For the State of Oregon. The answer to a question
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1 For the State of Oregon The answer to a question Jason H. Goodchild, DMD Updated on Dec 1, 2017 The following information is based on: Oregon Board of Dentistry Division 26: Anesthesia Available at:
2 Classes of Permits Classes of Anesthesia Permit The Board shall issue the following classes of permits: (1) A Nitrous Oxide Permit authorizes a dental hygienist or a dentist to induce nitrous oxide sedation. (2) A Minimal Sedation Permit authorizes a dentist to induce minimal sedation and nitrous oxide sedation. (3) A Moderate Sedation Permit authorizes a dentist to induce moderate sedation, minimal sedation and nitrous oxide sedation. (4) A Deep Sedation Permit authorizes a dentist to induce deep sedation, moderate sedation, minimal sedation, and nitrous oxide sedation. The Board shall issue a Deep Sedation Permit to a licensee who holds a Class 3 Permit on or before July 1, (5) A General Anesthesia Permit authorizes a dentist to induce general anesthesia, deep sedation, moderate sedation, minimal sedation and nitrous oxide sedation.
3 Low Dose, Single Agents Single_Agents
4 What about the term Anxiolysis? (2) Definitions: "Anxiolysis" means the diminution or elimination of anxiety (4) Presumption of Degree of Central Nervous System Depression: A licensee that does not hold a Moderate, Deep Sedation or General Anesthesia Permit may not administer, for purpose of anxiolysis or sedation, Benzodiazepines or narcotics in children under 6 years of age (6) Requirement for Anesthesia Permit, Standards and Qualifications of an Anesthesia Monitor: When a dentist utilizes a single dose oral agent to achieve anxiolysis only, no anesthesia permit is required (5) Minimal Sedation Permit: While the patient is being treated under minimal sedation, an anesthesia monitor shall be present in the room in addition to the treatment provider. The anesthesia monitor may be the dental assistant. After training, a dental assistant, when directed by a dentist, may administer oral sedative agents or anxiolysis agents calculated and dispensed by a dentist under the direct supervision of a dentist.
5 So What Can I Do? Oral medications at/below the MRD for diminution or elimination of anxiety or fear (relaxation), eg, 5mg Valium (no N2O/O2): Nitrous oxide and Oxygen: Oral Medications for minimal sedation (with or without N2O/O2): Oral Medications for relaxation with nitrous oxide: Oral medications for relaxation being worked on by the hygienist (with or without N2O/O2): Oral medications for relaxation for a patient that may be taking another chronic medication that may cause additive sedation past relaxation : NO NITROUS OXIDE Using nitrous oxide/oxygen on a patient that may be chronically taking another medication that may cause additive sedation past relaxation : This slide was created by Jason H. Goodchild, DMD, it is my interpretation of the Oregon Administrative Rules (Division 26), if there are any questions, please contact the Oregon Board of Dentistry
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