Factors

Anxiolysis

(No Permit required)

Conscious Sedation

(Permit A)

Deep Sedation

(Permit B)

General Anesthesia

(Permit B)

Goal

Decrease anxiety;

facilitate coping skills

Decrease or eliminate anxiety; facilitate coping skills

Eliminate anxiety; coping skills over-ridden

Eliminate cognitive, sensory and skeletal motor activity

Definition

Pharmacologically induced, altered state of consciousness (altered mood; reduced anxiety) where an individual is awake but has decreased anxiety to facilitate coping skills, retaining interaction ability

Pharmacologically induced state of depressed consciousness (altered consciousness, signs of sleep) under which an individual retains the ability to independently and continuously maintain an airway and respond appropriately to physical stimulation and verbal commands

Pharmacologically induced controlled state of depressed consciousness, accompanied by partial loss of protective reflexes, including inability to respond purposefully to verbal command

Pharmacologically induced controlled state of unconsciousness accompanied by a partial or complete loss of protective reflexes, including inability to independently maintain an airway and respond purposefully to physical stimulation or verbal command

Personnel

1  (treating dentist)

3  (treating dentist with Permit A; trained person to monitor patient or nurse anesthetist; trained assistant)

OR

3  (treating dentist w/o Permit A/B; physician or dentist with Permit A/B; trained assistant)

3  (treating dentist with Permit B; trained person to monitor patient or nurse anesthetist; trained assistant)

OR

3  (treating dentist w/o Permit B; physician or dentist with Permit B; trained assistant)

3  (treating dentist with Permit B; trained person to monitor patient or nurse anesthetist, trained assistant)

OR

3  (treating dentist w/o Permit B; physician or dentist or dentist with Permit B; trained assistant)

Monitoring

Clinical observation and monitoring as appropriate

Preoperative,

intraoperative and pre-discharge monitoring of BP, pulse, respiration and oxygen saturation

Preoperative,

intraoperative, and pre-discharge monitoring of BP, pulse, respiration and oxygen saturation, EKG monitoring, defibrillator required

Preoperative,

intraoperative, and pre-discharge monitoring of BP, pulse, respiration and oxygen saturation, EKG monitoring, defibrillator required