Permit Renewal Requirements

Anesthesia permits are renewed at the same time the TSBDE dental license is renewed.  A portion of the renewal fee includes the fee for renewal of anesthesia permits.  Anesthesia privileges are documented on the lower left-hand side of the license renewal certificate.  There is no separate paper permit issued for anesthesia privileges.

Questions regarding anesthesia permits for dentists can be sent to:

Anesthesia Jurisprudence

Please note that if you are due for license renewal and you are a dentist who holds at least a Nitrous Oxide, Level 1, Level 2, Level 3, or Level 4 sedation permit you are required to take and pass the online jurisprudence examination of Chapter 110 (relating to Anesthesia and Sedation), administered by the Board or an entity designated by the Board once every five years.

Continuing Education Requirements

A dentist seeking to renew an anesthesia permit must complete the following hours of CE once every two years on the administration of the highest permitted level of sedation or medical emergencies associated with the highest permitted level of sedation. CE requirements shall be in addition to any other courses required for licensure. Dentists should maintain a copy of their continuing education materials for their records and be prepared to provide them to the TSBDE upon request.

  • Level 1: Minimal Sedation – 6 hours
  • Levels 2 & 3: Moderate Sedation –  8 hours
  • Level 4: Deep Sedation or General Anesthesia – 12 hours

Emergency Management Course Requirement(s):

  • Nitrous Oxide/Oxygen Inhalation Sedation – Basic Life Support only
  • Level 1: Minimal Sedation – Basic Life Support only
  • Level 2, 3 & 4 Sedation – Basic Life Support and  ACLS or PALS if treating adults and children 13 years of age or older (Note: PALS required if treating children under the age of 13 years old).

Continuing Education for Prescribing Controlled Substances

Chapter 111 Standards for prescribing Controlled Substances and Dangerous Drugs, Rule 111.1 Additional Continuing Education Required: Each dentist who is permitted by the Drug Enforcement Agency to prescribe controlled substances shall complete every three years a minimum of two hours of continuing education in the abuse and misuse of controlled substances, opioid prescription practices, and/or pharmacology. This continuing education may be utilized to fill the continuing education requirements of renewal. Effective: 25 December 2016.

Anesthesia Inspections

Inspection of Sedation/Anesthesia ProvidersPursuant to 22 Tex. Admin. Code § 110.18, regardless of issue date, all level 2,3, and 4 permit holders will be subject to at least one inspection prior to September 1, 2022. 

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

Questions regarding anesthesia permits for dentists can be sent to: