In order to offer sedation dentistry in Texas, a dentist must obtain an anesthesia permit through the Texas State Board of Dental Examiners. To be licensed to offer IV Sedation Dentistry, Dr. Dean was required to submit to the highest level of standards. Sedation dentists must be in good standing with the TSBDE. Dr. Dean is required to take 12 hours of continuing education every two years in order to renew his anesthesia permit.