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Anesthesia Rules

In order to administer minimal sedation in Washington, a dentist must complete two training requirements: a one-time course (14 or 21 hours depending on method of minimal sedation) and continuing education (seven hours every five years). Dentists likely completed the one time course requirement while in dental school. Each dentist is responsible to determine if they have completed both training requirements.

Initial Minimal Sedation Course:

To administer minimal sedation a dentist must complete a course in either dental school or postgraduate instruction. The length of course required depends upon the method of minimal sedation (WAC 246-817-740, WAC 246-817-745):

To administer nitrous oxide or minimal sedation with a single oral agent, a dentist must have completed a course (in either dental school or postgraduate instruction) containing a minimum of 14 hours.

In order to administer any oral agent in combination with a different agent or multiple agents other than nitrous oxide a dentist must have completed a course (in either dental school or postgraduate instruction) containing a minimum of 21 hours.

Continuing Education:

In addition to the 14 or 21 hour training requirement stated above, a dentist must participate in seven hours of continuing education every five years. The continuing education must include instruction in one or more of the following areas: sedation physiology, pharmacology, inhalation analgesia, patient evaluation, patient monitoring, or medical emergencies. (WAC 246-817-740, WAC 246-817-745)