<html xmlns="http://www.w3.org/1999/xhtml"><head><meta charset="UTF-8" /><title></title><meta name="Generator" content="PowerTools for Open XML" /><style>span { white-space: pre-wrap; } p.se0ff5ee2-14a2-4f61-90c7-4b770616172bP0 { margin-top: 0; margin-bottom: 0; margin-left: 0; margin-right: 0; text-indent: 0.00in; text-align: justify; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; line-height: 108%; } span.se0ff5ee2-14a2-4f61-90c7-4b770616172bC0 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.se0ff5ee2-14a2-4f61-90c7-4b770616172bC0-000000 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.se0ff5ee2-14a2-4f61-90c7-4b770616172bC0-000001 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; 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font-style: normal; font-weight: normal; margin: 0; padding: 0; } </style></head><body><div><p dir="ltr" class="se0ff5ee2-14a2-4f61-90c7-4b770616172bP0"><span xml:space="preserve" class="se0ff5ee2-14a2-4f61-90c7-4b770616172bC0">    </span><a href="https://sdlegislature.gov/Rules?Rule=20:43:09:05"><span class="se0ff5ee2-14a2-4f61-90c7-4b770616172bC0-000000">20:43:09:05</span></a><span xml:space="preserve" class="se0ff5ee2-14a2-4f61-90c7-4b770616172bC0-000001">.  Nitrous oxide </span><span class="se0ff5ee2-14a2-4f61-90c7-4b770616172bC0-000001">sedation and</span><span xml:space="preserve" class="se0ff5ee2-14a2-4f61-90c7-4b770616172bC0-000001"> analgesia permit requirements -- Dentists.</span><span xml:space="preserve" class="se0ff5ee2-14a2-4f61-90c7-4b770616172bC0"> The board may issue a permit to a dentist to </span><span class="se0ff5ee2-14a2-4f61-90c7-4b770616172bC0">administer</span><span xml:space="preserve" class="se0ff5ee2-14a2-4f61-90c7-4b770616172bC0"> nitrous oxide </span><span class="se0ff5ee2-14a2-4f61-90c7-4b770616172bC0">sedation and</span><span xml:space="preserve" class="se0ff5ee2-14a2-4f61-90c7-4b770616172bC0"> analgesia </span><span class="se0ff5ee2-14a2-4f61-90c7-4b770616172bC0">to</span><span xml:space="preserve" class="se0ff5ee2-14a2-4f61-90c7-4b770616172bC0"> dental patients on an outpatient basis if the dentist:</span></p><p dir="ltr" class="se0ff5ee2-14a2-4f61-90c7-4b770616172bP0"><span xml:space="preserve" class="se0ff5ee2-14a2-4f61-90c7-4b770616172b000002"> </span></p><p dir="ltr" class="se0ff5ee2-14a2-4f61-90c7-4b770616172bP0"><span xml:space="preserve" class="se0ff5ee2-14a2-4f61-90c7-4b770616172bC0">    (1)  Is certified in administering basic life support by the American Heart Association for the Healthcare Provider, the American Red Cross for the Professional Rescuer, or an equivalent program approved by the board; and</span></p><p dir="ltr" class="se0ff5ee2-14a2-4f61-90c7-4b770616172bP0"><span xml:space="preserve" class="se0ff5ee2-14a2-4f61-90c7-4b770616172b000002"> </span></p><p dir="ltr" class="se0ff5ee2-14a2-4f61-90c7-4b770616172bP0"><span xml:space="preserve" class="se0ff5ee2-14a2-4f61-90c7-4b770616172bC0">    (2)  Has successfully completed a board</span><span class="se0ff5ee2-14a2-4f61-90c7-4b770616172bC0">-</span><span class="se0ff5ee2-14a2-4f61-90c7-4b770616172bC0">approved course that meets the objectives and content as described in Part 4 of the Guidelines for Teaching Pain Control and Sedation to Dentists and Dental Students or</span><span xml:space="preserve" class="se0ff5ee2-14a2-4f61-90c7-4b770616172bC0"> a course in nitrous oxide sedation and analgesia through an accredited dental school and either:</span></p><p dir="ltr" class="se0ff5ee2-14a2-4f61-90c7-4b770616172bP0"><span xml:space="preserve" class="se0ff5ee2-14a2-4f61-90c7-4b770616172b000002"> </span></p><p dir="ltr" class="se0ff5ee2-14a2-4f61-90c7-4b770616172bP0"><span xml:space="preserve" class="se0ff5ee2-14a2-4f61-90c7-4b770616172bC0">            (A)  </span><span class="se0ff5ee2-14a2-4f61-90c7-4b770616172bC0">Completed the course within 13 months before application for a permit; or</span></p><p dir="ltr" class="se0ff5ee2-14a2-4f61-90c7-4b770616172bP0"><span xml:space="preserve" class="se0ff5ee2-14a2-4f61-90c7-4b770616172bC0">            (B)  </span><span class="se0ff5ee2-14a2-4f61-90c7-4b770616172bC0">Completed the course more than 13 months before application, has legally administered nitrous oxide sedation and analgesia for a period of time during the three years preceding application, and attests to the applicant's current clinical proficiency to administer nitrous oxide sedation and analgesia.</span></p><p dir="ltr" class="se0ff5ee2-14a2-4f61-90c7-4b770616172bP0"><span xml:space="preserve" class="se0ff5ee2-14a2-4f61-90c7-4b770616172b000002"> </span></p><p dir="ltr" class="se0ff5ee2-14a2-4f61-90c7-4b770616172bP0-000003"><span xml:space="preserve" class="se0ff5ee2-14a2-4f61-90c7-4b770616172bC0-000004">    </span><span class="se0ff5ee2-14a2-4f61-90c7-4b770616172bC0">A dentist that administers nitrous oxide sedation and analgesia must use equipment with fail-safe features, a 30-percent-minimum oxygen flow, and a scavenger system.</span></p><p dir="ltr" class="se0ff5ee2-14a2-4f61-90c7-4b770616172bP0-000003"><span xml:space="preserve" class="se0ff5ee2-14a2-4f61-90c7-4b770616172b000002"> </span></p><p dir="ltr" class="se0ff5ee2-14a2-4f61-90c7-4b770616172bP0-000003"><span xml:space="preserve" class="se0ff5ee2-14a2-4f61-90c7-4b770616172bC0-000004">    </span><span class="se0ff5ee2-14a2-4f61-90c7-4b770616172bC0">If a patient is 12 years or older, a dentist may administer nitrous oxide sedation and analgesia in combination with a single enteral drug to achieve minimal sedation only if the maximum recommended dose of the enteral drug is not exceeded. Incremental dosing may be utilized. A dentist may not administer nitrous oxide sedation and analgesia in combination with more than one enteral drug or by dosing a single enteral drug in excess of the maximum recommended dose unless the dentist holds the appropriate general anesthesia and deep sedation permit or moderate sedation permit.</span></p><p dir="ltr" class="se0ff5ee2-14a2-4f61-90c7-4b770616172bP0"><span xml:space="preserve" class="se0ff5ee2-14a2-4f61-90c7-4b770616172b000002"> </span></p><p dir="ltr" class="se0ff5ee2-14a2-4f61-90c7-4b770616172bP0"><span xml:space="preserve" class="se0ff5ee2-14a2-4f61-90c7-4b770616172bC0">    </span><span class="se0ff5ee2-14a2-4f61-90c7-4b770616172bC0-000001">Source:</span><span xml:space="preserve" class="se0ff5ee2-14a2-4f61-90c7-4b770616172bC0"> 9 SDR 49, effective October 25, 1982; 12 SDR 151, 12 SDR 155, effective July 1, 1986; transferred from § </span><a href="https://sdlegislature.gov/Rules?Rule=20:43:04:12"><span class="se0ff5ee2-14a2-4f61-90c7-4b770616172bC0-000005">20:43:04:12</span></a><span class="se0ff5ee2-14a2-4f61-90c7-4b770616172bC0">, 19 SDR 32, effective September 6, 1992; 37 SDR 131, effective January 6, 2011; 42 SDR 83, effective December 3, 2015</span><span class="se0ff5ee2-14a2-4f61-90c7-4b770616172bC0">; 48 SDR 62, effective December 13, 2021</span><span class="se0ff5ee2-14a2-4f61-90c7-4b770616172bC0">.</span></p><p dir="ltr" class="se0ff5ee2-14a2-4f61-90c7-4b770616172bP0"><span xml:space="preserve" class="se0ff5ee2-14a2-4f61-90c7-4b770616172bC0">    </span><span class="se0ff5ee2-14a2-4f61-90c7-4b770616172bC0-000001">General Authority:</span><span xml:space="preserve" class="se0ff5ee2-14a2-4f61-90c7-4b770616172bC0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=36-6A-14"><span class="se0ff5ee2-14a2-4f61-90c7-4b770616172bC0-000005">36-6A-14</span></a><span class="se0ff5ee2-14a2-4f61-90c7-4b770616172bC0">(</span><span class="se0ff5ee2-14a2-4f61-90c7-4b770616172bC0">20</span><span class="se0ff5ee2-14a2-4f61-90c7-4b770616172bC0">).</span></p><p dir="ltr" class="se0ff5ee2-14a2-4f61-90c7-4b770616172bP0"><span xml:space="preserve" class="se0ff5ee2-14a2-4f61-90c7-4b770616172bC0">    </span><span class="se0ff5ee2-14a2-4f61-90c7-4b770616172bC0-000001">Law Implemented:</span><span xml:space="preserve" class="se0ff5ee2-14a2-4f61-90c7-4b770616172bC0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=36-6A-14"><span class="se0ff5ee2-14a2-4f61-90c7-4b770616172bC0-000005">36-6A-14</span></a><span class="se0ff5ee2-14a2-4f61-90c7-4b770616172bC0">(1)(3)(13)(14)(22).</span></p><p dir="ltr" class="se0ff5ee2-14a2-4f61-90c7-4b770616172bP0"><span xml:space="preserve" class="se0ff5ee2-14a2-4f61-90c7-4b770616172b000002"> </span></p><p dir="ltr" class="se0ff5ee2-14a2-4f61-90c7-4b770616172bP0"><span xml:space="preserve" class="se0ff5ee2-14a2-4f61-90c7-4b770616172bC0">    </span><span class="se0ff5ee2-14a2-4f61-90c7-4b770616172bC0-000001">Reference:</span><span xml:space="preserve" class="se0ff5ee2-14a2-4f61-90c7-4b770616172bC0"> "Guidelines for Teaching Pain Control and Sedation to Dentists and Dental Students," 201</span><span class="se0ff5ee2-14a2-4f61-90c7-4b770616172bC0">6</span><span xml:space="preserve" class="se0ff5ee2-14a2-4f61-90c7-4b770616172bC0"> Edition, American Dental Association. Copies may be obtained from the American Dental Association at </span><span class="se0ff5ee2-14a2-4f61-90c7-4b770616172bC2">www.ada.org</span><span xml:space="preserve" class="se0ff5ee2-14a2-4f61-90c7-4b770616172bC0"> free of charge.</span></p><p dir="ltr" class="se0ff5ee2-14a2-4f61-90c7-4b770616172bP0"><span xml:space="preserve" class="se0ff5ee2-14a2-4f61-90c7-4b770616172b000002"> </span></p></div></body></html>