility Certificate

A facility certificate is required for any location in which a qualified dentist administers moderate sedation or deep sedation/general anesthesia. Please note that a sedation permit is a separate requirement from the sedation facility certificate - the permit applies to the dentist, ensuring they have the required experience and training to perform sedation, the certificate applies to the facility where sedation is administered, verifying that it has the necessary equipment and specifications for such procedures. No dentist may administer moderate or deep sedation at a location without a certificate and no facility may allow moderate or deep sedation to be provided by a dentist without a permit.

As of July 2020, an inspection is no longer required to receive a facility certificate. Instead, as per 201 KAR 8:550, Section 12, the owner or operator shall attest in the application that the facility meets the minimum standards for certification. 

Application for Sedation Facility Certificate