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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 who are sleeping and 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/sedation services. (7)Facility inspection -- an on-site inspection to determine if a facility where the applicant proposes to provide anesthesia/sedation is supplied, equipped, staffed and maintained in a condition to support provision of anesthesia/sedation 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. (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 consciousness 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. (18)Enteral sedation -- sedation that is achieved by a route of administration through the alimentary tract either orally or rectally. (19)Protective reflexes -- includes the ability to swallow water sprays and breath independently without coughing (i.e., laryngospasm) as well as maintain an unobstructed airway (i.e., lack of snoring and other signs of an obstructed airway). Severe and/or persistent coughing is probably indicative of a deep sedation level and partial loss of protective reflexes.
This agency hereby certifies that the adoption has been reviewed
by legal counsel and found to be a valid exercise of the agency's legal authority.
Filed with the Office of
the Secretary of State on March 26, 2001
TRD-200101778 Jeffry Hill
Executive Director
State Board of Dental Examiners
Effective date: April 15, 2001
Proposal publication date: December 8, 2000
For further information, please call: (512) 463-6400
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