Code of Massachusetts Regulations › 234 CMR - BOARD OF REGISTRATION IN DENTISTRY › Title 234 CMR 6.00 - ADMINISTRATION OF ANESTHESIA AND SEDATION › Section 6.01 - Scope

Current through Register 1525, July 5, 2024
In order to ensure the protection and safety of patients, every
				dental facility must be properly equipped, supplied and permitted for the
				administration of specific types of anesthesia and levels of sedation, and
				every dentist and/or dental hygienist must be properly educated, trained, and
				permitted for the specific type of anesthesia or sedation being administered.
				To guarantee a wide margin of safety for the patient, the qualifications and
				requirements for permits for anesthesia administration shall be based on a
				continuum of types of procedures, equipment, drugs, qualifications and training
				of personnel necessary and appropriate for each type of anesthesia or sedation
				to be administered at the site.
The following standards are based on the
ADA Guidelines
				for The Use of Sedation and General Anesthesia by Dentists
2007 and
				the
Guidelines for Office Anesthesia On-site Evaluation of the
				Massachusetts Society of Oral and Maxillofacial Surgeons, 2006,
and
				shall be applied in determining the adequacy of the facility and competence of
				the personnel administering anesthesia and/or sedation.
(1) A dentist licensed to practice dentistry
			 in the Commonwealth pursuant to M.G.L. c. 112, §§ 45 and 45 A, may
			 administer local anesthesia in a facility that complies with the requirements
			 of
			 234 CMR
			 6.15.
(2)
Facility
			 Permits
. A dental facility where general anesthesia or deep
			 sedation, moderate sedation, minimal sedation and/or nitrous oxide-oxygen are
			 administered shall have a Facility Permit D issued by the Board for the type of
			 anesthesia to be administered, unless the facility is exempt from permitting
			 requirements pursuant to
			 234 CMR
			 6.03(1)(c).
(3) A Facility Permit D is not required for
			 the administration of local anesthesia only.
(4)
Individual Anesthesia Permits
			 for a Qualified Dentist
. A qualified licensee pursuant to M.G.L.
			 c. 112, § 45 is required to obtain an Individual Anesthesia Permit issued
			 by the Board for the type of anesthesia to be administered before he or she may
			 administer general anesthesia, deep sedation, moderate sedation, minimal
			 sedation, or nitrous oxide-oxygen in a dental facility having a Facility D
			 Permit for the type of anesthesia the dentist will be administering.
(5)
Individual Anesthesia Permit
			 for Qualified Dental Hygienist
. A qualified dental hygienist is
			 required to obtain a Permit L issued by the Board for the administration of
			 local anesthesia under the direct supervision of a licensed dentist.
(6) A dentist issued an individual anesthesia
			 permit may administer anesthesia or sedation of the type authorized by his/her
			 individual anesthesia permit only at those sites which have a Facility Permit
			 issued by the Board for the type of anesthesia being administered by said
			 dentist, unless the facility is exempt from these standards under
			 234 CMR
			 6.03(1)(c).
(7)
Anesthesia Administration
			 Evaluations
. The Board may conduct anesthesia administration
			 evaluations as deemed necessary by the Board to ensure compliance with the
			 requirements in
			 234 CMR 6.00. Such an
			 evaluation may include observing the administration of anesthesia appropriate
			 to the permit sought by the licensee. Every applicant shall be given notice by
			 the Board of all deficiencies reported as a result of the evaluation. The Board
			 may provide the applicant with a reasonable period of time in which any
			 deficiencies must be corrected. If the results of the evaluation are deemed
			 unsatisfactory, the Board may conduct a second evaluation, within a reasonable
			 time, or upon written request of the applicant.
(8)
Inspections
. The
			 Board may require an on-site inspection of any facility, medications, equipment
			 and qualifications of personnel utilized in the administration of general
			 anesthesia, deep sedation, moderate sedation or nitrous oxide-oxygen
			 sedation.
(9) Refusal to permit an
			 anesthesia evaluation or inspection shall constitute a valid ground for denial,
			 suspension or revocation of an anesthesia permit.