Anesthesia Permits

According to the Illinois Dental Practice Act, licensed dentists who wish to provide conscious sedation or deep and general anesthesia services to patients must first obtain an anesthesia permit from the Illinois Department of Professional Regulation. Depending on the level of service to be provided, the dentist must apply for either a Permit A or Permit B. Neither permit is required if the dentist is merely providing an oral medication or nitrous oxide analgesia to reduce anxiety.

Permit A

This permit is required if a dentist wishes to provide conscious sedation regardless of the route of administration. There are educational requirements that must be met before the department will issue a Permit A to a practitioner. Under new rules recently adopted by the department, the use of oral medications to put the patient in a state of conscious sedation now requires a Permit A, and any dentist in this situation has until December 1, 2003 to complete the required training and apply for this permit.

Permit B

This permit is required if a dentist wants to provide deep sedation or general anesthesia to a patient. Certain educational requirements that go beyond the requirements of the conscious sedation permit must be met before the department will issue a Permit B to a dentist.

Rules and regulations

There are specific rules of the Illinois Dental Practice Act that address several important aspects of dental anesthesia in the office, and these include

  • Educational requirements to obtain Permits A or B
  • Equipment, facility and procedure requirements to administer anesthesia
  • Approved training programs in anesthesiology

See Sections 1220.500-560 of these rules to read specifically about anesthesia.
The rules also contain an Appendix that provides a handy reference guide for dentists.