(A) All licensees engaged in the practice of dentistry in the state of Ohio must notify the Ohio state dental board within seventy-two hours, and submit a complete written report within thirty days of any untoward anesthetic event requiring hospital admission or any mortality which occurred as a direct result of treatment in an out-patient dental facility.

(B) Failure to comply with this rule when said mortality or untoward event is related to the use of conscious sedation, deep sedation, or general anesthesia may result in the loss of such permits described in rules 4715-5-05 and 4715-5-07 of the Administrative Code and/or other disciplinary action.