Use of local infiltration anesthesia, topical anesthesia and minor nerve blocks.  
(All physicians may apply.  Privileges will be granted with evidence of clinical experience.)

Approved | 9/25/2023 - 8/31/2025 | Granted On: 12/31/2012

Moderate Sedation - (Must meet criteria as defined within Moderate Sedation Guidelines,
completion of Self Test as provided by the Medical Affairs Office as well as proof of current ACLS certification.)

Approved | 9/25/2023 - 8/31/2025 | Granted On: 12/31/2012

Single, uncomplicated extractions

Approved | 9/25/2023 - 8/31/2025 | Granted On: 12/31/2012

Minor lacerations

Approved | 9/25/2023 - 8/31/2025 | Granted On: 12/31/2012

Simple intraoral biopsy

Approved | 9/25/2023 - 8/31/2025 | Granted On: 12/31/2012

Minor infections

Approved | 9/25/2023 - 8/31/2025 | Granted On: 12/31/2012

Incision and drainage

Approved | 9/25/2023 - 8/31/2025 | Granted On: 12/31/2012

Multiple uncomplicated extractions

Approved | 9/25/2023 - 8/31/2025 | Granted On: 12/31/2012

Root resections

Approved | 9/25/2023 - 8/31/2025 | Granted On: 12/31/2012

Alveolectomy

Approved | 9/25/2023 - 8/31/2025 | Granted On: 12/31/2012

Alveoplasty

Approved | 9/25/2023 - 8/31/2025 | Granted On: 12/31/2012

Torus palatinus

Approved | 9/25/2023 - 8/31/2025 | Granted On: 12/31/2012

Torus mandibularis

Approved | 9/25/2023 - 8/31/2025 | Granted On: 12/31/2012

Surgical removal of impacted teeth

Approved | 9/25/2023 - 8/31/2025 | Granted On: 12/31/2012

Surgical removal of embedded teeth (bony)

Approved | 9/25/2023 - 8/31/2025 | Granted On: 12/31/2012

Minor cysts

Approved | 9/25/2023 - 8/31/2025 | Granted On: 12/31/2012

Major infections

Approved | 9/25/2023 - 8/31/2025 | Granted On: 12/31/2012

Implantation of teeth

Approved | 9/25/2023 - 8/31/2025 | Granted On: 12/31/2012

Oral prosthesis for malformations of face, jaws: Oroantral/Oronasal fistula repair

Approved | 9/25/2023 - 8/31/2025 | Granted On: 12/31/2012

Oral prosthesis for malformations of face, jaws: Orthognathic surgery

Approved | 9/25/2023 - 8/31/2025 | Granted On: 12/31/2012

Oral prosthesis for malformations of face, jaws: Severe lacerations of the oral mucosa

Approved | 9/25/2023 - 8/31/2025 | Granted On: 12/31/2012

Oral prosthesis for malformations of face, jaws: Malignant tumors / Benign tumors

Approved | 9/25/2023 - 8/31/2025 | Granted On: 12/31/2012

Oral prosthesis for malformations of face, jaws: Major extensive cysts

Approved | 9/25/2023 - 8/31/2025 | Granted On: 12/31/2012

Oral prosthesis for malformations of face, jaws: Salivary gland surgery

Approved | 9/25/2023 - 8/31/2025 | Granted On: 12/31/2012

Oral prosthesis for malformations of face, jaws: Salivary duct surgery

Approved | 9/25/2023 - 8/31/2025 | Granted On: 12/31/2012

TMJ surgery: Tongue surgery

Approved | 9/25/2023 - 8/31/2025 | Granted On: 12/31/2012

TMJ surgery: Ranula

Approved | 9/25/2023 - 8/31/2025 | Granted On: 12/31/2012

TMJ surgery: Caldwell-luc procedure for root tip removal from antrum

Approved | 9/25/2023 - 8/31/2025 | Granted On: 12/31/2012

TMJ surgery: Maxilla, closed reduction, and repair of associated lacerations

Approved | 9/25/2023 - 8/31/2025 | Granted On: 12/31/2012

TMJ surgery: Maxilla, open reduction, and repair of associated lacerations

Approved | 9/25/2023 - 8/31/2025 | Granted On: 12/31/2012

TMJ surgery: Mandible, closed reduction, and repair of associated lacerations

Approved | 9/25/2023 - 8/31/2025 | Granted On: 12/31/2012

TMJ surgery: Mandible, closed reduction, and repair of associated lacerations

Approved | 9/25/2023 - 8/31/2025 | Granted On: 12/31/2012

TMJ surgery: Zygoma, closed reduction, and repair of associated lacerations

Approved | 9/25/2023 - 8/31/2025 | Granted On: 12/31/2012

TMJ surgery: Zygoma, open reduction, and repair of associated lacerations

Approved | 9/25/2023 - 8/31/2025 | Granted On: 12/31/2012

TMJ surgery: Bone harvest for grafting to maxillofacial region

Approved | 9/25/2023 - 8/31/2025 | Granted On: 12/31/2012

TMJ surgery: Placement of Implants

Approved | 9/25/2023 - 8/31/2025 | Granted On: 12/31/2012

TMJ surgery: Bone grafts to maxillofacial region

Approved | 9/25/2023 - 8/31/2025 | Granted On: 12/31/2012

TMJ surgery: Alveolar cleft repair

Approved | 9/25/2023 - 8/31/2025 | Granted On: 12/31/2012

Nasal fractures non-displaced

Approved | 9/25/2023 - 8/31/2025 | Granted On: 12/31/2012

Nasal fractures - displaced

Approved | 9/25/2023 - 8/31/2025 | Granted On: 12/31/2012

Repair laceration (complex); nose, ear, face, neck

Approved | 9/25/2023 - 8/31/2025 | Granted On: 12/31/2012

Head and Neck/Salivary Glands: Submandibular gland excision

Approved | 9/25/2023 - 8/31/2025 | Granted On: 12/31/2012

Oral Cavity: Mandibular resection

Approved | 9/25/2023 - 8/31/2025 | Granted On: 12/31/2012