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Sedation and Anesthesia

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​Se​dation Facility Certificate Renewal

All sedation facility certificates issued by the Kentucky Board of Dentistry expire on Dec. 31 of ever​y odd numbered year. Therefore, facility operators who wish​ to have anything stronger than minimal sedation administered onsite should have renewed by the end of 2023. Failure to renew on time will result in reinstatement penalties as well as potential disciplinary action. 

Facilities that did not renew by Dec. 31, 2023 are no longer authorized to host procedures that require the administration of moderate sedation​ or deep sedation/general anesthesia. Facility operators who wish​ to continue such procedures onsite ​should reinstate their certificate as soon as possible. Click on the renewal portal below to begin the reinstatement process. Late ​ penalties will apply. 

Properly renewed sedation facility certificates will be active from Jan. 1, 2024 to Dec. 31, 2025.​​

Sedation Facility Certificate Renewal Portal


 

 


​What is a Sedation Facility Certificate and Do I Need One?

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 facility certificate is a separate requirement than a sedation permit. Like dental licenses, permits apply to the individual dentist to ensure they have the required training to administer anything above minimal sedation. However, the certificate applies to the physical location where sedation is administered to verify that it has the appropriate facilities and resources to host such procedures. No dentist may administer moderate sedation or deep s​edation/general anesthesia at a facility without a certificate and no facility may allow moderate sedation or deep sedation/general anesthesia​ to be provided by a dentist without a permit. Facility certificates operate on the same cycle as dentist licenses and must be renewed every two years.

Application for Sedation Facility Certificate

​As of July 2020, an onsite inspection is no longer required to receive a sedation 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. 


 

 


​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​. The revisions included consolidated sedation permit categories and a simplified application process. The Board of Dentistry now issues the following two permit types:

  • 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 as follows: ​

Moderate Sedation for adult patients requires completion of: 

  • current certifications in Basic Life Support (BLS) for Healthcare Providers and Advanced Cardiac Life Support (ACLS); and
  • a comprehensive training program in moderate sedation that is either approved by the Commission on Dental Accreditation (CODA) or meets the requirements of the ADA Guidelines for Teaching Pain Control and Sedation to Dentists and Dental Students.

Moderate Sedation for pediatric patients requires completion of: 

  • current certifications in Basic Life Support (BLS) for Healthcare Providers and Pediatric Advanced Life Support (PALS); and
  • a comprehensive training program in moderate sedation approved by the Commission on Dental Accreditation (CODA).

Deep Sedation and General Anesthesia for adult patients requires completion of: 

  • current certifications in Basic Life Support (BLS) for Healthcare Providers and Advanced Cardiac Life Support (ACLS); and
  • a comprehensive training program in deep sedation or general anesthesia approved by the Commission on Dental Accreditation (CODA).

Deep Sedation and General Anesthesia for pediatric patients requires completion of: 

  • current certifications in Basic Life Support (BLS) for Healthcare Providers and Pediatric Advanced Life Support (PALS); and
  • a comprehensive training program in deep sedation or general anesthesia approved by the Commission on Dental Accreditation (CODA).

The following Sedation/Anesthesia Permit Requirements document summarizes the application requirements and defines Kentucky's recognized sedation levels. 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 

Sedation permit renewal

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, Moderate Sedation and Deep Sedation/General Anesthesia permit holders must also obtain another four hours of sedation training in a classroom sett​ing. ​For details, visit the 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