Iowa Administrative Code

offered in the advertisement. Advertised offers will be presumed to include everything ordinarily required for such a service. [ARC 8988C, IAB 3/5/25, effective 4/9/25]

the name and contact information of the practitioner who placed the ad. 574.18(1) If the advertisement refers to one’s practice, the ad may state either “general/family practice” or “specialist,” “specializes,” or “specializing.” A dentist may not advertise or represent oneself a…

officer, or licensed professional employee, acting as an agent of the firm or entity identified in the advertisement, is jointly and severally responsible for the form and content of any advertisement offering services or materials. The dentist should maintain a recording or copy…

with Iowa Code section 147.7, the certificate of every license, permit, registration or qualification and evidence of current renewal must be prominently displayed at each permanent practice location. 574.2(1) Additional certificates may be obtained from the board. Evidence of re…

153 and 272C, each licensee, registrant or committee of the board shall be responsible for reporting to the board the following matters: 574.20(1) Standards of practice. Within 30 days of acquiring knowledge, the following: a. Instances of gross or continually faulty treatment. b…

rules 481—574.3(147,153,272C), 481—574.4(147,153,272C), 481—574.11(153), 481—574.15(153), 481—574.16(153), 481—574.18(153), and 481—574.19(153), are not subject to waiver pursuant to 481—Chapter 6 or any other provision of law. [ARC 8988C, IAB 3/5/25, effective 4/9/25] These rule…

574.3(1) Change of name. Each person licensed or registered by the board must notify the board and submit evidence of a legal name change within 60 days of such change. 574.3(2) Change of address. Pursuant to Iowa Code section 147.9, each person licensed or registered by the boar…

574.4(1) Child and dependent adult abuse training. Licensees or dental assistants who regularly examine, attend, counsel or treat children or adults in Iowa must obtain mandatory training in child and dependent adult abuse identification and reporting in accordance with Iowa Code…

assigning to qualified personnel only those duties that can be legally delegated. Dentists will supervise the work of all personnel working under their direction and control. [ARC 8988C, IAB 3/5/25, effective 4/9/25]

discretion in accepting patients; however, pursuant to state and federal law, dentists may not discriminate against legally protected classes by refusing to accept patients into their practice or denying dental service to patients for reasons such as race, creed, sex or national …

necessary for the relief of pain or to thwart infection and prevent its spread. When consulted in an emergency by patients, dentists shall make reasonable arrangements for emergency care. [ARC 8988C, IAB 3/5/25, effective 4/9/25]

574.8(1) Dentists are responsible for meeting the minimum standard of care and should seek consultation or referral, if possible, whenever the welfare of patients will be safeguarded or advanced by utilizing those practitioners who have special skills, knowledge and experience. 5…

574.9(1) Patient records may be entered or retained electronically or by other means. Dentists must maintain patient records in a manner consistent with the protection of the welfare of the patient and comply with the following: a. Preserve and maintain the confidentiality of pat…

registration issued by the board pursuant to rule 481—571.5(147,153). The following individuals are exempt from the requirements of this rule: 575.1(1) Students enrolled in an accredited dental, dental hygiene, or dental assisting program; 575.1(2) Dental assistant trainees who a…

575.2(1) A person who is not otherwise actively licensed by the board shall not participate in dental radiography unless the person is a dental assistant or holds a nursing license and holds an active radiography qualification issued by the board and a dentist provides general su…

575.3(1) Dental assistant trainees are individuals who are engaging in on-the-job training to meet the requirements for registration pursuant to Iowa Code section 153.39 and rule 481—571.5(147,153). Trainees who are 18 years of age or older may also engage in on-the-job training …

575.4(1) In all instances, a dentist assumes responsibility for determining, on the basis of diagnosis, the specific treatment patients will receive and which aspects of treatment may be delegated to qualified personnel as authorized in these rules. 575.4(2) A licensed dentist ma…

575.5(1) A licensed dentist may delegate the following services to a dental assistant under general supervision: a. All extraoral duties. b. Intraoral suctioning. c. Use of a curing light. d. Dental radiography in accordance with rule 481—575.2(136C,153). e. Other intraoral imagi…

nurse who holds a dental radiography qualification will complete continuing education requirements as specified in 481—Chapter 573 unless exempted by rule. [ARC 8989C, IAB 3/5/25, effective 4/9/25; ARC 0247D, IAB 4/29/26, effective 6/3/26]

dental assisting program are not considered to be engaged in the unlawful practice of dental assisting provided that such practice is in connection with their regular course of instruction and meets the following: 575.7(1) The practice of clinical skills on peers enrolled in the …

575.8(1) A dental assistant who assists a dentist in practicing dentistry in any capacity other than as a person supervised by a dentist in a dental office; who directly or indirectly procures a licensed dentist to act as nominal owner, proprietor or director of a dental office a…

laboratories or dental laboratory technicians shall not advertise, solicit, represent or hold themselves out in any manner to the general public that they will furnish, construct, repair or alter prosthetic, orthodontic or other appliances, with or without consideration, to be us…

576.1(1) “Practice of dental hygiene” is defined in Iowa Code section 153.15 and includes the performance of educational, therapeutic, preventive and assessment services. Dental hygienists may perform such services, except educational services, when delegated by and performed und…

576.2(1) In accordance with Iowa Code chapter 153, all authorized services provided by a dental hygienist, except educational services, shall be performed under the general, direct, or public health supervision of an Iowa-licensed dentist. Pursuant to 481—Chapter 577, clinical tr…

576.3(1) A dental hygienist who renders hygiene services, except educational services, that have not been delegated by a licensed dentist or that are not performed under the supervision of a licensed dentist as provided by rule is deemed to be practicing illegally. 576.3(2) The u…

dental hygiene program are not considered to be engaged in the unlawful practice of dental hygiene provided that such practice is in connection with their regular course of instruction and complies with the following: 576.4(1) The practice of clinical skills on peers enrolled in …

577.1(1) Dental hygienists or dental assistants may only perform expanded function procedures upon successful completion of a board-approved course of training. Dental assistant trainees are not eligible to receive training in or perform expanded function procedures. a. This shal…

a certificate of completion for the corresponding function in which board-approved training has been completed before performing a specific expanded function procedure. A dentist may delegate to dental hygienists or dental assistants only those expanded function procedures in whi…

577.3(1) Level 1 expanded function procedures include: a. Taking occlusal registrations; b. Placement and removal of gingival retraction material; c. Fabrication, temporary cementation, and removal of provisional restorations following review of the fit and function by the superv…

577.4(1) Level 2 expanded function procedures for dental hygienists and dental assistants include: a. Placement and shaping of amalgam following preparation of a tooth by a dentist; b. Placement and shaping of adhesive restorative materials following preparation of a tooth by a d…

577.5(1) Approved expanded function training programs. Training programs for Level 1 and Level 2 expanded function procedures must be board-approved. Training programs for Level 2 expanded function procedures are limited to the University of Iowa College of Dentistry or another a…

578.1(1) A license to practice dentistry issued by this board permits the licensee to prescribe, administer, or dispense prescription drugs if the use is directly within the scope of the dentist-patient relationship. Registration with the federal Drug Enforcement Administration a…

578.2(1) Containers. A prescription drug shall be dispensed in a suitable container designed to protect its integrity in accordance with all applicable federal and state laws. 578.2(2) Labeling. A label shall be affixed to the container in which a prescription drug is dispensed b…

578.3(1) A dentist shall take adequate measures to prevent prescription forgery from occurring. Dentists may only transmit prescription drug orders, including prescriptions for controlled substances, electronically unless exempted. A dentist who fails to comply with the electroni…

578.4(1) A dentist may only prescribe or dispense an opioid if the dentist or authorized delegate queries the PMP. The query for each patient may not be performed more than 48 hours prior to each instance of an opioid prescription being authorized, issued, or dispensed. 578.4(2) …

579.1(1) A dentist may use nitrous oxide inhalation analgesia on an outpatient basis for dental patients provided the dentist has completed training and complies with the following: a. Has adequate equipment with fail-safe features. b. Has inspection and maintenance performed on …

antianxiety premedication or minimal sedation clearly reflect the level of sedation provided and are not misleading. [ARC 8993C, IAB 3/5/25, effective 4/9/25]

measures as deemed appropriate by the board. [ARC 8993C, IAB 3/5/25, effective 4/9/25] These rules are intended to implement Iowa Code section 153.13. [Filed ARC 8993C (Notice ARC 8510C, IAB 12/11/24), IAB 3/5/25, effective 4/9/25]

579.2(1) A dentist shall evaluate a patient prior to the start of any sedative procedure. In healthy or medically stable patients (ASA I, II), the dentist should review the patient’s current medical history and medication use. For a patient with significant medical considerations…

579.3(1) A dentist may only administer moderate sedation, deep sedation or general anesthesia if the dentist holds a current moderate sedation permit or general anesthesia permit pursuant to rule 481—572.11(153). 579.3(2) A dentist administering sedation anesthesia must maintain …

579.4(1) Moderate sedation for ASA I or II nonpediatric patients. a. A dentist may prescribe or administer a single enteral drug in excess of the MRD on the day of treatment. b. A dentist may prescribe or administer a combination of more than one enteral drug. c. A dentist may ad…

579.5(1) The administration of anesthetic sedative agents intended for deep sedation or general anesthesia, including but not limited to Propofol, Ketamine and Dilaudid, is deemed to constitute deep sedation or general anesthesia. 579.5(2) A dentist may administer deep sedation o…

be capable of administering emergency support and complete training as required by this rule. 579.6(1) Patient monitors who will observe patients receiving deep sedation or general anesthesia must have a current certification in ACLS, PALS, or DAANCE. 579.6(2) A patient monitor w…

the recordkeeping requirements specified in rule 481—574.9(153,272C), the patient record must include the following information as applicable when administering nitrous oxide, sedation or anesthesia. 579.7(1) The concentration of nitrous oxide administered; dosage of medication a…

general anesthesia. 579.8(1) A permit holder shall notify the board office in writing within 60 days of a change in location or the addition of a sedation facility. 579.8(2) A dentist may only administer moderate sedation or anesthesia in a facility that is permanently and proper…

579.9(1) A dentist may only use the services of a licensed sedation provider or another permit holder to administer moderate sedation, deep sedation or general anesthesia in a dental facility if the following requirements are met: a. The dentist holds a current moderate sedation …

indicated in this chapter. The definitions set out in Iowa Code section 135C.1 shall be considered to be incorporated verbatim in the rules. The use of the words “shall” and “must” indicates those standards are mandatory. The use of the words “should” and “could” indicates those …

58.10(1) There shall be written personnel policies in facilities of more than 15 beds to include hours of work, and attendance at educational programs. (III) 58.10(2) There shall be a written job description developed for each category of worker. The job description shall include…

58.11(1) General qualifications. a. No person with a current record of habitual alcohol intoxication or addiction to the use of drugs shall serve in a managerial role of a nursing facility. (II) b. No person under the influence of alcohol or intoxicating drugs shall be permitted …

58.12(1) General admission policies. a. No resident shall be admitted or retained in a nursing facility who is in need of greater services than the facility can provide. (II, III) b. No nursing facility shall admit more residents than the number of beds for which it is licensed, …