# COMAR Title 10 — Maryland Department of Health

## Subtitle 44 — Board of Dental Examiners

### Chapter 12 — Anesthesia and Sedation

#### Regulation .05 Classifications of Permits and Certificates.

*COMAR 10.44.12.05*

A. The following permits shall be issued by the Board:

  (1) Class I permit that authorizes a dentist to use a nonparenteral anesthetic technique to attain the level of moderate sedation;

  (2) Class II permit that authorizes a dentist to use:

    (a) A parenteral anesthetic technique to attain the level of moderate sedation; and

    (b) Any procedure allowed with a Class I permit;

  (3) Class III permit that authorizes a dentist to use:

    (a) An anesthetic technique to attain the level of deep sedation or general anesthesia; and

    (b) Any procedure allowed under either a Class I permit or a Class II permit; and

  (4) Class III dental school facility permit issued to a dental school that allows a dentist who holds the appropriate Class I, Class II, or Class III permit to administer anesthesia or sedation in a dental school recognized by the Commission on Dental Accreditation or its successor organization.

B. The following certificates shall be issued to qualified dentists by the Board:

  (1) Certificate to allow a physician or another dentist to administer anesthesia and sedation, which allows a physician or another dentist to administer anesthesia and sedation to a patient at a specific practice location;

  (2) Certificate to allow a dentist to treat a patient at a practice location other than their own at which anesthesia and sedation is administered, which allows a dentist to treat a patient at a practice location other than their own in which anesthesia and sedation is administered; and

  (3) Certificate to allow a certified registered nurse anesthetist to administer anesthesia and sedation, which allows a certified registered nurse anesthetist to administer anesthesia and sedation to a patient at a specific practice location.