Maryland Administrative Code

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

.04 Licensure of Dental Hygienists Who Have Not Passed the ADHLEX Examination. A. In addition to meeting the requirements of Regulation .02 of this chapter, a dental hygienist holding an active license in another state who has not passed the ADHLEX examination with a score of 75 …

.05 Application Procedures. A. An applicant who has passed the ADHLEX with a score of 75 or greater in each required section shall submit the following to the Board: (1) A completed application on a form provided by the Board; (2) A photograph of the applicant not to exceed 3 inc…

.06 Fees. A. The application fee shall accompany the application and is specified in COMAR 10.44.20. B. The application fee is nonrefundable.

.01 Expiration Date of Licenses. A. A general license to practice dentistry and a general license to practice dental hygiene shall expire on June 30 of the second year following the effective date of the license. B. A limited license to practice dentistry shall expire 1 year from…

.02 Renewal of Licenses. A. Before a general license to practice dentistry expires, the licensee may renew it for an additional term, if the licensee: (1) Otherwise is entitled to be licensed; (2) Pays the renewal fee specified in COMAR 10.44.20; (3) Submits to the Board a renewa…

.03 Reinstatement of Expired Licenses. A. An individual holding an expired general license to practice dentistry may apply for reinstatement if the individual: (1) Submits to the Board notarized affidavits, or other evidence satisfactory to the Board, that the applicant has activ…

.01 Definitions. A. In this chapter, the following terms have the meanings indicated. B. Terms Defined. (1) Active Practice. (a) “Active practice” with respect to dentistry means the practice of dentistry for at least 500 hours within the 36-month period preceding expiration of a…

.02 Voluntary Change of License from Active to Inactive Status. After receipt of a renewal application from the Board and before expiration of the current license, a dentist or dental hygienist who holds a general license may inform the Board on the renewal application of the lic…

.03 Terms and Conditions of an Inactive Status Certificate. A. A licensee assigned inactive status shall submit to the Board the inactive status: (1) Application form provided by the Board; and (2) Fee as specified in COMAR 10.44.20. B. The Board shall issue an inactive status ce…

.04 Reactivating a Dental or Dental Hygiene Certificate on Inactive Status. A. A licensee whose license to practice dentistry or dental hygiene is on inactive status may apply for reactivation of that license. B. A licensee who applies for reactivation of a dental or dental hygie…

.01 Scope. A. This chapter covers the use of anesthesia and sedation by dentists in Maryland for the practice of dentistry. B. The use of local anesthesia by a dentist is not governed by this chapter. C. The administration of anesthesia and sedation by dentists in hospitals licen…

.02 Purpose. Dentists are increasingly administering anesthesia and sedation on an outpatient basis. It is in the best interests of the public and the dentists of Maryland to require dentists who administer anesthesia and sedation to meet certain minimal training and competency s…

.03 Definitions. A. In this chapter, the following terms have the meanings indicated. B. Terms Defined. (1) “Accredited facility” means a facility holding current certification from: (a) The Accreditation Association for Ambulatory Health Care (AAAHC); (b) The Joint Commission on…

.04 Anxiolysis. A. A permit is not required for a dentist to administer anxiolysis. B. The administering, prescribing, or dispensing of more than one type of sedative, narcotic, class of drug, or medication for the purpose of anesthesia to be taken the evening before a procedure,…

.05 Classifications of Permits and Certificates. A. The following permits shall be issued by the Board: (1) Class I permit that authorizes a dentist to use a nonparenteral anesthetic technique to attain the level of moderate sedation; (2) Class II permit that authorizes a dentist…

.06 Permit Required. After January 4, 2010, a dentist may not administer an anesthetic technique in order to attain a level beyond anxiolysis for the practice of dentistry unless the dentist holds an appropriate Class I, II, or III permit issued by the Board.

.07 Location Requirement. A. On a form provided by the Board, a dentist shall advise the Board of the name and address of each location where the dentist wishes to administer anesthesia and sedation. B. A dentist may not administer anesthesia and sedation unless the dentist has o…

.08 Qualifications for Obtaining a Permit. A. Because sedation is a continuum, it is not always possible to predict how an individual patient will respond. Therefore, practitioners intending to produce a given level of sedation shall be able to recover patients whose level of sed…

.09 Administration Evaluation. A. Class I Permit. To qualify for a Class I permit, the dentist who will perform the administration shall pass: (1) An office inspection evaluation; (2) A clinical evaluation consistent with the age level of the patients treated by the dentist; (3) …

.10 Facility Evaluation. In addition to the requirements outlined in Regulation .09 of this chapter, for a dentist to obtain a Class I, Class II, or Class III permit, each facility in which the dentist wishes to administer an anesthesia technique shall pass a facility evaluation …

.11 Facility Evaluation Criteria. A. Except as otherwise provided in this regulation, to qualify for a permit, the facility and the applicant shall pass an evaluation of facility equipment, medications, and clinical records to include at least the following: (1) Oxygen and gas de…

.12 Evaluation Results. A. A Board evaluator shall hold a permit at the same or higher level as the permit sought by the applicant being evaluated. B. To the extent practicable, a Board evaluator shall provide the results of the evaluation to the Board in writing within 7 days of…

.13 Exceptions. A. A dentist who has passed an administration and facility evaluation for a Class I, Class II, or Class III permit may receive a like permit for another facility or facilities if: (1) The dentist holds an active Class I, Class II, or Class III permit for which the…

.14 Inducing a Level of Sedation for a Patient. A. Administration of moderate enteral sedation, moderate parenteral sedation, deep sedation, or general anesthesia to a patient requires at least the following appropriately trained individuals: (1) The treating dentist; (2) An indi…

.15 General Anesthesia and Parenteral Sedation Administration Permits in Existence on January 4, 2010. A. A dentist who held a current general anesthesia administration permit on January 4, 2010, may continue to administer anesthesia and sedation under the general anesthesia admi…

.16 General Anesthesia and Parenteral Sedation Facility Permits in Existence on January 4, 2010. A. General anesthesia facility permits and parenteral sedation facility permits in existence on January 4, 2010, shall expire as provided in this regulation. B. A general anesthesia f…

.17 Conversion of General Anesthesia and Parenteral Sedation Administration Permits in Existence on January 4, 2010. A. At least 120 days before the expiration of a general anesthesia administration permit the Board shall mail an application to each individual who holds a general…

.18 Compliance for Dentists with General Anesthesia and Parenteral Sedation Administration Permits in Existence on January 4, 2010. A dentist with a general anesthesia administration permit or a parenteral sedation administration permit in existence on January 4, 2010, shall comp…

.19 Issuance and Expiration of Class I, Class II, and Class III Permits. A. To apply to obtain a permit, an applicant shall: (1) Submit to the Board an application on a form provided by the Board; (2) Pay the fee set by the Board in COMAR 10.44.20; and (3) Provide evidence satisf…

.20 Renewal of Class I and Class II Permits. A. The Board shall mail a renewal application to each individual holding a Class I or Class II permit at least 180 days before the expiration of the permit. B. Before a Class I or Class II permit expires, an applicant may apply to rene…

.21 Renewal of Class III Permits. A. The Board shall mail a renewal application to each individual holding a Class III permit at least 180 days before the expiration of the permit. B. Before a permit expires, an applicant may apply to renew the permit for an additional 5-year ter…

.22 Class III Dental School Facility Permit. A. After January 4, 2010, a dentist may not administer anesthesia or sedation for the practice of dentistry in a dental school recognized by the Commission on Dental Accreditation or its successor organization unless the dental school …

.23 Issuance and Expiration of Class III Dental School Facility Permits. A. To obtain a dental school Class III facility permit a dental school recognized by the Commission on Dental Accreditation or its successor organization shall: (1) Submit to the Board an application on a fo…

.24 Renewal of Class III Dental School Facility Permits. A. The Board shall mail a renewal application to each dental school holding a Class III dental school facility permit at least 180 days before the expiration of the permit. B. Before a Class III dental school facility permi…

.25 Dental School's Required Notice to Board. A. A dental school that holds a Class III Dental School Facility Permit shall advise the Board of any additional locations it has opened since the issuance or the renewal of its original permit. B. The notice required under §A of this…

.26 Facility Records. All facilities including a dental school that holds a Class III dental school facility permit shall maintain for 5 years for inspection by the Board: A. The name of each dentist who has administered anesthesia or sedation; and B. The license number of each d…

.27 Unannounced Inspection Visits. A. During reasonable business hours, the Board or its designee may conduct unannounced inspection visits of any dental office or facility if the Board has: (1) Received a complaint or has initiated a complaint; and (2) Reason to believe that ane…

.28 Facility Owner or Operator. A. The owner or operator of a facility may not permit an individual to administer anesthesia or sedation unless the individual is qualified to do so under this chapter. B. The owner or operator of a facility shall ensure that the facility: (1) Rema…

.29 Continuing Education Requirements for Renewal of a Permit. A. Renewal of a Class I, Class II, or Class III Permit. Beginning in 2016 and thereafter, an applicant who seeks renewal of a Class I, Class II, or Class III permit shall: (1) Complete not less than 24 hours of clinic…

.30 Transfer of Permits Prohibited. A Class I, Class II, or Class III permit may not be transferred to another person or location.

.31 Administration by Physicians or Dentists at the Site of a Treating Dentist. A. A treating dentist who wishes to allow a physician or another dentist to administer anesthesia and sedation to a patient at a specific practice location shall receive a certificate from the Board b…

.32 Certification of a Dentist Providing Treatment Outside the Dentist's Location. A. A treating dentist who treats a patient at a practice location other than the dentist's own location, at which anesthesia and sedation are administered to the patient, shall receive a certificat…

.33 Administration by a Certified Registered Nurse Anesthetist. A. A treating dentist who wishes to allow a certified registered nurse anesthetist to administer anesthesia and sedation to a patient at a specific practice location shall receive a certificate from the Board before …

.34 Display and Location of Permit. A. A dentist who holds a Class I, Class II, or Class III permit shall maintain their wallet certificate in their possession for inspection at the administration site. B. A dentist who holds a general anesthesia facility permit or a parenteral s…

.35 Exceptions to Anesthesia and Sedation Permits and Dentist Certification. A dentist who treats a patient at an accredited facility as defined in Regulation .03 of this chapter where anesthesia or sedation is being administered to the patient by either another dentist, physicia…

.36 Morbidity and Mortality Reports. A. A dentist shall report to the Board, in writing, any death caused by or resulting from the dentist's administration of anxiolysis, moderate sedation, deep sedation, or general anesthesia within 7 days after its occurrence. B. A dentist shal…