A dentist licensed in Texas shall obtain an anesthesia permit issued by the TSBDE for the following procedures used for the purpose of performing dentistry:

  • Nitrous Oxide/Oxygen Inhalation Sedation
  • Level 1:  Minimal Sedation
  • Level 2:  Moderate Enteral Sedation
  • Level 3:  Moderate Parenteral Sedation
  • Level 4:  Deep Sedation or General Anesthesia

An applicant for a sedation/anesthesia permit must be licensed and should be in good standing with the TSBDE.  “Good Standing” means that the dentist’s license is not suspended, whether or not the suspension is probated.

Questions regarding anesthesia permits for dentists can be sent to

Application Process

The following is required to be mailed to the TSBDE:

  1.  Anesthesia Permit Application.
  2. Pay required fee.
  3. If applying for Levels 2-4, provide a copy of PALS or ACLS certification. ACLS or PALS if treating adults and children 13 years of age or older (Note: PALS is required if treating children under the age of 13 years old).
  4. Proof of completion of a qualifying course and case management experience. Training and case management experience is found on each application. See TSBDE Rules and Regulations, Chapter 110 and/or the application for specific training requirements.
  5.  Proof of Jurisprudence Assessment completion for dentist with sedation permit. Pursuant to 22 Tex. Admin. Code § 110.9, a permit holder for nitrous oxide, level 1, level 2, level 3, or level 4 sedation/anesthesia must take and pass the online jurisprudence examination of Chapter 110 (relating to Anesthesia and Sedation).

Nitrous and Level 1 Anesthesia Permit Application

Levels 2-4 Anesthesia Permit Application

Anesthesia Inspections

Inspection of Sedation/Anesthesia ProvidersPursuant to 22 Tex. Admin. Code § 110.18, all level 2, 3, and 4 permit holders who received their initial permit after March 1, 2018, must be inspected within a year of receiving their permit.

Click here for the link to the section in the Texas Administrative Code.