North Carolina Administrative Code

21 NCAC 16Q .0102 APPLICATION FOR GENERAL ANESTHESIA OR SEDATION PERMIT, PERMIT RENEWAL, AND PERMIT REINSTATEMENT (a) An applicant for a general anesthesia or sedation permit shall be licensed and in good standing with the Board. (b) All permit applications shall be made on the f…

21 NCAC 16Q .0103 EQUIPMENT, Personnel, AND CLINICAL REQUIREMENTS TO ADMINISTER ANESTHESIA OR MODERATE SEDATION (a) Before administering general anesthesia, moderate conscious sedation, or moderate pediatric conscious sedation ("anesthesia or moderate sedation"), or supervising a…

21 NCAC 16Q .0104 REQUIREMENTS FOR INSPECTIONS AND EVALUATIONS (a) During a facility inspection pursuant to the rules of this Subchapter, for a dentist applying for or holding a permit to administer general anesthesia, moderate conscious sedation, or moderate pediatric conscious …

SUBCHAPTER 16Q - GENERAL ANESTHESIA AND SEDATION SECTION .0100 – GENERAL 21 NCAC 16Q .0105 Update COURSE FOR general Anesthesia and Moderate Conscious sedation permit holders (a) All general anesthesia permit holders, moderate conscious sedation permit holders, moderate pediatric…

SECTION .0200 - GENERAL ANESTHESIA 21 NCAC 16Q .0201 GENERAL ANESTHESIA CREDENTIALS AND PERMIT (a) Before a dentist licensed to practice in North Carolina may administer or supervise a CRNA to administer general anesthesia or perform deep sedation, the dentist shall obtain a gene…

21 NCAC 16Q .0202 GENERAL ANESTHESIA EQUIPMENT AND CLINICAL REQUIREMENTS (a) A dentist holding or applying for a permit to administer general anesthesia shall be subject to the requirements set out in Section .0100 of this Subchapter. (b) In addition to the drugs listed in Rule .…

21 ncac 16q .0203 TEMPORARY APPROVAL PRIOR TO SITE EVALUATION History Note: Authority G.S. 90-28; 90-30.1; Eff. February 1, 1990; Amended Eff. August 1, 2002; Repealed Eff. April 1, 2016.

21 ncac 16q .0204 PROCEDURE FOR GENERAL ANESTHESIA EVALUATION OR INSPECTION and RE-inspection (a) When both an evaluation and on-site inspection is required, the Board shall designate two or more qualified persons to serve as evaluators, each of whom has administered general anes…

21 NCAC 16Q .0205 RESULTS OF SITE EVALUATION AND REEVALUATION History Note: Authority G.S. 90-28; 90-30.1; Eff. February 1, 1990; Amended Eff. August 1, 2002; Repealed Eff. April 1, 2016.

21 NCAC 16Q .0206 ITINERANT (Mobile) GENERAL ANESTHESIA PERMIT, EQUIPMENT AND EVALUATION (a) A dentist who holds a general anesthesia permit from the Board and who wishes to provide general anesthesia or other sedation services in the office of another practitioner shall obtain a…

21 NCAC 16Q .0207 ANNUAL RENEWAL OF GENERAL ANESTHESIA AND ITinERANT (Mobile) GENERAL ANESTHESIA PERMIT REQUIRED (a) General anesthesia permits and itinerant general anesthesia permits shall be renewed by the Board annually at the same time as dental licenses. For each permit to …

SECTION .0300 - MODERATE CONSCIOUS SEDATION 21 NCAC 16Q .0301 CREDENTIALS AND PERMITS FOR MODERATE PARENTERAL AND ENTERAL CONSCIOUS SEDATION (a) Before a dentist licensed to practice in North Carolina may administer or supervise a CRNA employed to administer, or an RN employed to…

21 NCAC 16Q .0302 MODERATE PARENTERAL AND ENTERAL CONSCIOUS SEDATION CLINICAL REQUIREMENTS AND EQUIPMENT (a) A dentist holding or applying for a permit to administer moderate conscious sedation or supervising any CRNA employed to administer or RN employed to deliver moderate cons…

21 NCAC 16Q .0303 TEMPORARY APPROVAL PRIOR TO SITE INSPECTION History Note: Authority G.S. 90-28; 90-30.1; Eff. February 1, 1990; Amended Eff. August 1, 2002; January 1, 1994; Temporary Amendment Eff. December 11, 2002; Amended Eff. September 1, 2014; February 1, 2009; July 3, 20…

21 NCAC 16Q .0304 ITINERANT (Mobile) Moderate PERMIT, EQUIPMENT AND EVALUATION (a) A dentist who holds a moderate conscious sedation permit from the Board and who wishes to provide moderate conscious sedation or other sedation services in the office of another practitioner shall …

21 NCAC 16Q .0305 ANNUAL RENEWAL of MODERATE PARENTERAL AND ENTERAL CONSCIOUS SEDATION PERMIT REQUIRED (a) Moderate conscious sedation permits and itinerant moderate conscious sedation permits shall be renewed by the Board annually at the same time as dental licenses. For each pe…

21 ncac 16q .0306 PROCEDURE FOR MODERATE CONSCIOUS SEDATION EVALUATION OR INSPECTION and Re-INSPECTION (a) When an evaluation or on-site inspection is required, the Board shall designate one or more qualified persons to serve as evaluators each of whom has administered moderate c…

section .0400 - PEDIATRIC MODERATE conscious sedation 21 NCAC 16Q .0401 MINIMAL CONSCIOUS SEDATION CREDENTIALS, EVALUATION AND PERMIT (Recodified to 21 NCAC 16Q .0504 Eff. November 9, 2020)

21 NCAC 16Q .0402 MINIMAL CONSCIOUS SEDATION PERMIT REQUIREMENTS, CLINICAL PROVISIONS AND EQUIPMENT (Recodified to 21 NCAC 16Q .0505 Eff. November 9, 2020)

21 NCAC 16Q .0403 TEMPORARY APPROVAL PRIOR TO SITE INSPECTION History Note: Authority G.S. 90-28; 90-30.1. Temporary Adoption Eff. March 13, 2003; December 11, 2002; Eff. August 1, 2004; Amended Eff. February 1, 2009; July 3, 2008; Repealed Eff. April 1, 2016.

21 NCAC 16Q .0404 CREDENTIALS AND PERMITS FOR MODERATE PEDIATRIC CONSCIOUS SEDATION (a) Before a dentist licensed to practice in North Carolina may administer moderate pediatric conscious sedation, the dentist shall obtain a general anesthesia or moderate pediatric conscious seda…

21 NCAC 16Q .0405 MODERATE PEDIATRIC CONSCIOUS SEDATION CLINICAL REQUIREMENTS AND EQUIPMENT (a) A dentist holding or applying for a permit to administer moderate pediatric conscious sedation shall be subject to the requirements set out in Section .0100 of this Subchapter. (b) In …

21 NCAC 16Q .0406 ITINERANT (Mobile) Moderate PEDIATRIC CONSCIOUS SEDATION PERMITS (a) A dentist who holds a moderate pediatric conscious sedation permit from the Board and who wishes to provide moderate pediatric conscious sedation or other sedation services in the office of ano…

21 NCAC 16Q .0407 ANNUAL RENEWAL OF MODERATE PEDIATRIC CONSCIOUS SEDATION PERMIT REQUIRED (a) Moderate pediatric conscious sedation permits and itinerant moderate pediatric conscious sedation permits shall be renewed by the Board annually at the same time as dental licenses. For …

21 ncac 16q .0408 PROCEDURE FOR MODERATE PEDIATRIC SEDATION EVALUATION OR INSPECTION and RE-INSPECTION (a) When an evaluation or on-site inspection is required, the Board shall designate one or more qualified persons to serve as evaluators, each of whom has administered moderate …

SECTION .0500 - Enteral Minimal Conscious Sedation 21 NCAC 16Q .0501 ANNUAL RENEWAL REQUIRED History Note: Authority G.S. 90-28; 90-30.1; 90-48; Eff. February 1, 1990; Amended Eff. August 1, 2002; Transferred and Recodified from 16Q .0401 to 16Q .0501; Temporary Amendment Eff. De…

21 NCAC 16Q .0502 PAYMENT OF FEES History Note: Authority G.S. 90-28; 90-30.1; Eff. February 1, 1990; Transferred and Recodified from 16Q .0402 to .0502; Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. January 9, 2018; Repealed Eff. August …

21 NCAC 16Q .0503 INSPECTION AUTHORIZED (Recodified to 21 NCAC 16Q .0704 Eff. November 9, 2020)

21 NCAC 16Q .0504 MINIMAL CONSCIOUS SEDATION CREDENTIALS AND PERMIT (a) Before a dentist licensed to practice in North Carolina may administer or supervise a CRNA employed to administer or an RN employed to deliver minimal conscious sedation, the dentist shall obtain a Board-issu…

21 NCAC 16Q .0505 MINIMAL CONSCIOUS SEDATION CLINICAL REQUIREMENTS AND EQUIPMENT (a) A permit holder administering minimal conscious sedation or supervising a CRNA employed to administer or RN employed to deliver minimal conscious sedation shall ensure that the facility where the…

21 NCAC 16Q .0506 ANNUAL RENEWAL of MINIMAL CONSCIOUS SEDATION PERMIT REQUIRED (a) Minimal conscious sedation permits shall be renewed by the Board annually at the same time as dental licenses by the permit holder paying a renewal fee of one hundred dollars ($100.00) and completi…

21 ncac 16q .0507 PROCEDURE FOR MINIMAL CONSCIOUS SEDATION EVALUATION OR INSPECTION and Re-INSPECTION (a) When an evaluation or on-site inspection is required, the Board shall designate one or more persons to serve as evaluators, each of whom has administered sedation or general …

SECTION .0700 – COMPLIANCE AND REPORTING 21 NCAC 16Q .0701 FAILURE TO COMPLY (a) Failure to comply with the provisions of this Subchapter may result in suspension or revocation of the general anesthesia or sedation permit and the dentist's license to practice dentistry in accorda…

21 NCAC 16Q .0703 REPORTS OF ADVERSE OCCURRENCES (a) A dentist who holds a permit to administer general anesthesia or sedation shall submit an adverse occurrence report to the Board within 72 hours after each adverse occurrence if the patient dies or has permanent organic brain d…

21 ncac 16q .0704 INSPECTION AUTHORIZED Incident to the renewal of an anesthesia or sedation permit or any itinerant permit, or incident to an investigation pursuant to 21 NCAC 16U, the Board may require an on-site inspection of the dentist's facility, equipment, personnel, and p…

subchapter 16r – ANNUAL RENEWAL OF LICENSE AND CONTINUING EDUCATION REQUIREMENTS: DENTIST SECTION .0100 - RENEWAL OF LICENSE 21 NCAC 16R .0101 APPLICATIONS (a) A renewal application for a dental license shall be submitted electronically before midnight on January 31 of each year …

21 NCAC 16R .0102 FEE FOR LATE FILING AND DUPLICATE LICENSE (a) If the application for a renewal certificate, including all information and documentation set out in Rule .0101 of this Subchapter and accompanied by the renewal fees required by 21 NCAC 16M .0101, is not received in…

21 NCAC 16R .0108 LICENSE VOID UPON FAILURE TO TIMELY RENEW If an application for a renewal certificate, including all information and documentation set out in Rule .0101 of this Subchapter and accompanied by the renewal and late filing fees required by 21 NCAC 16M .0101, is not …

21 NCAC 16R .0110 RENEWAL CERTIFICATE MUST BE DISPLAYED The current certificate of renewal of license for a dentist shall be posted where it is visible to patients receiving treatment in the office where the dentist is employed, and shall be exhibited or produced to the North Car…

SECTION .0200 - CONTINUING EDUCATION 21 NCAC 16R .0201 CONTINUING EDUCATION REQUIRED (a) Except as permitted in Rule .0204 of this Section as a condition of license renewal, every dentist shall complete a minimum of 15 clock-hours of continuing education each calendar year. (b) F…

21 ncac 16r .0202 APPROVED COURSES AND SPONSORS (a) Courses allowed to satisfy the continuing education requirement shall be related to clinical patient care. Hours devoted to financial issues or practice development topics shall not be counted toward the continuing education req…

21 ncac 16r .0203 REPORTING CONTINUING EDUCATION (a) All licensed dentists shall report the number of continuing education hours completed annually on the license renewal application form submitted to the Board. The organization offering or sponsoring each course shall provide to…

21 NCAC 16R .0204 EXEMPTION FROM AND CREDIT FOR CONTINUING EDUCATION (a) Upon receipt of written evidence, the Board will grant exemptions from the mandatory continuing education requirements set out in Rules .0201 and .0206 of this Section as follows: (1) A dentist who practices…

21 NCAC 16R .0205 PENALTY/NON-COMPLIANCE/CONTINUING EDUCATION If an applicant for a renewal of license fails to provide proof of completion of reported continuing education hours for the current year as required by Rule .0203 of this Section, the Board shall refuse to issue a ren…

21 NCAC 16R .0206 continuing educaTION ON MENTAL HEALTH (a) Every two calendar years, each dentist shall complete one clock hour of continuing education on mental health. To count toward this requirement, the course shall be: (1) designed to address relevant mental health issues …

subchapter 16s - CARING DENTAL PROFESSIONALS PROGRAM SECTION .0100 - GENERAL 21 NCAC 16S .0101 DEFINITIONS The following definitions are applicable to impaired dentist programs established in accordance with G.S. 90-48.2: (1) "Board" -- the North Carolina State Board of Dental Ex…

21 NCAC 16S .0102 BOARD AGREEMENTS WITH PEER REVIEW ORGANIZATIONS The Board may enter into agreements with special impaired dentist peer review organizations, pursuant to G.S. 90-48.2, to establish the North Carolina Caring Dental Professionals to be supervised by the Board of Di…

SECTION .0200 - GUIDELINES FOR PROGRAM ELEMENTS 21 NCAC 16S .0201 RECEIPT AND USE OF INFORMATION OF SUSPECTED IMPAIRMENT (a) Information concerning suspected impairment may be received by the North Carolina Caring Dental Professionals through any of the following sources: (1) rep…

21 NCAC 16S .0202 CONFIDENTIALITY Information received by the Program regarding voluntary participants shall remain confidential and shall not be released to the Dental Board or members of the public, except as set out in Rule .0203(b) of this Section. Voluntary participants who …

21 NCAC 16S .0203 INTERVENTION AND REFERRAL (a) Following an investigation, if an impairment is determined to exist and confirmed, an intervention shall be conducted using specialized techniques designed to assist the dentist or dental hygienist in acknowledging responsibility fo…