California Dental Adult Oral Conscious Sedation
California
Adult Dental
Oral Conscious Sedation Law
Minimum of seven hours of approved courses of study
related to oral conscious sedation of adult patients
for every biennial renewal
BPC Division 2, Chapter 4, Article 2.86 Section 1647.21
"(c) “Age-appropriate” means under 13 years of age for the oral conscious sedation certificate for minor patients and 13 years or older for the oral conscious sedation certificate for adult patients.
(d) For the purposes of adult oral conscious sedation, administering a drug to a patient in a dose that exceeds the maximum recommended dose
as established and listed by the United States Food and Drug Administration (FDA) on the drug's FDA-approved professional labeling insert or packaging information shall be considered to exceed the single maximum dose that can be prescribed for home use."
California Code of Regulations (CCR) Title 16 -Div 10 Chapt 2 - Article 5.5 Section 1044
"(c) “Oral conscious sedation” means a minimally depressed level of consciousness produced by oral medication that retains the patient’s ability to maintain independently and continuously an airway, and respond appropriately to physical stimulation or verbal command. “Oral conscious sedation” does not include dosages less than or equal to the single maximum recommended dose
that can be prescribed for home use.
(1) The drugs and techniques used in oral conscious sedation shall have a margin of safety wide enough to render unintended loss of consciousness unlikely.
Further, patients whose only response is reflex withdrawal from painful stimuli would not be considered to be in a state of oral conscious sedation."
BPC Division 2, Chapter 4, Article 2.86 Section 1647.18
To be eligible for Adult Oral Conscious Sedation Permit:
"(a) Satisfactory completion of a postgraduate program in oral and maxillofacial surgery approved by either the Commission on Dental Accreditation or a comparable organization approved by the board.
(b) Satisfactory completion of a periodontics or general practice residency or other advanced education in a general dentistry program approved by the board.
(c) Satisfactory completion of a board-approved educational program on oral medications and sedation."
BPC Division 2, Chapter 4, Article 2.86 Section 1647.20
Content of approved education program
to include at least 25 hours of instruction including a clinical component utilizing at least one age-appropriate patient.
California Code of Regulations (CCR) Title 16 -Div 10 Chapt 2 - Article 5.5 Section 1044.3
A violation of any provision of this article constitutes unprofessional conduct and is ground for the revocation of suspension of permit or dental license
BPC Division 2, Chapter 4, Article 2.86 Section 1647.25
Equipment and Supply Requirements
CCR Title 16, Division 10, Chapter 2, Article 5, Section 1044.5
Lighting
Battery powered backup sufficient to complete procedure underway in case of power failure
Suction
Functional Suction
and Back up Suction for power failure
Oxygen
Capable of 90% oxygen at 10 liters/minute for 60 minutes
Positive pressure ventilation
Functional during Power Failure
"(1) Age-appropriate oral airways
capable of accommodating patients of all sizes.
(2) An age-appropriate sphygmomanometer with cuffs
of appropriate size for patients of all sizes.
(3) A precordial/pretracheal stethoscope.
(4) A pulse oximeter."
Emergency Cart or Kit
"(d) An emergency cart or kit shall be available and readily accessible and shall include the necessary and appropriate drugs and age- and size-appropriate equipment to resuscitate a nonbreathing and unconscious patient and provide continuous support while the patient is transported to a medical facility. There must be documentation that all emergency equipment and drugs are checked and maintained on a prudent and regularly scheduled basis. Emergency drugs of the following types shall be available:
(1) Epinephrine
(2) Bronchodilator
(3) Appropriate drug antagonists
(4) Antihistaminic
(5) Anticholinergic
(6) Anticonvulsant
(7) Oxygen
(8) Dextrose or other antihypoglycemic"
