Maryland Administrative Code

.06 Requirements for Teacher's License to Practice Dentistry. A. In addition to meeting the requirements set forth in Health Occupations Article, §4-302, Annotated Code of Maryland, with respect to moral character, to qualify for a teacher's license to practice dentistry, a gradu…

.01 General Requirements. A. Any experimental program shall be under the direct supervision of a full time faculty member of the dental school or college. B. All dental assistants utilized by or employed in connection with any program shall be “qualified dental assistants” as tha…

.02 Specific Program Requirements. A. If the conduct of an experimental program requires the delegation to a dental assistant or the hygienist would not otherwise be permitted to perform by law or regulation of the Board, the faculty supervisor of the experimental program shall n…

.01 Scope. This chapter governs the practice of dental hygiene by all licensed dental hygienists in the State.

.02 Definitions. A. In this chapter, the following terms have the meaning indicated. B. Terms Defined. (1) “Administer medication” means the direct introduction of a single dosage of a medication by a dental hygienist while the patient is physically on the premises where the trea…

.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 r…

.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 anesthesi…

.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. Adminis…

.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 d…

.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 …

.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…

.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 lea…

.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 i…

.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 stat…

.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 manua…

.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 hygi…

.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 adm…

.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. …

.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.

.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 ch…

.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) Successful…

.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…

.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, a…

.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 Boar…

.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 p…

.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 …

.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-ho…

.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 Oxi…

.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…

.27 Authority to Prescribe and Administer Medication. A. The Board shall recognize the joint classification of recognized to prescribe and administer medication. B. A dental hygienist may not prescribe or administer medication unless recognized by the Board as being qualified to …

.28 Prescribing Medication. A. A dental hygienist who is recognized by the Board to prescribe medication may, under the general supervision of a dentist, prescribe: (1) Topical and systemic types of prescription or over-the-counter fluoride preparations; (2) Topical antimicrobial…

.29 Administering Medication. A. A dental hygienist who is recognized by the Board to administer medication may, under the general supervision of a dentist, administer medication including: (1) Topical and systemic types of prescription or over-the-counter fluoride preparations; …

.30 Qualifications for Board Recognition to Prescribe and Administer Medication. A. A dental hygienist who wishes to receive recognition by the Board as being qualified to prescribe and administer medication shall: (1) Hold an active license to practice dental hygiene in this Sta…

.31 Board-Approved Course of Instruction for Prescribing and Administering Medication. The 4-hour Board-approved course of instruction shall include but not be limited to the following: A. Responsible medication prescribing; B. Accuracy in prescription writing; C. Electronic pres…

.32 Out-of-State Certification to Prescribe and Administer Medication. A. A dental hygienist holding an active certification or who is otherwise recognized in another state to prescribe and administer medication may be granted recognition to prescribe and administer medication wi…

.33 Emergency Response Plan for Administering Medication. A. A dentist who supervises a dental hygienist who is recognized by the Board to prescribe and administer medication shall have a medical emergency plan for the dental hygienist to follow in the event of an emergency. B. I…

.34 Continuing Education Credit for Board-Approved Course of Instruction for Prescribing and Administering Medication. A dental hygienist who successfully completes the 4-hour Board-approved course of instruction for prescribing and administering medication since graduating from …

.35 Application for Board Recognition to Prescribe and Administer Medication. A. A dental hygienist shall submit a completed Board-approved application with the Board to be recognized as qualified to prescribe and administer medication. B. Recognized as Qualified to Prescribe and…

.36 Issuance of Recognition to Prescribe and Administer Medication. A. The Board may issue a recognition as qualified to prescribe and administer medication to a dental hygienist who is not certified or otherwise recognized in another state after the Board’s review of: (1) The ap…

.37 Continuing Education and Renewal for Prescribing and Administering Medication. A. A dental hygienist is not required to renew the Board recognition to prescribe and administer medication. B. A dental hygienist who has successfully completed the 4-hour Board-approved course of…

.38 Display and Location of Recognition to Prescribe and Administer Medication. A dental hygienist recognized by the Board to prescribe and administer medication shall display the recognition conspicuously in the office where the holder is engaged in practice.

.39 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 Occupation…

.40 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, the reco…

.01 Definitions. A. In this chapter, the following terms have the meaning indicated. B. Terms Defined. (1) “ADEX” means the American Board of Dental Examiners, Inc., or its successor organization. (2) “ADLEX” means the American Dental Licensing Examination, which includes both a …

.02 Qualifications for All Applicants. A dentist holding an active license in any other state may be granted a license in Maryland if the applicant: A. Meets the requirements of Health Occupations Article, §4-306, Annotated Code of Maryland; B. Is of good moral character; C. Hold…

.03 Licensure of Dentists Who Have Passed the ADLEX Examination. A. In addition to meeting the requirements of Regulation .02 of this chapter, a dentist holding an active license in any other state shall be issued a license if the applicant: (1) Has passed the ADLEX with a score …

.04 Licensure of Dentists Who Have Not Passed the ADLEX Examination. A. In addition to meeting the requirements of Regulation .02 of this chapter, a dentist holding an active license in another state who has not passed the ADLEX examination with a score of 75 or greater in each r…