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Licenses & Permits
Anesthesia Permits
Oregon´s rules regarding anesthesia in the dental office are found in Oregon Administrative Rules, Chapter 818, Division 26​.

 
Nitrous Oxide Permit
Nitrous Oxide means an induced, controlled state of minimal sedation, produced solely by the inhalation of a combination of nitrous oxide and oxygen in which the patient retains the ability to independently and continuously maintain an airway and to respond purposefully to physical stimulation and to verbal command.
 
 
Nitrous Oxide Application
 
Minimal Sedation Permit
Minimal Sedation means minimally depressed level of consciousness, produced by non-intravenous pharmacological methods, that retains the patient’s ability to independently  and continuously maintain an airway and respond normally to tactile stimulation and verbal command.  When the intent is minimal sedation for adults, the appropriate initial dosing of a single non-intravenous pharmacological method is no more than the maximum recommended dose (MRD) of a drug that can be prescribed for unmonitored home use. Nitrous oxide/oxygen may be used in combination with a single non-intravenous pharmacological method in minimal sedation.
 
Minimal Sedation Permit Application
 
Moderate Sedation Permit
Moderate Sedation means a drug-induced depression of consciousness during which patients respond purposefully to verbal commands, either alone or accompanied by light tactile stimulation. No interventions are required to maintain a patent airway, and spontaneous ventilation is adequate. Cardiovascular function is usually maintained.
 
 
Moderate Sedation Permit Application
 
Deep Sedation Permit
Deep Sedation means a drug-induced depression of consciousness during which patients cannot be easily aroused but respond purposefully following repeated or painful stimulation. The ability to independently maintain ventilatory function may be impaired. Patients may require assistance in maintaining a patent airway, and spontaneous ventilation may be inadequate. Cardiovascular function is usually maintained.
 
 
*Individuals are only grandfathered in under this option - No new permits will be issued*

 
Genral Anesthesia Permit
General Anesthesia means a drug-induced loss of consciousness during which patients are not arousable, even by painful stimulation. The ability to independently maintain ventilatory function is often impaired. Patients often require assistance in maintaining a patent airway, and positive pressure ventilation may be required because of depressed spontaneous ventilation or drug-induced depression of neuromuscular function.  Cardiovascular function may be impaired:
 
 
General Anesthesia Permit Application
 
Dentist and Anesthesiologist
WHEN A DENTIST PERFORMS DENTAL PROCEDURES AND ANOTHER QUALIFIED PROVIDER INDUCES ANESTHESIA. (ALTERNATIVE PERMIT PREVIOUSLY REQUIRED.)
 
A permit issued by the Board of Dentistry is no longer required when this situation occurs. However, the dentist who intends to work under these conditions must notify the Board in writing, in advance, of that intent. A question appears on the biennial renewal form for subsequent reporting.

 
Low Dose, Single Agents
Low Dose, Single Agents Administered for Relaxation Purposes
It is not the Board´s intent, nor do the Board´s rules require, that a dentist who prescribes low doses of a single agent for relaxation purposes, obtain an anesthesia permit.
 
For example, having a normal healthy adult take a 5 mg. dose of Valium prior to an appointment would not require an anesthesia permit unless additional sedative agents (excluding local anesthetic) are given to the patient at the time of treatment.
 
A dental hygienist may work on a patient who has taken a low dose of relaxant as described above and then requires nitrous oxide during the dental or dental hygiene procedure under the indirect supervision of a dentist. However, in this situation, the dentist must administer the nitrous oxide and also have a Minimal Sedation permit.

 
Definitions, Qualifications...
Definitions, Qualifications and Other Requirements
The education, facilities, equipment, monitor training, and other conditions for obtaining anesthesia permits are found in OAR 818, Division 26. A link to this site is found at the top of this page.

 
Application Forms
Click here to download anesthesia forms 
 
Oregon Board of Dentistry
1600 SW 4th Avenue, Suite 770
Portland, OR 97201-5519
Call: 971-673-3200
Fax: 971-673-3202
E-Mail:Teresa.Haynes@state.or.us