Florida Administrative Code › 64 - DEPARTMENT OF HEALTH › 64B5 - Board of Dentistry › Chapter 64B5-14 - ANESTHESIA › Section 64B5-14.002 - Prohibitions

Current through Reg. 50, No. 138; July 16, 2024
(1) Levels of Anesthesia. No dentist licensed
				in this state shall administer or employ the use of general anesthesia, deep
				sedation, moderate sedation, and pediatric moderate sedation until they have
				obtained a permit as required by the provision of this chapter, unless
				specifically authorized otherwise by this chapter. The permit requirements of
				this chapter do not apply when treating patients at hospitals or ambulatory
				surgery centers licensed pursuant to Chapter 395, F.S.
(2) Nitrous-oxide inhalation analgesia. No
				dentist or dental hygienist licensed in this State shall assist the dentist in
				initiating nitrous-oxide inhalation analgesia in the practice of dentistry
				until they have complied with the provisions of this rule chapter, nor shall a
				hygienist assist the denist in initiating nitrous-oxide to a patient previouly
				sedated. No agents other than nitrous-oxide and oxygen shall be used for
				inhalation analgesia pursuant to Rule
				64B5-14.003, F.A.C.
(3) Local anesthesia. Dentists licensed in
				this State may use local anesthetics to produce local anesthesia in the course
				of their practice of dentistry. Certified Registered Dental Hygienists are the
				only hygienists allowed to adminster local anesthesia.
(4) Titration of Oral Medication. The Board
				of Dentistry has determined that the perioperative titration of oral
				medication(s) with the intent to achieve a level of moderate sedation poses a
				potential overdosing threat due to the unpredictability of enteral absorption
				and may result in an alteration of the state of consciousness of a patient
				beyond the intent of the practitioner. Such potentially adverse consequences
				may require immediate intervention and appropriate training and equipment. No
				dentist licensed in this state shall use any oral medication(s) to induce
				moderate sedation until such dentist has obtained a permit as required by the
				provisions of this rule chapter. The use of enteral sedatives or narcotic
				analgesic medications for the purpose of providing minimal sedation as defined
				by and in accordance with subsection
				64B5-14.001(10),
				F.A.C., shall not be deemed titration of oral medication and shall not be
				prohibited by this rule.
(5) The
				following general anesthetic drugs shall not be employed on or administered to
				a patient by a dentist unless the dentist possesses a valid general anesthesia
				permit: propofol, methohexital, thiopental, etomidate, ketamine,
				dexmedetomidine, or volatile gases (i.e., sevoflurane, isoflurane).
(6) A hygienist certified by the board to
				administer local anesthesia shall not administer local anesthesia to a patient
				sedated by general anesthesia, deep sedation, moderate sedation, or pediatric
				moderate sedation. If a dentist or dental hygienist has assisted the dentist in
				initiating nitrous-oxide inhalation analgesia to the patient, the certified
				dental hygienist may administer local anesthesia under the direct supervision
				of the supervising dentist. A patient who has been prescribed a medical drug by
				their licensed health care provider for the purposes of life functions may be
				administered local anesthesia by the certified dental hygienist under the
				direct supervision of the supervising dentist. If, however, the medical drug is
				prescribed or administered for the purposes of a dental procedure which is
				intended to induce minimal sedation, the hygienist may not administer local
				anesthesia to the patient.
(7)
				Nothing in this chapter shall be construed to allow a dentist or dental
				hygienist or assistant to administer to herself or himself or to any person any
				drug or agent used for anesthesia, analgesia or sedation other than in the
				course of the practice of dentistry.
(8) A dentist utilizing general anesthesia,
				deep sedation, moderate sedation, or pediatric moderate sedation in the dental
				office may only have one patient at a time induced. A second patient shall not
				be induced until the first patient is awake, alert, conscious, spontaneously
				breathing, has stable vital signs, is under the care of a responsible adult,
				and that portion of the procedure requiring the participation of the dentist is
				complete. In an office setting where two or more permit holders are present
				simultaneously, each may sedate one patient provided that the office has the
				necessary staff and equipment for each sedated patient.
Rulemaking Authority
					 466.004(4),
					 466.017(3),
					 466.017(6) FS.
					 Law Implemented 466.017(3),
					 466.017(5)
					 FS.
New 1-31-80, Amended 4-20-81, 2-13-86, Formerly 21G-14.02,
					 21G-14.002, Amended 12-20-93, Formerly 61F5-14.002, Amended 8-8-96, Formerly
					 59Q-14.002, Amended 3-9-03, 11-4-03, 6-15-06, 12-25-06, 12-11-11, 8-5-12,
					 12-15-14, 7-14-16, 11-13-17, 3-10-20,
					 9-12-22.