What Does an Unrestricted Permit Allow?

An Unrestricted Permit applies only to one office location where anesthesia is administered.  The two types of Unrestricted Permits are Individual and Facility. The type of permit selected determines who is allowed to administer anesthesia at that location, as follows:

• An Unrestricted Permit-Individual allows the dentist to administer conscious sedation, general anesthesia and deep sedation, as defined by the Board’s Rules and Regulations governing anesthesia, at the location. If you wish to employ a certified registered nurse anesthetist (CRNA) for deep sedation or general anesthesia at an office location, you must also hold an Unrestricted Permit-Individual.

• An Unrestricted Permit-Facility allows a board-certified anesthesiologist, who is employed by or working in conjunction with the dentist, to administer general anesthesia, deep sedation, and conscious sedation at the location. The board-certified anesthesiologist must have an active Delaware license, and must remain on the premises of the dental facility until any patient given a general anesthetic or deep sedation regains consciousness.

Important Information about 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 (both via nitrous oxide inhalation and by the parenteral route), deep intravenous sedation and general anesthesia using definitions adapted from the American Dental Association (ADA). 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.

• Conscious Sedation: a minimally depressed level of consciousness that retains the patient’s ability to independently and continuously maintain an airway and respond appropriately to physical stimulation and verbal command and that is produced by a pharmacologic or non-pharmacologic method or a combination thereof.

• General Anesthesia: a controlled state of unconsciousness accompanied by partial or complete loss of protective reflexes, including inability to independently maintain an airway and respond purposefully to physical stimulation or verbal command, and is produced by a pharmacologic or non-pharmacologic method or a combination thereof.

• Deep Sedation: a controlled state of depressed consciousness accompanied by partial loss of protective reflexes, including the inability to continually maintain an airway independently and/or to respond purposefully to verbal command, and is produced by a pharmacologic or non-pharmacologic method or combination thereof.

Information on How to Apply for a License in DELPROS

All applications are submitted our online system DELPROS. We no longer accept paper applications.

PRIOR TO APPLYING

In order to apply for a license or submit a service request, you must first have a DELPROS user account. To LOG IN or CREATE a DELPROS (Delaware Professional Regulation Online Services) user account:

1. Go to: https://delpros.delaware.gov/OH_HomePage.
2. Click GO on the Apply/Manage a License and Service Requests tile.
3. If you do not have a DELPROS user account, click the REGISTER button on the left side of page for NEW USERS.
4. If you already have a DELPROS user account, enter your email address and password on the right side for EXISTING USERS and click the LOGIN button.

DELPROS allows you to save your incomplete application and return to it later to finish the process. You only have six (6) months to submit your application once you begin.

• If you do not submit your application within six months of starting it, you will be required to restart the entire online application again.

You may check the status of your application online throughout the entire application process by using the “View Application Status” feature in DELPROS on your e-License dashboard.

KNOW YOUR REQUIREMENTS AND COLLECT YOUR DOCUMENTS

1. Know the requirements for the license you are pursuing.
   • For more information on the requirements for licensure, refer to your profession’s License Law and Rules and Regulations.
2. Request and gather all documents required to upload on the Attachments page. All information and forms are located on your profession’s webpages.

ATTACHING AND ACKNOWLEDGING DOCUMENTS

On the ATTACHMENTS page of your application, you may be instructed to:

• either “attach” or “upload” the required document(s) directly to your application. This means you will find the document(s) saved on your computer or device and upload it to your application.

• click “acknowledge” . This means you will either have to mail the documents yourself or request the “third-party” mail the document(s) directly to the Board office.
  • Examples of “third-party forms” are transcripts from schools, employment verifications from a supervisor, and license verifications from another state.
• Forms requiring a supervisor signature, seal, or notary may have to be MAILED to the Board office directly UNLESS the document specifically indicates to UPLOAD the document.

The requirements for this license type are provided in the following section(s).

Inspection Requirement

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. You must submit:

• A separate application for each location where you will administer sedation or anesthesia.

• Your application for a permit only when the location is ready for AAC inspection.

Requirements for Individual

It is your responsibility to arrange for the Board office to receive all documents listed below.  If clarification is needed, the Board may request more information or documents.

If you are applying to administer the anesthesia yourself or wish to employ a CRNA to administer the anesthesia, you must submit the following requirements in addition to submitting the application and fee in DELPROS.

• A copy of your current Advanced Cardiac Life Support (ACLS) certification card.

• Proof that you meet at least one of the following qualifications:
  • You have two years of advanced training in Anesthesiology and related academic subjects (or its equivalent) beyond the undergraduate dental school level in a training program as described in Part II of the Guidelines for Teaching the Comprehensive Control of Pain and Anxiety in Dentistry.
  • You are certified as a diplomate of the American Board of Oral and Maxillofacial Surgeons.
  • You have satisfactorily completed a residency in Oral and Maxillofacial Surgery at an institution approved by the ADA Council of Dental Education.
  • You are a fellow of the American Dental Society of Anesthesiology.

Requirement for Facility

If you employ or work in conjunction with a board-certified, Delaware-licensed anesthesiologist to administer the anesthesia at the office location, you must submit the following item in addition to the application and fee in DELPROS:

• A letter from the individual anesthesiologist or the anesthesiology practice stating that you are employing their services and attesting that they will remain on the premises of the dental facility until any patient given a general anesthetic or deep sedation regains consciousness.