North Carolina's proposed sedation rule for dentists causes stir: 5 things to know

A proposed rule change for dentists and oral surgeons performing procedures on patients under anesthesia has prompted a large debate among dental practitioners, North Carolina Health News reported May 4.  

Five things to know:

1. The proposed rule change came about after the death of cardiologist Henry Patel, MD, in August 2020. Dr. Patel died after anesthesia complications during a dental implant procedure and was one of six people in the state who had an anesthesia-related death in a dental office in the last eight years. Mark Austin, DDS, surrendered his license in August 2021 after his actions were found to have led to Dr. Patel's death.

2. Bobby White, CEO of the North Carolina State Board of Dental Examiners, said the proposed rule change brought in the largest number of responses during the comment period the board has ever received. 

3. Oral surgeons in the state have told the board that the rule is not needed for such a small number of fatal incidents and that it would be too costly for dental practices. This would lead to higher prices for patients.

4. The North Carolina Dental Society issued a statement opposing the rule. Alec Parker, DMD, the group's executive director, told the news organization that there is no scientific evidence to support the idea that the rule change would enhance patient safety.

5. The comment period closed in March, but it is expected to take another month or two for the comments to be reviewed before next steps are taken.

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