I started providing oral conscious sedation in 2001-2002. At that time there were virtually no regulations except have a DDS or DMD degree. As more dentists began to use oral sedation regulations were developed to ensure safety of the patient. These regulations included courses designed in airway management as well as sedation procedures. I fully supported these regulations as patient safety cannot be jeopardized. Then in about 2011 or there about, more regulations were made. You had to have taken a 3 day course in sedation. Well because my original course was only 2 days I had to go back and retake a whole new course even though I had been doing oral sedation for 10 years. Also, because The Board could not guarantee that my 3 day course would be approved (it eventually was) I had to take another course by a dental anesthesiologist to insure it woul be accepted. Then came the Moderate Sedation Permit. I got the permit even though virtually all my sedations are "minimal sedation." I kept the permit so my patient 's would know that I went through the training to perform oral sedation and just in case The Board questions at some time if a patient was minimal or moderate. I can see where The Board is trying to go, that is eventually requiring any dentist doing any kind of sedation to have an IV permit. This would be totally absurd. I go all out (as most dentists) in making sure my patients under sedation are safe. It starts with a complete health history and medications they are on. The meds are run though Lexicomp for any possible interactions. I then do what I call a sedation pre-assessment which includes all vital signs, Malampati, tonsils, ASA classification, height, weight, BMI, as well as listening to their lungs. If there are any questions as to health concerns then I don't sedate or at minimum have a medical consult. I have all the required medical equipment. I use a pulse ox as well as capnography on each patient. You can see I go above and beyond what The Board requires. My patients apprecialte the fact that I offer oral sedation. It has benefited many patients who would not have had dentistry. I have invested many years and finances in oral sedation. Regualtions are good, I endorse most but the direction The Board is going (example requiring a 3 member team) is simply wrong. I sincerely hope The Board uses common sense in what they require. If you are heading in the direction of requiring all sedations to have an IV permit (which is what I have heard) I hope you change course. This would hurt so many patients who would benefit from oral sedation.