Quick Tips July 2025 | Page 8

Equipment transported to a non-permit holder’ s dental office must pass inspection by the Board through its authorized agents in accordance with the AAOMS Manual( for OMS), ADA Guidelines( for non-OMS) and AAPF Guidelines for pediatric patients. 2024
Office Inspection:
Prior to issuing a restricted permit I, an applicant’ s office must pass an inspection conducted by the Board through its authorized agents in accordance with the AAOMS Manual( for OMSs) and the ADA Guidelines( for non-OMSs). Re-inspection will occur every six( 6) years.
Clinical Evaluation:
Prior to issuing an unrestricted permit, an applicant must pass a clinical evaluation conducted by the Board through its authorized agents in accordance with the AAOMS Manual( for OMSs) and the ADA Guidelines( for non-OMSs).
Duties:
• Must ensure that a patient medical history is taken or updated
• Must give patients a physical evaluation
• Must have proper equipment
• Must have signed patient consent
• Must obtain 15 hours of continuing education credits in courses related to general anesthesia or deep sedation every licensure cycle. This counts toward the overall 30-hour CE requirement.
Auxiliary Personnel:
• Must be properly trained for delegated duties
• Must perform duties under direct on-premise supervision of the permit holder
• Must be certified in BLS
• Nurse anesthetists must perform their duties under direct on-premise supervision, perform duties that are under scope of practice and maintain ACLS certification.
Restricted Permit II Holders
( nitrous oxide / oxygen analgesia)
Requirements:
A permit holder must do one( 1) of the following:
1. Complete a course in nitrous oxide / analgesia of at least fourteen( 14) hours of didactic instruction and clinical experience in a program conforming to Part I or Part III of the ADA Guidelines.
2. Certifies that there are written procedures for handling emergencies.
3. Certifies that the equipment is properly installed and calibrated, and that it contains a fail-safe system
Duties:
• Must ensure that a patient medical history is taken or updated
• Must give patients a physical evaluation
• Must have proper equipment that is calibrated per manufacturer’ s guidelines
• Must have signed patient consent
• Must administer nitrous / analgesia in conformation with AAOMS Guidelines( for OMSs), ADA Guidelines( for non-OMSs) or the AAPD Guidelines( for non-OMSs treating pediatric patients)*
* Conflicts between the AAOMS Guidelines, the ADA Guidelines or the AAPD Guidelines, and the Board’ s regulations, will be resolved in favor of
the applicable Guidelines.
Non-Permit Holders / Itinerant Providers Duties:
The non-permit holder must verify with the permit holder that all monitoring equipment and equipment used to administer anesthesia / sedation is present, properly installed and calibrated according to manufacturer guidelines. This equipment must contain a fail-safe system.
The non permit holder must have 5 hours of continuing education in courses related to the type of anesthesia administered by the itinerans provider. This counts toward the overall 30 hour CE requirement.
Equipment transported to a non-permit holder’ s dental office must pass inspection by the Board through its authorized agents in accordance with the AAOMS Manual( for OMS), ADA Guidelines( for non-OMS) and AAPF Guidelines for pediatric patients. 2024