Utah Admin. Code R156-69-301a - Dentist Anesthesia and Analgesia - Permit Classifications and Scopes of Practice

(1) Under Section 58-1-510 and Subsection 58-69-301(4)(b), the classification of dentist anesthesia and analgesia permits are as follows:

(a) local anesthesia permit;

(b) minimal sedation permit;

(c) moderate sedation permit; and

(d) deep sedation and general anesthesia permit.

(2) Under Subsections 58-1-510(2) through (4) and Subsection 58-69-301(4)(a), the scope of practice for each dentist anesthesia and analgesia permit is established as follows:

(a) a dentist with a local anesthesia permit may administer local anesthesia and nitrous oxide and supervise the administration of local anesthesia and nitrous oxide in compliance with the standards in Subsection (3);

(b) a dentist with a minimal sedation permit may:

(i) exercise the privileges of a local anesthesia permit; and

(ii) administer and supervise the administration of minimal sedation via nitrous oxide-oxygen, with or without the administration of enteral medications, in compliance with the standards in Subsection (3);

(c) a dentist with a moderate sedation permit may:

(i) exercise the privileges of a minimal sedation permit;

(ii) administer and supervise the administration of moderate sedation in compliance with the standards in Subsection (3); and

(iii) when engaging in the administration of moderate sedation shall:

(A) use pulse oximetry; and

(B) have at least one ACLS or PALS trained individual present in-operatory during sedation; and

(d) a dentist with a deep sedation and general anesthesia permit may:

(i) exercise the privileges of a moderate sedation permit;

(ii) administer or supervise the administration of deep sedation or general anesthesia in compliance with the standards in Subsection (3); and

(iii) when engaging in the administration of deep sedation or general anesthesia, shall:

(A) use pulse oximetry and end tidal CO2 monitoring with capnography; and

(B) have at least one ACLS or PALS trained individual present in-operatory during sedation.

(3) Under Subsections 58-1-510(3) and (4) and 58-69-102(8) and Section 58-69-802:

(a) a dentist shall possess the knowledge, skills, education, and training required by and shall comply with the following standards, as applicable to the dentist's permitted sc ope of practice:

(i) the ADA Use Guidelines;

(ii) the Pediatric Sedation Guidelines;

(iii) the ADA Sedation and General Anesthesia Policy Statement;

(iv) the AAOMS standards;

(v) the ASA standards; and

(vi) Section 58-1-510; and

(b) a dentist who practices facial cosmetic dentistry using the neurotoxin clostridium botulinum or an injectable dermal filler shall demonstrate competency by having successfully completed a minimum of eight hours of training that:

(i) is taught by properly trained and licensed individuals teaching within their scope of practice;

(ii) includes a hands-on component; and

(iii) includes the following topics:

(A) treatment for temporomandibular joint dysfunction;

(B) infection control; and

(C) risk factors for administration of neurotoxin clostrium botulinum and dermal fillers.

Notes

Utah Admin. Code R156-69-301a

Adopted by Utah State Bulletin Number 2023-07, effective 3/27/2023 Amended by Utah State Bulletin Number 2023-24, effective 12/11/2023