What Does a Restricted Permit I Allow?
A Restricted Permit I allows you to induce only conscious sedation by parenteral, enteral, or rectal routes at a specific location. (This does not include the usual and customary pre-operative oral sedation.)
If you hold a Restricted Permit I, you are not allowed to induce:
- deep sedation
- general anesthesia.
Before applying for a permit for sedation or anesthesia, it is imperative for you to thoroughly review Section 7.0 of the Rules and Regulations of the Delaware Board of Dentistry and Dental Hygiene. The Board’s rules define conscious sedation, deep sedation and general anesthesia using definitions adapted from the American Dental Association.
If you are applying for a Restricted Permit I, you must fully understand the difference between conscious sedation and deep sedation. The educational requirements for deep sedation and general anesthesia are much more stringent than for conscious sedation. This distinction is important both from the standpoint of this permit application and from the standpoint of clinical practice.
A patient who is given an intravenous drug is in a state of deep sedation if he or she loses either the ability to respond rationally to command or any protective reflexes at any time during the procedure.
The Anesthesia Advisory Committee (AAC) must complete a satisfactory inspection of your office before a permit is issued. The AAC reviews applications and performs inspections under the Board’s direction.
- Submit a separate application for each location where you will administer sedation or anesthesia.
- Submit your application for a permit only when the location is ready for AAC inspection.
Requirements for Permit Applications
It is your responsibility to arrange for the Board to receive all documents listed below. If clarification is needed, the Board may request more information or documents.
- Submit completed, signed and notarized Application for Restricted Permit I .
- Enclose the non-refundable processing fee by check or money order made payable to the "State of Delaware."
- Submit proof – such as a letter or transcript from a school or a completion certificate – showing that you have satisfied both of the following requirements for conscious sedation induced by parenteral, enteral or rectal routes:
- Minimum of 60 hours of instruction in this technique
- Management of a minimum of 20 patients in this technique.
- Enclose a copy of your current cardiopulmonary resuscitation (CPR) certification card.
- If you have never been issued a U.S. Social Security Number (SSN), submit a Request for Exemption from Social Security Number Requirement .
If approved, your Restricted Permit I will be mailed to the address on your Dentist license. You may change the mailing address for your Dentist license and permit(s) online at Update Contact Information.