In order to obtain a permit to administer dental anesthesia and conscious sedation in a dental practice, a currently licensed dentist must satisfy the following requirements:

Hold current certification in both Basic and Advanced Cardiac Life Support by the American Red Cross or the American Heart Association;

The applicant’s entire staff must hold current certification in Basic Cardiac Life Support by the American Red Cross or the American Heart Association;

Successful completion of an on-site evaluation.  The on-site evaluation includes:

Observation of the parental conscious sedation technique employed by the practitioner during a minimum of two operative cases, the total time for both cases shall not exceed two hours;

An exact simulation of the method of management of medical emergencies demonstrated by the practitioner with full participation of the office staff.  For a listing of some of the medical emergencies which may be included in the simulation, please refer to the Regulations of Connecticut State Agencies, Section 20-123-6(b);

A review of the practitioner's office equipment, emergency drugs and anesthesia records to determine full compliance with the requirements established in the Regulations of Connecticut State Agencies;

An exit interview between the practitioner and evaluation team for the purpose of reviewing deficiencies and making suggestions for improvement of the office facility and patient emergency management; and

Successfully completed a full course in a post-doctorate training program in Oral & Maxillofacial Surgery, approved by the ADA Commission on Dental Accreditation (CDA); or

Successful completion of a minimum of one-year of full-time training in a post-doctoral program in Anesthesiology, structured in accordance with Part Two of the ADA Council on Dental Education "Guidelines for Teaching the Comprehensive Control of Pain and Anxiety in Dentistry"; or

Hold current certification as a Diplomate of the American Board of Oral and Maxillofacial Surgery and have graduated from dental school or a post-doctoral dental residency training program no later than 1966;  or

Have been limiting practice to oral and maxillofacial surgery in accordance Section 20-106a, Connecticut General Statutes, for a period of at least the ten years immediately preceding the date of application for a general anesthesia and conscious sedation permit.

DOCUMENTATION REQUIREMENTS

A completed application form and fee of $200.00 in the form of a bank check or money order payable to "Treasurer, State of Connecticut";

Notarized copies of the applicant’s current certification in Basic and Advanced Cardiac Life Support;

Notarized copies of applicant’s staff’s certification in Basic Cardiac Life Support;

Appropriate documentation of completion of the requisite education or training as outlined above.  Please refer to the application for the appropriate verification forms.