| Licenses & Permits |
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| Anesthesia Permits |
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Oregon´s rules regarding anesthesia in the dental office are found in Oregon Administrative Rules, Chapter 818, Division 26.
The Permit levels described below are cumulative; a person who has a Class 4 Permit may administer any level of anesthesia; a person who has a Class 3 Permit may induce Deep Sedation, Conscious Sedation or just nitrous oxide; a person with a Class 2 Permit may administer Conscious Sedation or just nitrous oxide.
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| Class 1 Permit |
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Nitrous Oxide
Allows a dentist or dental hygienist to administer only nitrous oxide. If nitrous and any other central nervous system depressant are administered, the dentist must have a Class 2 Permit.
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| Class 2 Permit |
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Conscious Sedation
Conscious sedation is defined as an induced controlled state of depressed consciousness.
A dentist with a Class 2 (or higher) Permit or a dental hygienist under indirect supervision may perform dental or dental hygiene procedures on a patient who is under conscious sedation.
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| Class 3 Permit |
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Deep Conscious Sedation
Deep sedation is an induced state of depressed consciousness in which the patient experiences a partial loss of protective reflexes as evidenced by the inability to respond purposefully to either physical stimulation or to verbal command but the patient retains the ability to independently and continuously maintain an airway.
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| Class 4 Permit |
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General Anesthesia
General anesthesia is an induced controlled state of unconsciousness in which the patient experiences complete loss of protective reflexes as evidenced by the inability to independently maintain an airway, the inability to respond purposefully to physical stimulation, or the inability to respond purposefully to verbal command. The following drugs are conclusively presumed to produce general anesthesia and may only be used by a licensee holding a Class 4 Permit:
(a) Ultra short acting barbiturates including, but not limited to, sodium methohexital, thiopental, thiamylal,
(b) Alkylphenols - propofol (Diprivan),
(c) Neuroleptic agents,
(d) Dissociative agents - ketamine,
(e) Etomidate, and
(f) Rapidly acting steroid preparations.
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| Dentist and Anesthesiologist |
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WHEN A DENTIST PERFORMS DENTAL PROCEDURES AND ANOTHER QUALIFIED PROVIDER INDUCES ANESTHESIA. (ALTERNATIVE PERMIT PREVIOUSLY REQUIRED.)
A permit issued by the Board of Dentistry is no longer required when this situation occurs. However, the dentist who intends to work under these conditions must notify the Board in writing, in advance, of that intent. A question appears on the biennial renewal form for subsequent reporting.
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| Low Dose, Single Agents |
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Low Dose, Single Agents Administered for Relaxation Purposes
It is not the Board´s intent, nor do the Board´s rules require, that a dentist who prescribes low doses of a single agent for relaxation purposes, obtain an anesthesia permit.
For example, having a normal healthy adult take a 5 mg. dose of Valium prior to an appointment would not require an anesthesia permit unless additional sedative agents (excluding local anesthetic) are given to the patient at the time of treatment.
A dental hygienist may work on a patient who has taken a low dose of relaxant as described above and then requires nitrous oxide during the dental or dental hygiene procedure under the indirect supervision of a dentist. However, in this situation, the dentist must administer the nitrous oxide and also have a Class 2 anesthesia permit.
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| Definitions, Qualifications... |
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Definitions, Qualifications and Other Requirements
The education, facilities, equipment, monitor training, and other conditions for obtaining anesthesia permits are found in OAR 818, Division 26. A link to this site is found at the top of this page.
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