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A: Only a dentist with an active Moderate Sedation Permit or Deep Sedation/General Anesthesia Permit is required to successfully complete a clinical on-site office inspection in order to renew the anesthesia permit. An inspection is required every five years.
A: No. A dentist who is not currently practicing in Colorado may let an anesthesia permit expire rather than attempt to complete a clinical on-site inspection. If the dentist later plans to begin or resume administering anesthesia in Colorado, then the dentist must submit an application to reinstate the anesthesia permit in compliance with the requirements of Rule XIV(R). The anesthesia permit must be reinstated before the dentist can resume administering moderate sedation or deep sedation/general anesthesia in Colorado.
A: If a dentist wants to renew a Moderate Sedation Permit or Deep Sedation/General Anesthesia Permit while residing outside of Colorado, then the clinical on-site inspection must occur in a dental practice in Colorado where the dentist will administer the anesthesia. The only exception is a dentist who practices exclusively from a mobile or portable facility. (See below.)
A: Any dentist who administers anesthesia exclusively from a mobile or portable facility must complete a clinical on-site inspection at the dental office of another Colorado licensed dentist. At the inspection, the dentist administering anesthesia exclusively from a mobile or portable facility must provide a written list to the inspector of the following: all monitors, emergency equipment, and other materials that the mobile anesthesia provider agrees to have available at all times. The inspector will provide the list with his/her anesthesia inspection report to the Board.
A: No. The clinical on-site inspection is only required for one dental office if the permitted dentist is administering anesthesia at more than one location.
A: A clinical on-site inspection is not required for a dentist who is administering anesthesia only in a hospital setting.
A: If a dentist currently possesses a Moderate Sedation Permit or Deep Sedation/General Anesthesia Permit that is up for renewal, then the mandatory clinical on-site office anesthesia inspection may occur within three months before the expiration date of the permit or within three months after the expiration date of the permit.
It is recommended that a dentist start the process to successfully complete the clinical on-site inspection within the three months before the expiration date of the permit in case the inspection report and the anesthesia record are not in compliance with the requirements of Board Rule XIV. If the Board does not accept the report and record submitted as part of the anesthesia inspection, then another clinical on-site inspection will be required until it has been accepted by the Board as being successfully completed.
A: The inspector shall be one of the following:
Currently, the Board has not established a list of Board-approved inspectors. Therefore, a dentist renewing a Moderate Sedation Permit or Deep Sedation/General Anesthesia Permit may select a qualified inspector, but that inspector must meet at least one of the above requirements. In addition, the inspector shall not have an unethical agreement or conflict of interest with the dentist renewing an anesthesia permit.
The inspector may charge a reasonable inspection fee, plus actual travel expenses for lodging, meals, and mileage at the current U.S. IRS rate per mile. An inspection fee up to $500 is considered reasonable. The dentist who needs the clinical on-site inspection for permit renewal is responsible for all fees associated with the inspection.
A: The inspection shall consist of the following four parts:
The anesthesia record(s) must be submitted to the Board for review with the completed anesthesia inspection form. The documentation in the anesthesia record(s) must be in compliance with the documentation requirements of Rule XIV(O) in order to be accepted by the Board for renewal of the anesthesia permit.
A: No. All dentists currently possessing a Minimal Sedation, Moderate Sedation, or Deep Sedation/General Anesthesia permit automatically received the Pediatric Designation on June 30, 2015, unless they "opted out" of it.
A: If a dentist currently possesses a Minimal Sedation, Moderate Sedation, or Deep Sedation/General Anesthesia permit and wants to administer anesthesia to adults only, then the dentist should "opt out" of the Pediatric Designation for patients under 12 years of age. The dentist can continue to use the current anesthesia permit to administer to adult patients on and after June 30, 2015, until that permit needs to be renewed.
Dentists may check their expiration dates online at https://www.colorado.gov/dora/Dental_Board by clicking the blue "Search for a License" button.
A: No. A dentist is not required to have an anesthesia permit in order to administer nitrous oxide to any patient, regardless of age. The ability to administer nitrous oxide is included with dental licensure.
Also, any dentist can administer local anesthesia and analgesia, or prescribe/administer medication for the relief of anxiety or apprehension, as long as it is limited to the maximum recommended dose of a single drug, not including nitrous oxide. Otherwise, it will be considered minimal sedation and would require an anesthesia permit.
A: Pediatric Advanced Life Support (PALS) is only required for dentists who did not have a PALS certification as of June 30, 2015, and who automatically received the Pediatric Designation. These dentists have until June 30, 2016 to complete PALS certification.
A: No. We will provide additional information on the process for retaining and maintaining your Pediatric Designation beyond June 30, 2016 at a later date if additional education and experience is required.