South Dakota: Oral Sedation Dentistry Regulations

Effective January 1, 2011: South Dakota State Board of Dentistry Rule §20:43:09:04(1) requires a dentist to complete a 60-hour I.V. sedation course, administer 20 clinical patient experiences, and obtain a permit before providing oral or I.V. moderate sedation to dental patients.*

Find available training courses.

*When the intent is one-drug minimal sedation only (w/w/o N2O), a permit is not required.

South Dakota: Pediatric Sedation Dentistry Regulations

Sedation dentistry for children is a unique science and requires pediatric-specific training. The standard of care for providing pediatric sedation requires several hours of instructive classroom training with clinically-oriented experiences. Learn more about Pediatric Sedation Training Courses availabe nationwide.

South Dakota: IV Sedation Regulations

Most states require dentists to complete a 60-hour didactic course followed by 20 actual clinical patient cases of IV administration plus a permit in order to provide their patients with IV sedation. Find an IV Sedation Training course

South Dakota: Nitrous

South Dakota Board of Dentistry Rule §20:43:09:05 requires dentists to complete at least 14 hours of classroom and clinical training, and obtain a permit before providing their patients with minimal sedation using nitrous-oxide and an oral sedative.

Clinically tested and up-to-date nitrous-oxide and oral minimal sedation techniques are being taught at a training program in Dallas, TX (October 20-21, 2017) that meets these requirements.

Special sessions regarding patient selection/assessment, airway management, medical emergencies, anatomy, physiology, pharmacology, contraindications, documentation, certification, monitoring, inventory, and dispensing of medications are also included.

This course provides 16 hours of CE credits and may be applied to your CE requirements for license renewal. DOCS Education is an AGD PACE-approved provider [#217651].

*Dentists in South Dakota who practice minimal sedation using nitrous-oxide and an oral sedative without a current permit may face fines and reprimands.

Why Do Sedation Dentistry?

An estimated 100 million people nationwide (nearly 30% of the population) need dental care but are too fearful to act. Access to care for these patients is limited, but now you can help.

The ability to practice sedation dental care gives you many advantages, not the least of which is treating a more comfortable patient. Other advantages include performing more dentistry in a single visit instead of repeat visits; extensive restorative cases from patients who were previously reluctant due to anxiety; and patients feeling little-to-no post-operative discomfort regardless of the procedure, resulting in more referrals.

And for your patients, providing sedation means even more: A comfortable experience often with no recollection of the visit or the time passed. It is often to hear of patients who call their dentist the next day, not to complain, but to express their gratitude and delight in their first ever fear-free visit to the dentist.

DOCS Education Membership provides direct access to a full-time Regulatory Counsel for assistance in complying with your state’s training requirements, equipment needs, permitting, inspections, patient complaints, and advertising rules. Join our expansive community of dentists.


DOCS Education Regulatory Counsel

J. Kathleen “Kate” Marcus, J.D.

Kate Marcus

As our DOCS Education Regulatory Counsel, Kate is uniquely qualified to advise and advocate for sedation dentistry. She draws on a healthcare law background that started from her first big court case right out of law school, over three decades ago. A 1988 graduate of Temple University School of Law, she was Research Editor of the Temple Law Review; she previously attended Bennington College, and has a B.A. in Philosophy.

As DOCS’ Regulatory Counsel, Kate can help sedation dentists understand their permits so they can provide safe sedation dentistry and stay in compliance. She believes an adversarial approach is rarely productive; the point is to avoid conflict and avoid litigation.

Kate is Pennsylvania licensed, with extensive experience in civil and criminal litigation at the state and federal levels. Her specialties include compliance, healthcare law, contract negotiation, contract drafting, commercial litigation, small business, health insurance and regulation, and URAC; she has demonstrated excellence in persuasive writing and editing, public speaking, and compliance (EEOC, HIPAA, HITECH, Title IX).



In her transition from a litigator to a healthcare lawyer, Kate found the “trauma informed” was of appeal. She realized the importance of understanding the anxiety patients may bring to an appointment. Many people seeking sedation are afraid; the Dentist needs to approach each patient with the understanding that they are coming with trauma and respect that. Kate would love to be able to talk with DOCS members more about trauma and how to have the most productive relationship with their patients.



The nexus of science and civil rights, including helping people get access to compassionate healthcare, fascinates Kate. She has a long history of representing distressed populations, including people in abusive relationships, children in foster care, people with HIV, and others — inside the courtroom and out. She has a passion to find funding for kids in foster care who don’t have sedation coverage, and work with dentists willing to treat autistic kids, with skill and compassion. She would love to see pro-bono dental service to survival shelters. Kate truly has a heart to advocate for those with special needs.


Kate values openness and availability to boards and DOCS members. She believes in being reasonable and seeking consensus on evidence-based solutions that work for everyone.