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The following words and terms, when used in this section, shall have the following meanings, unless the context clearly indicates otherwise. (1)Analgesia - the diminution or elimination of pain. (2)Competent - displaying special skill or knowledge derived from training and experience. (3)Conscious Sedation - a minimally depressed level of consciousness that retains the patient's ability to independently and continuously maintain an airway and respond appropriately to physical stimulation and verbal command, and that is produced by a pharmacologic or non-pharmacologic method, or a combination thereof. In accord with this particular definition, the drugs and/or techniques used should carry a margin of safety wide enough to render unintended loss of consciousness unlikely. Further, patients whose only response is reflex withdrawal from repeated painful stimuli would not be considered to be in a state of conscious sedation. (4)Deep Sedation - an induced state of depressed consciousness accompanied by partial loss of protective reflexes, including the inability to continually maintain an airway independently and/or respond purposefully to verbal command, and is produced by a pharmacological or non-pharmacological method, or a combination thereof. (5)Direct supervision - the dentist responsible for the sedation/anesthesia procedure shall be physically present in the office and shall be continuously aware of the patient's physical status and well being. (6)Facility - the office where a permit holder practices dentistry and provides anesthesia services. (7)Facility inspection - an on-site inspection to determine if a facility is supplied, equipped, staffed, and maintained in a condition to support provision of anesthesia services that meet the minimum standard of care; may be required by the State Board of Dental Examiners prior to the issuance of a sedation/anesthesia permit or any time during the term of the permit if the holder of or applicant for a permit owns or operates a primary facility or satellite facility. (8)General anesthesia - an induced state of unconsciousness accompanied by partial or complete loss of protective reflexes, including inability to independently maintain an airway and respond purposefully to physical stimulation or verbal command, and is produced by a pharmacological or non-pharmacological method or a combination thereof. (9)Immediately available - on-site in the facility and available for immediate use. (10)Local anesthesia - the elimination of sensations, especially pain, in one part of the body by the regional injection of a drug. (11)May - indicates freedom or liberty to follow a reasonable alternative. (12)Must or shall - indicates an imperative need and/or duty; an essential or indispensable item; mandatory. (13)Behavioral management - to modify pharmacologically and/or psychologically behavior to a level that dental treatment can be performed effectively and efficiently. (14)Enteral conscious sedation- light to mild conscious sedation administered not for analgesic effect, but primarily for behavioral management. (15)Anti-anxiety sedative - a sedative agent administered in a dosage intended to reduce anxiety without diminishing conscious or protective reflexes. (16)Minor tranquilizer - a pharmacological agent which allows for uninterrupted interactive ability in a totally awake patient with no compromise in the ability to maintain a patent airway continuously and without assistance. (17)Anxiolysis - pharmacological reduction of anxiety through the administration of a minor tranquilizer, which allows for uninterrupted interactive ability in a totally awake patient with no compromise in the ability to maintain a patent airway continuously and without assistance
This agency hereby certifies that the proposal has been reviewed
by legal counsel and found to be within the agency's legal authority to
adopt.
Filed with the Office of
the Secretary of State, on November 27, 2000
TRD-200008185 Jeffry R. Hill
Executive Director
State Board of Dental Examiners
Earliest possible date of adoption: January 7, 2001
For further information, please call: (512) 463-6400
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