18. (1) In this section, “approved diploma or degree program” means a program taken in Canada or the United States of America that was, either at the time the applicant commenced the program or at the time the applicant graduated from the program, (a) approved by the Commission on Dental Accreditation of Canada or recognized by the Commission under the terms of a reciprocal agreement, or (b) approved by another accreditation body designated by Council; “National Dental Specialty Examination” means a National Dental Specialty Examination administered by the Royal College of Dentists of Canada that was approved by the College at the time the applicant took it.  O. Reg. 407/04, s. 1; O. Reg. 500/07, s. 3 (1);  O. Reg. 75/12, s. 7 (1). (2) Subject to section 19, the additional requirements for the issuing of a specialty certificate of registration are the following: 1. The applicant has a degree in dentistry evidencing successful completion of a course in dental studies of at least four years duration at a university-based dental school. 2.  Revoked:  O. Reg. 500/07, s. 3 (2). 3. The applicant has successfully completed a specialty program referred to in subsection (3) for the specialty for which the authorization is sought. 4. The applicant has successfully completed one of the following: i. the National Dental Specialty Examination for the specialty for which the applicant is seeking a specialty certificate of registration, or ii. another specialty examination set or approved by the College for the specialty for which the applicant is seeking a specialty certificate of registration. 5. Since the applicant satisfied the requirement of paragraph 3, there has been no three-year period during which the applicant has not engaged in the specialty practice of dentistry, for which the authorization is sought, on a continuous and regular basis in Canada or the United States of America. 6. The applicant is able to demonstrate the ability to speak and write either English or French with reasonable fluency. 7. The applicant has successfully completed an examination in ethics and jurisprudence set or approved by the College. 8. The applicant is a Canadian citizen or a permanent resident of Canada or has received the appropriate authorization under the Immigration and Refugee Protection Act (Canada) to permit the applicant to engage in the practice of dentistry in Canada as authorized by the certificate.  O. Reg. 407/04, s. 1; O. Reg. 500/07, s. 3 (2-4); O. Reg. 75/12, s. 7 (2). (3) The applicant shall have satisfied the requirement in paragraph 3 of subsection (2) if the applicant has completed, (a) one of the following specialty programs: (0.i) in the case of dental anaesthesia, (A) an approved diploma or degree program in dental anaesthesia consisting of a minimum of 22 months of full-time instruction, or (B) until three years have passed since an approved diploma or degree program in dental anaesthesia is introduced in Ontario, a program described in subsection (3.1), if the applicant also meets the requirements of subsection (3.2), (i) in the case of endodontics, an approved diploma or degree program in endodontics consisting of a minimum of 22 months of full-time instruction, (ii) in the case of oral and maxillofacial surgery, an approved diploma or degree program in oral and maxillofacial surgery consisting of a minimum of 48 months of full-time instruction, (iii) in the case of oral medicine, an approved diploma or degree program in oral medicine consisting of a minimum of 33 months of full-time instruction, (iv) in the case of oral pathology, an approved diploma or degree program in oral pathology consisting of a minimum of 33 months of full-time instruction, (v) in the case of oral and maxillofacial radiology, an approved diploma or degree program in oral and maxillofacial radiology consisting of a minimum of 22 months of full-time instruction, (vi) in the case of orthodontics and dentofacial orthopaedics, an approved diploma or degree program in orthodontics and dentofacial orthopaedics consisting of a minimum of 22 months of full-time instruction, (vii) in the case of paediatric dentistry, an approved diploma or degree program in paediatric dentistry consisting of a minimum of 22 months of full-time instruction, (viii) in the case of periodontics, an approved diploma or degree program in periodontics consisting of a minimum of 22 months of full-time instruction, (ix) in the case of prosthodontics, an approved diploma or degree program in prosthodontics consisting of a minimum of 22 months of full-time instruction, (x) in the case of public health dentistry, an approved diploma or degree program in public health consisting of a minimum of 22 months of full-time instruction; or (b) a specialty program that is not an approved diploma or degree program, if the applicant also holds a certificate of completion of a program that was approved by the College at the time the applicant commenced it that evidences the applicant’s possession of knowledge, skill and judgment at least equivalent to that expected of a current graduate of an approved diploma or degree program in the specialty for which the application is being made. (c)  Revoked:  O. Reg. 75/12, s. 7 (3). O. Reg. 407/04, s. 1; O. Reg. 500/07, s. 3 (5, 6); O. Reg. 75/12, s. 7 (3). (3.1) The program described in sub-subclause (3) (a) (0.i) (B) is a program in dental anaesthesia that included, (a) a minimum of 12 months of full-time instruction, if the applicant successfully completed it before 1986; or (b) a minimum of 22 months of full-time instruction, if the applicant successfully completed it in or after 1986.  O. Reg. 500/07, s. 3 (7). (3.2) For the purposes of sub-subclause (3) (a) (0.i) (B), the Registration Committee must be satisfied that the applicant possesses knowledge, skill and judgment at least equivalent to that expected of a current graduate of the specialty program in dental anaesthesia offered by the Faculty of Dentistry of the University of Toronto.  O. Reg. 500/07, s. 3 (7). (4) A specialty certificate of registration is subject to the condition that the member may engage in the practice of dentistry only within the specialty to which the certificate relates unless the member holds, (a) an academic certificate of registration issued by the College before this section came into force; or (b) a general certificate of registration.  O. Reg. 407/04, s. 1. (5) Subject to subsection (6), the requirements in paragraphs 3 and 4 of subsection (2) are non-exemptible.  O. Reg. 75/12, s. 7 (4). (6) The requirements of paragraphs 1, 3 and 4 of subsection (2) do not apply to an applicant if he or she held a specialty certificate of registration issued by the College for the specialty in which he or she is applying at any time before submitting his or her application for that specialty certificate of registration.  O. Reg. 75/12, s. 7 (4). (6.1) The requirements of paragraphs 1, 5, 6 and 7 of subsection (2) and the requirement to pay the application fee set out in a College by-law do not apply to an applicant who held an emergency certificate of registration issued by the College within three years before submitting their application for that specialty certificate of registration. O. Reg. 280/23, s. 3. (7) Nothing in subparagraph 4 ii of subsection (2) requires the College to set or approve a specialty examination.  O. Reg. 75/12, s. 7 (4).