<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".05" citation="COMAR 10.44.12.05" title_num="10" subtitle_num="44" chapter_num="12" heading="Classifications of Permits and Certificates.">
  <paragraph num="A.">
    <text>The following permits shall be issued by the Board:</text>
    <paragraph num="(1)">
      <text>Class I permit that authorizes a dentist to use a nonparenteral anesthetic technique to attain the level of moderate sedation;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Class II permit that authorizes a dentist to use:</text>
      <paragraph num="(a)">
        <text>A parenteral anesthetic technique to attain the level of moderate sedation; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Any procedure allowed with a Class I permit;</text>
      </paragraph>
    </paragraph>
    <paragraph num="(3)">
      <text>Class III permit that authorizes a dentist to use:</text>
      <paragraph num="(a)">
        <text>An anesthetic technique to attain the level of deep sedation or general anesthesia; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Any procedure allowed under either a Class I permit or a Class II permit; and</text>
      </paragraph>
    </paragraph>
    <paragraph num="(4)">
      <text>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.</text>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>The following certificates shall be issued to qualified dentists by the Board:</text>
    <paragraph num="(1)">
      <text>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;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>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</text>
    </paragraph>
    <paragraph num="(3)">
      <text>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.</text>
    </paragraph>
  </paragraph>
</regulation>