Sedation and Anesthesia

Applying for a Facility Permit

Every dental facility where oral moderate sedation, parenteral conscious sedation, deep sedation and/or general anesthesia are administered must have a facility permit from the College. The College inspects facilities as part of the application process. There are two types of facility permits. It is possible to hold both a type A and B depending on your requirements.

  • Type A Facility Permit is for a dental office or facility that provides and has present at all times all of the sedation equipment and emergency drugs. The permit will restrict the level of sedation permitted. The permit holder may request any or all of the modalities - oral moderate, parenteral conscious, deep sedation and/or general anesthesia.
  • Type B Facility Permit is for a dental office or facility that uses the services of a College approved practitioner (dentist or physician) who brings all the sedation equipment and emergency drugs with them to the office (visiting dentist or visiting physician).

Dentists can access a list of approved practitioners (dentists or physicians) by logging in to their member resource centre account.

Facility Permits are non-transferable. If the ownership of the practice changes or the practice moves, the Facility Permit will be cancelled.

Facility Inspections

Initially, and then every three years, the College must inspect all dental offices that apply for/hold a facility permit to ensure that the facility is in compliance with the College’s Standard of Practice.

Checklists of required equipment and emergency drugs are available for each level of sedation along with sample sedation records.

Click to view/download checklists for inspection.

Click here to view/download the sample anesthetic record.

Click here to view/download the sample oral moderate sedation record.

Any deficiencies noted during the inspection will be posted on the public register under the name of the facility permit holder (physician-related deficiencies are posted against the facility permit holder) or the name of the dentist authorized to administer sedation and/or general anesthesia. Postings will be removed from the public register once the College receives the appropriate documentation that the problems have been corrected. 

Applying for Authorization to Administer

Any dentist or physician who wishes to administer oral moderate sedation, parenteral conscious sedation, deep sedation and/or general anesthesia in a dental office or facility must apply to the College to have their training reviewed and approved.

The authorization expires on March 31st of each calendar year, regardless of when in the year it was initially issued.

For Dentists

  • Member Authorization refers to dentists who will be using the sedation equipment and emergency drugs that are permanently kept onsite in the office/facility where the procedures will be performed. Dentists applying for a Member Authorization will only be permitted to administer sedation and/or general anesthesia in offices holding a Type A Facility Permit. Maintaining the equipment and drugs is the responsibility of the facility permit holder.
  • Visiting Member Authorization refers to dentists who bring with them all the necessary sedation equipment and emergency drugs approved by the College to any office that holds a Type B Facility Permit. Dentists with a Visiting Member Authorization can also administer in a Type A facility, but are restricted to the level of sedation outlined on the Type A Facility Permit. They can only use the facility’s sedation equipment and emergency drugs maintained on-site. If the visiting dentist prefers to use their own equipment and drugs then they must ensure that the office has a Type B Facility Permit.

For Physicians

Physicians can apply for two types of privileges.

  • “Physician” applies to physicians who use the sedation equipment and emergency drugs provided by the facility. Physicians applying for physician privileges will only be permitted to administer sedation and/or general anesthesia in offices holding a Type A Facility Permit.
  • “Visiting Physician” applies to physicians who bring all the necessary sedation equipment and emergency drugs for which they have been granted privileges by the College to any office that holds a Type B Facility Permit. Visiting Physicians can also administer in a Type A facility, but are restricted to the level of sedation outlined on the Type A Facility Permit. They can only use the facility’s sedation equipment and emergency drugs maintained on-site. If the visiting physician prefers to use their own equipment and drugs then they must ensure that the office has been issued a Type B Facility Permit.

If you have any questions or concerns, please contact:

Standard of Practice or Training/Qualifications:

Dr. David Harper

Manager, Facility Inspection Program
416-934-4332
1-800-565-4591
dharper@rcdso.org

Application Process:

Email: sedation@rcdso.org

Important Information for Members

The Registrar has the discretion to rescind or restrict a member’s authorization to provide sedation services or cancel a sedation facility permit due to non-compliance with the by-law, standard of practice, or if there is a risk of harm to the public.