Virginia Regulatory Town Hall
Department of Health Professions
Board of Dentistry
Regulations Governing the Practice of Dentistry [18 VAC 60 ‑ 21]
Administration of sedation and anesthesia
Action 5056
General Information
Action Summary The Board’s intent is to amend regulations relating to administration of sedation or anesthesia in dental offices. The goals are greater consistency and clarity among the requirements, depending on the level of sedation and the risk to the patient, and closer alignment with the American Dental Association Guidelines for the Use of Sedation and General Anesthesia. The Board intends to amend provisions that are problematic to dentists, such as compliance with current regulations with special needs patients. When appropriate for patient safety, the Board intends to incorporate guidelines and best practices for sedation and anesthesia, such as the use of a three-person team in the operatory during administration of moderate sedation.
Chapters Affected Only affects this chapter.
Executive Branch Review This action will go through the normal Executive Branch Review process.
RIS Project Yes  [005513]
New Periodic Review This action will not be used to conduct a new periodic review.
Stages associated with this regulatory action.
Stage ID Stage Type Status
8292 NOIRA Stage complete. Comment period ended 09/05/2018.
8502 Proposed Stage complete. Comment period ended 11/13/2020.
9177 Final Stage complete. This regulation became effective on 03/17/2021.
Contact Information
Name / Title: Jamie Sacksteder  / Executive Director
Address: 9960 Mayland Drive
Suite 300
Henrico, VA 23233
Email Address:
Phone: (804)367-4581    FAX: (804)698-4266    TDD: ()-

This person is the primary contact for this board.