Oklahoma Administrative Code
Title 195 - Board of Dentistry
Chapter 20 - Rules Governing the Administration of Anesthesia
Section 195:20-1-4 - Conscious sedation utilizing parenteral methods

(a) Required training. Every dentist who administers conscious sedation using parenteral methods (includes intramuscular (IM), intravenous (IV), intranasal (IN), submucusal (SM), subcutaneous (SC), or intraocular) for dental patients must satisfy at least one of the following requirements:

(b) Permits for dentists. No dentist shall administer conscious sedation using parenteral methods for dental patients, unless such dentist possesses a permit or authorization issued by the Oklahoma Dental Board for the administration of conscious sedation using parenteral methods. Application for such permit will be made to the Board on the prescribed form. A successful credentials review will result in a notification that a formal evaluation can be scheduled. The dentist holding such permit shall be subject to review and such permit must be renewed annually, along with payment of the required fee.

(c) Current training. A dentist who holds a permit for parenteral conscious sedation shall satisfy all of the following:

(d) Facility permit inspections. Each facility of every dentist who authorizes or directly supervises the administration of parenteral conscious sedation in his or her office shall successfully pass inspection by a consultant or consultants appointed by the Board. This will include an evaluation of the facility's equipment and personnel and will follow the American Dental Association's Guidelines for the Use of Conscious Sedation, Deep Sedation, and General Anesthesia in Dentistry. This evaluation will be on a prescribed form approved by the Board and available to the applicant for review prior to a request for an inspection. A written list of all monitors, emergency equipment, drugs, and other materials which the mobile or portable anesthesia provider agrees to have available at all times while administering parenteral conscious sedation in this facility will be required at the time of inspection. The dentist holding a facility permit can work with or employ:

(e) Provider permit inspections. The knowledge, techniques, procedures, facilities, drugs, equipment and personnel utilization of every dentist who administers parenteral conscious sedation shall successfully pass inspection by a consultant or consultants appointed by the Board. This evaluation will be completed on a prescribed form approved by the Board and available to the applicant for review prior to an inspection. This form shall follow the American Dental Association Guidelines for the Use of Conscious Sedation Deep Sedation and General Anesthesia in Dentistry. New permit applicants will be required to demonstrate the administration of parenteral conscious sedation to a patient in the presence of an evaluation team. In the case of a mobile or portable dentist provider, all inspections of that provider shall be conducted in the office of an Oklahoma licensed dentist where parenteral conscious sedation is administered. At least fifty percent (50%) of the inspection team shall be composed of a like trained dentist, unless the dentist to be inspected waives the provision.

(f) Direct supervision of a Certified Registered Nurse Anesthetist (CRNA). A dentist is permitted to directly supervise the administration of parenteral conscious sedation to patients by a CRNA provided the following requirements are satisfied:

(g) Restrictions. No dentist providing parenteral conscious sedation shall administer or employ any agent(s) which has a narrow margin for maintaining consciousness and would likely render a patient deeply sedated, generally anesthetized, or otherwise not meeting the conditions of the definition of conscious sedation as stated in section 195:20-1-2.