Colorado Code § 12-220-411

Anesthesia and sedation permits - dentists, dental therapists, and dental hygienists - training and experience requirements - office inspections - rules
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(1) 
Upon application in a form and manner determined by the board and payment of the applicable
fees established by the board, the board may issue an anesthesia or sedation permit to a licensed
dentist or a local anesthesia permit to a dental therapist or dental hygienist in accordance with
this section.
(2) (a) A licensed dentist who obtains an anesthesia or sedation permit pursuant to this
section may administer minimal sedation, moderate sedation, or deep sedation/general
anesthesia.
(b) A licensed dentist who administers minimal sedation, moderate sedation, or deep
sedation/general anesthesia to pediatric dental patients shall obtain a permit designated by the
board to allow for administration to pediatric dental patients.
(c) An anesthesia or sedation permit issued to a licensed dentist is valid for five years,
unless the dentist's license expires. As a condition of renewing an anesthesia or sedation permit,
a licensed dentist must attest, when applying to renew the permit, that the licensed dentist
completed seventeen continuing education credits specific to anesthesia or sedation
administration during the five-year permit period. Continuing education credits obtained as
required by this section may be used to satisfy the continuing education requirements in section
12-220-308.
(3) (a) A licensed dental therapist or dental hygienist who obtains a local anesthesia
permit pursuant to this section may administer local anesthesia.
(b) A local anesthesia permit issued to a dental therapist or dental hygienist is valid as
long as the dental therapist's or dental hygienist's license is active.
(4) (a) The board shall establish, by rule, minimum training, experience, and equipment
requirements for the administration of local anesthesia, analgesia including nitrous oxide/oxygen
inhalation, and medication prescribed or administered for the relief of anxiety or apprehension,
minimal sedation, moderate sedation, deep sedation, or general anesthesia, including procedures
that may be used by and minimum training requirements for dentists, dental therapists, dental
hygienists, and dental assistants.
(b) In order to fulfill the training and experience requirements for an anesthesia or
sedation permit, an applicant must be the primary provider and directly provide care for all
required case work.
(c) The rules relating to anesthesia and sedation are not intended to:
(I) Permit administration of local anesthesia, analgesia, medication prescribed or
administered for the relief of anxiety or apprehension, minimal sedation, moderate sedation,
deep sedation, or general anesthesia by dental assistants; except that this section does not
prohibit a dental assistant from monitoring and administering nitrous oxide/oxygen inhalation
performed under the supervision of a licensed dentist pursuant to section 12-220-305 (1)(q) and
board rules; or
(II) Reduce competition or restrain trade with respect to the dentistry needs of the public.
(5) The board shall establish, by rule, criteria and procedures for an office inspection
program to be completed upon application and renewal of anesthesia or sedation permits, which
must include:
(a) Designation of qualified inspectors who are experts in dental outpatient deep
sedation/general anesthesia and moderate sedation;
(b) A requirement for each licensee that is inspected to bear the cost of inspection by
allowing designated inspectors to charge a reasonable fee as established by the board;
(c) A requirement that an inspector notify the board in writing of the results of an
inspection; and
(d) A requirement for reinspection of an office prior to the renewal of a moderate
sedation or deep sedation/general anesthesia permit.
(6) For the purposes of this section, a dental therapist who performs a task pursuant to a
written articulated plan that meets the requirements of section 12-220-508 (2) is considered to
have performed the task with the prior knowledge and consent of the dentist.

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