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(10) "Conscious sedation" means 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, produced by a pharmacologic or non-pharmacologic method, or a combination thereof.(11) "DANB" means the Dental Assisting National Board, Inc.In accordance with Subsection 58-69-301(4)(b), the qualifications for anesthesia and analgesia permits are: (1) for a class I permit: (a) current licensure as a dentist in Utah; and (b) documentation of current CPR or BCLS certification; (2) for a class II permit: (a) current licensure as a dentist in Utah; (b) documentation of current BCLS certification; (c) evidence of successful completion of training in the administration of nitrous oxide and pharmacological methods of conscious sedation that: (i) conforms to the Guidelines for Teaching Pain Control and Sedation to Dentists and Dental Students, published by the American Dental Association, October 2007, which is incorporated by reference; or (ii) is the substantial equivalent of Subsection (2)(c)(i) provided in a continuing education format offered by an American Dental Association accredited school; and (d) certification that the applicant will comply with the scope of practice as set forth in Subsection R156-69-601(2); (3) for a class III permit: (a) compliance with Subsections (1)(a) and (2) above; (b) evidence of current Advanced Cardiac Life Support (ACLS) certification; (c) evidence of holding a current Utah controlled substance license in good standing and a current Drug Enforcement Administration (DEA) Registration in good standing; (d) evidence of successful completion of: (i)(A) a comprehensive predoctoral or post doctoral training in the administration of conscious sedation that conforms to the Guidelines for Teaching Pain Control and Sedation to Dentists and Dental Students, published by the American Dental Association, October 2007, including a letter from the course director documenting competency in performing conscious sedation; and (B) 60 hours of didactic education in sedation and successful completion of 20 cases; or (ii) the substantial equivalent of Subsection (3)(d)(i) provided in a continuing education format offered by an American Dental Association accredited school; and (e) certification that the applicant will comply the scope of practice as set forth in Subsection R156-69-601(3); and (4) for a class IV permit: (a) compliance with Subsections (1), (2), and (3) above; (b) evidence of current ACLS certification; (c) evidence of having successfully completed advanced training in the administration of general anesthesia and deep sedation consisting of not less than one year in a program which conforms to the Guidelines for Teaching Pain Control and Sedation to Dentists and Dental Students, published by the American Dental Association, October 2007, and a letter from the course director documenting competency in performing general anesthesia and deep sedation; (d) documentation of successful completion of advanced training in obtaining a health history, performing a physical examination and diagnosis of a patient consistent with the administration of general anesthesia or deep sedation; and (e) certification that the applicant will comply with the scope of practice as set forth in Subsection R156-69-601(4).In accordance with Subsection 58-69-301(4)(a), a dental hygienist may be issued an anesthesia and analgesia permit in the classification of local anesthesia.(4) Credit for continuing education shall be recognized in accordance with the following: (a) unlimited hours shall be recognized for continuing education completed in blocks of time of not less than 50 minutes in formally established classroom courses, seminars, lectures, conferences, or training sessions which meet the criteria listed in Subsection (3) above, and which are approved by, conducted by or under sponsorship of: (i) the Division of Occupational and Professional Licensing; (ii) recognized universities and colleges; (iii) professional associations, societies and organizations representing a licensed profession whose program objectives relate to the practice of dentistry and dental hygiene; or (iv) ADA or any subgroup thereof, the ADHA or any subgroup thereof, an accredited dental, dental hygiene or dental postgraduate program, a government agency, a recognized health care professional association or a peer study club; (b) a maximum of ten hours per two year period may be recognized for teaching continuing education relevant to dentistry and dental hygiene; (c) a maximum of 15 hours per two year period may be recognized for continuing education that is provided via Internet or through home study which provides an examination and a completion certificate; (d) a maximum of six hours per two year period may be recognized for continuing education provided by the Division of Occupational and Professional Licensing; and (e) qualified continuing professional education may include up to three hours in practice and office management.(5) If properly documented that a licensee is engaged in full time activities or is subjected to circumstances which prevent that licensee from meeting the continuing education requirements established under this section, the licensee may be excused from the requirement for a period of up to three years.(14) "NERB" means Northeast Regional Board of Dental Examiners, Inc. (16) "Practice of dentistry" in regard to administering anesthesia is further defined as follows: (a) a Class I permit allows for local anesthesia which is the elimination of sensation, especially pain, in one part of the body by the topical application or regional injection of a drug; (b) a Class II permit allows for minimal sedation which is a minimally depressed level of consciousness induced by nitrous oxide, or by a pharmacological method, or by both, that retains the patient's ability to independently and consciously maintain an airway and respond normally to tactile stimulation and verbal command.Although cognitive function and coordination may be modestly impaired, ventilatory and cardiovascular functions are unaffected; (c) a Class III permit allows for moderate sedation in which a drug induced depression of consciousness occurs during which a patient responds purposefully to verbal commands, either alone or accompanied by light tactile stimulation.

In accordance with Subsection 58-69-301(4)(a), a dentist may be issued an anesthesia and analgesia permit in the following classifications: (1) class I permit; (2) class II permit; (3) class III permit; and (4) class IV permit.(23) "WREB" means the Western Regional Examining Board.This rule is adopted by the Division under the authority of Subsection 58-1-106(1)(a) to enable the Division to administer Title 58, Chapter 69.(18) "Specialty area" means an area of dentistry proposed in a formal application by a sponsoring organization to the Council on Dental Education and Licensure and formally approved by the ADA as meeting the "Requirements for Recognition of Dental Specialists".Specialty areas include the following: (a) orthodontics; (b) oral and maxillofacial surgery; (c) oral and maxillofacial pathology; (d) pediatric dentistry; (e) periodontics; (f) endodontics; (g) prosthodontics; (h) dental public health; and (i) oral and maxillofacial radiology.

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