DE 11.025(3)(g) (g) If applying for a class II permit - enteral, evidence of one of the following:

DE 11.025(3)(g)1. 1. Current board certification or a candidate for board certification by the American Board of Oral and Maxillofacial Surgery.

DE 11.025(3)(g)2. 2. Completion of an accredited oral and maxillofacial surgery residency.

DE 11.025(3)(g)3. 3. Diplomate or candidate of the American Dental Board of Anesthesiology.

DE 11.025(3)(g)4. 4. Successful completion of a board approved education program that provides comprehensive training meeting the requirements in s. DE 11.035.

DE 11.025(3)(h) (h) If applying for a class II permit- parenteral, evidence of one of the following:

DE 11.025(3)(h)1. 1. Current board certification or a candidate for board certification by the American Board of Oral and Maxillofacial Surgery.

DE 11.025(3)(h)2. 2. Completion of an accredited oral and maxillofacial surgery residency.

DE 11.025(3)(h)3. 3. Diplomate or candidate of the American Dental Board of Anesthesiology.

DE 11.025(3)(h)4. 4. Successful completion of a board approved education program that provides comprehensive training meeting the requirements in s. DE 11.035.

DE 11.025(3)(i) (i) If applying for a class III permit, evidence of one of the following:

DE 11.025(3)(i)1. 1. Current board certification or a candidate for board certification by the American Board of Oral and Maxillofacial Surgery.

DE 11.025(3)(i)2. 2. Completion of an accredited oral and maxillofacial surgery residency.

DE 11.025(3)(i)3. 3. Diplomate or candidate of the American Dental Board of Anesthesiology.

DE 11.025(3)(i)4. 4. Completion of a postdoctoral residency in an accredited dental program in dental anesthesiology.

DE 11.025(3)(j) (j) Notwithstanding par. (g) or (h), a dentist holding a class I permit on August 31, 2020, shall be granted a class II permit - enteral upon evidence of 20 cases within the last 5 years of providing moderate sedation.

DE 11.025 Note Note: As of September 1, 2020, a class I permit is no longer valid and moderate sedation requires either a class II permit - enteral or class II permit – parenteral.

DE 11.025(3)(k) (k) Notwithstanding par. (h), a dentist holding a class II permit on August 31, 2020, shall be granted a class II permit - parenteral.

DE 11.025(4) (4) A dentist may not administer anesthesia or sedation without a permit at the appropriate level of anesthesia or sedation.

DE 11.025 History History: CR 13-061: cr. Register June 2014 No. 702, eff. 7-1-14; CR 19-132: r. and recr. Register August 2020 No. 776, eff. 9-1-20; correction in (2) (a) to (c), (3) (c), (g) (intro.), (h) (intro.), (i) (intro.), (j), (k) made under s. 35.17, Stats., and correction in (3) (j), (k) made under s. 13.92 (4) (b) 14., Stats., Register August 2020 No. 776; CR 21-086: am. (3) (i) 4. Register June 2023 No. 810, eff. 7-1-23; EmR2216: emerg. am. (1) (e), eff. 11-28-22; CR 22-086: am. (1) (e) Register October 2023 No. 814, eff. 11-1-23; CR 23-041: am. (3) (e) Register April 2024 No. 820, eff. 5-1-24.

DE 11.03 DE 11.03 Requirements for nitrous oxide in combination with sedative agent. Nitrous oxide when used in combination with sedative agent may produce minimal, moderate or deep sedation. During the administration of moderate or nitrous-oxide oxygen sedation, if a patient enters a deeper level of sedation than the dentist is authorized by permit to provide, then the dentist shall stop the sedation and dental procedures until the patient returns to the intended level of sedation.

DE 11.03 History History: CR 04-095: cr. Register August 2006 No. 608, eff. 1-1-07; CR 15-056: am. (1) Register February 2016 No. 722, eff. 3-1-16; CR 19-132: r. and recr. Register August 2020 No. 776, eff. 9-1-20.

DE 11.035 DE 11.035 Board approved education program content.

DE 11.035(1) (1) A board approved education program that provides comprehensive training for a class II permit - enteral shall consist of a minimum of 18 hours in administration and management of moderate sedation, including all of the following course content:

DE 11.035(1)(a) (a) Historical, philosophical and psychological aspects of anxiety and pain control.

DE 11.035(1)(b) (b) Patient evaluation and selection through review of medical history taking, physical diagnosis and psychological profiling.

DE 11.035(1)(c) (c) Use of patient history and examination for ASA classification, risk assessment and pre-procedure fasting instruction.

DE 11.035(1)(d) (d) Definitions and descriptions of physiological and psychological aspects of anxiety and pain.

DE 11.035(1)(e) (e) Description of the sedation anesthesia continuum, with special emphasis on the distinction between the conscious and the unconscious state.