1. (a) Nitrous oxide/oxygen analgesia.

   1. (1) Any dentist licensed in Arkansas may administer nitrous oxide/oxygen inhalation analgesia.
   2. (2) A current certification in healthcare provider level of CPR is required.

2. (b) Minimal sedation.

   1. (1) Any dentist administering minimal sedation must have training to the level of competency in minimal sedation consistent with that prescribed in the ADA Guidelines for Teaching Pain Control and Sedation to Dentists and Dental Students, Section IV “Enteral and/or Combination Inhalation-Enteral Minimal Sedation” or an equivalent continuing education course approved by the Arkansas State Board of Dental Examiners and that may be completed in either a predoctoral dental curriculum or a postdoctoral continuing education course.

   2. (2) Dentists administering minimal sedation to children under the age of twelve (12) must hold a current:

      1. (A) Pediatric Advanced Life Support (PALS) certification; or
      2. (B) Deep Sedation or General Anesthesia Permit.
   3. (3) Dentists administering minimal sedation to patients twelve (12) years of age or older must hold current certification in healthcare provider level of basic life support.

3. (c) Moderate sedation.

   1. (1) Any dentist administering moderate sedation must have successfully completed a comprehensive training program in moderate sedation that satisfies the requirements described in the moderate sedation training section of the ADA Guidelines for Teaching Pain Control and Sedation to Dentists and Dental Students or an equivalent continuing education course approved by the Arkansas State Board of Dental Examiners.

   2. (2) Dentists administering moderate sedation to patients under the age of twelve (12) years must have current:

      1. (A) Pediatric Advanced Life Support (PALS) certification; or
      2. (B) A Deep Sedation or General Anesthesia Permit.
   3. (3) Dentists administering moderate sedation to patients twelve (12) years of age or older must hold current certification in advanced cardiac life support (ACLS) or an appropriate dental sedation/anesthesia emergency management course.
   4. (4) Dentists administering moderate sedation to adult patients who are deemed to be patients with special healthcare needs (e.g., ASA III) must complete additional hours of additional training related to sedation of complex patients per the ADA Guidelines for Teaching Pain Control and Sedation to Dentists and Dental Students.

4. (d) Deep sedation or general anesthesia.

   1. (1) Any dentist administering deep sedation or general anesthesia must have successfully completed:

      1. (A) An advanced education program in a facility accredited by the ADA Commission on Dental Accreditation that affords comprehensive and appropriate training necessary to administer and manage deep sedation or general anesthesia as set forth in the ADA Guidelines for the Use of Sedation and General Anesthesia by Dentists, Section IV. C.; or
      2. (B)

5. (i) A residency in general anesthesia at an institution certified by the American Society of Anesthesiology, the American Medical Association, or The Joint Commission, resulting in the dentist becoming clinically competent in the administration of general anesthesia.

   1. (ii) The residency must include a minimum of:
6. (a) (a) Three hundred ninety (390) hours of didactic study;

7. (b) (b) One thousand forty (1,040) hours of clinical anesthesiology; and

   1. (c) (c) Two hundred sixty (260) cases of administration of general anesthesia to an ambulatory outpatient.

   2. (2) Dentists administering deep sedation or general anesthesia must hold current certification in:

      1. (A) Advanced cardiac life support (ACLS); or
      2. (B) An appropriate dental sedation/anesthesia emergency management course.

Codification Notes: "CPR" means cardiopulmonary resuscitation. "ADA" means American Dental Association.