Royal College of
Dental Surgeons of Ontario
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Sedation and Anesthesia

RCDSO Sedation and Anesthesia Standard: What’s New?

The revised Standard of Practice on the Use of Sedation and General Anesthesia in Dental Practice sets enhanced requirements and higher standards throughout. The RCDSO is committed to continuous improvement in every area of clinical practice. Recent advancements in training, technology and knowledge are represented in this version of the Standard. 

Read this Dispatch article to learn more about key implementation dates. 

Applying for a Facility Permit

Every dental facility/office intending to provide sedation above the minimal level must have a facility permit from the College and must adhere to our Standard of Practice on the Use of Sedation and General Anesthesia in Dental Practice. The College inspects facilities to ensure compliance with the Standard. There are two types of facility permits: type A and B. It is possible to hold both types.

Dentists can access a list of approved 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.

All permits expire on March 31st of each calendar year, regardless of when in the year they were initially issued. 

Applying for Authorization to Administer

Any dentist or physician who wishes to administer sedation above the minimal level in a dental office must apply to the College to have their training reviewed and approved.

Dentists

There are two types of authorization. The authorization must be compatible with the permit type of the facility.

  • Member authorizations are for dentists who will be using sedation equipment and emergency drugs that are kept onsite in a type A facility. 
  • Visiting member authorizations are for dentists who bring all the necessary sedation equipment and emergency drugs approved by the College to a facility that holds a type B permit.
  • Dentists with a visiting member authorization can also administer in a type A facility, but are restricted to the level of sedation of the type A facility permit. They can only use the facility’s sedation equipment and emergency drugs maintained on-site.
Application for member authorization to administer sedation and general anesthesia.

Physicians

Physicians can apply for two types of privileges.

  • “Physician” applies to physicians who use the sedation equipment and emergency drugs provided by a type A facility.
  • “Visiting physician” applies to physicians who bring all the necessary sedation equipment and emergency drugs 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.
Application for a physician to administer sedation and general anesthesia in a dental office.

Reporting a Tier 1 /Tier 2 Event

Tier 1 Events

Serious adverse events must be reported to the RCDSO in writing within 24 hours of knowledge of the event.
  • Death of a patient within the facility.
  • Death of a patient within 10 days of a procedure performed at the facility.
  • Transfer of a patient from the facility directly to a hospital for care.

Tier 2 Events

Other incidents must be reported to the RCDSO in writing within 10 days of knowledge of the event. 

  • Unscheduled treatment of a patient in a hospital within 10 days of a procedure performed with sedation or general anesthesia.
  • Any use of a benzodiazepine or opioid antagonist.
  • Any serious cardiac or respiratory adverse event requiring administration of a medication for its management.

Questions about the Standard?

Email: dharper@rcdso.org
Phone: 416-934-4332