General Anesthesia and Deep Sedation

Site Evaluations |  Renewal of Permit 


Only dentists who have completed an advanced education program accredited by the Commission on Dental Accreditation (CODA) that provides training in deep sedation and general anesthesia are considered educationally qualified for deep sedation and general anesthesia privileges. A dentist who wishes to administer general anesthesia or sedation in the dental office should be familiar with the ADA Guidelines for the Use of Sedation and General Anesthesia by Dentists and the requirements of the NDSBDE.

A dentist must complete and submit the permit application and fee. The Anesthesia Committee reviews the application and may grant a temporary permit or require a site evaluation prior to granting privileges.  A site evaluation is required within 90 days of submitting the application. An evaluation fee is payable directly to the site evaluator. The Anesthesia Committee will notify the permit applicant once the site evaluation has been reviewed. If you have questions after you have reviewed the permit application or site evaluation forms, please contact the Board.

Site Evaluations

  • Licensees who wish to provide sedation or general anesthesia procedures are required to have an evaluation at the location(s) where sedation or anesthesia services are rendered. The evaluation is required for the initial application process and periodically afterwards, generally every five years unless otherwise noted. It is the applicant’s responsibility to schedule site evaluations.
  • The Anesthesia Committee frequently reviews sedation/anesthesia permit holders who are due for office anesthesia/sedations evaluations.  Permit holders must schedule the site evaluation prior to the expiration date. The NDSBDE accepts AAOMS criteria based evaluations.   
  • Oral surgeons due for a site evaluation should contact an OMFS to schedule a site evaluation. Completed evaluation forms must be returned to the Board. 

Renewal of Permit

  • Both the sedation permit and the site evaluation are subject to expiration and renewal.
  • The general anesthesia permit must be renewed biennially, concurrent with the dentist’s license renewal. Four hours of the 32 hour CE requirement for renewal of license must pertain to anesthesia and deep sedation.
  • Late renewals result in the permit expiring, and require the dentist to suspend anesthesia and/or sedation services until a reinstatement is completed and formally approved by the NDSBDE Anesthesia Committee. A late fee is incurred when the permit renewal is postmarked after the December 31st deadline of odd numbered years.
  • Satellite Office: All offices where sedation services are provided must comply with the minimum standards established by the Board for a sedation practice. Anesthesia or sedation permit holders providing services at satellite clinics are responsible for ensuring that each office location has been evaluated.

General Anesthesia & Deep Sedation - Initial Application  

General Anesthesia & Deep Sedation - Site Evaluation