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10.44.04.00.htm 10.44.04.00. Title 10 DEPARTMENT OF HEALTH AND MENTAL HYGIENE Subtitle 44 BOARD OF DENTAL EXAMINERS Chapter 04 Practice of Dental Hygiene Authority: Health Occupations Article, §4-206.1, 4-206.2 and 4-206.3, Annotated Code of Maryland
10.44.04.01.htm 10.44.04.01. 01 Scope.. This chapter governs the practice of dental hygiene by all licensed dental hygienists in the State..
10.44.04.02.htm 10.44.04.02. 02 Definitions.. A. In this chapter, the following terms have the meaning indicated.. B. Terms Defined.. 1) “Administer nitrous oxide” means the initiation, adjustment, monitoring, and termination of the flow of nitrous oxide.2) “Board” means the Maryland State Board of Dental Examiners.. 3) “CDCA” means the Commission on Dental Competency Assessments or its successor organization.. 4) “Dental hygienist” means a registered dental hygienist who holds an active license to practice de
10.44.04.03.htm 10.44.04.03. 03 Intraoral Functions.. A. The following intraoral functions may be performed in the practice of dental hygiene:. 1) Preliminary dental examination;. 2) Dental prophylaxis, which includes:. a) Scaling and root planing; or. b) Polishing a tooth or a restoration;. 3) Placing and removing perio dressings, including an initial dressing;. 4) Placing sealants;. 5) Taking impressions for study models, custom fluoride trays, or athletic mouth guards;. 6) Exposing a dental x-ray;.
10.44.04.04.htm 10.44.04.04. 04 Exceptions.. The following intraoral functions may not be performed in the practice of dental hygiene:. A. Diagnosis;. B. Extraction;. C. Cavity repair;. D. Tooth placement correction;. E. Surgical procedures;. F. Anesthesia procedures other than:. 1) Administering topical anesthesia; or. 2) Administering local anesthesia by infiltration or local anesthesia by inferior alveolar nerve block in accordance with:
10.44.04.05.htm 10.44.04.05. 05 Additional Functions for Dental Hygienists Who Obtain Board Recognition.. In addition to those functions described in Regulation .03A of this chapter, a dental hygienist who is recognized by the Board as qualified may:A. Administer local anesthesia by infiltration;. B. Administer local anesthesia by inferior alveolar nerve block; and. C. Administer nitrous oxide..
10.44.04.06.htm 10.44.04.06. 06 Local Anesthesia.. A. A dental hygienist who is recognized by the Board to administer local anesthesia may do so provided that the administration of local anesthesia is:1) By infiltration or by inferior alveolar nerve block to facilitate the practice of dental hygiene by a dental hygienist or the practice of dentistry by a dentist;2) Not performed as a medical specialty; and. 3) Under the supervision of a dentist who:. a) Is physically on the premises; and.
10.44.04.07.htm 10.44.04.07. 07 Manual Curettage.. A. A dental hygienist who successfully completes a Board-approved course in manual curettage in conjunction with scaling and root planing as outlined in Regulation .11 of this chapter may perform manual curettage in conjunction with scaling and root planing without applying for or receiving recognition from the Board.B. A dental hygienist who successfully completes the Board-approved course in manual curettage in conjunction with scaling an
10.44.04.08.htm 10.44.04.08. 08 Qualifications for Board Recognition to Administer Local Anesthesia.. A. A dental hygienist who wishes to receive recognition by the Board as being qualified to administer local anesthesia by infiltration and local anesthesia by inferior alveolar nerve block shall:1) Hold an active license to practice dental hygiene in this State; and. 2) Successfully complete a Board-approved course of instruction as outlined in Regulation .09 of this chapter that documents
10.44.04.09.htm 10.44.04.09. 09 Board-Approved Course of Instruction for Local Anesthesia.. The 28-hour Board-approved local anesthesia course of instruction outlined in Regulation .08A and B of this chapter shall include but not be limited to the following:A. 20 hours of didactic training, including at least the following:. 1) The psychology of pain management;. 2) A review of anatomy, physiology, and pharmacology of anesthetic agents;. 3) Emergency precautions and management;. 4) Patient management; and.
10.44.04.10.htm 10.44.04.10. 10 Required Local Anesthesia Refresher Course.. A. Before administering local anesthesia by inferior alveolar nerve block, a dental hygienist who successfully completed the education requirements and examination for the 28-hour local anesthesia Board-approved course as outlined in Regulation .08 of this chapter before October 1, 2011 shall:1) Successfully complete a Board-approved refresher course of at least 2 hours on local anesthesia by inferior alveolar nerve
10.44.04.11.htm 10.44.04.11. 11 Out-of-State Certification to Administer Local Anesthesia or Manual Curettage.. A. Local Anesthesia. A dental hygienist holding an active certification to administer local anesthesia in another state or who is otherwise recognized to administer local anesthesia in another state may be granted recognition to administer local anesthesia in Maryland without taking and passing the Board-approved course outlined in Regulation .08A and B of this chapter if the dental hygienist:
10.44.04.12.htm 10.44.04.12. 12 Board-Approved Course in Manual Curettage in Conjunction with Scaling and Root Planing.. A. A dental hygienist who wishes to perform manual curettage in conjunction with scaling and root planing shall successfully complete a 2-hour Board-approved course of instruction in manual curettage in conjunction with scaling and root planing.B. The 2-hour Board-approved course of instruction in manual curettage in conjunction with scaling and root planing shall contain a total of 2 hours o
10.44.04.13.htm 10.44.04.13. 13 Continuing Education and Renewal for Local Anesthesia and Manual Curettage.. A. A dental hygienist is not required to renew the Board recognition to:. 1) Administer local anesthesia; or. 2) Perform manual curettage in conjunction with scaling and root planing.. B. A dental hygienist who has successfully completed the following since graduating from an approved school of dental hygiene may receive continuing education credit toward renewal of their dental hygiene license:
10.44.04.14.htm 10.44.04.14. 14 Requirements for Instructors for Local Anesthesia Course.. If the Board-approved course of instruction in local anesthesia is taught by a dental hygienist, a dentist shall:A. Be present in the classroom during clinical instruction, which includes but is not limited to the administration of local anesthesia; andB. Be affiliated with the same dental hygiene program as the dental hygienist teaching the course..
10.44.04.15.htm 10.44.04.15. 15 Application for Board Recognition to Administer Local Anesthesia.. A. A dental hygienist shall submit a completed Board-approved application with the Board to be recognized as qualified to administer local anesthesia.B. Recognized as Qualified to Administer Local Anesthesia.. 1) Not Certified or Otherwise Recognized in Another State. A dental hygienist who applies to be recognized as qualified to administer local anesthesia and who is not certified or otherwise recognized
10.44.04.16.htm 10.44.04.16. 16 Display and Location of Recognition to Administer Local Anesthesia.. A dental hygienist recognized by the Board as qualified to administer local anesthesia shall display the recognition conspicuously in the office where the holder is engaged in practice.
10.44.04.17.htm 10.44.04.17. 17 Nitrous Oxide.. A. Classification of Board Recognition. The Board shall recognize the classification of recognized to monitor nitrous oxide.B. A dental hygienist may not administer nitrous oxide unless recognized by the Board as being qualified to do so as provided in this chapter.C. A dental hygienist who is recognized by the Board to administer nitrous oxide may do so provided that the administration of nitrous oxide is under the supervision of a dentist who:
10.44.04.18.htm 10.44.04.18. 18 Qualifications for Board Recognition to Administer Nitrous Oxide.. A. A dental hygienist who wishes to receive recognition by the Board as being qualified to administer nitrous oxide shall:1) Hold an active license to practice dental hygiene in this State; and. 2) Successfully complete a Board-approved course of instruction as outlined in Regulation .20 of this chapter that documents training of at least 6 hours consisting of at least:
10.44.04.19.htm 10.44.04.19. 19 Recognition to Monitor a Patient to Whom Nitrous Oxide Has Been Administered.. A. A dental hygienist who holds a Board recognition to monitor a patient to whom nitrous oxide has been administered may, on and after October 1, 2016, continue to monitor a dentist’s administration of nitrous oxide to a patient, but may not administer nitrous oxide to a patient unless the dental hygienist holds a recognition to administer nitrous oxide.B. A dental hygienist who
10.44.04.20.htm 10.44.04.20. 20 Board-Approved Course of Instruction for Administering Nitrous Oxide.. The 6-hour Board-approved course of instruction shall include but not be limited to the following:. A. 4 hours of didactic classroom training, including at least the following:. 1) The history, philosophy, and psychology of nitrous oxide minimal sedation;. 2) The definition and descriptions of the physiological and psychological aspects of pain and anxiety;3) Concepts and management of pain and anxiety;.
10.44.04.21.htm 10.44.04.21. 21 Out-of-State Certification to Administer Nitrous Oxide.. A. A dental hygienist holding an active certification or who is otherwise recognized in another state to administer nitrous oxide may be granted recognition to administer nitrous oxide without taking and passing the Board-approved course if the dental hygienist:1) Has successfully administered nitrous oxide to at least 10 dental patients within the 2-year period immediately preceding the date of application w
10.44.04.22.htm 10.44.04.22. 22 Administering Nitrous Oxide to a Patient.. A. A dental hygienist who administers nitrous oxide shall enter clinic details of the procedure during and after the procedure into the patient’s dental record.B. A dental hygienist may not administer nitrous oxide to more than one patient at a time.. C. A dental hygienist who administers nitrous oxide to a patient may not:. 1) Treat any other patient during the course of the initiation, adjustment, monitoring, or terminati
10.44.04.23.htm 10.44.04.23. 23 Emergency Response Plan for Administering Nitrous Oxide.. A. A dentist that utilizes a dental hygienist to administer nitrous oxide shall have a medical emergency plan for the dental hygienist to follow in the event of an emergency.B. In the event of an emergency, the dental hygienist may turn off the nitrous oxide and administer 100 percent oxygen.C. In the event of an emergency the dental hygienist shall immediately summon the supervising dentist.
10.44.04.24.htm 10.44.04.24. 24 Continuing Education Credit for Nitrous Oxide Course.. A dental hygienist who has successfully completed the following since graduating from an approved school of dental hygiene may receive continuing education credit toward renewal of their dental hygiene license:A. The 6-hour Board-approved course of instruction for administering nitrous oxide; and. B. The CDCA Nitrous Oxide Examination for Dental Hygienists..
10.44.04.25.htm 10.44.04.25. 25 Application for Board Recognition as Qualified to Administer Nitrous Oxide.. A. A dental hygienist shall submit a completed Board-approved application with the Board to be recognized as qualified to administer nitrous oxide.B. Recognized as Qualified to Administer Nitrous Oxide.. 1) Not Certified or Otherwise Recognized in Another State. A dental hygienist who applies to be recognized as qualified to administer nitrous oxide and who is not certified or otherwise recognized in
10.44.04.26.htm 10.44.04.26. 26 Display and Location of Recognition as Qualified to Monitor or Administer Nitrous Oxide.. A dental hygienist recognized by the Board as qualified to either monitor or administer nitrous oxide shall display the recognition conspicuously in the office where the holder is engaged in practice.
10.44.04.27.htm 10.44.04.27. 27 Violations.. A. Subject to the hearing provisions of Health Occupations Article, §4-318, Annotated Code of Maryland, the Board may take the following action against a dental hygienist who violates any provision of this chapter or who violates any provision of Health Occupations Article, §4-315(b) Annotated Code of Maryland:1) Deny, suspend, or revoke the recognition to administer local anesthesia;.
10.44.04.28.htm 10.44.04.28. 28 Summary Suspension.. A. The Board may order the summary suspension of the recognition qualified to administer local anesthesia, the privilege to perform manual curettage in conjunction with scaling and root planning, the recognition qualified to monitor nitrous oxide, or the recognition to administer nitrous oxide if the Board:1) Finds that the public health, safety, or welfare imperatively requires emergency action; and. 2) Promptly gives the licensee:.
10.44.04.9999.htm 10.44.04.9999. Administrative History Effective date: November 18, 1977 (4:24 Md. R. 1806). Chapter revised effective April 22, 1985 (12:8 Md. R. 803). Regulation .01-1 adopted effective May 31, 2010 (37:11 Md. R. 765). Regulation .02 amended effective January 21, 2002 (29:1 Md. R. 23) May 31, 2010 (37:11 Md. R. 765). Regulation .03 amended effective January 21, 2002 (29:1 Md. R. 23) May 31, 2010 (37:11 Md. R. 765). Regulations .04―16 adopted effective May 31, 2010 (37:11 Md. R. 765) ―.
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