DEPARTMENT OF COMMUNITY HEALTH

                           DIRECTOR'S OFFICE

                     DENTISTRY RULES - GENERAL RULES

(By authority conferred on the director of the department of community health 
by sections 16145(3) and 16601 of 1978 PA 368, MCL 333.16145(3) and 333.16601 
et seq.  and Executive Reorganization Order Nos. 1996-1, 1996-2  and  2003-1, 
MCL 330.3101, 445.2001 and 445.2011)


                       PART 1. GENERAL PROVISIONS


R 338.11101   Definitions.
  Rule 1101.  As used in these rules:
  (a)  "Act" means 1978 PA 368, MCL 333.1101.
  (b)  "Analgesia"  means  the  diminution  or  elimination  of    pain    in 
the conscious patient.
  (c)"Approved course" means a course   offered   by   either    a    dental, 
dental hygiene, or dental assisting program accredited by the  commission  on 
dental accreditation of the  American  dental  association  and  approved  by 
the department, or as defined in section 16611 of the act.
  (d) "Assignment" means that a dentist  has  designated   a    patient    of 
record upon whom services are to be performed by  an  assistant,   registered 
dental assistant, or  registered  dental  hygienist  and  has  described  the 
procedure to be performed. The dentist need not be physically present in  the 
office or in the treatment room  at  the   time   the  procedures  are  being 
performed.
  (e)  "Assistant"  means  a  nonlicensed  person  who  may   perform   basic 
supportive procedures under the supervision of a dentist as provided in these 
rules.
  (f) "Board" means the Michigan board of dentistry.
  (g)  "Conscious  sedation"  means  a  minimally    depressed    level    of 
consciousness  that  retains  a  patient's  ability  to   independently   and 
continuously  maintain  an  airway  and  respond  appropriately  to  physical 
stimulation or verbal command and that is produced by a pharmacological or  a 
non-pharmacological method  or a combination of both.
  (h)  "Combination   inhalation-enteral    conscious     sedation"     means 
conscious sedation using inhalation and enteral agents.  Nitrous oxide/oxygen 
when used in combination with sedative agents may produce conscious  or  deep 
sedation or general anesthesia.
  (i) "Dental school" means an  institution  that   offers    a    curriculum 
that provides a core of required dental education, training, and  experience,
 and includes at least 4 years of academic instruction or   its    equivalent 
leading to the degree of  doctor  of  dental  surgery  or  doctor  of  dental 
medicine.   The dental school is a component of an  institution   of   higher 
education  that  is accredited by an  agency  recognized  by    the    United 
States  department  of education and that the American dental   association's 
commission  on  dental accreditation has accredited  as  a  dental  education 
program.
  (j) "Dentist" means a person licensed by the board  under  the   act    and 
these rules.
  (k) "Direct supervision" means that a dentist has designated   a    patient 
of record upon whom services  are  to  be  performed   by    an    assistant, 
registered dental assistant, or  registered  dental   hygienist    and    has 
described  the procedures to be performed. The dentist  shall   examine   the 
patient  before prescribing the procedure to be performed  and   again   upon 
completion  of  the procedure. The dentist shall be physically present in the 
office at the  time the procedures are being performed.
  (l) "Enteral" means any technique of administration in which   the    agent 
is absorbed through the gastrointestinal or oral mucosa.
  (m)  "General  anesthesia"  means  the  elimination   of   all   sensations 
accompanied by a state of unconsciousness and loss of reflexes necessary   to 
maintain  a patient airway.
  (n) "General supervision" means that a dentist has designated  a    patient 
of record upon  whom  services  are  to  be  performed.  The  dentist   shall 
be physically present in the  office  at  the  time  the    procedures    are 
being performed.
  (o) "Licensed" means the possession of  a  full  license    to    practice, 
unless otherwise stated.
  (p) "Local anesthesia" means the  elimination  of   sensation,   especially 
pain, in one part  of  the  body  by  the  topical  application  or  regional 
injection of a drug.
  (q) "Office" means the building  or  suite  in  which   dental    treatment 
is performed.
  (r) "Parenteral" means a technique  of  administration   in    which    the 
drug bypasses  the  gastrointestinal  (gi)  tract,  such   as   intramuscular 
(im), intravenous (iv), intranasal  (in),  submucosal   (sm),    subcutaneous 
(sc),  and intraocular (io).
  (s) "Patient of record"  means  a  patient  who  has  been   examined   and 
diagnosed by a licensed dentist and whose treatment has  been  planned  by  a
 licensed dentist.
  (t) "Public health service" means the United States public health  service.
A person applying for an exemption under this  classification  shall   submit 
a certified copy of his or her official papers verifying active duty status.
  (u) "Registered dental assistant" means a person licensed  as    such    by 
the board under the act and these rules.  A  dental  hygienist  may   perform 
the functions of a registered dental assistant if he or she is  licensed   by 
the board as a registered dental assistant.
  (v) "Registered dental hygienist" means a person licensed  as    such    by 
the board under the act and these rules.
  (w) "Second pair of hands," as used   in   R   338.11109,    means    acts, 
tasks, functions, and procedures performed by a dental assistant,  registered 
dental assistant, or registered dental hygienist  at  the  direction   of   a 
dentist  who is in the process of rendering dental services and treatment  to
 a  patient.
The acts, tasks, functions, and procedures performed by a  dental  assistant, 
registered dental assistant, or registered dental hygienist are ancillary  to 
the procedures performed by the dentist and  intended  to  provide  help  and 
assistance at the time the procedures are performed.  This  definition  shall 
not be deemed to expand the duties of the dental assistant, registered dental 
assistant, or registered dental hygienist as provided by the  act  and  rules 
promulgated by the board.
  (x)  "Sedation"  means  the  calming   of    a    nervous,     apprehensive 
individual, without inducing loss of consciousness,  through  the   use    of 
systemic  drugs.
Agents may be given orally, parenterally, or by inhalation.
  (y) "Titration" means the administration of small  incremental  doses  of a 
drug until a desired clinical effect is  observed.   In    accordance    with 
this definition, titration  of  oral  medication  for   the    purposes    of 
sedation  is unpredictable.  Repeated dosing of orally administered  sedative
 agents  may result in an alteration of the state of   consciousness   beyond 
the  intent  of the practitioner.  The maximum recommended dose (mrd)  of  an 
oral  medication shall  not  be  exceeded.    Facilities,    personnel    and 
standards  for  enteral  sedation  are  the  same  as  those  for  parenteral 
sedation.
  (z) "Treatment room" means the particular room or specific  area  in  which 
the dental treatment is performed upon a patient.

  History: 1984 AACS; 1989 AACS; 2006 AACS.


R 338.11103    Applicability of rules.
  Rule 1103.  These rules apply to dentists,  registered  dental  assistants, 
and registered dental hygienists.

  History: 1984 AACS.


R 338.11105    Rescinded.

  History: 1984 AACS; 1997 AACS.


R 338.11107    Signs; disclosure  of  names  of  dentists  practicing  in  an 
establishment.
  Rule 1107.  The name of the dentist actually practicing dentistry within an 
establishment shall be clearly disclosed by means of a sign or letting on  or 
near a door, window, or wall of the establishment. If  more  than  1  dentist 
practices in a single establishment, the names of all the dentists practicing 
at the establishment shall be listed.

  History: 1984 AACS.


R 338.11109    Second pair of hands.
  Rule 1109.  A person, while assisting a licensed dentist who at the time is 
actively performing services in the mouth of a patient,  may  function  as  a 
second pair of hands for the dentist.

  History: 1984 AACS.


R 338.11115    Assessment of fines.
  Rule 1115.  (1)  When a fine has been designated as an  available  sanction 
for a violation of sections 16221 to 16226 of  the  act,  in  the  course  of 
assessing a fine, the board  shall  take  into  consideration  the  following 
factors without limitation:
  (a)  The extent to which the licensee obtained financial benefit  from  any 
conduct comprising part of the violation found by the board.
  (b)  The willfulness of the conduct found  to  be  part  of  the  violation 
determined by the board.
  (c)  The public harm, actual or potential, caused by the violation found by 
the board.
  (d)  The cost incurred in investigating and proceeding against the license.
  (2)  A fine shall not exceed the sum of $50,000.00 for each violation found 
to have been committed by the licensee.

  History: 1989 AACS


R 338.11117    Violations of the act.
  Rule 1117.  All of the following activities are violations of the act:
  (a)  Abandonment of  dental  treatment  of  a  patient  of  record  without 
advising the  patient  of  the  necessity  of  immediate  dental  or  medical 
treatment when needed and without advising the patient to seek treatment from 
another health professional is a violation of section 16221(a) of the act.
  (b)  Performance of dental  treatment  without  the  patient's  express  or 
implied consent or the express or implied consent of the  patient's  guardian 
is a violation of section 16221(a) of the act.
  (c)  Practicing or offering to practice professional responsibilities which 
the licensee knows or has reason to know  he  or  she  is  not  competent  to 
perform is a violation of section 16221(a) and (b)(i) of the act.
  (d)  Practicing or offering  to  practice,  without  adequate  supervision, 
professional services which the licensee is authorized to perform only  under 
the supervision of a licensed dentist as provided for in these rules,  except 
in an emergency situation where a person's life or  health  is  in  immediate 
danger, is a violation of section 16221(a) and (b)(i) of the act.
  (e)  Delegating or assigning professional responsibilities to a person when 
the licensee delegating or  assigning  such  responsibilities  knows  or  has 
reason to know that such person is not qualified by training, by  experience, 
or by licensure to perform them is a violation of section 16221(a) and (b)(i) 
of the act.
  (f)  Failure to be present in the office as needed to supervise, or failure 
to provide needed  level  of  supervision  of,  the  work  of  an  assistant, 
registered dental assistant, registered dental hygienist, or  other  employee 
not licensed as a dentist under the act is a violation of section 16221(a) of 
the act.
  (g)  Failure to provide the same level of emergency care at all offices  or 
facilities is a violation of section 16221(a) of the act.
  (h)  It shall be deemed a violation of section 16221(c)(ii) of the act if a 
dentist allows his or her license to be used by a person  who  is  unlawfully 
engaged in the practice of dentistry. "Person," as  used  in  this  rule,  is 
defined in section 1106 of the act.

  History: 1984 AACS.


R 338.11120    Dental treatment records; requirements.
  Rule 1120.  (1)  A dentist shall  make  and  maintain  a  dental  treatment 
record on each patient.
  (2)  The dental treatment records for patients shall  include  all  of  the 
following information:
  (a)  Dental procedures performed upon the patient, including  the  charting 
of all restorations, missing teeth, or other developmental deformities.
  (b)  The date the procedure was performed.
  (c)  Identity of the  dentist  or  the  dental  auxiliary  performing  each 
procedure.
  (d)  The date, dosage, and amount of any  medication  or  drug  prescribed, 
dispensed, or administered to the patient.
  (e)  Radiographs taken in the  course  of  treatment.  If  radiographs  are 
transferred to another dentist, the name and address of that dentist shall be 
entered in the treatment record.
  (3)   All  dental  treatment  records  shall  be  permanent  and  shall  be 
maintained for not less than 10 years from the date  of  the  last  treatment 
provided.

  History: 1989 AACS.


R 338.11121    Scheduled controlled substances; inventory record requirements.
  Rule 1121.  (1)  When a controlled substance, as described in article 7  of 
the act, is stocked in a dental office for dispensing or administering  to  a 
patient, an accurate inventory of the drug shall be  maintained  and  include 
all of the following information:
  (a)  The date and quantity of the drug purchased.
  (b)  The amount, dosage, and date dispensed or administered.
  (c)  The name of the patient to whom it was dispensed or administered.
  (2)  The inventory record shall be available for inspection  for  not  less 
than 10 years.
  (3)  The inventory record shall be in  addition  to  the  dental  treatment 
records required by R 33 8.11120.

  History: 1989 AACS.


R 338.11199    Rescission.
  Rule 1199.  R 338.4101 to R 338.4555 of the Michigan  Administrative  Code, 
appearing on pages 2672 to 2693 of the 1979 Michigan Administrative Code, are 
rescinded.

  History: 1984 AACS.


                             PART 2. LICENSURE


R 338.11201   Licensure by examination to  practice   dentistry;    graduates 
of schools in compliance with board standards.
  Rule 1201.  An applicant for dentist licensure by examination shall  submit 
a completed application on a form provided by the department,  together  with 
the requisite fee.  In addition to meeting  the  requirements  of  the   code 
and administrative rules promulgated under the code,   an    applicant    for 
dentist licensure by examination shall meet all of the following requirements:
  (a) Graduate from a  dental  school  that  is  in  compliance   with    the 
standards in R 338.11301.
  (b) Pass all parts of the national board examination that   is    conducted 
and scored by the joint commission on national dental examinations  in  order
 to qualify for the licensing examination provided in  subdivision   (c)   of 
this rule.  The requirement does not apply to applicants who  have  graduated 
before 1950.
  (c) Pass  a  dental  simulated  clinical  written  examination   that    is 
conducted and scored by the northeast regional  board  of  dental  examiners, 
incorporated, or a successor organization, and 1 of the following:
  (i) Pass all parts of a clinical examination that is conducted  and  scored 
by the north east  regional  board  of  dental  examiners,  incorporated,  or
 a successor organization, or pass all parts of a clinical examination   that 
is conducted by a regional testing agency that is approved by the board.
  (ii) Pass all parts of a clinical examination  developed  and  scored  by a 
state or other entity and that is substantially equivalent, as provided in  R 
338.11203(5), to the clinical examination of the north east  regional   board 
of dental examiners, incorporated, or a successor organization.

  History: 1984 AACS; 1989 AACS; 1997 AACS; 2006 AACS.


R 338.11202   Licensure  to  practice  dentistry;  graduates  of  school  not 
meeting board standards; requirements.
  Rule 1202.  An individual who graduated from a  school  of  dentistry  that 
does not comply with the standards provided in R 338.11301 may be licensed by
 the board if the individual meets all of the following requirements:
  (a) Complies with section 16174 of the act.
  (b)   Presents   to   the   board   a    final,     official     transcript 
establishing graduation from a school in which  he  or  she  has  obtained  a 
dental degree.  If the transcript is issued in  a   language    other    than 
English,  an  original, official translation shall also be submitted.
  (c) Meets one of the following requirements:
  (i) Successfully completes a minimum  2-year  program  in  dentistry  in  a 
dental school that complies with the standards in R 338.11301 and that  leads 
to  the awarding of a doctor of dental surgery (dds) or  doctor   of   dental 
medicine (dmd) degree.  The completion of the program shall be  confirmed  by 
the  dean of the school attended or  official  transcripts  from  the  dental 
school.
  (ii)  Successfully  completes  a  minimum  2-year   master's   degree    or 
certificate program in a dental school that complies with the standards  in R 
 338.11301 and that leads to the awarding of  a   degree    or    certificate 
from  a  dental specialty program that complies with the  standards   in    R 
338.11501  and  R 338.11503(b) and (c).
  (d) Passes all parts of the national board examination  that  is  conducted 
and scored by the joint commission on national dental examinations.
  (e) Passes the  dental  simulated  clinical  written  examination   and   a 
clinical examination, as described in R 338.11201(c).

  History: 1989 AACS; 1997 AACS; 2006 AACS.


R 338.11203   Dental examinations; required passing scores.
  Rule 1203.  (1) The board approves and adopts the   examination   developed 
and scored by the joint  commission  on  national  dental  examinations.   An 
applicant  shall  present  evidence  of  passing  each   component   of   the 
examination  with  a converted score of not less than 75.
  (2) The board approves  and  adopts   the   dental    simulated    clinical 
written examination developed and scored by the north east regional board  of
 dental  examiners,  incorporated,  or  a   successor    organization.     An 
applicant  shall present evidence  of  passing  each   component    of    the 
examination  with  a converted score of not less than 75.
  (3) The board approves and adopts the  clinical    examination    developed 
and  scored  by  the  north  east  regional  board   of   dental   examiners, 
incorporated.  A passing score on the clinical examination shall be the score
 recommended  by the north east  regional  board   of    dental    examiners, 
incorporated,   or   its  successor  organization.   In  no  case  shall  the 
applicant present  evidence  of less than a converted score  of  75  on  each 
component of the examination.
  (4) The board  approves  and  adopts   the   clinical    examinations    of 
other regional testing agencies or state boards  if  the   examinations   are 
considered to be substantially equivalent to the clinical examination of  the 
north  east regional board of dental examiners, incorporated.    A    passing 
score  on  the clinical examination  shall  be  the  score   recommended   by 
the  sponsoring  organization.   In  no  case  shall  the  applicant  present 
evidence of less than a converted score  of  75  on  each  component  of  the 
examination.
  (5) To determine substantial equivalency as specified  in  subrule  (4)  of 
this rule, the board shall consider factors such as the following:
  (a) Subject areas included.
  (b) Detail of material.
  (c) Comprehensiveness.
  (d) Length of an examination.
  (e) Degree of difficulty.
  (6) To demonstrate substantial equivalency as specified in   subrule    (4) 
of this rule, an applicant may be  required  to  submit,  or  cause   to   be 
submitted, materials such as the following:
  (a)  A  copy  of  the  examination  booklet   or   description    of    the 
examination content and examination scores issued by the testing agency.
  (b) An  affidavit  from  the  appropriate  state  licensing   agency   that 
describes the examination and sets forth the legal standards which  were   in 
effect  at the time of the examination.
  (c) An affidavit from a state licensing board   or    examination    agency 
that describes the examination.

  History: 1984 AACS; 1997 AACS; 2006 AACS.


R 338.11205   Rescinded.

  History: 1984 AACS; 1997 AACS.


R 338.11207   Rescinded.

  History: 1984 AACS; 1997 AACS.


R 338.11211   Rescinded.

  History: 1984 AACS; 1997 AACS.


R 338.11215   Rescinded.

  History: 1984 AACS; 1989 AACS; 1997 AACS.


R 338.11217   Rescinded.

  History: 1984 AACS; 1989 AACS; 1997 AACS.


R 338.11219   Rescinded.

  History: 1984 AACS; 1989 AACS; 1997 AACS.


R 338.11221   Licensure  by   examination   to   practice   dental   hygiene; 
requirements; graduates of schools in compliance with board standards.
  Rule 1221.  An applicant for  dental  hygienist  licensure  by  examination 
shall submit a completed application on a form provided  by  the  department, 
together with the requisite fee.  In addition to meeting the requirements  of 
the  code and administrative rules promulgated under the code,  an  applicant 
for  dental hygienist  licensure  by  examination  shall  meet  all  of   the
  following requirements:
  (a) Graduate from  a  dental  hygiene  program  in  compliance   with   the 
standards in R 338.11303.
  (b) Pass all parts of the dental hygiene national board  examination   that 
is conducted  and  scored  by  the  joint  commission  on   national   dental 
examinations in order to qualify for the licensing examination  provided  for 
in subdivision (c) of this rule.   The  requirement  does  not    apply    to 
applicants  who  have graduated before 1962.
  (c)  Pass  a  dental  hygiene  simulated  clinical   written    examination 
conducted and  scored  by  the  north  east  regional   board    of    dental 
examiners, incorporated, or a successor organization, and 1 of the following:
  (i) Pass all parts of a clinical examination that is conducted  and  scored 
by the north east  regional  board  of  dental  examiners,  incorporated,  or
 a successor organization or pass all parts of a clinical  examination   that 
is conducted by a regional testing agency approved by the board.
  (ii) Pass all parts of a clinical examination  developed  and  scored  by a 
state or other entity   that   is    substantially    equivalent    to    the 
clinical examination  of  the  north  east  regional   board    of     dental 
examiners, incorporated, or a successor organization.

  History: 1984 AACS; 1997 AACS; 2006 AACS.


R 338.11222   Licensure to practice dental hygiene; graduates of schools  not 
in compliance with board standards; requirements.
  Rule 1222.  An individual who graduated from a  school  of  dental  hygiene 
that is not in compliance with the  standards  provided  in    R    338.11303 
may  be licensed  by  the  board  if  the  individual  meets  all   of    the 
following requirements:
  (a) Complies with section 16174 of the act.
  (b)   Presents   to   the   board   a    final,     official     transcript 
establishing graduation from a school in which he or she has    obtained    a 
dental  hygiene degree.
  (c) Successfully completes a program in a dental hygiene school  that    is 
in compliance with  R  338.11303.   The  completion  of  the  program   shall 
be confirmed by the administrator of the school attended.
  (d) Passes all parts of the dental hygiene  national   board    examination 
that is  conducted  and  scored  by  the  joint   commission   on    national 
dental examinations.
  (e)  Passes  a  dental  hygiene  simulated  clinical  written   examination 
conducted and  scored  by  the  north  east  regional   board    of    dental 
examiners, incorporated, or a successor organization, and 1 of the following:
  (i) Passes all parts of a clinical  examination  that  is   conducted   and 
scored by the north east regional board of  dental  examiners,  incorporated,
 or  a successor organization or pass all parts of a  clinical    examination 
that  is conducted by a regional testing agency approved by the board.
  (ii) Passes all parts of a clinical examination developed and  scored  by a 
state or other entity   that   is    substantially    equivalent    to    the 
clinical examination  of  the  north  east  regional   board    of     dental 
examiners, incorporated, or a successor organization.

  History: 1989 AACS; 1997 AACS; 2006 AACS.


R 338.11223   Registered dental hygienist examinations; passing scores.
  Rule  1223.   (1)  The  board  approves  and  adopts  the  dental   hygiene 
examination developed and scored by the joint commission on  national  dental 
examinations.
 An applicant shall  present  evidence  of  passing  each  component  of  the 
examination with a converted score of not less than 75.
  (2) The board  approves  and  adopts   the   dental    hygiene    simulated 
clinical written examination developed and scored by the  northeast  regional 
board  of dental examiners, incorporated, or a successor  organization.    An 
applicant  shall  present  evidence  of  passing  each   component   of   the 
examination  with  a converted score of not less than 75.
  (3) The board approves and adopts the  clinical    examination    developed 
and  scored  by  the  north  east  regional  board   of   dental   examiners, 
incorporated.  A passing score on the clinical examination shall be the score
 recommended  by the north east  regional  board   of    dental    examiners, 
incorporated,   or   its  successor  organization.   In  no  case  shall  the 
applicant present  evidence  of less than a converted score  of  75  on  each 
component of the examination.
  (4) The board  approves  and  adopts   the   clinical    examinations    of 
other regional testing agencies or state boards,  if  they   are   considered 
to  be substantially equivalent.  A passing score on the clinical examination
 shall be the score recommended by the sponsoring organization.  In  no  case
 shall the applicant present evidence of less than a converted score  of   75 
on  each component of the examination.
  (5) To determine substantial equivalency, as specified  in   subrule    (4) 
of this rule, the board shall consider factors such as the following:
  (a) Subject areas included.
  (b) Detail of material.
  (c) Comprehensiveness.
  (d) Length of an examination.
  (e) Degree of difficulty.
  (6) To demonstrate substantial equivalency as specified in   subrule    (4) 
of this rule, an applicant may be  required  to  submit,  or  cause   to   be 
submitted, materials such as the following:
  (a)  A  copy  of  the  examination  booklet   or   description    of    the 
examination content and examination scores issued by the testing agency.
  (b) An  affidavit  from  the  appropriate  state  licensing   agency   that 
describes the examination and sets forth the legal standards which  were   in 
effect  at the time of the examination.
  (c) An affidavit from a state licensing board   or    examination    agency 
that describes the examination.

  History: 1984 AACS; 1997 AACS; 2006 AACS.


R 338.11225    Rescinded.

  History: 1984 AACS; 1997 AACS.


R 338.11227    Rescinded.

  History: 1984 AACS; 1997 AACS.


R 338.11233   Registered  dental  hygienist;  use  of    letters    "R.D.H."; 
registered dental assistant; use of letters "R.D.A."
  Rule 1233.  (1)  Pursuant to section  16264  of  the  act,  the  registered 
dental hygienist who has received a bona fide degree or certificate of dental 
hygiene from a duly recognized and accredited school of  dental  hygiene  and 
who has completed all requirements for licensure may use the letters "R.D.H." 
after his or her name in connection with the practice of dental hygiene.
  (2)  Pursuant to section 16264 of the act, a  registered  dental  assistant 
who has received a bona fide degree or certificate of dental assisting from a 
duly recognized and  accredited  school  of  dental  assisting  and  who  has 
completed all requirements for licensure may use the letters  "R.D.A."  after 
his or her name in connection with the practice of dental assisting.

  History: 1984 AACS.


R 338.11235   Licensure  to  practice  as  a  registered  dental   assistant; 
requirements.
  Rule 1235.   An  individual  applying  for  a  license  to  practice  as  a 
registered dental assistant shall meet all of the following requirements:
  (a)  Comply with section 16174 of the act.
  (b)  Graduate or receive a  certificate  from  a  school  which  meets  the 
standards set forth in R 338.11307.
  (c)  Pass the board comprehensive and clinical examination.

  History: 1984 AACS.

R 338.11239   Registered dental assistant examination; content; time;  place; 
passing score.
  Rule 1239.  (1) The  board  shall  conduct  a  comprehensive  and  clinical 
examination  for  individuals  seeking  licensure  as  a  registered   dental 
assistant.
  (2)  Examination for licensure as a registered dental  assistant  shall  be 
both comprehensive and clinical and shall include, but not be limited to, all 
of the following:
  (a)  Oral anatomy.
  (b)  Law and rules governing dental auxiliaries.
  (c)  Instrumentation and use of dental materials.
  (d)  Mouth mirror inspection.
  (e)  Rubber dam application.
  (f)  Application of anticariogenics.
  (g)  Placement and removal of temporary crowns and bands.
  (h)  Radiography.
  (i)  Periodontal dressings, application and removal.
  (j)  Removal of sutures.
  (3)  The examination shall be given at least once a year. The passing score 
for the examination shall be a converted score of 75 on each section.
  (4)  A candidate who fails to achieve a passing score on all  parts  within 
an  18-month  period  shall  reapply  to  take  the   entire   clinical   and 
comprehensive examination.

  History: 1984 AACS; 1989 AACS.


R 338.11241   Registered dental assisting licensure candidate who fails   the 
clinical   or   comprehensive   examination   twice;   requirements    before 
reexamination.
  Rule 1241.  (1)  Before being permitted to retake the clinical examination, 
a registered dental assisting licensure candidate who sustains  2  successive 
failures in the clinical examination shall be required to meet  both  of  the 
following requirements subsequent to the last examination failed:
  (a)   The  candidate  shall  present  evidence  of   additional   education 
consisting of a minimum of 20  hours  of  board-approved  instruction,  which 
shall be both didactic and clinical, in a school approved by the board.
  (b)   The  course  shall  be  satisfactorily  completed  as  evidenced   by 
certification by the dean or his or her appointee.
  (2)  Before being permitted to  retake  the  comprehensive  examination,  a 
registered dental assisting licensure candidate  who  sustains  2  successive 
failures in the comprehensive section of the examination shall be required to 
meet both of the following requirements subsequent to  the  last  examination 
failed:
  (a)   The  candidate  shall  present  evidence  of   additional   education 
consisting of a minimum of 20 hours of board-approved instruction in a school 
approved by the board.
  (b)  The course  shall  be  satisfactorily  completed  as  evidenced  by  a 
certification by the dean or his or her appointee.

  History: 1984 AACS.


R 338.11245   Registered dental assisting licensure candidate who fails   the 
examination 3 times; requirements before reexamination.
  Rule 1245.  Before being permitted to retake the examination, a  registered 
dental assisting licensure candidate who fails any part of the examination  3 
times shall be required by the board to return to an accredited school for  1 
academic semester or term. The course of the  1  academic  semester  or  term 
shall be satisfactorily completed as evidenced by certification by  the  dean 
or his or her appointee.

  History: 1984 AACS.


R 338.11247   Limited licenses; issuance; requirements.
  Rule 1247.  (1) The  board   may   issue   a   limited    license,    under 
section 16182(2)(a) of the act, to an individual who  is  a  graduate  of   a 
dental, dental hygiene, or dental assisting program approved by the board and 
who  is enrolled or involved in a postgraduate course of study.
  (2) The board may issue a limited license, under section   16182(2)(b)   of 
the act, to an individual who is a graduate dentist, dental   hygienist,   or 
dental assistant who is employed by a dental program or a  dental   auxiliary 
program as a faculty member,  and  who  functions  only  in   a   nonclinical 
academic research setting or in an administrative setting.
  (3) The board may issue a limited license, under section   16182(2)(c)   of 
the act, to an individual who is a graduate dentist, dental   hygienist,   or 
dental assistant and who is employed by a  dental  program  or    a    dental 
auxiliary program as a faculty member.   A  limited  licensed   dentist   may 
perform  dental procedures upon patients while employed as a  faculty  member 
by the dental  or  dental  auxiliary  program.   A  limited  licensed  dental 
hygienist or   a   limited  licensed  dental  assistant  may  perform  dental 
procedures upon  patients  while employed as a faculty member of a dental  or 
dental auxiliary program, if such procedures are performed under the  general 
supervision of  a  faculty  member who is fully licensed  as  a  dentist.  An 
individual licensed under this subrule shall not do either of the following:
  (a) Hold himself or herself out to  the  public  as  being    engaged    in 
the practice of dentistry other than as a faculty member.
  (b) Provide dental services outside  his   or   her   employment    as    a 
faculty member.
  (4) An individual applying for a limited license under  section    16182(2) 
of the act shall meet both of the following requirements:
  (a) Comply with section 16174 of the act.
  (b) Submit proof of graduation from  an  approved  school   of   dentistry, 
dental hygiene, or  dental  assisting  or   a   certified   copy    of    the 
diploma  and transcript  from  an  unapproved  school  of  dentistry,  dental 
hygiene, or  dental assisting.
  (c) Submit proof of appointment to a faculty position.
  (5) Limited licenses shall be renewed annually  at  the    discretion    of 
the board.

  History: 1984 AACS; 2006 AACS.


R 338.11249   Rescinded.

  History: 1984 AACS; 1989 AACS.


R 338.11253   Certification of renewal; display.
  Rule 1253.  A licensee shall display a  currently  renewed  certificate  of 
licensure in his or her  principal  place  of  practice.   A  licensee  whose 
practice involves more than 1 office  shall  have  his  or  her  pocket  card 
portion of the currently  renewed  certificate  of  licensure  available  for 
viewing upon request.

  History: 1984 AACS.


R 338.11255   Licensure by endorsement of dentist; requirements.
  Rule 1255.  (1) A dentist applying for licensure  by   endorsement    shall 
be currently licensed in another state or territory of  the   United   States 
and shall comply with  section  16186  of  the   act   and   all    of    the 
following requirements:
  (a) Have graduated from a school which meets the standards  provided  in  R 
338.11301 and submit original, official transcripts of professional education 
and documentation of graduation for board evaluation.
  (b) Have passed  all  phases  of  the  national  board   examination    for 
dentists, in sequence. This requirement is waived for persons  who  graduated
 from  an accredited school before 1950.
  (c) Be endorsed, on a form supplied by the board, by the  licensing  agency 
of any state or territory of the United States in which the  applicant  holds
 a current license or ever held a license as a dentist.
  (d) Show proof, on a form supplied by the board,  of  having   no    record 
of final or pending disciplinary action in any state or  territory   of   the 
United States in which the applicant is or has been licensed.
  (e) Show proof of successful completion of 1 of the  regional  examinations 
as described in R 338.11203 (2), (3), and (4).  This requirement  is   waived 
for individuals who were licensed initially in another state or territory  of 
the United States before 2002 and who were not  required  to   complete   any 
regional examination as part of the initial licensing  process  as  confirmed
 by  the state or territory of the United States in   which    the    initial 
license  was awarded.
  (2) The board may deny an application  for   licensure    by    endorsement 
upon finding the existence of  a  board  action  in  any  other   state    or 
territory  of the  United  States  for  a  violation  related  to  applicable 
provisions of section 16221 of the act or upon determining that the applicant 
does not fulfill  the requirements of section 16186 of the act.

  History: 1989 AACS; 2006 AACS.


R 338.11259   Licensure by endorsement of dental hygienists; requirements.
  Rule  1259.   (1)  A  dental  hygienist  applying    for    licensure    by 
endorsement shall be currently licensed in another  state  or  territory   of 
the  United States and shall comply with  section  16186  of  the   act   and 
all  of  the following requirements:
  (a) Have graduated from a school which meets the  standards  provided  in R 
338.11303  and  submit  original,  official  transcripts   of    professional 
education and documentation of graduation for board evaluation.
  (b) Have passed all phases of  the   national   board    examination    for 
dental hygienists. This requirement is waived for  persons   who    graduated 
from  an accredited school before 1962.
  (c) Be endorsed, on a form supplied by the board, by the  licensing  agency 
of any state or territory of the United States in which the  applicant  holds
 a current license or ever held a dental hygienist license.
  (d) Show proof, on a form supplied by the board,  of  having   no    record 
of final or pending disciplinary action in any state or  territory   of   the 
United States in which the applicant is or has been licensed.
  (e)  Show  proof   of   successful   completion    of    a    substantially 
equivalent written and clinical examination under R 338.1223 (2),  (3),   and 
(4).   This requirement is waived for individuals who were licensed initially 
in  another state or territory of the United States before 2002 and who  were 
not required to complete any regional examination  as  part  of  the  initial 
licensing process as confirmed by the state or  territory  of   the    United 
States  in  which  the initial license was awarded.
  (2) The board may deny an application  for   licensure    by    endorsement 
upon finding the existence of  a  board  action  in  any  other   state    or 
territory  of the  United  States  for  a  violation  related  to  applicable 
provisions of section 16221 of the act or upon determining that the applicant 
does not fulfill  the requirements of section 16186 of the act.

  History: 1989 AACS; 2006 AACS.


R 338.11261   Licensure  by  endorsement  of  registered  dental  assistants; 
requirements.
  Rule 1261. (1) A dental assistant applying for licensure by endorsement  as 
a registered dental assistant shall be  currently  licensed   or   registered 
in another state or territory of the  United  States  for   performance    of 
expanded functions as described in R 338.11405 and shall comply with  section 
16186  of the act and all of the following requirements:
  (a) Have graduated from a school which meets the  standards  provided  in R 
338.11307  and  submit  original,  official  transcripts   of    professional 
education and documentation of graduation for board evaluation.
  (b) Be endorsed, on a form supplied by the board, by the  licensing  agency 
of any state or territory of the United States in which the  applicant  holds
 a current license for performance of expanded functions.
  (c) Show proof, on a form supplied by the board,  of  having   no    record 
of final or pending disciplinary action in any state or  territory   of   the 
United States in which the applicant is or has been licensed.
  (d)  Show  proof   of   successful   completion    of    a    substantially 
equivalent written and clinical examination under R 338.11239.
  (2) To determine substantial equivalency as specified in  subrule    (1)(d) 
of this rule, the board will consider factors such as the following:
  (a) Subject areas included.
  (b) Detail of material.
  (c) Comprehensiveness.
  (d) Length of the examination.
  (e) Degree of difficulty.
  (3) To demonstrate substantial equivalency as specified in  subrule  (1)(d) 
of this rule, the applicant may be required  to  submit  or  cause   to    be 
submitted such materials as the following:
  (a) A certified copy of the examination.
  (b) An affidavit from the responsible   official   of    the    appropriate 
state agency describing the examination and setting forth the legal standards 
which were in effect at the time of the examination.
  (c) An affidavit from the responsible official within  a   state    society 
or another organization describing the examination.
  (d) Other credible evidence.
  (4) A dental assistant who does not fulfill the requirements   of   subrule 
(1) shall not be eligible for licensure by  endorsement  in  this  state  and 
shall be required to comply with the provisions of R 338.11235.
  (5) The board may deny an application  for   licensure    by    endorsement 
upon finding the existence of  a  board  action  in  any  other   state    or 
territory  of the  United  States  for  a  violation  related  to  applicable 
provisions of section 16221 of the act or upon determining that the applicant 
does not fulfill  the requirements of section 16186 of the act.

  History: 1989 AACS; 2006 AACS.


R 338.11267    Certification of a specialty by endorsement; requirements.
  Rule 1267.  (1)  A dentist applying for certification  of  a  specialty  by 
endorsement shall hold a current Michigan dental  license  and  shall  comply 
with section 16186 of the act and all of the following requirements:
  (a)  Have graduated from a program in the specific  specialty  which  meets 
the  standards  provided  in  R  338.11301  and  submit  original,   official 
transcripts of professional education and  documentation  of  graduation  for 
board evaluation.
  (b)  Be endorsed, on a form supplied by the board, by the certifying agency 
of any state in which the applicant holds  a  current  license  or  specialty 
certification.
  (c)  Show proof, on a form supplied by the board, of having  no  record  of 
final or pending disciplinary action by any state in which the  applicant  is 
or has been licensed or certified.
  (d)  Show proof of meeting the requirements of R 338.11507 or  R  338.11511 
if a failing grade has been received on any  state  or  regional  examination 
within 5 years from date of application for endorsement.
  (e)  Show proof of successful  completion  of  a  substantially  equivalent 
clinical and written examination in the applicant's specialty.
  (2)  To determine substantial equivalency as specified in subrule (l)(e) of 
this rule, the board will consider such factors as the following:
  (a)  Subject areas included.
  (b)  Detail of material.
  (c)  Comprehensiveness.
  (d)  Length of the examination.
  (e)  Degree of difficulty.
  (3)  To demonstrate substantial equivalency as specified in subrule  (l)(e) 
of this rule, the applicant  may  be  required  to  submit  or  cause  to  be 
submitted such materials as the following:
  (a)  A certified copy of the examination.
  (b)  An affidavit from the responsible official of  the  appropriate  state 
agency describing the examination and setting forth the legal standards which 
were in effect at the time of the examination.
  (c)  An affidavit describing the examination from the responsible  official 
within a  state  society  or  another  organization  with  knowledge  of  the 
examination.
  (d)  Other credible evidence.
  (4)  A dentist who does not fulfill the requirements of subrule (1) of this 
rule or who has previously failed the Michigan  specialty  examination  shall 
not be eligible for certification by endorsement in this state and  shall  be 
required to take the  Michigan  examination  in  the  specific  specialty  as 
described in part 5 of these rules.
  (5)  The board may deny an application  for  certification  by  endorsement 
upon finding the existence of a  board  action  in  any  other  state  for  a 
violation related to applicable subdivisions of section 16221 of the  act  or 
upon determining that the applicant does  not  fulfill  the  requirements  of 
section 16186 of the act.

  History: 1989 AACS.


                                 PART 3. EDUCATION


R 338.11301   Approval of dental schools; standards; adoption by reference.
  Rule 1301.  (1) The  board  adopts  by  reference  in  these   rules    the 
standards of the commission on dental accreditation of  the  American  dental 
association,  as  set  forth  in  the  publication  entitled   "Accreditation 
Standards for  Dental Education Programs," copyright 1998 and  revised  2005, 
as  the  standards  by which the board shall determine whether to approve   a 
school  that  complies with  these  standards.    Certification    by     the 
commission   on   dental accreditation that  a  school  complies  with  these 
standards constitutes a prima facie showing that  the  school  complies  with 
these standards.  The board shall  actively  participate  in  the  evaluation 
process.
  (2) These standards may be obtained at  no  cost  from  the  Commission  on 
Dental Accreditation of the American Dental Association, 211   East   Chicago 
Avenue, Chicago, IL 60611-2678 or at  no  cost   from    the    association's 
website  at http://www.ada.org.  Copies of these standards are available  for
 inspection and distribution at cost from the Michigan  Board  of  Dentistry, 
Department  of Community Health, 611 West Ottawa, P. O. Box  30670,  Lansing, 
MI 48909.

  History: 1984 AACS; 1997 AACS; 2006 AACS.


R 338.11303   Approval of dental  hygiene  schools;  standards;  adoption  by 
reference.
  Rule 1303.  (1) The  board  adopts  by  reference  in  these   rules    the 
standards of the commission on dental accreditation of  the  American  dental 
association,  as  set  forth  in  the  publication  entitled   "Accreditation 
Standards for  Dental Hygiene  Education  Programs,"  copyright   1998    and 
revised  2005,  as  the standards by which the board shall determine  whether 
to approve a school that prepares persons for licensure as dental hygienists.
  Certification  by  the commission  on   dental   accreditation    that    a 
school  complies  with  these standards constitutes  a  prima  facie  showing 
that  the  school  complies  with these standards.  The board shall  actively
 participate  in  the  evaluation process.
  (2) These standards may be obtained at  no  cost  from  the  Commission  on 
Dental Accreditation of the American Dental Association, 211   East   Chicago 
Avenue, Chicago, IL 60611-2678 or at  no  cost   from    the    association's 
website  at http://www.ada.org.  Copies of these standards are available  for
 inspection and distribution at cost from the Michigan  Board  of  Dentistry, 
Department  of Community Health, 611 West Ottawa, P.O. Box 30670, Lansing, MI
 48909.

  History: 1984 AACS; 1997 AACS; 2006 AACS.


R 338.11307   Approval of dental  assisting  schools;   standards;   adoption 
by reference.
  Rule 1307.  (1)  The  board  adopts  by  reference  the  standards  of  the 
commission on dental accreditation of the American dental association, as set
 forth  in the  publication  entitled  "Accreditation  Standards  for  Dental
 Assisting Education Programs," copyright 1998 and revised 2005,    as    the 
standards  by which the board shall determine whether to approve   a   school 
that   complies  with   these    standards.     Certification     by      the 
commission   on   dental accreditation that  a  school  complies  with  these 
standards constitutes a prima facie showing that the school complies with the 
standards.  The  board  shall actively participate in the evaluation process.
  (2) These standards may be obtained at  no  cost  from  the  Commission  on 
Dental Accreditation of the American Dental Association, 211   East   Chicago 
Avenue, Chicago, IL 60611-2678 or at  no  cost   from    the    association's 
website  at http://www.ada.org.  Copies of these standards are available  for
 inspection and distribution at cost from the Michigan  Board  of  Dentistry, 
Department  of Community Health, 611 West Ottawa, P.O. Box 30670, Lansing, MI
 48909.

  History: 1984 AACS; 1997 AACS; 2006 AACS.


          PART 4. DELEGATION, SUPERVISION, ASSIGNMENT


R 338.11401   Delegation  or  assignment  of  procedures  by    dentist    to 
assistant, registered  dental  assistant,  or  registered  dental  hygienist; 
certain procedures prohibited.
  Rule 1401. (1) A  dentist  shall  not  delegate  or  assign  the  following 
functions to an assistant or a registered dental assistant unless  authorized 
by these rules or the code:
  (a) Diagnosing, or prescribing for, any of the following:
  (i) Disease.
  (ii) Pain.
  (iii) Deformity.
  (iv) Deficiency.
  (v) Injury.
  (vi) Physical condition.
  (b) Cutting of hard and soft tissue.
  (c) Removal of any of the following:
  (i) Accretions.
  (ii) Stains.
  (iii) Calculus deposits.
  (d) Deep scaling.
  (e) Root planing.
  (f) Any intra-oral restorative procedures.
  (g) Administration of any of the following:
  (i) Local anesthesia.
  (ii) Nitrous oxide analgesia.
  (iii) Acupuncture.
  (h) Irrigation and medication of root canals, try-in of  cones  or  points, 
filing, or filling of root canals.
  (i) Taking impressions for any purpose other than study or opposing models.
  (j) Permanent cementation of any restoration or appliance.
  (2) A dentist shall  not  assign  to  a  registered  dental  hygienist  the 
procedures described in subrule (1) (a), (b), (f), (g), (h), (i), and (j)  of 
this rule unless authorized by these rules or the code.

  History: 1984 AACS; 1998-2000 AACS.


R 338.11403    Assistant;  delegation  of   intra-oral    procedures    under 
general supervision.
  Rule 1403. (1) The following intra-oral procedures shall not  be  delegated 
to an assistant unless the procedures are performed under general supervision:
  (a) Trial sizing of orthodontic bands.
  (b) Holding the matrix for anterior resin restorations.
  (c) Making impressions for study and opposing models.
  (d) Applying of topical anesthetic solutions (nonaerosol).
  (e) Instructing in the use and care of dental appliances.
  (f)  Operating  dental  radiographic  equipment    if     the     assistant 
has  successfully  completed  a  course  in  dental  radiography   which   is 
substantially equivalent to a course taught in  a  program  approved  by  the 
board pursuant  to R 338.11303 or R 338.11307. This subdivision takes  effect 
July 26, 1992.

  History: 1984 AACS; 1989 AACS; 2006 AACS.


R 338.11404   Assistant;  delegation   of   intra-oral    procedures    under 
direct supervision.
  Rule 11404.  (1)  The  following  intra-oral  procedures  shall   not    be 
delegated to an assistant unless the procedures are  performed  under  direct 
supervision:
  (a) Placement and removal of orthodontic separators.
  (b) Placement and removal of  orthodontic  elastics,  ligatures,  and  arch 
wires.
  (2) Except for those procedures described in   R   338.11403    and    this 
rule, intra-oral procedures shall not be delegated to an assistant.

  History: 2006 AACS.


R 338.11405   Registered  dental   assistant;   performance   of   intra-oral 
procedures under general supervision.
  Rule 1405.  (1)   A  dentist  shall  not  assign  the   intra-oral   dental 
procedures detailed in R 338.11403(1) and the following additional intra-oral 
procedures to a registered dental  assistant  unless  the   procedures    are 
performed  under the general supervision of a dentist:
  (a) Placing and removing a rubber dam.
  (b)  Placing  and  removing  a  nonmetallic  temporary   restoration   with 
nonrotary instruments.
  (c) Removing excess cement from  supragingival  surfaces   of    a    tooth 
with nonrotary instruments.
  (d) Applying anticariogenics after  oral  prophylaxis,  when  ordered  by a 
licensed dentist.
  (e) Inspecting an oral cavity with a mouth mirror,   including    chartings 
of lesions,  existing  restorations,  missing  teeth,   and    classification 
of occlusion.
  (f) Sizing of temporary crowns and bands.
  (2)   A   dentist   shall   not    assign    the    following    additional 
intra-oral procedures  to  a  registered  dental   assistant    unless    the 
registered  dental assistant  has  successfully   completed    an    approved 
course,  as  defined  in section  16611(12)  and  (13)  of  the  act.   These 
procedures shall  be  performed under the general supervision of a dentist:
  (a) Performing pulp vitality testing.
  (b) Placing and removing matrices and wedges.
  (c) Applying cavity liners and bases.
  (d) Placing and removing nonepinephrine retraction cords.
  (e) Applying desensitizing agents.
  (f) Making an impression for  orthodontic   appliances,    mouth    guards, 
bite splints, and bleaching trays.
  (g) Drying endodontic canals with absorbent points.
  (h) Etching and placing adhesives before placement of orthodontic brackets.

  History: 1984 AACS; 1998-2000 AACS; 2006 AACS.


R 338.11405a   Registered  dental   assistant;   assignment   of   intra-oral 
procedures under direct supervision.
  Rule 11405a. (1)  A  dentist  shall  not  assign  to  a  registered  dental 
assistant the  intra-oral  dental  procedures  specified  in  R  338.11404(1)
 and  the following intra-oral procedures unless the procedures are performed 
under the direct supervision of a dentist:
  (a) Placing and removing periodontal dressings.
  (b) Temporarily cementing and removing temporary crowns and bands.
  (c) Removing sutures.
  (d)  Polishing  specific  teeth  with  a  slow-speed  rotary   hand   piece 
immediately before procedures that require  acid  etching,  for  any  of  the 
following:
  (i) Placing sealants.
  (ii) Placing resin-bonded orthodontic appliances.
  (iii) Placing direct restorations by the dentist.
  (2) Except for the procedures described in this rule, a    dentist    shall 
not assign intra-oral procedures to a registered dental assistant.
  (3) A dentist shall not assign the  following  intra-oral  procedures  to a 
registered dental  assistant  unless  the  registered  dental   assistant has 
 successfully  completed  an  approved  course,   as   defined   in   section 
16611(11) of the act, followed  by  a  comprehensive   clinical    experience 
of  sufficient duration  that  validates  clinical   competence   through   a 
criterion-based assessment instrument.  These procedures shall  be  performed 
under the  direct supervision of a dentist:
  (a) Placing, condensing, and carving amalgam restorations.
  (b) Making final impressions for indirect restorations.
  (4) A  dentist  shall  not  assign  the  assisting  and    monitoring    of 
the administration of nitrous oxide analgesia by the  dentist  or  registered 
dental hygienist to a registered  dental  assistant  unless  the   registered 
dental assistant has successfully  completed   an   approved    course,    as 
defined  in section 16611(7)   of   the   act,   in   the    assisting    and 
monitoring   of   the  administration  of  nitrous  oxide  analgesia.    This 
procedure shall be performed under the direct supervision of a dentist.
  (5) Except for the procedures described   in    R    338.11405    and  this 
rule, a dentist shall not assign  intra-oral  procedures  to   a   registered 
dental assistant.

  History: 2006 AACS.


R 338.11406   Assignment  of  intra-oral  procedures  to  registered   dental 
hygienist.
 Rule 1406.  The intra-oral procedures listed in R  338.11405(1)(b)  and  (f) 
and shall not be  assigned  to  a  registered  dental  hygienist  unless  the 
registered dental hygienist is also licensed as a registered dental assistant 
under R 338.11235.

  History: 1984 AACS; 2006 AACS.


R 338.11408   Registered  dental   hygienist;   performance   of   intra-oral 
procedures under assignment of dentist.
  Rule 1408.  (1)   A  registered  dental  hygienist  shall    not    perform 
the following intra-oral dental  procedures  unless  the    procedures    are 
performed under the assignment of a dentist as defined in  section  16601  of 
the code:
  (a) Removing accretions and stains  from  the  surfaces  of    the    teeth 
and applying topical agents essential to complete prophylaxis.
  (b) Root planing or debridement.
  (c) Polishing and contouring restorations.
  (d) Applying anticariogenic agents.
  (e) Charting of the oral cavity,including all of the following:
  (i) Periodontal charting.
  (ii) Intra- and extra-oral examining of soft tissue.
  (iii)  Charting   of   radiolucencies    or     radiopacities,     existing 
restorations, and missing teeth.
  (f) Preliminary examining that includes both of the following:
  (i) Classifying occlusion.
  (ii) Testing pulp vitality using an electric pulp tester.
  (g)  Applying  nonaerosol  and  noncaustic  topical  anesthetic   agents by 
prescription of the dentist.
  (h) Placing and removing intra-coronal temporary sedative dressings.
  (i) Taking intra-oral measurements for orthodontic procedures.
  (j) Placing and removing postextraction and periodontal dressings.
  (k) Removing excess cement from tooth surfaces.
  (l) Providing nutritional counseling for oral health and maintenance.
  (m) Applying commonly accepted emergency procedures.
  (n) Removing sutures.
  (o) Placing and removing a rubber dam.
  (p)  Making  impressions  for  study  or   opposing   models,   orthodontic 
appliances, mouth guards, bite splints, and bleaching trays.
  (q) Operating dental radiographic equipment.
  (r) Placing subgingival medicaments.
  (s) Temporary cementing and removing of temporary crowns and bands.

  History: 1984 AACS; 1998-2000 AACS; 2006 AACS.


R 338.11409    Registered  dental  hygienist;   assignment   of    intra-oral 
procedures under direct supervision.
  Rule 11409. (1)  A  registered  dental  hygienist  shall  not  perform  the 
following intra-oral dental procedures unless the  procedures  are  performed 
under the direct supervision of a dentist as defined in section 16601 of  the 
code:
  (a) Performing soft tissue curettage.
  (b) Administering intra-oral block or infiltration  anesthesia  or  nitrous 
oxide analgesia or both to a patient 18 years of age or older and only if the 
registered dental hygienist has met the following requirements:
  (i) Successfully completed  an  approved  course,  as  defined  in  section 
16611(4) of the act, in the  administration  of  local   anesthesia    and/or 
nitrous  oxide analgesia.
  (ii) Successfully completed a  state  or  regional    board    administered 
written examination in local  anesthesia  within  18  months  of   completion 
of  the approved course.
  (iii) Successfully completed a  state  or  regional   board    administered 
written  examination  on  nitrous  oxide  analgesia,  within  18  months   of 
completion of the approved course, if such an examination exists.
  (iv) Maintains and provides evidence of current  certification   in   basic 
or advanced cardiac life support.
  (2) A dental hygienist who meets  the  requirements  of  this   rule    may 
not administer more than 50% nitrous oxide.

  History: 2006 AACS.


                               PART 5. SPECIALTIES


R 338.11501   Specialties; recognition by the board.
  Rule 1501.  The board recognizes all of the following branches of dentistry 
as specialties:
  (a)  Oral and maxillofacial surgery.
  (b)  Orthodontics.
  (c)  Prosthodontics.
  (d)  Periodontics.
  (e)  Pediatric dentistry.
  (f)  Endodontics.
  (g)  Oral pathology.

  History: 1984 AACS; 1994 AACS.


R 338.11503   Eligibility to qualify for state board specialty   examination; 
exception.
  Rule 1503.   (1)   To  be  eligible  to  take  the  state  board  specialty 
examination, an applicant shall comply with all of the following requirements:
  (a)  Possess a current license to practice dentistry in Michigan.
  (b)  Fulfill the requirements set forth in these rules for that specialty.
  (c)  Submit evidence of completion from the dean or hospital  administrator 
of a graduate program of dentistry that is approved by the board pursuant  to 
the provisions of R 338.11301.
  (d)  Submit a completed application on a form provided by  the  department, 
together with the requisite fee not less than 30 days before the examination.
  (2)  An applicant for certification in oral pathology is  not  required  to 
take a state board specialty examination.

  History: 1984 AACS; 1994 AACS.


R 338.11505   Specialty certificate; general requirements.
  Rule 1505.  An applicant for a specialty certificate shall comply with  all 
of the following requirements:
  (a)  Submit a final official transcript  of  dental  postgraduate  training 
from a graduate program of dentistry approved by the board  pursuant  to  the 
provisions of R 338.11301 or, in the case of a hospital program that does not 
issue transcripts, certification  by  the  hospital  administrator  or  other 
official of the satisfactory completion of the program.
  (b)  Except as provided in R 338.11503(2), secure a minimum converted score 
of 75 in the state board written and clinical  examination  in  the  specific 
specialty pursuant  to  these  rules.  Submission  of  verification  that  an 
applicant for specialty certification has successfully  passed  the  American 
board written examination is satisfactory compliance with the requirement for 
the written portion of the  state  board  examination  for  certification  in 
Michigan for the applicant's specialty.
  (c)  The provisions of subdivision (b) of  this  rule  are  waived  if  the 
applicant has provided satisfactory evidence of the successful completion  of 
the  American  board  specialty  written  and  clinical  examinations.  Other 
substantially equivalent specialty examinations approved by the board may  be 
considered.

  History: 1984 AACS; 1989 AACS; 1994 AACS.


R 338.11507   Examination failure; candidate for certification as specialist.
  Rule 1507.  (1)  An applicant who  has  failed  a  specialty  certification 
examination may apply for reexamination.
  (2)  An applicant who fails to pass the examination upon his or  her  first 
attempt shall be given credit for  the  subjects  passed  and  may  take  the 
examination a second time. Credits given for subjects passed shall  apply  to 
the second attempt only provided it is taken within 18 months of the date  of 
notification.
  (3)  If the applicant fails to pass his or her examination  on  the  second 
attempt, the applicant shall be required, on any subsequent attempt, to  take 
the entire examination.
  (4)  If the applicant is unsuccessful on his or her second attempt  and  it 
appears to the board that the applicant requires further education, the board 
shall require the applicant to attend a school approved by the board to study 
subjects as provided within these rules.  The applicant shall have a  program 
approved by the board before commencing the program.  The dean, or his or her 
appointee, of the school attended by the applicant  shall  certify  that  the 
applicant  has  successfully  completed  the  program  and   is   ready   for 
reexamination before the applicant may be reexamined.
  (5)  If the applicant is unsuccessful on his or her third  attempt,  he  or 
she may not retake the examination for 1 year.

  History: 1984 AACS.


R 338.11509   Dental specialty certification candidate who fails  examination 
twice; requirements before reexamination.
  Rule 1509.  Before being permitted to retake the examination,  a  candidate 
for certification as a dental specialist who sustains 2  successive  failures 
in the examination shall present evidence of additional education in the area 
in which the failure occurred. The additional education shall  consist  of  a 
minimum of 40 hours of board-approved clinical instructions, which  shall  be 
both didactic and practical,  shall  be  in  a  dental  program  or  hospital 
approved by the board, and shall be completed subsequent to the date  of  the 
last examination failed.  The additional education  shall  be  satisfactorily 
completed as evidenced by certification by the dean or his or her appointee.

  History: 1984 AACS.


R 338.11511   Dental specialty certification candidate who fails  examination 
3 times; requirements before reexamination.
  Rule 1511.  Before being permitted to  retake  the  examination,  a  dental 
specialty certification candidate who fails the examination 3 times shall  be 
required by the board to return to an accredited program for 1 academic year.
The program shall be satisfactorily completed as evidenced  by  certification 
by the dean or his or her appointee.

  History: 1984 AACS.


R 338.11512   Oral pathology; certification requirements.
  Rule 1512.  An applicant for certification as  an  oral  pathologist  shall 
meet all of the following requirements:
  (a)  Hold a current license to practice dentistry in Michigan.
  (b)  Have graduated from a program of oral pathology approved by the  board 
pursuant to the provisions of R 338.11301.
  (c)  Pass the examination which is conducted and  scored  by  the  American 
board of oral pathologists.

  History: 1994 AACS.


R 338.11513   Oral   (maxillofacial)   surgery    explained;    certification 
requirements; examination content.
  Rule 1513.  (1)  The practice of oral (maxillofacial) surgery includes  the 
diagnosis and surgical and adjunctive treatment of  the  diseases,  injuries, 
and deformities of  the  human  mouth,  jaws,  and  associated  maxillofacial 
structures.
  (2)  The specialty of oral (maxillofacial) surgery shall include all of the 
following:
  (a)  The preliminary performance of a history and physical examination  for 
the  purpose  of  assessing  medical,  dental,  and  anesthetic   risks   for 
contemplated oral and maxillofacial surgery.
  (b)  The appropriate radiological and laboratory diagnosis.
  (c)  The anesthetic, surgical,  and  adjunctive  management  for  diseases, 
injuries,  and  deformities  of  the  human  mouth,  jaws,   and   associated 
maxillofacial structures.
  (3)  A dentist who desires certification as an oral (maxillofacial) surgeon 
shall comply with both of the following requirements:
  (a)  Hold a current license to practice dentistry in Michigan.
  (b)  Have completed not less than  3  years  of  hospital  training  in  an 
accredited oral (maxillofacial) surgery  training  program  approved  by  the 
board pursuant to R 338.11301.
  (4)  Examination for certification as an oral (maxillofacial) surgeon shall 
be both written and clinical and shall include but not be limited to, all  of 
the following:
  (a)  Anatomy.
  (b)  Radiology.
  (c)  Pathology.
  (d)  Local anesthesia.
  (e)  General anesthesia.
  (f)  Major surgical procedures.
  (g)  History and physical evaluation.
  (h)  Management of hospitalized patient.
  (i)  Intra-oral surgery including infections.
  (j)  Completion and submission  of  4  case  histories  documented  by  the 
hospital administrator and  the  respective  chief  of  oral  (maxillofacial) 
surgery. These case histories shall  be  representative  of  major  oral  and 
maxillofacial surgery.
  (5)  A dentist who desires certification as an oral (maxillofacial) surgeon 
shall comply with R 338.11505.

  History: 1984 AACS.


R 338.11515   Orthodontics     explained;     certification     requirements; 
examination content.
  Rule 1515.  (1)  The practice of  orthodontics  includes  the  supervision, 
guidance, and correction of the growing  or  mature  dentofacial  structures, 
including those conditions that require movement of teeth  or  correction  of 
malrelationships and  malformations  of  their  related  structures  and  the 
adjustment of relationships between and among teeth and facial bones  by  the 
application of forces or the stimulation and redirection of functions  forces 
within the craniofacial complex.
  (2)  The specialty of orthodontics shall include all of the following:
  (a)  The diagnosis, prevention, interception, and  comprehensive  treatment 
of all forms of malocclusion of the teeth and associated alterations in their 
surrounding structures.
  (b)  The design, application, and  control  of  functional  and  corrective 
appliances.
  (c)  The guidance of the dentition and its supporting structures to  attain 
and maintain optimum occlusal relations in physiologic and  esthetic  harmony 
among facial and cranial structures.
  (3)  A dentist who desires certification as an  orthodontist  shall  comply 
with both of the following requirements:
  (a)  Hold a current license to practice dentistry in Michigan.
  (b)  Have graduated from a program of orthodontics approved  by  the  board 
pursuant to R 338.11301.
  (4)  Examination for certification as an orthodontist shall be both written 
and clinical and shall include, but not be limited to, all of the following:
  (a)  Facial growth.
  (b)  Human genetics.
  (c)  Occlusal development.
  (d)  Histology and physiology.
  (e)  Radiographic cephalometry.
  (f)  Dental material in orthodontics.
  (g)  Completion and submission of 5 case histories, including  photographs, 
radiographs, and models. These case histories shall be completed cased solely 
diagnosed, treatment planned, treated, and retained by the candidate.  Recent 
graduates may, instead of 2 of the  completed  cases,  submit  records  of  2 
patients in treatment for each completed  case  which  is  not  available.  A 
recent graduate candidate shall present a letter from  the  chairman  of  the 
department of orthodontics certifying that the candidate solely treated  each 
patient whose record is presented.
  (h)  The orthodontics specialty examination shall consist of any or all  of 
the following:
  (i)  Written examination consisting of  essay,  short  answer,  true-false, 
multiple choice, or fill-in-the-blank questions.
  (ii)  Diagnosis and treatment planning of patients with complete diagnostic 
records as recommended by the American board of orthodontists and  which  are 
provided by the examiner.
  (iii)  Clinical examination, which includes diagnosis, treatment  planning, 
and appliance construction procedures for an actual patient.
  (iv)  Presentation of the complete records as indicated in subdivision  (g) 
of this subrule.
  (v)  Oral examination by not less that 2 of the examiners concurrently.
  (5)  A dentist who desires certification as an  orthodontist  shall  comply 
with R 338.11505.

  History: 1984 AACS.


R 338.11517   Prosthodontics    explained;    certification     requirements; 
examination content.
  Rule 1517.  (1)  The practice of prosthodontics  includes  the  restoration 
and maintenance of oral function by the  replacement  of  missing  teeth  and 
maxillofacial tissue with artificial devices.
  (2)  The  specialty  of  prosthodontics  shall  include  the  providing  of 
suitable substitutes for the coronal portions of or for 1  or  more  lost  or 
missing natural  teeth  and  their  associated  parts  or  for  the  loss  of 
maxillofacial tissue in order to restore the impaired functions,  appearance, 
comfort, and health of the patient.
  (3)  A dentist who desires certification as a prosthodontist  shall  comply 
with both of the following requirements:
  (a)  Hold a current license to practice dentistry in Michigan.
  (b)  Have graduated from a program of prosthodontics approved by the  board 
under R 338.11301.
  (4)  Examination for  certification  as  a  prosthodontist  shall  be  both 
written and clinical and shall include, but not be limited  to,  all  of  the 
following:
  (a)  Pharmacology.
  (b)  Denture theory.
  (c)  Dental materials.
  (d)  Crown and bridge.
  (e)  Occlusal adjustment.
  (f)  Periodontal therapy.
  (g)  Pathology and histology.
  (h)  Maxillofacial prosthetics.
  (i)  Oral pathology and diagnosis.
  (j)  Complete denture prosthodontics.
  (k)  Esthetic restorative procedures.
  (1)  Dental materials in prosthodontics.
  (m)  Principles of restorative dentistry.
  (n)  Clinical evaluation in restorative dentistry.
  (o)  Mandibular movement and functional occlusion.
  (p)  Completion and submission of  5  patient  histories  with  appropriate 
preoperative and postoperative radiographs and  photographs.   The  histories 
shall represent the major areas of prosthodontics, which include all  of  the 
following:
  (i)  Immediate denture.
  (ii)  Single complete denture.
  (iii)  Fixed partial denture opposing fixed partial denture.
  (iv)  Combination complete denture and fixed partial denture.
  (v)  Combination complete denture and removable partial denture.
  (vi)  Combination removable partial denture and fixed partial denture.
  (vii)  Opposing maxillary complete denture and mandibular complete denture.
  (viii)   Removable  partial  denture  and  intracoronal  and   extracoronal 
retainers.
  (ix)  Maxillofacial prosthesis, which shall include, but not be limited to, 
an intra-oral prosthesis that may include both fixed and removable portions.
  (q)  A comprehensive oral examination that shall  be  administered  by  not 
less than 2 examiners covering the broad field of prosthodontics and  related 
arts and sciences or other case presentations as required, or both.
  (5)  A dentist who desires certification as a prosthodontist  shall  comply 
with R 338.11505.

  History: 1984 AACS; 1998-2000 AACS.


R 338.11519   Periodontics     explained;     certification     requirements; 
examination content.
  Rule 1519.  (1)  The practice of periodontics includes  the  diagnosis  and 
treatment of disease of the supporting  and  surrounding  structures  of  the 
teeth and management of occlusion  and  temporomandibular  joint  dysfunction 
problems.
  (2)  A dentist who desires certification as  a  periodontist  shall  comply 
with both of the following requirements:
  (a)  Hold a current license to practice dentistry in Michigan.
  (b)  Have graduated from a program of periodontics approved  by  the  board 
pursuant to R 338.11301.
  (3)  Examination for certification as a periodontist shall be  written  and 
clinical and shall include, but not be limited to, all of the following:
  (a)  Histology.
  (b)  Pathology.
  (c)  Cell biology.
  (d)  Pharmacology.
  (e)  Oral physiology.
  (f)  Oral bacteriology.
  (g)  Physiology of occlusion.
  (h)  Surgical anatomy of the head and neck.
  (i)  Dental materials in restorative dentistry.
  (j)  Pathology and radiology of periodontal disease.
  (k)  Pathology of caries, pulp, periapical diseases.
  (1)  Completion and submission of 5 patients of  treatment  of  periodontal 
disease, 3 of which shall be moderate to severe periodontitis and 2 of  which 
shall be selected from the following areas:
  (i)  Mucogingival problems.
  (ii)  Juvenile periodontitis.
  (iii)  Hyperplastic gingivitis.
  (iv)  Periodontal maintenance therapy.
  (v)  Temporomandibular joint dysfunction.
  (vi)  Necrotizing ulcerative gingivitis (NUG).
  (4)  A dentist who desires certification as  a  periodontist  shall  comply 
with R 338.11505.

  History: 1984 AACS.


R 338.11521   Pedodontics explained; certification requirements;  examination 
content.
  Rule 1521.  (1)  The practice of  pedodontics  includes  the  practice  and 
teaching of comprehensive  and  therapeutic  oral  health  and  the  care  of 
children fro birth to adolescence. This also  includes  the  dental  care  of 
patients beyond the age of adolescence who demonstrate mental,  physical,  or 
emotional problems. The term "pediatric dentistry" shall mean the same as the 
term "pedodontics."
  (2)  A dentist who desires certification as a pedodontist shall comply with 
both of the following requirements:
  (a)  Hold a current license to practice dentistry in Michigan.
  (b)  Have graduated from a program of pedodontics  approved  by  the  board 
pursuant to R 338.11301.
  (3)  Examination for licensure as a pedodontist shall be both  written  and 
clinical and shall include, but not be limited to, all of the following:
  (a)  Bacteriology.
  (b)  Facial growth.
  (c)  Oral pathology.
  (d)  Occlusal development.
  (e)  Pedodontic orthodontics.
  (f)  Physical growth of children.
  (g)  Psychology of child development.
  (h)  Dental materials in pedodontics.
  (i)  General anesthesia for infants and children.
  (j)  Mental hygiene of childhood and adolescence.
  (k)   Completion  and  submission  of  10  completed  patient  history  and 
treatment records which shall include all of the following:
  (i)  One case of dental anomaly.
  (ii)  Two cases of oral trauma to a child.
  (iii)  Two cases of interceptive or preventive orthodontics.
  (iv)  Two cases of pulpal therapy for a primary tooth and a young permanent 
tooth.
  (v)  Two comprehensive restorative patients, 1 of whom shall be a preschool 
patient.
  (vi)  One case of treatment  for  a  handicapped  child  as  an  office  or 
hospital procedure.
  (4)  A dentist who desires certification as a pedodontist shall comply with 
R 338.11505.

  History: 1984 AACS.


R 338.11523   Endodontics explained; certification requirements;  examination 
content.
  Rule 1523.  (1)  The  practice  of  endodontics  includes  the  morphology, 
physiology, and pathology of the human dental pulp and periapical tissues.
Its study encompasses related basic  and  clinical  sciences,  including  the 
biology of the normal pulp  and  the  etiology,  diagnosis,  prevention,  and 
treatment of diseases and injuries of the pulp and periradicular tissues.
  (2)  The specialty of endodontics shall include all of the following:
  (a)  Pulpotomy.
  (b)  Pulp capping.
  (c)  Hemisections.
  (d)  Pulp extirpation.
  (e)  Root amputations.
  (f)  Endodontic implants.
  (g)  Treatment of the pulp canals.
  (h)  Bleaching of discolored teeth.
  (i)  Obturation of canals of the teeth.
  (j)  Replantation and intentional replantation.
  (k)  Periapical and lateral pathosis of pulpal origin.
  (1)  Selective surgical removal of lesions of endodontic origin.
  (m)  Differential diagnosis and control of pain of pulpal origin.
  (3)  A dentist who desires certification as  an  endodontist  shall  comply 
with both of the following requirements:
  (a)  Hold a current license to practice dentistry in Michigan.
  (b)  Have graduated from a program of endodontics  approved  by  the  board 
pursuant to R 338.11301.
  (4)  Examination for licensure as an endodontist shall be both written  and 
clinical and shall include, but not be limited to, all of the following:
  (a)  Radiology.
  (b)  Cell biology.
  (c)  Pharmacology.
  (d)  Oral pathology.
  (e)  Human genetics.
  (f)  Local anesthesia.
  (g)  Surgical anatomy.
  (h)  General anesthesia.
  (i)  Endodontic surgery.
  (j)  Surgical anatomy of the neck.
  (k)  Oral and maxillofacial surgery.
  (1)  Dental materials in endodontics.
  (m)  Oral physiology, histology, and physiology.
  (n)  Completion  and  presentation  of  16  case  histories  with  complete 
radiographs before and after completion of the cases which shall include  all 
of the following:
  (i)  Eight molars.
  (ii)  Two premolars.
  (iii)  Two atypical treatment cases.
  (iv)  Three surgical cases, 1 of these cases shall be a posterior case.
  (v)  One  apexification.  A  completed  case  with  endodontic  filling  is 
preferable; however, if a partially completed case or no case  is  available, 
an outline of treatment should be presented.
  (5)  A dentist who desires certification as  an  endodontist  shall  comply 
with R 338.11505.

  History: 1984 AACS.

R 338.11525   Specialists; holding self out to public.
  Rule 1525.  (1)  A dentist who is not certified  as  a  specialist  by  the 
board shall not announce or hold himself or herself  out  to  the  public  as 
limiting his or her practice to, as  being  specially  qualified  in,  or  as 
giving special attention to, a branch of  dentistry.  A  dentist  is  holding 
himself or herself out as a specialist in either of the following situations:
  (a)  When, in any way, he or she gives public emphasis to the  practice  of 
some particular specialty of dentistry without disclosing that he or she is a 
dentist who is not certified as a specialist.
  (b)  When he or she identifies himself or herself with a specialty, whether 
or not he or she claims special attention to, or a practice limited  to,  the 
specialty or employs the use of signs, professional cards, letterheads, other 
listings, or letters to the public or the profession which, in any way, imply 
special knowledge or ability in a specialty. This subdivision does not  apply 
to specialists who are advertising  in  the  specialty  for  which  they  are 
certified. For purposes of this subrule, a specialist who advertises services 
in an area other than his or her specialty is considered  a  general  dentist 
and shall comply with the provisions of subdivision (a) of this subrule.
  (2)  Association, as a employer, employee, or partner, with  an  individual 
who is duly certified as a specialist by the board  constitutes  announcement 
to the public of qualifications for specialization, unless the individual  so 
associating  himself  or  herself  publicly  states,  by  signs,  cards,   or 
announcements, that he or she is engaged in the practice of general dentistry 
or the practice of some other specialty of dentistry in which he  or  she  is 
duly certified.

  History: 1984 AACS; 1994 AACS.


R 338.11527   Dental license suspension or revocation; automatic   suspension 
or revocation of specialty certification.
  Rule 1527.  The suspension or revocation of the dental license of a dentist 
shall automatically  cause  the  suspension  or  revocation  of  a  specialty 
certification issued to that dentist pursuant to the act and these rules.

  History: 1984 AACS.


       PART 6.  GENERAL ANESTHESIA AND INTRAVENOUS CONSCIOUS
                SEDATION  AND  ENTERAL SEDATION


R 338.11601   General anesthesia; conditions; violation.
  Rule 1.  (1)  A dentist shall not administer general anesthesia to a dental 
patient or delegate and supervise  the  performance  of  any  act,  task,  or 
function involved in the administration of general  anesthesia  to  a  dental 
patient, unless all of the following conditions are satisfied:
  (a)  The dentist has completed a minimum of 1 year of advanced training  in 
general anesthesia and pain control in a program which  meets  the  standards 
adopted in R 338.11603(l). This subdivision takes effect  1  year  after  the 
effective date of this amendatory rule.
  (b)  The dentist and the delegatee, if any, maintain current  certification 
in basic or advanced cardiac life support from an agency or organization that 
grants such certification pursuant to standards substantially  equivalent  to 
the standards adopted in R 338.11603(3).
  (c)  The facility  in  which  the  anesthesia  is  administered  meets  the 
equipment standards adopted in R 338.11603(4).
  (d)  The dentist shall be physically present with the patient who is  given 
any general anesthesia until he or she regains consciousness and the  dentist 
shall remain  on  the  premises  until  such  patient  is  capable  of  being 
discharged.
  (2)  A dentist who does not meet the requirements of subrule  (1)  of  this 
rule shall not offer general anesthesia services for dental  patients  unless 
all of the following conditions are met:
  (a)  General anesthesia services are directly provided through  association 
with, and by, either of the following individuals:
  (i)  A physician who is licensed under the provisions of part 170 or 175 of 
the act and who is a member in good standing on the anesthesiology staff of a 
hospital accredited by the joint commission on accreditation of hospitals.
  (ii)  A dentist who meets the requirements of subrule  (1)(a)  and  (b)  of 
this rule.
  (b)  A person who administers anesthesia, as authorized by  the  provisions 
of subdivision (a) of this subrule, shall  be  physically  present  with  the 
patient who  is  given  any  general  anesthesia  until  he  or  she  regains 
consciousness and the dentist shall remain on the actual premises  where  the 
general anesthesia is administered until the patient anesthetized is  capable 
of being discharged.
  (c)  The provisions of subrule  (1)(b)  and  (c)  of  this  rule  shall  be 
complied with.
  (3)  A dentist is  deemed  to  have  violated  the  provisions  of  section 
16221(l)(g) of the act if he or  she  administers  general  anesthesia  to  a 
dental patient or delegates and supervises the performance of any act,  task, 
or function involved in the administration of general anesthesia to a  dental 
patient or offers general anesthesia services  for  dental  patients  without 
being in compliance with the provisions of subrules (1) and (2) of this rule.

  History: 1990 AACS.


R 338.11602   Intravenous conscious sedation; conditions; violations.
  Rule 2.  (1)  A dentist shall not administer intravenous conscious sedation 
to a dental patient or delegate and supervise the performance of any  act  or 
function involved in the administration of intravenous conscious sedation  to 
a dental patient unless 1 of the following conditions is satisfied:
  (a)  The dentist complies with the provisions of R 338.11601(1)  or (2).
  (b)  The dentist complies with both of the following provisions:
  (i)  The dentist has completed  a  minimum  of  60  hours  of  training  in 
intravenous conscious sedation and related  academic  subjects,  including  a 
minimum  of  40  hours  of  supervised  clinical  instruction  in  which  the 
individual has sedated not less  than  20  cases  in  a  course  that  is  in 
compliance with the standards adopted in R 338.11603(2).
  (ii)   The  dentist  and  the  delegatee,   if   any,   maintains   current 
certification in basic or advanced cardiac life support  from  an  agency  or 
organization  that  grants   such   certification   pursuant   to   standards 
substantially equivalent to the standards adopted in R 338.11603(3).
  (c)  The facility in which the anesthesia is administered is in  compliance 
with the equipment standards adopted in R 338.11603(4).
  (2)  A dentist is  deemed  to  have  violated  the  provisions  of  section 
16221)1)(g) of the  act  if  he  or  she  administers  intravenous  conscious 
sedation to a dental patient or delegates and supervises the  performance  of 
any act, task, or function involved  in  the  administration  of  intravenous 
conscious sedation to a dental patient without being in compliance  with  the 
provisions of subrule (1) of this rule.

  History: 1990 AACS; 1997 AACS.


R 338.11603   Adoption of standards; effect of certification of programs.
  Rule 3.  (1)  The board  adopts  the  standards  for   advanced    training 
in anesthesia and pain control set  forth  by  the  commission   on    dental 
education of the American dental association in part  2  of  the  publication
 entitled "Guidelines for Teaching the Comprehensive Control of  Anxiety  and
 Pain  in Dentistry," October 2003 edition.  Part 2 of the guidelines may  be
 obtained at  no  cost   from   the   Commission   on    Dental    Education, 
American  Dental Association,  211  E.   Chicago    Avenue,    Chicago,    IL 
60611,       or        on        the      association's      website       at 
http://www.ada.org/prof/resources.  A  copy  of  the standards  is  available 
for inspection  and  distribution  at  cost   from   the  Michigan  Board  of 
Dentistry, Department of Community Health, 611 West Ottawa, P.O.  Box  30670, 
Lansing, MI 48909.  Certification of  programs  by  the   council  on  dental 
education as meeting the  standards  adopted   constitutes   a   prima  facie 
showing that the program is in compliance with the standards.
  (2) The  board  adopts  the  standards  for   training    in    intravenous 
conscious sedation and related subjects set forth by the  council  on  dental 
education of the  American  dental   association   in   part   1    of    the 
publication  entitled "Guidelines for Teaching the Comprehensive  Control  of 
Anxiety  and  Pain  in Dentistry," October  2003  edition.   Part  1  of  the 
guidelines may  be  obtained at  no  cost  from  the  Commission  on   Dental 
Education,   American   Dental  Association,   211   E.    Chicago    Avenue, 
Chicago,    IL     60611,    or     on     the   association's   website   at 
http://www.ada.org/prof/resources.  A  copy  of  the standards  is  available 
for inspection  and  distribution  at  cost   from   the  Michigan  Board  of 
Dentistry, Department of Community Health, 611 West Ottawa, P.O.  Box  30670, 
Lansing, MI 48909.  Certification of  programs  by  the   council  on  dental 
education as meeting the  standards  adopted   constitutes   a   prima  facie 
showing that the program is in compliance with the standards.
  (3) The board adopts  the  standards  for  credentialing  in   basic    and 
advanced life support set forth by the American heart association   in    the 
guidelines for cardiopulmonary resuscitation and emergency cardiac  care  for 
professional providers and published in "Guidelines 2000 for  Cardiopulmonary 
Resuscitation and Emergency Cardiovascular Care (70-2041).  A copy  of    the 
guidelines  for cardiopulmonary resuscitation and emergency cardiac care  may 
be obtained from the American  Heart  Association,  7272  Greenville  Avenue, 
Dallas, TX  75231  or at http://www.americanheart.org, at a cost of $20.00 as 
of  the  adoption  of these rules.  A copy  of  this  document  is  available
 for  inspection  and distribution at cost from  the  Michigan    Board    of 
Dentistry,  Department  of Community Health, 611 West Ottawa, P.O. Box 30670, 
Lansing, MI  48909.
  (4) The board  adopts  the  standards  regarding  the  equipment  within  a 
facility set forth by the American association of  oral   and   maxillofacial 
surgeons  in the  publication  entitled   "Office    Anesthesia    Evaluation 
Manual,"   sixth edition.  A copy of this manual may  be  obtained  from  the 
American Association of Oral and Maxillofacial Surgeons, 9700 West Bryn  Mawr 
Avenue,  Rosemont,   IL  60018,  or   at   the   association's   website   at 
http://www.aaoms.org at a  cost  of $95 for members  and  professional/allied 
staff, $285 for nonmembers, and  $190 for institutions as of the adoption  of 
these rules.  A copy of  this   document  is  available  for  inspection  and 
distribution at cost from the Michigan  Board  of  Dentistry,  Department  of 
Community  Health,  611  West  Ottawa,  P.O.  Box 30670, Lansing, MI  48909.

  History: 1990 AACS; 1997 AACS; 2006 AACS.


R 338.11604   "Morbidity" and "Mortality" defined; reporting requirements.
  Rule 4.  (1)  As used in this rule:
  (a)  "Morbidity" means an incident  that  results  in  mental  or  physical 
impairment which is related to or results from the administration of  general 
anesthesia  or  intravenous  conscious  sedation  by  a  dentist,  under  the 
delegation and supervision of a dentist, or in a dental facility.
  (b)  "Mortality" means an incident that results in  death  related  to  the 
administration of general anesthesia or intravenous conscious sedation  by  a 
dentist, under the delegation and supervision of a dentist, or  in  a  dental 
facility.
  (2)  A dentist shall file a morbidity report with the board within 30  days 
after the occurrence of an incident.
  (3)  A dentist shall file a mortality report with the board within  5  days 
after the occurrence of an incident.
  (4)  A dentist who fails to file a report  as  required  by  this  rule  is 
deemed to have violated the provision of section 16221(l)(g) of the act.

  History: 1990 AACS.


R 338.11605   Enteral  sedation;  requirements  for  approval    of    course 
and instructor.
  Rule 11605. (1) A course in enteral sedation shall  be  approved   by   the 
board of dentistry and shall, at a minimum, be consistent  with  the  enteral 
sedation course  as  outlined  in  the   American    dental     association's 
educational guidelines "Part Three:  Teaching  the   Comprehensive    Control 
of  Pain  and Anxiety in a Continuing Education  Program,"   October    2003, 
whose  guidelines are adopted by the board.  Such a  course   must    provide 
training  in  patient  assessment,  recognition  of  emergencies  and  airway 
management,  including  the ability to manage an unconscious airway.  Part  3 
of  the  guidelines  may  be obtained at no cost from the  American    Dental 
Association,  211  E.  Chicago Avenue,  Chicago,  IL   60611,   or   on   the
  association's   website   at http://www.ada.org.  A copy of the  guidelines 
is available for inspection and distribution at cost from the Michigan  Board
 of  Dentistry,  Department  of Community Health, 611 West Ottawa,  P.O.  Box 
30670, Lansing, MI 48909.
  (2) An instructor of a course in enteral sedation shall be   approved    by 
the board of dentistry and shall have at least  3  years   experience   which 
includes his or her formal postdoctoral training in anxiety and pain control.
  (3) An instructor of an approved enteral sedation course   shall    certify 
the competency of  a  participant  upon  a    participant's    satisfactorily 
completing training  in  each  conscious   sedation   technique,    including 
instruction, clinical experience, and airway management.

  History: 2006 AACS.


                       PART 7. CONTINUING EDUCATION


R 338.11701   License  renewal  for  dentists;   relicensure;   requirements; 
applicability.
  Rule 1. (1) This part applies to  applications  for  the  renewal   of    a 
dentist license and applications for relicensure pursuant to section 16201(3) 
and (4) of the act which are filed on or after April 30, 1994.
  (2) An applicant for license renewal who  has  been  licensed    for    the 
3-year period immediately preceding  the  expiration  date  of  the   license 
or  an applicant for relicensure shall possess current    certification    in 
basic  or advanced cardiac life support from an  agency    or    organization 
that  grants certification pursuant to standards substantially equivalent  to 
the standards adopted in R 338.11705(3) and shall comply with the   following 
requirements, as applicable:
  (a) For a dentist license, the applicant shall have  completed   not   less 
than 60 hours of continuing education acceptable to the board   during    the 
3-year period immediately preceding the date  of  the   application.     Each 
licensee shall complete a minimum of 20  hours   of    approved    continuing 
education  in programs directly related  to   clinical   issues    such    as 
delivery  of  care, materials used in delivery of care, and pharmacology.
  (b) Dental specialists shall  have  completed  20   hours   of    the    60 
required board-approved continuing education hours in the  dental   specialty 
field  in which they are certified within  the  3-year   period   immediately 
preceding  the renewal application.
  (c) Each licensee shall complete at least 1 continuing  education    credit 
in pain and symptom  management  in  each   renewal    period.     Continuing 
education credits in pain and symptom management may include, but   are   not 
limited   to,  courses  in  behavior  management,   psychology   of     pain, 
pharmacology,    behavior   modification,   stress    management,    clinical 
applications, and drug interactions.
  (d) If an organized continuing education course or  program   is    offered 
in segments of 50 to 60 minutes each, 1 hour of credit shall be  given    for 
each segment.
  (3) The submission of the  application  for  renewal    shall    constitute 
the applicant's certification of compliance with the requirements  of    this 
rule.
The board may require an applicant  or  a  licensee  to  submit  evidence  to 
demonstrate compliance with this  rule.   The  applicant  or  licensee  shall 
maintain evidence of complying with the  requirements  of  this  rule  for  a 
period of 4 years from the date of the application.

  History: 1991 AACS; 2004 AACS.


R 338.11703   Acceptable continuing education for dentists; limitations.
  Rule 3.   The  board   shall   consider   any   of   the    following    as 
acceptable continuing education:
  (a) Successful completion of a course or courses offered  for  credit  in a 
dental school or a hospital-based dental specialty program  approved   by the 
board pursuant to the provisions  of  R   338.11301,   a    dental    hygiene 
school approved by the board pursuant to the provisions of R 338.11303, or  a 
dental assisting school approved by the  board  pursuant  to  the  provisions
 of  R 338.11307. Ten hours of continuing  education  shall    be    credited 
for  each quarter credit earned and 15  hours  shall  be  credited  for  each 
semester credit earned, without limitation.
  (b) A maximum of 20 credit  hours  per  calendar  year  may    be    earned 
for satisfactorily participating  for  a  minimum  of   7   months    in    a 
postgraduate  dental  clinical  training   program   in   a    hospital    or 
institution  that  is approved by the board pursuant to the provisions  of  R 
338.11301.
  (c) Attendance at a continuing education  program  offered  by   a   dental 
school or a hospital-based dental specialty program approved by  the    board 
pursuant to the provisions of R 338.11301, a dental hygiene  school  approved
 by  the board pursuant to  the  provisions  of  R  338.11303,  or  a  dental 
assisting school approved by the  board  pursuant  to  the  provisions  of  R 
338.11307. One hour  of continuing education shall be credited for each  hour 
of  program  attendance, without limitation.
  (d) Attendance at a continuing  education   program   approved    by    the 
board pursuant to the  provisions  of  R  338.11705  of  this    part.    One 
hour  of continuing education shall be credited for each hour   of    program 
attendance, without limitation.
  (e) Development and presentation of a  table  clinical  demonstration  or a 
continuing education lecture offered in conjunction with the presentation  of 
continuing education programs  approved  by   the   board.   One   hour    of 
continuing education shall be credited for  each  hour   devoted    to    the 
development  and initial presentation of  a  table   clinical   demonstration 
or  a  continuing education lecture, with  a  maximum  of   10    hours    of 
continuing  education credited for the development and presentation  of   the 
same  demonstration  or lecture.
  (f) Twelve hours of continuing  education  shall  be  credited   for    the 
initial publication of an article or articles related to the   practice    of 
dentistry,  dental  hygiene,  or  dental  assisting  in  the  journal  of  an 
accredited school of dentistry, dental hygiene,  or  dental  assisting  or  a 
state or state  component  association  of  dentists,   dental   specialists, 
dental  hygienists,  or  dental assistants.
  (g) Twenty-five hours of continuing education  shall  be    credited    for 
the initial publication of an article or articles  related  to  the  practice
 of dentistry, dental hygiene, or dental  assisting  in  a  textbook  or   in 
the journal of a national association of  dentists,    dental    specialists, 
dental hygienists, or dental assistants.
  (h) Reading articles, viewing, or listening to media, other  than   on-line 
programs, devoted to dental, dental hygiene, or dental  assisting  education.
One hour of continuing education shall be credited for each hour  devoted  to 
such education, with a maximum of 10 hours credited under this category.
  (i)  Twenty  hours  of   continuing   education   may    be    earned    in 
board-approved, on-line continuing education activities.
  (j) Successful completion of an American  Board  specialty  examination.
Ten hours of continuing education shall be credited in the year in which  the 
applicant is advised he or she passed the examination.
  (k) Renewal of a license held in another  state  that  requires  continuing 
education for license  renewal  that  is  substantially  equivalent  to  that 
required in these rules if the applicant resides  and  practices  in  another 
state. For a dentist, 60 hours of continuing education shall be credited  for 
evidence of current licensure in another state.
  (l) One continuing education contact hour may be granted for   each    hour 
of program attendance at a continuing education  program  which   has    been 
granted approval by another state board of dentistry.
  (m) Ten hours of continuing education shall  be  credited    to    dentists 
for attendance at dental-related  programs  which  shall  be  documented   by 
the licensee as relevant to health care and advancement of   the   licensee's 
dental education.  The board shall deny a request for   approval    if    the 
continuing education request does not meet the criteria used by   the   board 
for  approval of continuing education sponsors.
  (n) A maximum of 30 credit hours per renewal period for  a   dentist    may 
be earned for programs  related  to  topics   approved   for    category    1 
continuing education by the boards of medicine or osteopathic medicine.

  History: 1991 AACS; 2004 AACS.


R 338.11704    License  renewal  for  dental    hygienists     and     dental 
assistants; relicensure; requirements; applicability.
  Rule 4. (1) This part applies  to  applications  for  the  renewal   of   a 
registered dental hygienist license or a registered dental assistant  license 
and applications for relicensure pursuant to section 16201(3) and (4) of  the 
act which are filed on or after April 30, 1994.
  (2) An applicant for license renewal who has  been   licensed    for    the 
3-year period immediately preceding  the  expiration  date  of  the   license 
or  an applicant for relicensure shall possess current    certification    in 
basic  or advanced cardiac life support from an  agency    or    organization 
that  grants certification pursuant to standards substantially equivalent  to 
the standards adopted in R 338.11705(3) and shall comply with the   following 
requirements, as applicable:
  (a) For  a  registered  dental  hygienist   license   or    a    registered 
dental assistant license, the applicant shall have completed not less than 36
 hours of continuing education acceptable to the  board  during  the   3-year 
period immediately preceding the date  of  the  application.   Each  licensee
 shall complete a minimum of 12 hours of approved continuing  education    in 
programs directly related to  clinical  issues  such  as  delivery  of  care, 
materials  used in the delivery of care, and pharmacology.
  (i) Applicants holding both a  registered  dental  hygienist  license   and 
a registered dental assistants license shall have completed  not  less   than 
a total of 36 hours of continuing education acceptable to the  board   during 
the 3-year period immediately preceding the date  of  the  application.   The
 36 hours shall include not less than  12  hours  devoted    to    registered 
dental hygienist functions, and not less than 12 hours devoted to  registered 
dental assistants functions.
  (b) If an organized continuation course or program is offered  in  segments 
of 50 to 60 minutes each, 1 hour of credit shall be given for each segment.
  (3) The submission of  the  application  for  renewal   shall    constitute 
the applicant's certification of compliance with the  requirement   of   this 
rule.
The board may  require  an  applicant  or  licensee  to  submit  evidence  to 
demonstrate compliance with this  rule.   The  applicant  or  licensee  shall 
maintain evidence of complying with the  requirements  of  this  rule  for  a 
period of 4 years from the date of the application.

  History: 2004 AACS.


R 338.11704a  Acceptable  continuing  education  for  dental  hygienists  and 
dental assistants; limitations.
  Rule 4a.  The  board   shall   consider   any   of   the    following    as 
acceptable continuing education:
  (a) Successful completion of a course or courses  offered  for  credit   in 
a dental school or hospital-based dental  specialty  program   approved    by 
the board under R 338.11301, a dental hygiene school approved by  the   board 
under R 338.11303, or a dental assisting school  approved  by    the    board 
under  R 338.11307.  Ten hours of continuing education  shall   be   credited 
for  each quarter credit earned and 15  hours  shall  be  credited  for  each 
semester credit earned, without limitation.
  (b) Attendance at a continuing education  program  offered  by   a   dental 
school or hospital-based dental specialty program approved  by   the    board 
under  R 338.11301, a dental hygiene school approved by the board  under    R 
338.11303, or a dental assisting school approved  by  the  board   under    R 
338.11307.   One hour of continuing education shall be  credited   for   each 
hour  of  program attendance, without limitation.
  (c) Attendance at a continuing education  program  approved  by  the  board 
under R 338.11705 of this part.  One hour of continuing  education  shall  be 
credited for each hour of program attendance, without limitation.
  (d) Development and presentation  of  a  table  clinic  demonstration  or a 
continuing education lecture offered in conjunction with the presentation  of 
continuing education programs  approved  by   the   board.    One   hour   of 
continuing education shall be credited for  each  hour   devoted    to    the 
development  and initial  presentation  of  a  table   clinic   demonstration 
or  a  continuing education lecture, with  a  maximum  of   10    hours    of 
continuing  education credited for the development  and    presentation    of 
the  same  table  clinic demonstration or continuing education lecture.
  (e) Twelve hours of continuing  education  shall  be  credited   for    the 
initial publication of an article or articles related to the   practice    of 
dentistry,  dental  hygiene,  or  dental  assisting  in  the  journal  of  an 
accredited school of dentistry, dental hygiene or  dental  assistant,  or  in
 a  state  or  state component association of dentists,  dental  specialists, 
dental hygienists,  or dental assistants.
  (f) Twenty-five hours of continuing education  shall  be    credited    for 
the initial publication of an article or articles  related  to  the  practice
 of dentistry, dental hygiene, or dental  assisting  in  a  textbook  or   in 
the journal of a national association of  dentists,    dental    specialists, 
dental hygienists, or dental assistants.
  (g)  Twelve  hours  of  continuing  education   may    be     earned     in 
board-approved, online continuing education activities.
  (h) One hour of continuing education shall be  credited  for   each    hour 
of reading articles and  viewing  or  listening  to   media,    other    than 
online programs, devoted to dental, dental hygiene, or    dental    assisting 
education with a maximum of 10 hours credited under this category.
  (i) Renewal  of  a  license  held  in   another   state    that    requires 
continuing  education  for  license   renewal    that    is     substantially 
equivalent  to  that required in these rules if the applicant  resides    and 
practices   in   another  state.   For  a  registered  dental  hygienist   or 
registered dental assistant,  36 hours of continuing  education   shall    be 
credited  for  evidence  of  current licensure in such other state.
  (j)  For  a  registered  dental  assistant,  meeting    the    requirements 
for recertification in R  338.11705(3).   Thirty-six  hours   of   continuing 
education shall be credited for evidence of  current   certification,   other 
than  life certification, by the dental assisting national board.
  (k) One continuing education contact hour may be granted for   each    hour 
of program attendance at a continuing education  program  which   has    been 
granted approval by another state board of dentistry.
  (l)  Six  hours  of  continuing  education  shall  be  credited  to  dental 
hygienists or registered  dental  assistants  for  attendance    at    dental 
related  programs which are  documented  by  the  licensee  as  relevant   to 
health  care  and advancement of the licensee's  dental    education.     The 
board  shall  deny  a  request  for  approval  if  the  continuing  education 
request does  not  meet  the criteria used  by  the  board  for  approval  of 
continuing education sponsors.
  (m) A maximum of 18 credit hours  per  renewal  period  may    be    earned 
for programs  related  to  specific  dental  specialty  topics  approved  for 
category  1 continuing education by the boards  of  medicine  or  osteopathic 
medicine.

  History: 2004 AACS; 2006 AACS.


R 338.11705   Standards and requirements; adoption by reference.
  Rule 5.  (1) The board approves and adopts by reference    the    standards 
and criteria of the national sponsor approval program of  the   academy    of 
general dentistry  for  approval   of   continuing    education    sponsoring 
organizations, institutions, and  individuals,  which  are  set   forth    in 
the  publication entitled  "Program  Approval  for    Continuing    Education 
(PACE),  a  Guidebook, Revised July  2002".   Information   on    the    pace 
standards  and  criteria  is available at no cost from the Academy of General 
Dentistry, 211 East  Chicago Avenue, Suite 900, Chicago, IL 60611 or from the 
academy's  internet  website at http://www.agd.org.   A copy of the guidebook 
is available for  inspection and distribution at no cost  from  the  Michigan 
Department of Community  Health,  Bureau  of  Health  Professions,  611  West 
Ottawa, P.O. Box  30670,  Lansing,  MI 48909.  Approval of a sponsor  by  the 
academy of general  dentistry  committee on national  sponsor  approvals   or 
by  any  academy  of  general  dentistry constituent academy shall constitute 
prima facie evidence  that  the  sponsor meets  the  standards  and  criteria 
adopted by the board.
  (2) The board approves and adopts by reference the standards  and  criteria 
of the  National  Sponsor  Approval  Program   of   the    American    Dental 
Association Continuing  Education  Recognition  Program   (ADA   CERP)    for 
approval   of continuing education sponsoring organizations, which  are   set 
forth  in  the publication  entitled  "ADA  CERP  Recognition  Standards  and 
Procedures,  Revised April 2002."  A copy of this publication may be obtained 
at no cost from  the association at ADA CERP 211 E. Chicago Avenue,  Chicago, 
IL   60611-2678   or   from   the   association's   internet    website    at 
http://www.ada.org/prof/ed/ce/cerp.   A copy of the publication is  available 
for inspection and distribution at  cost from  the  Department  of  Community 
Health, Bureau of  Health  Professions,  611 West  Ottawa,  P.O.  Box  30670, 
Lansing, MI 48909.  Approval  of  a  sponsor  by  the  ADA  CERP  or  by  any 
constituent group of ADA CERP shall constitute prima facie evidence that  the 
sponsor meets the standards and  criteria  adopted  by  the board.
  (3) The  board  approves  and  adopts  by  reference    the    requirements 
for recertification established by the dental assisting national  board   and 
set forth  in  the  publication  entitled  "2002  Recertification  Guidelines
  & Requirements." A copy of the publication may be obtained at no cost  from 
the Dental Assisting National  Board,  676  N.  St.  Clair   Street,    Suite 
1880, Chicago,  IL  60611   or   from   the   national    board's    internet 
website   at http://www.danb.org.  A copy of the guidelines and  requirements 
are available for inspection and distribution at cost  from  the   Department 
of  Community Health, Bureau of Health  Professions,   611    West    Ottawa, 
P.O.  Box  30670, Lansing, MI 48909.
  (4) The board shall  consider  any  continuing  education   program    that 
is offered  by  a  sponsor  that  applies  to  the  board  and   demonstrates 
it substantially meets the standards and criteria adopted  by  the  board  as
 a continuing education program approved by the board.
  (5) The board adopts by reference the  standards  for   certification    in 
basic and advanced cardiac life support  set  forth  by  the  American  heart 
association in   the   standards   and   guidelines    for    cardiopulmonary 
resuscitation  and emergency  cardiac  care   for   professional    providers 
and    published    in    "Guidelines      2000      for      Cardiopulmonary 
Resuscitation   and    Emergency Cardiovascular Care (70-2041).   A  copy  of 
the guidelines for  cardiopulmonary resuscitation and emergency cardiac  care 
may be obtained  from  the  American Heart  Association,   7272    Greenville 
Avenue,  Dallas,  TX   75231   or   at http://www.ahajournals.org at  a  cost 
of $20.00 as of the  adoption  of  these rules.  A copy of this  document  is 
available for inspection and  distribution at  cost  from   the    Department 
of  Community  Health,  Bureau   of   Health Professions,  611  West  Ottawa, 
P.O. Box 30670, Lansing, MI 48909.
  (6)  The  board  may  approve  a  state,  regional,  or   national   dental 
organization as an acceptable provider of continuing education courses if the 
organization  presents  standards,   criteria,    and    course    monitoring 
procedures  for  its courses that are acceptable to the board.  This approval 
may be withdrawn  if the board determines the organization is  not  complying 
with the standards and criteria  presented.   The  standards,  criteria,  and 
monitoring procedures  will be retained in the department's board files.   An 
organization  shall  update its file with the department every 5 years.

  History: 1991 AACS; 2004 AACS; 2006 AACS.