reglab/statecodes huggingface dataset:
Code of Maine Rules › 02 - DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION › 313 - BOARD OF DENTAL PRACTICE › Chapter 12 - PRACTICE REQUIREMENTS › Section 313-12-I - GENERAL PRACTICE REQUIREMENTS

Current through 2024-29, July 17, 2024
The following practice responsibilities apply to individuals
				  licensed as indicated below:
A.
INFECTION CONTROL
(1) All
				licensees shall utilize the CDC Guidelines for Infection Control in Dental
				Health-Care Settings, 2003.
(2) A
				licensee who is providing general supervision or direct supervision must ensure
				the supervised individual's training and/or certification is completed to
				comply with the CDC Guidelines noted in Section I (A)(1).
Code of Maine Rules › 02 - DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION › 313 - BOARD OF DENTAL PRACTICE › Chapter 12 - PRACTICE REQUIREMENTS › Section 313-12-II - SPECIFIC PRACTICE REQUIREMENTS - ADMINISTRATION OF NITROUS OXIDE ANALGESIA

Current through 2024-29, July 17, 2024
A.
DENTAL
				HYGIENIST RESPONSIBILITIES
(1)
Limitations
. A dental hygienist who is not authorized to
				administer nitrous oxide analgesia from the Board may, during nitrous oxide
				analgesia administration by the dentist, observe the gauges and advise the
				dentist of any changes in gauge indices or readings but shall not in any way or
				under any circumstances adjust, manipulate, or control the nitrous oxide
				apparatus or equipment.
(2)
Authorization
. A dental hygienist issued a permit or authority to
				administer nitrous oxide analgesia may administer nitrous oxide analgesia
				utilizing induction via titration and not to exceed 50% concentration under the
				direct supervision of a dentist.
Code of Maine Rules › 02 - DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION › 313 - BOARD OF DENTAL PRACTICE › Chapter 12 - PRACTICE REQUIREMENTS › Section 313-12-III - SPECIFIC REQUIREMENTS FOR THE USE OF CERTAIN MATERIALS, LASER AND DIGITAL EQUIPMENT

Current through 2024-29, July 17, 2024
A. Use and
				placement of temporary restorations. A licensee shall use temporary restorative
				material that is not harmful to the tooth, and preferably be fluoride
				releasing. A licensee shall use the protocols attached to this Chapter as
				Figure 1 and Figure 2 when placing a temporary restoration with or without the
				use of a dental radiograph.
B. Use
				of silver diamine fluoride. A licensee who applies silver diamine fluoride
				shall obtain written informed consent from the patient (or the patient's legal
				guardian). The informed consent will identify the risks, benefits,
				contraindicators and alternatives to the treatment of silver diamine
				fluoride.
C. Use of mercury or
				mercury amalgam. A licensee who uses mercury or mercury amalgam in any dental
				procedure shall obtain written informed consent from the patient (or the
				patient's legal guardian). The informed consent will identify the risks,
				benefits, contraindicators, and alternatives to the use of mercury or mercury
				amalgam in dental procedures.
D.
				Use of lasers and digital equipment devices. A licensee may delegate the use of
				lasers and digital equipment when both the supervising licensee and the
				individual subject to the supervision obtain proper training on the use of the
				device. The use of the device is subject to the limitations of the licensee's
				scope of practice, including the limitations of the licensee's ability to
				delegate the procedure.
Code of Maine Rules › 02 - DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION › 313 - BOARD OF DENTAL PRACTICE › Chapter 12 - PRACTICE REQUIREMENTS › Section 313-12-IV - SPECIFIC PRACTICE REQUIREMENTS - INDEPENDENT PRACTICE DENTAL HYGIENE AUTHORITY

Current through 2024-29, July 17, 2024
A. Prior to an
				initial patient visit, an independent practice dental hygienist shall obtain
				from the patient or the parent or guardian of a minor patient written
				acknowledgment of the patient's or parent's or guardian's understanding that
				the independent practice dental hygienist is not a dentist and that the service
				to be rendered does not constitute restorative care or treatment.
B. An independent practice dental hygienist
				shall provide to a patient or the parent or guardian of a minor patient a
				written plan for referral to a dentist for any necessary dental care. The
				referral plan must identify all conditions that should be called to the
				attention of the dentist.
C.
				(RESERVED)
Code of Maine Rules › 02 - DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION › 313 - BOARD OF DENTAL PRACTICE › Chapter 12 - PRACTICE REQUIREMENTS › Section 313-12-V - SPECIFIC PRACTICE REQUIREMENTS - REFERRAL NETWORK

Current through 2024-29, July 17, 2024
A. A licensee who provides patient care shall
				have in place a referral network to handle patient conditions outside of their
				scope of practice, training, or level of expertise.
B. Referrals shall be made in writing and
				clearly identify the condition(s) that prompted the referral. The licensee
				accepting the referral is obligated to use his or her level of training to
				complete the assessment, diagnosing, and treatment planning for referred
				patients.
C. Once referred
				treatment is completed, ethical standards require that the patient is returned
				to the referring licensee. Patients, however, retain the right to choose their
				dental provider as long as such provider is willing and able to accept them in
				their practice.
D. A denturist must
				immediately refer to a licensed dentist or physician any abnormality or disease
				process that requires medical or dental treatment observed during oral
				inspection. In such a case, the denturist shall take no further action to
				manufacture or place a denture if it may impact the successful outcome of the
				treatment until the patient has been examined by a dentist or physician. If the
				examination reveals the need for tissue modification or opposing natural tooth
				modification in order to assure proper fit of a full denture, the denturist
				shall refer the patient to a dentist and assure that the modification has been
				completed before taking an impression for the completion of the
				denture.
Code of Maine Rules › 02 - DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION › 313 - BOARD OF DENTAL PRACTICE › Chapter 12 - PRACTICE REQUIREMENTS › Section 313-12-VI - SPECIFIC PRACTICE REQUIREMENTS - AFTER HOUR PATIENT CARE

Current through 2024-29, July 17, 2024
A. A licensee shall make reasonable efforts
				to establish a network of providers to offer both emergency and non-emergency
				dental care to a patient after hours.
Code of Maine Rules › 02 - DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION › 313 - BOARD OF DENTAL PRACTICE › Chapter 12 - PRACTICE REQUIREMENTS › Section 313-12-VII - SPECIFIC PRACTICE REQUIREMENTS - DEVIATION OF PRACTICE STANDARDS

Current through 2024-29, July 17, 2024
A. A licensee may deviate from the standards
				outlined in this Chapter, if the deviation is shown to be reasonable, is based
				upon physiological conditions or requirements, or responds to specific requests
				of the individual patient. The reason(s) for any deviation from the standards
				must be documented in the patient's records at the time the deviation is
				made.
Code of Maine Rules › 02 - DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION › 313 - BOARD OF DENTAL PRACTICE › Chapter 12 - PRACTICE REQUIREMENTS › Section 313-12-X - PRINCIPLES OF ETHICS AND CODES OF PROFESSIONAL CONDUCT

Current through 2024-29, July 17, 2024
A. Dentists shall comply with the American
				Dental Association Principles of Ethics and Code of Professional Conduct, as
				amended, February 2018.
B. Dental
				hygienists shall comply with the American Dental Hygienists' Association Code
				of Ethics as published in its Bylaws and Code of Ethics, adopted June 13,
				2016.
C. Denturists shall comply
				with the National Denturist Association's Code of Conduct, Appendix A, as
				published in its By-Laws dated September 19, 2015.
Code of Maine Rules › 02 - DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION › 313 - BOARD OF DENTAL PRACTICE › Chapter 13 - CONTINUING EDUCATION › Section 313-13-I - Generally

Current through 2024-29, July 17, 2024
As used in this chapter "directly related to dental practice"
				  means that the continuing education must relate to professional competency and
				  aspects of the profession for which the individual is licensed.
A.
Dentists, Faculty Dentists, and
				Limited Dentists: Forty (40) Credit Hours Required for License Renewal
(1) No license will be renewed unless the
				licensee has completed 40 credit hours of continuing education directly related
				to dental practice during the preceding biennial license term as set forth in
				this subsection and has a current BLS certification. The biennial license term
				begins January 1 of even numbered years and ends December
				31st of odd numbered years.
(2)
Required Areas of Study
a. As a condition of prescribing opioid
				medication, at least 3 of the 40 credit hours of continuing education must be
				earned on the prescription of opioid medication.
b. As a condition of holding a sedation
				permit issued by the Board, at least 6 of the 40 credit hours of continuing
				education must be earned in sedation and/or anesthesia, physical diagnosis,
				complications, and techniques.
Code of Maine Rules › 02 - DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION › 313 - BOARD OF DENTAL PRACTICE › Chapter 13 - CONTINUING EDUCATION › Section 313-13-II - Eligible Continuing Education Activities

Current through 2024-29, July 17, 2024
Continuing education credit hours that directly relate to
				  dental practice may be earned only by participation in the following
				  activities:
A.
There is no
				credit hour limit on any of the following activities:
(1) Presentations, lectures, seminars, and
				workshops.
(2) Study clubs
				pre-approved pursuant to Section VI.
(3) Post-graduate academic courses related to
				dental practice or medical degree programs offered by a regionally accredited
				program recognized by the United States Department of Education.
(4) Academic courses related to the
				administration of local anesthesia, nitrous oxide analgesia, and expanded
				function dental assisting.
(5)
				Completion of a dental residency program.
(6) Distance learning activities such as
				online courses or webinars with verification and passage of an exit
				examination.
Code of Maine Rules › 02 - DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION › 313 - BOARD OF DENTAL PRACTICE › Chapter 13 - CONTINUING EDUCATION › Section 313-13-III - Ineligible Continuing Education Activities

Current through 2024-29, July 17, 2024
The following activities are ineligible for continuing
				  education credit:
A. Continuing
				education pursuant to a Board order or consent agreement.
B. General attendance at a
				conference.
C. Business meetings of
				a professional association.
D. The
				study of yoga, energy healing; exploration of personal growth; or any activity
				of any nature whatsoever that does not directly relate to dental
				practice.
E. Reading of an article,
				a professional journal, an online or written publication, or a professional
				publication without an examination.
F. Clinical examinations taken to obtain a
				license.
Hands-on continuing education activities may be eligible for
				  continuing education credit but are not eligible for
				  double-credit.
Code of Maine Rules › 02 - DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION › 313 - BOARD OF DENTAL PRACTICE › Chapter 13 - CONTINUING EDUCATION › Section 313-13-IV - Continuing Education Providers; Documentation

Current through 2024-29, July 17, 2024
A.
Providers.
Eligible
				continuing education activities may be offered by providers of continuing
				education such as departments of regionally-accredited institutions; national,
				state or local professional organizations or associations; public or private
				human services organizations; or private consultants or individuals.
Such organizations include, but are not limited to:
(1) Any accredited college or
				university.
(2) Any program
				accredited by CODA.
(3) The
				American Dental Association, the National Dental Association, or their
				component and constituent societies, associations, and local society.
(4) The American Dental Hygienists
				Association, the National Dental Hygienists Association, or their component or
				constituent societies, associations, and local society.
(5) The International Federation of
				Denturists (IFD) or its component societies.
(6) The Maine Licensed Denturist
				Association.
(7) The academies and
				specialty organizations recognized by the Board.
(8) The Veterans Administration or the armed
				forces.
(9) Providers who are
				accredited, approved, or recognized by:
a. The
				American Academy of Dental Hygiene;
b. The American Dental Association's
				Continuing Education Recognition Program ("ADA CERP");
c. The Academy of General Dentistry's Program
				Approval for Continuing Education ("PACE");
d. Accrediting agencies recognized by the
				American Medical Association's Council on Medical Education; or
e. The Accreditation Council for Medical
				Education.
Code of Maine Rules › 02 - DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION › 313 - BOARD OF DENTAL PRACTICE › Chapter 13 - CONTINUING EDUCATION › Section 313-13-V - Audit

Current through 2024-29, July 17, 2024
A.
Certification of continuing
				education for renewal
At the time of application for renewal, each licensee must
				  certify, on a form provided by the Board, compliance with the continuing
				  education credit hours required during the preceding license term or during the
				  continuing education period established in statute or by Board rule. No
				  additional information or continuing education documentation is required to be
				  submitted at the time of renewal. However, the licensee must retain
				  documentation of all continuing education credit hours earned during the most
				  recent license renewal term for two years' post-renewal.
B.
Verification of compliance by
				audit
Applicants for license renewal will be selected on a random
				  basis for audit of continuing education compliance. In addition, an individual
				  licensee may be selected for an audit as part of an investigation or if there
				  is reasonable cause to believe the licensee has provided a false certification
				  concerning the completion of continuing education requirements.
Licensees selected for audit will be notified to submit
				  documentation of the continuing education activities that were certified by the
				  licensee at the time of renewal. Continuing education credit hours that cannot
				  be documented in accordance with the documentation requirements of Section
				  IV(B) or that do not satisfy the criteria for continuing education contained in
				  statute or Board rule will be disallowed.
Code of Maine Rules › 02 - DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION › 313 - BOARD OF DENTAL PRACTICE › Chapter 13 - CONTINUING EDUCATION › Section 313-13-VI - Pre-approval of Continuing Education Activities

Current through 2024-29, July 17, 2024
The Board may pre-approve courses, seminars, and workshops,
				  to ensure the activity is directly related to dental practice only at the
				  request of a provider of the continuing education. A seminar, workshop, or
				  institute for which pre-approval has been sought but denied is not eligible for
				  continuing education credit.
Code of Maine Rules › 02 - DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION › 313 - BOARD OF DENTAL PRACTICE › Chapter 13 - CONTINUING EDUCATION › Section 313-13-VII - The Audit Findings

Current through 2024-29, July 17, 2024
If data submitted to the Board pursuant to an audit does not
				  fulfill the requirements of this chapter, then the licensee shall be notified
				  of the Board's failed audit finding. A failed audit constitutes unprofessional
				  conduct and the Board may, without hearing, enter into a consent agreement with
				  a licensee who has not met the continuing education requirements of this
				  chapter.
Code of Maine Rules › 02 - DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION › 313 - BOARD OF DENTAL PRACTICE › Chapter 13 - CONTINUING EDUCATION › Section 313-13-VIII - Waivers, Extensions, First Renewal, Inactive Status

Current through 2024-29, July 17, 2024
A.
Waiver/extension.
Upon
				receipt of a written request prior to license expiration, the Board may, in its
				discretion, grant an extension of time or other waiver to an individual
				licensed or certified by the Board who, because of prolonged illness or other
				extenuating circumstances, e.g., military deployment, has been unable to meet
				the educational requirements under this chapter.
B.
First renewal; general
				requirements.
Licensees who renew for the first time must complete one
				half of the required continuing education credit hours as outlined in this
				chapter and have a current BLS certification.
C.
First renewal for dentists
.
				Dentists who are renewing for the first time must complete one half of the
				required continuing education credit hours as outlined in this chapter and must
				have a current BLS certification. The content of the credit hours must include
				completion of 3 credit hours in opioid medication prescribing as a condition to
				prescribe opioid medication, and completion of 6 credit hours of sedation
				and/or anesthesia training as a condition to administer sedation under Chapter
				14 of the Board's rules.
D.
Active to Inactive License Status.
To place an active license on
				inactive status, the licensee must submit a written request to the Board
				attesting that services will not be rendered during the remainder of the
				license term. Licensees with an inactive status are required to renew their
				licenses but are not required to complete continuing education credit hours
				under this chapter.
E.
Inactive to Active License Status.
To place an inactive license on
				active status, the licensee must submit a written request to the Board,
				documented evidence of completing continuing education credit hours as outlined
				below, and a current BLS certification card.
For purposes of this section, the Board may require dentists
				  to comply with the opioid prescription and the sedation techniques training
				  required under this chapter.
(1)
				Licensees who hold an inactive license status for a period less than five years
				must complete one-half of the continuing education credit hours required for
				the license they hold under this chapter and present a current BLS
				certification, to return the license to active status.
(2) Licensees who hold an inactive license
				status for a period exceeding five years must complete all of the continuing
				education credit hours required for the license they hold under this chapter
				and present a current BLS certification, to return the license to active
				status.
Code of Maine Rules › 02 - DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION › 313 - BOARD OF DENTAL PRACTICE › Chapter 13 - CONTINUING EDUCATION › Section 313-13-IX - Transition Language

Current through 2024-29, July 17, 2024
Individuals who are licensed on the effective date of this
				  revised Chapter 13 may use credits earned pursuant to the former Chapter 13 to
				  satisfy continuing education requirements for their first license renewal due
				  on or after this revision's effective date. Continuing education requirements
				  of this newly-effective Chapter 13 shall apply to subsequent renewals by those
				  individuals and to individuals initially licensed after this revision's
				  effective date.
However, this does not exempt dentists from completing the 3
				  hours of opioid training as a condition to prescribe opioids, or completing 6
				  hours of sedation training as a condition to renew a sedation permit.
Expanded function dental assistants who transition to a
				  two-year license term on or after the effective date of this chapter are
				  required to complete 20 credit hours of continuing education directly related
				  to dental practice during the preceding two-year license term as set forth in
				  this subsection and has a current BLS certification. The license term begins
				  the day the license is issued and ends on ends December
				  31st of even numbered
				  years.
Code of Maine Rules › 02 - DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION › 313 - BOARD OF DENTAL PRACTICE › Chapter 14 - RULES FOR USE OF SEDATION AND GENERAL ANESTHESIA › Section 313-14-I - ADOPTION OF THE ADA GUIDELINES FOR THE USE OF SEDATION AND GENERAL ANESTHESIA BY DENTISTS

Current through 2024-29, July 17, 2024
The Board adopts and incorporates into this Chapter by
				  reference the American Dental Association's "Guidelines for the Use of Sedation
				  and General Anesthesia by Dentists" (as adopted by the October 2007 ADA House
				  of Delegates) [hereinafter referred to in these rules as "ADA Sedation
				  Guidelines"]. All Dentists must comply with the "ADA Sedation Guidelines" in
				  addition to any other requirement imposed by the Board pursuant to this
				  Chapter. In the event of a conflict between a standard in the "ADA Sedation
				  Guidelines" and a provision of this Chapter, the provision of this Chapter
				  shall govern.
Copies of the ADA "Guidelines for the Use of Sedation and
				  General Anesthesia by Dentists" (as adopted by the October 2007 ADA House of
				  Delegates) are available at:
American Dental Association
211 East Chicago Ave.
Chicago, IL 60611-2678
312-440-2500
Code of Maine Rules › 02 - DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION › 313 - BOARD OF DENTAL PRACTICE › Chapter 14 - RULES FOR USE OF SEDATION AND GENERAL ANESTHESIA › Section 313-14-II - ADOPTION OF THE ADA GUIDELINES FOR TEACHING PAIN CONTROL AND SEDATION TO DENTISTS AND DENTAL STUDENTS

Current through 2024-29, July 17, 2024
The Board adopts and incorporates into this Chapter by
				  reference the American Dental Association's "Guidelines for Teaching Pain
				  Control and Sedation to Dentists and Dental Students" (as adopted by the
				  October 2007 ADA House of Delegates). [hereinafter referred to in these rules
				  as "ADA Teaching Guidelines"]. All Dentists must comply with the "ADA Teaching
				  Guidelines" in addition to any other requirement imposed by the Board pursuant
				  to this Chapter. In the event of a conflict between a standard in the "ADA
				  Teaching Guidelines" and a provision of this Chapter, the provision of this
				  Chapter shall govern.
Copies of the "ADA Guidelines for Teaching Pain Control and
				  Sedation to Dentists and Dental Students" (as adopted by the October 2007 ADA
				  House of Delegates) are available at:
American Dental Association
211 East Chicago Ave.
Chicago, IL 60611-2678
312-440-2500
Code of Maine Rules › 02 - DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION › 313 - BOARD OF DENTAL PRACTICE › Chapter 14 - RULES FOR USE OF SEDATION AND GENERAL ANESTHESIA › Section 313-14-III - ADOPTION OF THE ADA GUIDELINES FOR MONITORING AND MANAGEMENT OF PEDIATRIC PATIENTS DURING AND AFTER SEDATION FOR DIAGNOSTIC AND THERAPEUTIC PROCEDURES

Current through 2024-29, July 17, 2024
The Board adopts and incorporates into this Chapter by
				  reference the American Academy of Pediatrics/American Academy of Pediatric
				  Dentistry "Guidelines for Monitoring and Management of Pediatric Patients
				  During and After Sedation for Diagnostic and Therapeutic Procedures" (developed
				  and endorsed by the American Academy of Pediatrics and the American Academy of
				  Pediatric Dentistry, 2006 and incorporated by reference into the ADA Sedation
				  Guidelines) [hereinafter referred to in these rules as "Pediatric Sedation
				  Guidelines"]. All Dentists must comply with the "Pediatric Sedation Guidelines"
				  in addition to any other requirement imposed by the Board pursuant to this
				  Chapter. In the event of a conflict between a standard in the "Pediatric
				  Sedation Guidelines" and a provision of this Chapter, the provision of this
				  Chapter shall govern.
Copies of the "Guidelines for Monitoring and Management of
				  Pediatric Patients During and After Sedation for Diagnostic and Therapeutic
				  Procedures" are available at:
American Academy of Pediatrics American Academy of Pediatric
				  Dentistry
141 Northwest Point Boulevard 211 East Chicago Avenue, Suite
				  1600
Elk Grove Village, IL 60007-1098 Chicago, IL
				  60611-2637
Code of Maine Rules › 02 - DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION › 313 - BOARD OF DENTAL PRACTICE › Chapter 14 - RULES FOR USE OF SEDATION AND GENERAL ANESTHESIA › Section 313-14-IV - STANDARD OF CARE

Current through 2024-29, July 17, 2024
A.
Minimal
				Sedation
. In addition to the provisions contained in this chapter, all
				dentists must comply with the generally accepted standards as established by
				the "ADA Sedation Guidelines" when administering minimal sedation.
B.
Moderate Sedation.
In
				addition to the provisions contained in this chapter, all dentists
				administering moderate sedation:
(1) Must
				comply with the generally accepted standards as established by the "ADA
				Sedation Guidelines" when administering moderate sedation; and
(2) Must not have more than one patient under
				moderate sedation simultaneously.
Code of Maine Rules › 02 - DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION › 313 - BOARD OF DENTAL PRACTICE › Chapter 14 - RULES FOR USE OF SEDATION AND GENERAL ANESTHESIA › Section 313-14-V - DENTIST RESPONSIBILITIES

Current through 2024-29, July 17, 2024
A dentist providing sedation services or an operating dentist
				  utilizing the services of a sedation provider as outlined in this chapter must
				  comply with the following:
A.
Patient Recovery.
The operating dentist must ensure that the
				sedation provider remains at the location where services were provided until
				any patient given moderate or deep sedation/general anesthesia has been
				assessed for discharge in accordance with this chapter and the ADA Sedation
				guidelines. Patient assessment and discharge information such as level of
				consciousness, oxygenation, ventilation, and circulation must be documented in
				each patient record.
B.
Levels of Anesthesia
. The dentist, the operating dentist and the
				sedation provider must be prepared to manage deeper than intended levels of
				anesthesia. If a patient enters a deeper level of sedation than the provider is
				qualified to provide, then the dental procedure must stop until the patient
				returns to the intended level of sedation.
C.
Equipment Required When
				Administering Minimal Sedation, Moderate Sedation, Deep Sedation and/or General
				Anesthesia.
The dentist or operating dentist must ensure that that
				following requirements are met as it relates to the delivery of sedation:
(1) A dentist whose practice includes the
				administration of minimal sedation must provide the following equipment, which
				is required to be functional at all times:
a.
				Emergency equipment, including:
i. An
				appropriate size bag-valve-mask apparatus or equivalent with an oxygen
				hook-up.
ii. Oral and
				nasopharyngeal airway device.
iii.
				Appropriate emergency medications.
iv. An external defibrillator - manual or
				automatic.
v. Broselow pediatric
				measuring tape
Code of Maine Rules › 02 - DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION › 313 - BOARD OF DENTAL PRACTICE › Chapter 14 - RULES FOR USE OF SEDATION AND GENERAL ANESTHESIA › Section 313-14-VI - SEDATION PERMITS; SCOPES OF PRACTICE.

Current through 2024-29, July 17, 2024
A dentist issued a Permit for Moderate Sedation Level II
				  (Parenteral) by the Board may also perform Moderate Sedation Level I (Enteral)
				  and Minimal Sedation. A dentist issued a Permit for Deep Sedation/General
				  Anesthesia by the Board may also perform any type of moderate or minimal
				  sedation.
Code of Maine Rules › 02 - DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION › 313 - BOARD OF DENTAL PRACTICE › Chapter 14 - RULES FOR USE OF SEDATION AND GENERAL ANESTHESIA › Section 313-14-VII - USE OF MINIMUM AND MODERATE SEDATION; PERMIT REQUIREMENTS

Current through 2024-29, July 17, 2024
A.
Minimal Sedation
(1)
General
. No dentist shall be
				required to obtain a permit in order to administer minimal sedation as defined
				by the "ADA Guidelines."
(2)
Exception
. Dentists who administer minimal sedation to patients
				age 12 and under must first obtain a Permit for Moderate Sedation if:
(a) The dentist prescribes a preoperative
				sedative to be administered to the child (Level I - Enteral); or
(b) The dentist administers a combination of
				minimal sedation methods (e.g. oral sedative and nitrous oxide) (Level I -
				Enteral).
Code of Maine Rules › 02 - DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION › 313 - BOARD OF DENTAL PRACTICE › Chapter 14 - RULES FOR USE OF SEDATION AND GENERAL ANESTHESIA › Section 313-14-VIII - USE OF DEEP SEDATION AND GENERAL ANESTHESIA; PERMITS REQUIRED

Current through 2024-29, July 17, 2024
A.
General.
No dentist may
				administer deep sedation or general anesthesia without first obtaining a permit
				from by the board.
B.
Qualifications for Initial Permits for Deep Sedation/General
				Anesthesia
: In order to qualify, dentist applicants must submit an
				application, pay the required fees, and satisfy each of the following:
(1) Have successfully completed an advanced
				education program accredited by the ADA Commission on Dental Accreditation
				(CODA) that affords comprehensive and appropriate training necessary to
				administer and manage deep sedation or general anesthesia commensurate with
				Part IV.C of the "ADA Sedation Guidelines;"
(2) Possess current life support
				certifications in accordance with Section
				V(H)(1)(b);
(3) Have submitted to the Board a completed,
				signed certification form that attests that the office is staffed with a
				supervised team of auxiliary personnel capable of reasonably handling
				procedures, problems, and emergencies as outlined in the "ADA Sedation
				Guidelines;"
(4) Have submitted to
				the Board a completed, signed certification form that attests to adhering to
				the equipment, personnel, procedures, techniques and documents as outlined in
				the "ADA Sedation Guidelines" and requirements in this chapter; and
(5) If providing sedation services to an
				operating dentist, agree to comply with the notification requirements in this
				chapter that requires the sedation provider to submit to the Board, fourteen
				(14) days prior to delivering services in this chapter, a signed, written
				agreement between the operating dentist and sedation provider identifying the
				location of which sedation and/or general anesthesia services are to be
				administered and demonstrating compliance with the equipment, personnel,
				procedures, techniques and documents as outlined in the "ADA Sedation
				Guidelines" and requirements in this chapter. The agreement, at a minimum, must
				describe how emergency response training and protocols will be developed and
				practiced, procedures for verifying qualifications of personnel who assist in
				the care and monitoring of the patient, responsibilities for pre-operative,
				inter-operative, and post- operative patient assessment and monitoring,
				responsibilities for obtaining informed consent, and how compliance with
				applicable board statutes and regulations will be achieved and maintained at
				the site.
Code of Maine Rules › 02 - DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION › 313 - BOARD OF DENTAL PRACTICE › Chapter 14 - RULES FOR USE OF SEDATION AND GENERAL ANESTHESIA › Section 313-14-IX - ITINERANT DENTAL SEDATION AND/OR GENERAL ANESTHESIA SERVICES; PERMIT REQUIRED

Current through 2024-29, July 17, 2024
A.
Qualifications for Initial Permits for Itinerant Dentist Sedation
				Permit
: In order to obtain a Permit for Itinerant Dental Sedation and/or
				General Anesthesia, dentist applicants must satisfy each of the following:
(1) Have successfully completed an advanced
				education program accredited by the ADA Commission on Dental Accreditation
				(CODA) that affords comprehensive and appropriate training necessary to
				administer and manage deep sedation or general anesthesia commensurate with
				Part IV.C of the "ADA Sedation Guidelines;"
(2) Possess current life support
				certifications in accordance with Section
				V(H)(1)(b);
(3) Have submitted to the Board a completed,
				signed certification form that attests to adhering to the equipment, personnel,
				procedures, techniques and documents as outlined in the "ADA Sedation
				Guidelines" and requirements in this chapter; and
(4) Agree to comply with the notification
				requirements in this chapter that requires the sedation provider to submit to
				the Board, fourteen (14) days prior to delivering services in this chapter, a
				signed, written agreement between the operating dentist and sedation provider
				identifying location of which sedation and/or general anesthesia services are
				to be administered and demonstrating compliance with the equipment, personnel,
				procedures, techniques and documents as outlined in the "ADA Sedation
				Guidelines" and requirements in this chapter. The agreement, at a minimum, must
				describe how emergency response training and protocols will be developed and
				practiced, procedures for verifying qualifications of personnel who assist in
				the care and monitoring of the patient, responsibilities for pre- and post-
				operative patient assessment and monitoring, responsibilities for obtaining
				informed consent, and how compliance with applicable board statutes and
				regulations will be achieved and maintained at the site.
Code of Maine Rules › 02 - DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION › 313 - BOARD OF DENTAL PRACTICE › Chapter 14 - RULES FOR USE OF SEDATION AND GENERAL ANESTHESIA › Section 313-14-X - PERMIT RENEWAL REQUIREMENTS

Current through 2024-29, July 17, 2024
A.
Renewal
				Requirements.
The Board may renew a permit if the dentist applicant
				files the application on or before the date of expiration, pays the required
				fees, and meets each of the following criteria:
(1) The dentist applicant attests to adhering
				to the equipment, personnel, procedures, techniques and documents as outlined
				in the "ADA Sedation Guidelines" and notification requirements in this
				chapter;
(2) The dentist applicant
				possesses current life support certifications in accordance with Section
				V(H)(1)(b);
				and
(3) There are no other grounds
				to deny the renewal of the permit.
Code of Maine Rules › 02 - DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION › 313 - BOARD OF DENTAL PRACTICE › Chapter 14 - RULES FOR USE OF SEDATION AND GENERAL ANESTHESIA › Section 313-14-XI - LATE RENEWAL; REINSTATEMENT OF PERMIT

Current through 2024-29, July 17, 2024
A.
Late
				Renewal Requirements.
The Board may renew a permit if the dentist
				applicant files the application no later than 90 days after the date of
				expiration and meets the following criteria:
(1) Payment of the renewal and late fees;
				and
(2) Meets all the requirements
				pursuant to Section
				X(A)(1) through
				(3).
Code of Maine Rules › 02 - DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION › 313 - BOARD OF DENTAL PRACTICE › Chapter 14 - RULES FOR USE OF SEDATION AND GENERAL ANESTHESIA › Section 313-14-XII - EXEMPTIONS TO INSPECTION REQUIREMENTS

Current through 2024-29, July 17, 2024
A dentist who applies for a sedation permit under this
				  chapter is exempt from the inspection requirement if the sedation services are
				  provided in hospitals licensed by the State of Maine or provided in clinical
				  settings of educational institutional programs accredited by
				  CODA.
Code of Maine Rules › 02 - DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION › 313 - BOARD OF DENTAL PRACTICE › Chapter 14 - RULES FOR USE OF SEDATION AND GENERAL ANESTHESIA › Section 313-14-XIII - NOTIFICATION REQUIREMENTS WHEN UTILIZING THE SERVICES OF A SEDATION PROVIDER.

Current through 2024-29, July 17, 2024
Failure to comply with the requirements of this section may
				  result in disciplinary action against the operating dentist utilizing the
				  services of a sedation provider, or disciplinary action against the dentist
				  with a sedation permit issued under this chapter when providing sedation
				  services for an operating dentist.
A.
The following requirements must be met when an operating dentist intends
				to utilize the services of a sedation provider (a licensed dentist who holds a
				sedation permit issued under this chapter, a licensed physician or
				anesthesiologist, or a certified registered nurse anesthetist):
(1)
Notification requirements when the
				Sedation Provider is a Dentist.
Fourteen (14) days prior to utilizing
				the services of a dentist as a sedation provider, the operating dentist must
				submit to the Board for approval an application that meets the following
				requirements:
(a) A certification form, that
				is signed by the operating dentist and attests to the following:
i. The sedation provider holds an active
				dentist license in good standing and holds an active sedation permit in good
				standing from the Board to provide moderate or deep sedation/general anesthesia
				services;
ii. The sedation provider
				holds current life support certifications in accordance with Section
				V(H)(1)(b);
				and
Code of Maine Rules › 02 - DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION › 313 - BOARD OF DENTAL PRACTICE › Chapter 14 - RULES FOR USE OF SEDATION AND GENERAL ANESTHESIA › Section 313-14-XIV - Prohibited Conduct

Current through 2024-29, July 17, 2024
A. No dentist may
				administer minimal sedation as described in Section
				VII(A)(2) to a
				patient 12 and under without first obtaining a moderate sedation permit from
				the Board.
B. No dentist may
				administer moderate sedation or deep sedation/general anesthesia to any person
				without first obtaining a permit by the Board.
C. No operating dentist may utilize the
				services of a sedation provider without notifying the Board in writing fourteen
				(14) days in advance and submitting a copy of the written agreement in
				accordance with the requirements of this chapter.
Code of Maine Rules › 02 - DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION › 313 - BOARD OF DENTAL PRACTICE › Chapter 14 - RULES FOR USE OF SEDATION AND GENERAL ANESTHESIA › Section 313-14-XV - PENALTIES FOR VIOLATIONS

Current through 2024-29, July 17, 2024
A violation of this chapter pertaining to the use of
				  sedation or general anesthesia shall constitute unprofessional conduct and may
				  result in disciplinary action.
Code of Maine Rules › 02 - DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION › 313 - BOARD OF DENTAL PRACTICE › Chapter 14 - RULES FOR USE OF SEDATION AND GENERAL ANESTHESIA › Section 313-14-XVI - DURATION OF PERMITS; NON-TRANSFERABLE; EXCEPTION

Current through 2024-29, July 17, 2024
A. Permits issued by the Board pursuant to
				this rule expire on December 31st of odd-numbered
				years, and must be renewed prior to that date by the dentist. Dentists holding
				such permits shall be subject to review of their education, training, and
				office equipment and procedures at the discretion of the Board.
B. Permits issued pursuant this chapter are
				site specific and cannot be used at or extended to another site without a new
				permit issued by the Board, with the exception of itinerant permits.
C. Itinerant permits issued pursuant to this
				chapter are not site specific.
Code of Maine Rules › 02 - DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION › 313 - BOARD OF DENTAL PRACTICE › Chapter 14 - RULES FOR USE OF SEDATION AND GENERAL ANESTHESIA › Section 313-14-XVII - BOARD AUTHORITY

Current through 2024-29, July 17, 2024
A.
Board
				Access to Dental Practice
. By applying for and obtaining a sedation
				permit from the Board, or by filing a notification with the Board of utilizing
				the services of a sedation provider, a dentist agrees to allow the Board or its
				agent(s) access to his/her dental practice in order to inspect and evaluate the
				equipment, personnel, procedures, techniques and documents to ensure that they
				comply with the "ADA Sedation Guidelines" and this Chapter. The Board, in its
				discretion, may perform quality assurance audits, which may include, but are
				not limited to, a review of documentation of pre-sedation evaluations, sedation
				and recovery records, and documentation of appropriateness for
				discharge.
B.
Board Action
				Upon Receipt of Adverse Event Report
. In the event that the Board
				receives a report regarding any mortality or morbidity occurring in the
				out-patient facilities of a dentist, the Board may, in its discretion,
				investigate the circumstances surrounding the mortality or morbidity, including
				but not limited to a review of the dentist's documentation of pre-sedation
				evaluations, and sedation and recovery records.
TRANSITION LANGUAGE:
Permits issued after the effective date of this new rule will
				  be issued as a fixed, biennial permit with an expiration date of December
				  31st of odd-numbered years.
A holder of a current temporary permit who meet the
				  requirements for a full permit will be issued a fixed, biennial permit with an
				  expiration date of December 31st of 2019.
A holder of a current five year permit will transition to a
				  fixed, biennial permit with an expiration date of December
				  31st of odd-numbered years no sooner than the
				  current expiration date of the existing permit, and may be extended to align
				  with the fixed, biennial date of December 31st of
				  odd-numbered years.
Code of Maine Rules › 02 - DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION › 313 - BOARD OF DENTAL PRACTICE › Chapter 15 - PRACTICE REQUIREMENTS FOR TELEDENTISTRY SERVICES › Section 313-15-I - DEFINITIONS

Current through 2024-29, July 17, 2024
A.
Asynchronous encounter.
"Asynchronous encounter" means an interaction between a patient and a licensee
				through a system that has the ability to store digital information, including,
				but not limited to, still images, video files, audio files, text files and
				other relevant data, and to transmit such information without requiring the
				simultaneous presence of the patient and the licensee.
B.
Mobile oral health care
.
				"Mobile oral health care" means the use of mobile communication devices such as
				cell phones, tablet computers and personal digital assistants to provide oral
				health care services and education.
C.
Remote patient monitoring
.
				"Remote patient monitoring" means the use of information technology to remotely
				monitor a patient's oral health status via electronic means, allowing the
				licensee to track the patient's oral health data over time. Monitoring may be
				synchronous or asynchronous.
D.
Store and forward transfer
. "Store and forward transfer" means the
				transmission of a patient's records through a secure electronic system to a
				licensee.
E.
Synchronous
				encounter
. "Synchronous encounter" means a real-time interaction
				conducted with an interactive audio or video connection between a patient and a
				licensee or between a licensee and another dental or health care
				provider.
F.
Teledentistry
				services
. "Teledentistry services" means oral health care services
				delivered through the use of interactive, real-time visual, audio or other
				electronic media for the purposes of education, assessment, examination,
				diagnosis, treatment planning, consultation and directing the delivery of
				treatment by licensees and includes a synchronous encounter, an asynchronous
				encounter, a store and forward transfer and remote patient monitoring and
				mobile oral health care in accordance with this chapter.
Code of Maine Rules › 02 - DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION › 313 - BOARD OF DENTAL PRACTICE › Chapter 15 - PRACTICE REQUIREMENTS FOR TELEDENTISTRY SERVICES › Section 313-15-II - GENERAL REQUIREMENTS - LICENSE REQURIED

Current through 2024-29, July 17, 2024
A. An individual who delivers teledentistry
				services to a patient in Maine must hold a current and valid license issued by
				the Board and/or be authorized to provide care pursuant to the delegation
				provisions of
				32 M.R.S.
				§18371(3) and
				authorized to provide care pursuant the supervision provisions of
				32 M.R.S.
				§18377(2).
B. An individual providing teledentistry
				services to a patient physically located in any other jurisdiction is
				responsible for ensuring compliance with all laws and rules of that
				jurisdiction prior to providing services to a patient located in that
				jurisdiction.
Code of Maine Rules › 02 - DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION › 313 - BOARD OF DENTAL PRACTICE › Chapter 15 - PRACTICE REQUIREMENTS FOR TELEDENTISTRY SERVICES › Section 313-15-III - SCOPE OF PRACTICE

Current through 2024-29, July 17, 2024
A. An individual who
				uses teledentistry in providing oral health care services must ensure that the
				services and/or procedures provided are within the authorized scope of
				practice, including the individual's level of education, training, experience,
				ability, licensure, and certification.
B. Teledentistry services do not expand the
				scope of practice provisions or alter required levels of supervision,
				supervision agreements, or authorized delegated duties.
Code of Maine Rules › 02 - DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION › 313 - BOARD OF DENTAL PRACTICE › Chapter 15 - PRACTICE REQUIREMENTS FOR TELEDENTISTRY SERVICES › Section 313-15-IV - SUPERVISION AND DELEGATION

Current through 2024-29, July 17, 2024
An individual who uses teledentistry must adhere to the
				  supervision, delegation, and scopes of practice provisions authorized by the
				  Dental Practice Act when providing teledentistry services. The use of
				  teledentistry services by an individual must not be construed to alter the
				  scope of practice, change the level of supervision required, change a
				  supervision agreement, or alter delegation authorities.
Code of Maine Rules › 02 - DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION › 313 - BOARD OF DENTAL PRACTICE › Chapter 15 - PRACTICE REQUIREMENTS FOR TELEDENTISTRY SERVICES › Section 313-15-V - PATIENT RELATIONSHIP REQUIRED

Current through 2024-29, July 17, 2024
Prior to establishing a patient relationship as defined by
				  Board Rules, Chapter 1(I)(N) and prior to providing teledentistry services, a
				  dentist, denturist, or a dental hygienist (when the dental hygienist is
				  providing services as an independent practice dental hygienist, public health
				  dental hygienist, dental therapist, or and provisional dental therapist) must
				  take reasonable steps to verify the patient's physical
				  location.