This is our most current list of Board approved courses for Sedation permits. Courses may be submitted for approval by sending information and request to the Board Offices. Current list of Board approved courses for Sedation permits (PDF).

The Board recently adopted new requirements for moderate sedation qualifying courses and is in the process of reevaluating all the previously approved courses for compliance with the new requirements.  Link to sedation regulation (PDF) [21 NCAC 16Q .0301] and ADA Guidelines for Teaching Sedation (PDF) referenced in the regulation.

The Board adopted a new regulation to enhance training for dentists and safety for patients by requiring every permit holder for general anesthesia, moderate sedation, and moderate pediatric sedation to complete an update course covering six critical areas for sedating patients during dental procedures and managing potential medical emergencies, including in-person simulations.  The course is required to be completed for the first time by permit holders no later than December 31, 2030 to allow for development of courses and providers to complete the course.  Sedation permit holders will have to complete the course at least every three years to retain their permit. Link to new regulation (PDF) [21 NCAC 16Q .0105]

Board's Interpretive Statement concerning use and supervision of CRNAs during dental procedures and the administration of certain medications, including Propofol, Ketamine, and Precedex (PDF).

The Board provides interpretation and guidance regarding acceptable standards of care, consistent with the Board’s rules, for monitoring patients throughout a sedation procedure involving administration of general anesthesia, moderate conscious sedation, or pediatric moderate conscious sedation, including the acceptable roles of the dentist administering the anesthesia or moderate sedation as it relates to monitoring the patient. Statement regarding monitoring patients during sedation procedures (PDF).

Board's Interpretive Statement to accompany their Rules on administering Sedation and Anesthesia (PDF) 21 NCAC 16Q .0201, .0301, .0401, or .0404.

The Board and the North Carolina Office of Emergency Medical Services issued a joint position statement for the purpose of providing guidance to North Carolina dentists and EMS personnel regarding the current regulatory framework governing permissible practice settings for EMS personnel in this State. Under the current regulatory framework, paramedics and other EMS personnel working in a dental office under the supervision of a dentist who is licensed by the Dental Board but is not licensed by the NC Medical Board may not perform any functions beyond those performed by other dental assistants utilizing skills from BLS certification. Joint position statement with a detailed discussion and examples (PDF) .

To protect the public interest, the Board issued two interpretive statements regarding the administration of anxiolytics.
Statement regarding the administration of anxiolysis to adult and geriatric patients (PDF).
Statement regarding the administration of anxiolysis to pediatric patients (PDF).

The Board’s statements provide interpretation and guidance regarding acceptable standards of care, consistent with the Board’s rules, to administer anxiolytics, including acceptable anxiolytic drugs, permissible dose amounts, and the appropriate timing of a single dose that constitutes anxiolysis and, therefore, does not require the dentist to hold a current, unrestricted sedation permit.

A dentist administering general anesthesia or sedation in the dental office must do so in compliance with the Board's anesthesia or sedation statutes and rules, including by keeping a proper record of each sedation procedure.  The rules setting out the Board's requirements for compliant anesthesia/sedation records are: