The Dental Board voted Aug. 14 to deny renewal of a moderate-sedation permit after a permit holder failed two on-site evaluations that tested recognition and management of simulated medical emergencies.

What the board decided: The board accepted the anesthesia committeerecommendation to deny renewal for the permit holder identified in the record by initials (CS). The committee required that if the permit holder seeks a new moderate-sedation permit in the future, the applicant must submit board preapproval, successfully complete 24 hours of remedial education focused on moderate-sedation administration and recognition and management of medical emergencies in outpatient dental settings, and pass a subsequent on-site inspection and evaluation.

Why: Anesthesia unit staff reported the candidate failed the simulated-emergencies portion of the evaluation twice. The anesthesia committee reviewed evaluator notes and concluded the failures represented deficiencies in emergency management that merited denial of renewal.

Motion and vote: Committee chair Dr. Al Felsenfeld moved to adopt the committee recommendation; the motion was seconded and the board carried the motion on roll call. The boardrecord shows the motion passed and the requirement for remedial training was included in the committeerecommendation.

Quote from the meeting: Committee chair Felsenfeld said the evaluators "wrote notes about why this individual did not do well in the management of medical emergencies during anesthesia," and described the committeedecision to deny renewal unless the remedial steps were completed.

Ending: The board recorded the vote to deny renewal and specified requirements for any future reapplication: board prior approval for remedial education, a 24-hour remedial course focused on emergency recognition and management in moderate sedation, and a successful on-site inspection and evaluation.

Sources: Aug. 14, 2025 Dental Board meeting; presentations by Jessica Olney (Anesthesia Unit) and Dr. Al Felsenfeld (Anesthesia Committee).