1. A. The following permits shall be issued by the Board:

   1. (1) Class I permit that authorizes a dentist to use a nonparenteral anesthetic technique to attain the level of moderate sedation;

   2. (2) Class II permit that authorizes a dentist to use:

      1. (a) A parenteral anesthetic technique to attain the level of moderate sedation; and
      2. (b) Any procedure allowed with a Class I permit;

   3. (3) Class III permit that authorizes a dentist to use:

      1. (a) An anesthetic technique to attain the level of deep sedation or general anesthesia; and
      2. (b) Any procedure allowed under either a Class I permit or a Class II permit; and
   4. (4) Class III dental school facility permit issued to a dental school that allows a dentist who holds the appropriate Class I, Class II, or Class III permit to administer anesthesia or sedation in a dental school recognized by the Commission on Dental Accreditation or its successor organization.

2. B. The following certificates shall be issued to qualified dentists by the Board:

   1. (1) Certificate to allow a physician or another dentist to administer anesthesia and sedation, which allows a physician or another dentist to administer anesthesia and sedation to a patient at a specific practice location;
   2. (2) Certificate to allow a dentist to treat a patient at a practice location other than their own at which anesthesia and sedation is administered, which allows a dentist to treat a patient at a practice location other than their own in which anesthesia and sedation is administered; and
   3. (3) Certificate to allow a certified registered nurse anesthetist to administer anesthesia and sedation, which allows a certified registered nurse anesthetist to administer anesthesia and sedation to a patient at a specific practice location.

Authority: Health Occupations Article, §4-205, Annotated Code of Maryland

Effective date: February 11, 1985 (12:3 Md. 245)

Regulation .04 amended effective March 8, 1999 (26:5 Md. R. 392)

Regulation .07B, C amended effective September 23, 1996 (23:19 Md. R. 1376)

Regulation .09 amended effective February 19, 1990 (17:3 Md. R. 300); March 8, 1999 (26:5 Md. R. 392)

Regulation .10C amended effective September 23, 1996 (23:19 Md. R. 1376); March 8, 1999 (26:5 Md. R. 392)

Regulations .01—.13 under General Anesthesia, repealed, and new Regulations .01—.37 under Anesthesia and Sedation, adopted effective January 4, 2010 (36:18 Md. R. 1380)

Chapter revised effective May 11, 2015 (42:9 Md. R. 648)

Regulation .11A amended effective December 30, 2019 (46:26 Md. R. 1165)

Regulation .21G amended effective December 30, 2019 (46:26 Md. R. 1165)