reglab/statecodes huggingface dataset:
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 5 › Subtitle 44 - BOARD OF DENTAL EXAMINERS › Chapter 10.44.09 - Licensure for Dental Hygienists Licensed in Another State › Section 10.44.09.02 - Qualifications for All Applicants

Current through Register Vol. 51, No. 14, July 12, 2024
A dental hygienist holding an active license in any other
					 state may be granted a license in Maryland if the applicant:
A. Meets the requirements of Health
				  Occupations Article, §
										4-306, Annotated
				  Code of Maryland;
B. Is of good
				  moral character;
C. Is a graduate
				  of a school for dental hygienists that:
(1)
				  Requires at least 2 years of education in an institution of higher
				  education;
(2) Is accredited by the
				  American Dental Association Commission on Dental Accreditation; and
(3) Is approved by the Board; and
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 5 › Subtitle 44 - BOARD OF DENTAL EXAMINERS › Chapter 10.44.09 - Licensure for Dental Hygienists Licensed in Another State › Section 10.44.09.03 - Licensure of Dental Hygienists Who Have Passed the ADHLEX Examination

Current through Register Vol. 51, No. 14, July 12, 2024
A. In addition to
				  meeting the requirements of Regulation .02 of this chapter, a dental hygienist
				  holding an active license in any other state shall be issued a license if the
				  applicant:
(1) Has passed the ADHLEX with a
				  score of 75 or greater in each required section; and
(2) Has passed the Maryland Dental Hygiene
				  Jurisprudence Examination given by the Board or its designee with a minimum
				  score of 75 or greater on each section of the examination.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 5 › Subtitle 44 - BOARD OF DENTAL EXAMINERS › Chapter 10.44.09 - Licensure for Dental Hygienists Licensed in Another State › Section 10.44.09.04 - Licensure of Dental Hygienists Who Have Not Passed the ADHLEX Examination

Current through Register Vol. 51, No. 14, July 12, 2024
A. In addition to
				  meeting the requirements of Regulation .02 of this chapter, a dental hygienist
				  holding an active license in another state who has not passed the ADHLEX
				  examination with a score of 75 or greater in each required section of the
				  ADHLEX shall be issued a license if the applicant:
(1) For the 3 preceding years has been
				  actively engaged in practicing dental hygiene for at least 150 hours on average
				  per year;
(2) Has passed an
				  examination with a clinical component as a requirement for licensure in another
				  state;
(3) Has passed a
				  comprehensive written examination on applied clinical diagnosis and treatment
				  planning administered by ADEX with a score of 75 or greater in each required
				  section; and
(4) Has passed the
				  Maryland Dental Hygiene Jurisprudence Examination given by the Board or its
				  designee with a score of 75 or greater on each section of the
				  examination.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 5 › Subtitle 44 - BOARD OF DENTAL EXAMINERS › Chapter 10.44.09 - Licensure for Dental Hygienists Licensed in Another State › Section 10.44.09.05 - Application Procedures

Current through Register Vol. 51, No. 14, July 12, 2024
A. An
				  applicant who has passed the ADHLEX with a score of 75 or greater in each
				  required section shall submit the following to the Board:
(1) A completed application on a form
				  provided by the Board;
(2) A
				  photograph of the applicant not to exceed 3 inches by 3 inches accompanied by a
				  notarized statement stating that "the photograph is a true photograph of
				  me";
(3) An original National Board
				  Score Card;
(4) Certified proof of
				  dental hygiene education which contains the raised embossed school seal
				  certifying its authenticity, except that letters from educational institutions
				  on original letterhead, bearing an original signature, do not require a raised
				  embossed seal;
(5) A certified
				  examination score of the ADHLEX and, if requested by the Board, a specific
				  point breakdown by procedure including penalty deductions if
				  available;
(6) A certified letter
				  with a raised embossed seal from the dental hygiene licensing authority of each
				  state in which the applicant holds an active dental hygiene license or ever
				  held an active dental hygiene license indicating that the license is or was in
				  good standing and that the applicant:
(a) Is
				  not being investigated;
(b) Does
				  not have charges pending against the applicant's license;
(c) Has not been disciplined; and
(d) Has not been convicted or disciplined by
				  a court of any state or country for an act that would be grounds for
				  disciplinary action under Health Occupations Article, §
												4-315, Annotated
				  Code of Maryland;
(7)
				  Documentation of change of name if the name on any of the documents submitted
				  to the Board differs from the applicant's name; and
(8) Any other documents or information
				  pertinent to licensure required by the Board.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 5 › Subtitle 44 - BOARD OF DENTAL EXAMINERS › Chapter 10.44.09 - Licensure for Dental Hygienists Licensed in Another State › Section 10.44.09.06 - Fees

Current through Register Vol. 51, No. 14, July 12, 2024
A. The application
				  fee shall accompany the application and is specified in COMAR
				  10.44.20.
B. The application fee is
				  nonrefundable.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 5 › Subtitle 44 - BOARD OF DENTAL EXAMINERS › Chapter 10.44.10 - Renewal and Reinstatement of Licenses › Section 10.44.10.01 - Expiration Date of Licenses

Current through Register Vol. 51, No. 14, July 12, 2024
A. A
				  general license to practice dentistry and a general license to practice dental
				  hygiene shall expire on June 30 of the second year following the effective date
				  of the license.
B. A limited
				  license to practice dentistry shall expire 1 year from its effective date and
				  must be reapplied for.
C. A
				  teacher's license to practice dentistry and a teacher's license to practice
				  dental hygiene shall expire in the same manner as the general license, or when
				  the licensee ceases teaching at the institution named on the license.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 5 › Subtitle 44 - BOARD OF DENTAL EXAMINERS › Chapter 10.44.10 - Renewal and Reinstatement of Licenses › Section 10.44.10.02 - Renewal of Licenses

Current through Register Vol. 51, No. 14, July 12, 2024
A. Before
				  a general license to practice dentistry expires, the licensee may renew it for
				  an additional term, if the licensee:
(1)
				  Otherwise is entitled to be licensed;
(2) Pays the renewal fee specified in COMAR
				  10.44.20;
(3) Submits to the Board
				  a renewal application on the form that the Board provides; and
(4) Has fulfilled the continuing education
				  requirements of the Board.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 5 › Subtitle 44 - BOARD OF DENTAL EXAMINERS › Chapter 10.44.10 - Renewal and Reinstatement of Licenses › Section 10.44.10.03 - Reinstatement of Expired Licenses

Current through Register Vol. 51, No. 14, July 12, 2024
A.
				  An individual holding an expired general license to practice dentistry may
				  apply for reinstatement if the individual:
(1) Submits to the Board notarized
				  affidavits, or other evidence satisfactory to the Board, that the applicant has
				  actively practiced dentistry within the 3 years immediately preceding the date
				  of application for reinstatement;
(2) Submits to the Board satisfactory proof
				  of licensure and good standing from all states in which the applicant is
				  currently licensed;
(3) Submits to
				  the Board an application for reinstatement on a form provided by the
				  Board;
(4) Is otherwise entitled to
				  be licensed;
(5) Pays the
				  reinstatement fee specified in COMAR 10.44.20;
(6) Has fulfilled the continuing education
				  requirements of the Board; and
(7)
				  Passes a written Maryland Law Examination given by the Board with at least a
				  score of 75.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 5 › Subtitle 44 - BOARD OF DENTAL EXAMINERS › Chapter 10.44.11 - Inactive Licenses › Section 10.44.11.01 - Definitions

Current through Register Vol. 51, No. 14, July 12, 2024
A. In this chapter,
				  the following terms have the meanings indicated.
B. Terms Defined.
(1) Active Practice.
(a) "Active practice" with respect to
				  dentistry means the practice of dentistry for at least 500 hours within the
				  36-month period preceding expiration of a license.
(b) "Active practice" with respect to dental
				  hygiene means the practice of dental hygiene for at least 150 hours within the
				  36-month period preceding expiration of a license.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 5 › Subtitle 44 - BOARD OF DENTAL EXAMINERS › Chapter 10.44.11 - Inactive Licenses › Section 10.44.11.02 - Voluntary Change of License from Active to Inactive Status

Current through Register Vol. 51, No. 14, July 12, 2024
After receipt of a renewal application from the Board and
					 before expiration of the current license, a dentist or dental hygienist who
					 holds a general license may inform the Board on the renewal application of the
					 licensee's intent to change the status of the license from active to
					 inactive.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 5 › Subtitle 44 - BOARD OF DENTAL EXAMINERS › Chapter 10.44.11 - Inactive Licenses › Section 10.44.11.03 - Terms and Conditions of an Inactive Status Certificate

Current through Register Vol. 51, No. 14, July 12, 2024
A. A licensee assigned inactive status shall
				  submit to the Board the inactive status:
(1)
				  Application form provided by the Board; and
(2) Fee as specified in COMAR
				  10.44.20.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 5 › Subtitle 44 - BOARD OF DENTAL EXAMINERS › Chapter 10.44.11 - Inactive Licenses › Section 10.44.11.04 - Reactivating a Dental or Dental Hygiene Certificate on Inactive Status

Current through Register Vol. 51, No. 14, July 12, 2024
A. A licensee whose
				  license to practice dentistry or dental hygiene is on inactive status may apply
				  for reactivation of that license.
B. A licensee who applies for reactivation of
				  a dental or dental hygienist license shall submit to the Board:
(1) A completed application form provided by
				  the Board;
(2) Notarized affidavits
				  or other evidence satisfactory to the Board that the applicant has actively
				  practiced within the 36 months immediately preceding the application
				  date;
(3) Satisfactory proof of
				  good standing from all states in which the applicant is currently
				  licensed;
(4) Satisfactory evidence
				  of completion, during the 2 years preceding application, of continuing
				  education courses or programs equivalent in hours and type to those required of
				  licensees by the Board; and
(5)
				  Satisfactory evidence of passage, within 3 months of the application date, of
				  the Board's jurisprudence examination.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 5 › Subtitle 44 - BOARD OF DENTAL EXAMINERS › Chapter 10.44.12 - Anesthesia and Sedation › Section 10.44.12.01 - Scope

Current through Register Vol. 51, No. 14, July 12, 2024
A. This chapter
				  covers the use of anesthesia and sedation by dentists in Maryland for the
				  practice of dentistry.
B. The use
				  of local anesthesia by a dentist is not governed by this chapter.
C. The administration of anesthesia and
				  sedation by dentists in hospitals licensed in Maryland is not governed by this
				  chapter.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 5 › Subtitle 44 - BOARD OF DENTAL EXAMINERS › Chapter 10.44.12 - Anesthesia and Sedation › Section 10.44.12.02 - Purpose

Current through Register Vol. 51, No. 14, July 12, 2024
Dentists are increasingly administering anesthesia and
					 sedation on an outpatient basis. It is in the best interests of the public and
					 the dentists of Maryland to require dentists who administer anesthesia and
					 sedation to meet certain minimal training and competency standards. Requiring a
					 dentist to obtain a permit before the dentist may administer anesthesia,
					 sedation, or both is the best method to ensure that such administration is
					 performed by competent dentists trained in the use of such
					 techniques.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 5 › Subtitle 44 - BOARD OF DENTAL EXAMINERS › Chapter 10.44.12 - Anesthesia and Sedation › Section 10.44.12.03 - Definitions

Current through Register Vol. 51, No. 14, July 12, 2024
A. In this chapter,
				  the following terms have the meanings indicated.
B. Terms Defined.
(1) Accredited facility means a facility
				  holding current certification from:
(a) The
				  Accreditation Association for Ambulatory Health Care (AAAHC);
(b) The Joint Commission on Accreditation of
				  Healthcare Organizations (JCAHO);
(c) The Joint Commission Ambulatory Health
				  Care Accreditation (JCAHCA);
(d)
				  The American Association for Accreditation of Ambulatory Surgery Facilities
				  (AAAASF); or
(e) Their successor
				  organizations.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 5 › Subtitle 44 - BOARD OF DENTAL EXAMINERS › Chapter 10.44.12 - Anesthesia and Sedation › Section 10.44.12.04 - Anxiolysis

Current through Register Vol. 51, No. 14, July 12, 2024
A. A permit is not
				  required for a dentist to administer anxiolysis.
B. The administering, prescribing, or
				  dispensing of more than one type of sedative, narcotic, class of drug, or
				  medication for the purpose of anesthesia to be taken the evening before a
				  procedure, or the morning of a procedure, is not anxiolysis and shall require
				  the appropriate anesthesia or sedation permit.
C. A dentist who intends to administer
				  anxiolysis shall indicate the intent to administer anxiolysis in the patient's
				  records.
D. A dentist who
				  administers anxiolysis may not administer a dose that is inappropriate for a
				  patient's:
(1) Age;
(2) Weight;
(3) Medical condition;
(4) Infirmities; or
(5) Other propensities.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 5 › Subtitle 44 - BOARD OF DENTAL EXAMINERS › Chapter 10.44.12 - Anesthesia and Sedation › Section 10.44.12.05 - Classifications of Permits and Certificates

Current through Register Vol. 51, No. 14, July 12, 2024
A. The following permits shall be issued by
				  the Board:
(1) Class I permit that authorizes
				  a dentist to use a nonparenteral anesthetic technique to attain the level of
				  moderate sedation;
(2) Class II
				  permit that authorizes a dentist to use:
(a) A
				  parenteral anesthetic technique to attain the level of moderate sedation;
				  and
(b) Any procedure allowed with
				  a Class I permit;
(3)
				  Class III permit that authorizes a dentist to use:
(a) An anesthetic technique to attain the
				  level of deep sedation or general anesthesia; and
(b) Any procedure allowed under either a
				  Class I permit or a Class II permit; and
(4) Class III dental school facility permit
				  issued to a dental school that allows a dentist who holds the appropriate Class
				  I, Class II, or Class III permit to administer anesthesia or sedation in a
				  dental school recognized by the Commission on Dental Accreditation or its
				  successor organization.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 5 › Subtitle 44 - BOARD OF DENTAL EXAMINERS › Chapter 10.44.12 - Anesthesia and Sedation › Section 10.44.12.06 - Permit Required

Current through Register Vol. 51, No. 14, July 12, 2024
After January 4, 2010, a dentist may not administer an
					 anesthetic technique in order to attain a level beyond anxiolysis for the
					 practice of dentistry unless the dentist holds an appropriate Class I, II, or
					 III permit issued by the Board.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 5 › Subtitle 44 - BOARD OF DENTAL EXAMINERS › Chapter 10.44.12 - Anesthesia and Sedation › Section 10.44.12.07 - Location Requirement

Current through Register Vol. 51, No. 14, July 12, 2024
A. On a
				  form provided by the Board, a dentist shall advise the Board of the name and
				  address of each location where the dentist wishes to administer anesthesia and
				  sedation.
B. A dentist may not
				  administer anesthesia and sedation unless the dentist has obtained the
				  appropriate permit for each location.
C. On a form provided by the Board, a dentist
				  shall advise the Board of each location at which the dentist has ceased to
				  administer anesthesia and sedation.
D. The Board shall keep a record of:
(1) Each location for which a dentist has
				  been granted a permit to administer anesthesia and sedation; and
(2) Each location at which a dentist has
				  ceased to administer anesthesia and sedation.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 5 › Subtitle 44 - BOARD OF DENTAL EXAMINERS › Chapter 10.44.12 - Anesthesia and Sedation › Section 10.44.12.08 - Qualifications for Obtaining a Permit

Current through Register Vol. 51, No. 14, July 12, 2024
A. Because sedation is a continuum, it is not
				  always possible to predict how an individual patient will respond. Therefore,
				  practitioners intending to produce a given level of sedation shall be able to
				  recover patients whose level of sedation becomes deeper than initially
				  intended. Individuals administering moderate enteral sedation or moderate
				  parenteral sedation shall be able to recover patients who enter a state of deep
				  sedation or general anesthesia, while those administering deep sedation shall
				  be able to recover patients who enter a state of general anesthesia. Training
				  and evaluation guidelines shall reflect this concern.
B. In addition to the requirements outlined
				  in this regulation, in order to obtain a permit, a dentist shall also meet the
				  requirements outlined in Regulations .09-.11 of this chapter.
C. A permit may be issued to a dentist
				  authorizing the use of moderate sedation, deep sedation, or general anesthesia
				  at a specific practice location.
D.
				  Class I: Moderate Enteral Sedation Permit. To qualify for a Class I permit, an
				  applicant shall successfully complete:
(1) A
				  Board-approved course of instruction that documents training of at least 24
				  hours of didactic education plus 20 clinically oriented experiences that
				  provide competency in oral and combination inhalation-oral moderate sedation;
				  or
(2) A postdoctoral training
				  program accredited by the Commission on Dental Accreditation or its successor
				  organization that affords comprehensive and appropriate training necessary to
				  administer and manage moderate enteral sedation.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 5 › Subtitle 44 - BOARD OF DENTAL EXAMINERS › Chapter 10.44.12 - Anesthesia and Sedation › Section 10.44.12.09 - Administration Evaluation

Current through Register Vol. 51, No. 14, July 12, 2024
A. Class I
				  Permit. To qualify for a Class I permit, the dentist who will perform the
				  administration shall pass:
(1) An office
				  inspection evaluation;
(2) A
				  clinical evaluation consistent with the age level of the patients treated by
				  the dentist;
(3) An evaluation of
				  the dentist to safely administer sedation techniques; and
(4) An evaluation of the ability of the
				  dentist to effectively respond to sedation related emergencies.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 5 › Subtitle 44 - BOARD OF DENTAL EXAMINERS › Chapter 10.44.12 - Anesthesia and Sedation › Section 10.44.12.10 - Facility Evaluation

Current through Register Vol. 51, No. 14, July 12, 2024
In addition to the requirements outlined in Regulation .09
					 of this chapter, for a dentist to obtain a Class I, Class II, or Class III
					 permit, each facility in which the dentist wishes to administer an anesthesia
					 technique shall pass a facility evaluation in order to attain:
A. A level beyond anxiolysis;
B. Moderate enteral sedation;
C. Moderate parenteral sedation; or
D. Deep sedation and general
				  anesthesia.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 5 › Subtitle 44 - BOARD OF DENTAL EXAMINERS › Chapter 10.44.12 - Anesthesia and Sedation › Section 10.44.12.11 - Facility Evaluation Criteria

Current through Register Vol. 51, No. 14, July 12, 2024
A.
				  Except as otherwise provided in this regulation, to qualify for a permit, the
				  facility and the applicant shall pass an evaluation of facility equipment,
				  medications, and clinical records to include at least the following:
(1) Oxygen and gas delivery system, backup
				  system fail-safe;
(2) Gas storage
				  facility;
(3) Safety indexed gas
				  system;
(4) Suction and backup
				  system;
(5) Auxiliary lighting
				  system;
(6) Suitability of
				  operating room:
(a) Size;
(b) Lighting;
(c) Communications; and
(d) EMT accessibility;
(7) Recovery area, including oxygen, suction,
				  and visual and electronic monitoring, which may include the operating
				  room;
(8) Appropriate emergency
				  drugs;
(9) Nonexpired
				  drugs;
(10) Appropriate devices to
				  maintain an airway with positive pressure ventilation;
(11) Preoperative medical history and
				  physical evaluation form;
(12)
				  Anesthesia records, including monitoring and discharge records;
(13) Monitoring equipment, including pulse
				  oximeter and blood pressure monitoring;
(14) Anesthesia and monitoring equipment to
				  ensure they are in proper working order;
(15) Defibrillator or automated external
				  defibrillator (AED);
(16)For deep
				  sedation or general anesthesia in pediatric patients:
(a) A precordial stethoscope;
(b) A pretracheal stethoscope; or
(c) A capnograph; and
(17) For Class II and Class III permits:
(a) An electrocardiogram (EKG);
(b) A capnograph measuring device;
				  and
(c) Pulse
				  oximeter.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 5 › Subtitle 44 - BOARD OF DENTAL EXAMINERS › Chapter 10.44.12 - Anesthesia and Sedation › Section 10.44.12.12 - Evaluation Results

Current through Register Vol. 51, No. 14, July 12, 2024
A. A Board
				  evaluator shall hold a permit at the same or higher level as the permit sought
				  by the applicant being evaluated.
B. To the extent practicable, a Board
				  evaluator shall provide the results of the evaluation to the Board in writing
				  within 7 days of an applicant's evaluation.
C. Either the Board or the Board's Anesthesia
				  Committee shall:
(1) Review the results of
				  the evaluation; and
(2) Notify the
				  applicant of the results in a timely manner.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 5 › Subtitle 44 - BOARD OF DENTAL EXAMINERS › Chapter 10.44.12 - Anesthesia and Sedation › Section 10.44.12.13 - Exceptions

Current through Register Vol. 51, No. 14, July 12, 2024
A. A dentist who
				  has passed an administration and facility evaluation for a Class I, Class II,
				  or Class III permit may receive a like permit for another facility or
				  facilities if:
(1) The dentist holds an
				  active Class I, Class II, or Class III permit for which the dentist has passed
				  an administration and facility evaluation; and
(2) Each facility for which the dentist seeks
				  another permit has at least one dentist who has passed an administration and
				  facility evaluation for a like permit at that location within 2 years of the
				  date of application for the additional permit.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 5 › Subtitle 44 - BOARD OF DENTAL EXAMINERS › Chapter 10.44.12 - Anesthesia and Sedation › Section 10.44.12.14 - Inducing a Level of Sedation for a Patient

Current through Register Vol. 51, No. 14, July 12, 2024
A. Administration of moderate enteral
				  sedation, moderate parenteral sedation, deep sedation, or general anesthesia to
				  a patient requires at least the following appropriately trained individuals:
(1) The treating dentist;
(2) An individual trained and competent in
				  basic life support or its equivalent to assist the treating dentist; and
(3) Another individual trained and
				  competent in basic life support or its equivalent in close proximity to assist
				  if needed.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 5 › Subtitle 44 - BOARD OF DENTAL EXAMINERS › Chapter 10.44.12 - Anesthesia and Sedation › Section 10.44.12.15 - General Anesthesia and Parenteral Sedation Administration Permits in Existence on January 4, 2010

Current through Register Vol. 51, No. 14, July 12, 2024
A. A
				  dentist who held a current general anesthesia administration permit on January
				  4, 2010, may continue to administer anesthesia and sedation under the general
				  anesthesia administration permit until the expiration of the permit only as
				  provided in this regulation.
B. A
				  dentist who held a current parenteral sedation administration permit on January
				  4, 2010, may continue to administer moderate parenteral sedation under the
				  parenteral sedation administration permit until the expiration of the permit
				  only as provided in this regulation.
C. A dentist who held a current general
				  anesthesia administration permit on January 4, 2010, may administer anesthesia
				  and sedation under the general anesthesia administration permit, consistent
				  with a Class III permit, only in a facility for which the dentist holds a
				  current general anesthesia facility permit.
D. A dentist who held a current general
				  anesthesia administration permit on January 4, 2010, and who wishes to
				  administer general anesthesia in a facility for which the dentist does not hold
				  a general anesthesia facility permit shall apply for and be issued a Class III
				  permit for that site in accordance with Regulations .07-.11 of this chapter.
E. A dentist who held a current
				  parenteral sedation administration permit on January 4, 2010, may administer
				  parenteral sedation under the parenteral sedation administration permit
				  consistent with a Class II permit, only in a facility for which the dentist
				  holds a current parenteral sedation facility permit.
F. A dentist who held a current parenteral
				  sedation administration permit on January 4, 2010, and who wishes to administer
				  parenteral sedation at a facility for which the dentist does not hold a
				  parenteral sedation facility permit, shall apply for and be issued a Class II
				  permit for that site in accordance with Regulations .07-.11 of this chapter.
G. A dentist whose general
				  anesthesia administration permit has expired may not administer general
				  anesthesia unless the dentist holds a Class III permit issued by the Board.
H. A dentist whose parenteral
				  sedation administration permit has expired may not administer parenteral
				  sedation unless the dentist holds a Class II permit issued by the
				  Board.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 5 › Subtitle 44 - BOARD OF DENTAL EXAMINERS › Chapter 10.44.12 - Anesthesia and Sedation › Section 10.44.12.16 - General Anesthesia and Parenteral Sedation Facility Permits in Existence on January 4, 2010

Current through Register Vol. 51, No. 14, July 12, 2024
A. General
				  anesthesia facility permits and parenteral sedation facility permits in
				  existence on January 4, 2010, shall expire as provided in this regulation.
B. A general anesthesia facility
				  permit issued to a dentist who does not hold a general anesthesia
				  administration permit shall expire on January 4, 2010.
C. A parenteral sedation facility permit
				  issued to a dentist who does not hold a parenteral sedation administration
				  permit shall expire on January 4, 2010.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 5 › Subtitle 44 - BOARD OF DENTAL EXAMINERS › Chapter 10.44.12 - Anesthesia and Sedation › Section 10.44.12.17 - Conversion of General Anesthesia and Parenteral Sedation Administration Permits in Existence on January 4, 2010

Current through Register Vol. 51, No. 14, July 12, 2024
A. At least 120 days before the expiration of
				  a general anesthesia administration permit the Board shall mail an application
				  to each individual who holds a general anesthesia administration permit to
				  convert the general anesthesia administration permit to a Class III
				  permit.
B. At least 120 days before
				  the expiration of a parenteral sedation administration permit the Board shall
				  mail an application to each individual who holds a parenteral sedation
				  administration permit to convert the parenteral sedation administration permit
				  to a Class II permit.
C. A dentist
				  who held a current general anesthesia administration permit and a general
				  anesthesia facility permit on January 4, 2010, and who wishes to receive a
				  Class III permit for a location for which the dentist holds a current general
				  anesthesia facility permit, may receive a Class III permit for the location for
				  which the dentist held a general anesthesia facility permit if the applicant:
(1) Submits to the Board at least 90 days
				  before the expiration of the permit an application on a form provided by the
				  Board;
(2) Passes a renewal
				  evaluation in each facility for which the applicant wishes to receive a Class
				  III permit;
(3) Pays the renewal
				  fee set by the Board in COMAR 10.44.20;
(4) Provides an affidavit to the Board
				  indicating whether the applicant, since the issuance of the original general
				  anesthesia administration permit, has treated a patient under deep sedation or
				  general anesthesia with an incident;
(5) Provides evidence satisfactory to the
				  Board that the applicant meets the continuing education requirements outlined
				  in Regulation .28 of this chapter; and
(6) Submits any other pertinent documents or
				  information requested by the Board.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 5 › Subtitle 44 - BOARD OF DENTAL EXAMINERS › Chapter 10.44.12 - Anesthesia and Sedation › Section 10.44.12.18 - Compliance for Dentists with General Anesthesia and Parenteral Sedation Administration Permits in Existence on January 4, 2010

Current through Register Vol. 51, No. 14, July 12, 2024
A dentist with a general anesthesia administration permit
					 or a parenteral sedation administration permit in existence on January 4, 2010,
					 shall comply with Regulations .13, .25, .26, .29, .30, .31, and .33 of this
					 chapter.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 5 › Subtitle 44 - BOARD OF DENTAL EXAMINERS › Chapter 10.44.12 - Anesthesia and Sedation › Section 10.44.12.19 - Issuance and Expiration of Class I, Class II, and Class III Permits

Current through Register Vol. 51, No. 14, July 12, 2024
A. To apply to
				  obtain a permit, an applicant shall:
(1)
				  Submit to the Board an application on a form provided by the Board;
(2) Pay the fee set by the Board in COMAR
				  10.44.20; and
(3) Provide evidence
				  satisfactory to the Board that the applicant meets the qualifications for a
				  Class I, Class II, or Class III permit.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 5 › Subtitle 44 - BOARD OF DENTAL EXAMINERS › Chapter 10.44.12 - Anesthesia and Sedation › Section 10.44.12.20 - Renewal of Class I and Class II Permits

Current through Register Vol. 51, No. 14, July 12, 2024
A. The Board shall mail a renewal application
				  to each individual holding a Class I or Class II permit at least 180 days
				  before the expiration of the permit.
B. Before a Class I or Class II permit
				  expires, an applicant may apply to renew the permit for an additional 5-year
				  term if the applicant:
(1) Submits to the
				  Board at least 90 days before the expiration of the permit:
(a) A renewal application on a form provided
				  by the Board;
(b) Written
				  verification of inspection of the applicant's anesthesia and monitoring
				  equipment from a recognized service company; and
(c) Written verification from the applicant
				  that:
(i) Since the issuance of the permit or
				  the previous renewal of the permit, the applicant and the appropriate
				  individuals on the applicant's office staff have completed training in basic
				  life support and the handling of medical emergencies;
(ii) The applicant maintains the appropriate
				  drugs on the premises; and
(iii)
				  The applicant only utilizes drugs on the premises the dates of which have not
				  expired;
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 5 › Subtitle 44 - BOARD OF DENTAL EXAMINERS › Chapter 10.44.12 - Anesthesia and Sedation › Section 10.44.12.21 - Renewal of Class in Permits

Current through Register Vol. 51, No. 14, July 12, 2024
A.
				  The Board shall mail a renewal application to each individual holding a Class
				  III permit at least 180 days before the expiration of the permit.
B. Before a permit expires, an applicant may
				  apply to renew the permit for an additional 5-year term if the applicant:
(1) Submits to the Board, at least 90 days
				  before the expiration of the permit, a renewal application on a form provided
				  by the Board;
(2) Passes a renewal
				  evaluation in each facility for which the applicant wishes to renew a permit;
(3) Pays the renewal fee set by
				  the Board in COMAR 10.44.20;
(4)
				  Provides an affidavit to the Board indicating whether the applicant, since the
				  issuance of the original permit or renewal, whichever is later, has treated a
				  patient under deep sedation or general anesthesia with an incident requiring
				  admission to a hospital either for a period greater than 24 hours, or for
				  purposes other than observation;
(5) Provides evidence satisfactory to the
				  Board that the applicant meets the continuing education requirements outlined
				  in Regulation .28 of this chapter; and
(6) Submits any other pertinent documents or
				  information requested by the Board.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 5 › Subtitle 44 - BOARD OF DENTAL EXAMINERS › Chapter 10.44.12 - Anesthesia and Sedation › Section 10.44.12.22 - Class III Dental School Facility Permit

Current through Register Vol. 51, No. 14, July 12, 2024
A. After January 4, 2010, a dentist may not
				  administer anesthesia or sedation for the practice of dentistry in a dental
				  school recognized by the Commission on Dental Accreditation or its successor
				  organization unless the dental school holds a Class III dental school facility
				  permit.
B. A dental school that
				  applies for a Class III dental school facility permit shall pass an on-site
				  facility evaluation by the Board or its designee as specified in Regulation .11
				  of this chapter
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 5 › Subtitle 44 - BOARD OF DENTAL EXAMINERS › Chapter 10.44.12 - Anesthesia and Sedation › Section 10.44.12.23 - Issuance and Expiration of Class III Dental School Facility Permits

Current through Register Vol. 51, No. 14, July 12, 2024
A. To obtain a
				  dental school Class III facility permit a dental school recognized by the
				  Commission on Dental Accreditation or its successor organization shall:
(1) Submit to the Board an application on a
				  form provided by the Board;
(2)
				  Pay the fee set by the Board in COMAR 10.44.20; and
(3) Provide evidence satisfactory to the
				  Board that the dental school meets the qualifications for a Class III dental
				  school facility permit.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 5 › Subtitle 44 - BOARD OF DENTAL EXAMINERS › Chapter 10.44.12 - Anesthesia and Sedation › Section 10.44.12.24 - Renewal of Class III Dental School Facility Permits

Current through Register Vol. 51, No. 14, July 12, 2024
A. The Board shall mail a renewal application
				  to each dental school holding a Class III dental school facility permit at
				  least 180 days before the expiration of the permit.
B. Before a Class III dental school facility
				  permit expires, the dental school may renew the permit for an additional 5-year
				  term if the dental school:
(1) Submits to the
				  Board, at least 90 days before the expiration of the permit, a renewal
				  application on a form provided by the Board;
(2) Passes a renewal facility evaluation in
				  each facility for which the dental school wishes to renew a permit; and
(3) Pays the renewal fee set by
				  the Board in COMAR 10.44.20.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 5 › Subtitle 44 - BOARD OF DENTAL EXAMINERS › Chapter 10.44.12 - Anesthesia and Sedation › Section 10.44.12.25 - Dental School's Required Notice to Board

Current through Register Vol. 51, No. 14, July 12, 2024
A. A dental school that holds a Class III
				  Dental School Facility Permit shall advise the Board of any additional
				  locations it has opened since the issuance or the renewal of its original
				  permit.
B. The notice required
				  under §A of this regulation shall be provided to the Board in writing not
				  later than 30 days before the opening of the additional location.
C. A dentist may not administer anesthesia or
				  sedation for the practice of dentistry in an additional location unless the
				  school holds a Class III dental school facility permit for the additional
				  location.
D. A dental school that
				  applies for a Class III dental school facility permit for an additional
				  location shall pass an on-site facility evaluation by the Board or its designee
				  as contained in Regulation .11 of this chapter.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 5 › Subtitle 44 - BOARD OF DENTAL EXAMINERS › Chapter 10.44.12 - Anesthesia and Sedation › Section 10.44.12.26 - Facility Records

Current through Register Vol. 51, No. 14, July 12, 2024
All facilities including a dental school that holds a
					 Class III dental school facility permit shall maintain for 5 years for
					 inspection by the Board:
A. The name
				  of each dentist who has administered anesthesia or sedation; and
B. The license number of each dentist who has
				  administered anesthesia or sedation.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 5 › Subtitle 44 - BOARD OF DENTAL EXAMINERS › Chapter 10.44.12 - Anesthesia and Sedation › Section 10.44.12.27 - Unannounced Inspection Visits

Current through Register Vol. 51, No. 14, July 12, 2024
A.
				  During reasonable business hours, the Board or its designee may conduct
				  unannounced inspection visits of any dental office or facility if the Board
				  has:
(1) Received a complaint or has
				  initiated a complaint; and
(2)
				  Reason to believe that anesthesia or sedation has been administered:
(a) Without an appropriate permit;
				  or
(b) In violation of this
				  chapter.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 5 › Subtitle 44 - BOARD OF DENTAL EXAMINERS › Chapter 10.44.12 - Anesthesia and Sedation › Section 10.44.12.28 - Facility Owner or Operator

Current through Register Vol. 51, No. 14, July 12, 2024
A.
				  The owner or operator of a facility may not permit an individual to administer
				  anesthesia or sedation unless the individual is qualified to do so under this
				  chapter.
B. The owner or operator
				  of a facility shall ensure that the facility:
(1) Remains properly equipped in accordance
				  with Regulation .11A of this chapter; and
(2) Remains properly staffed in accordance
				  with Regulation .13A of this chapter.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 5 › Subtitle 44 - BOARD OF DENTAL EXAMINERS › Chapter 10.44.12 - Anesthesia and Sedation › Section 10.44.12.29 - Continuing Education Requirements for Renewal of a Permit

Current through Register Vol. 51, No. 14, July 12, 2024
A. Renewal of a
				  Class I, Class II, or Class III Permit.
(1)
				  Beginning in 2016 and thereafter, an applicant who seeks renewal of a Class I,
				  Class II, or Class III permit shall:
(a)
				  Complete not less than 24 hours of clinical continuing education related to
				  sedation or anesthesia in a classroom setting during the 5-year term of the
				  permit; and
(b) Maintain
				  cardiopulmonary resuscitation certification from one of the following programs:
(i) The American Heart Association's Basic
				  Life Support for Healthcare Providers;
(ii) The American Red Cross's Cardiopulmonary
				  Resuscitation for Professional Rescuers;
(iii) The American Safety & Health
				  Institute; or
(iv) An equivalent
				  program approved by the Board.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 5 › Subtitle 44 - BOARD OF DENTAL EXAMINERS › Chapter 10.44.12 - Anesthesia and Sedation › Section 10.44.12.30 - Transfer of Permits Prohibited

Current through Register Vol. 51, No. 14, July 12, 2024
A Class I, Class II, or Class III permit may not be
					 transferred to another person or location.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 5 › Subtitle 44 - BOARD OF DENTAL EXAMINERS › Chapter 10.44.12 - Anesthesia and Sedation › Section 10.44.12.31 - Administration by Physicians or Dentists at the Site of a Treating Dentist

Current through Register Vol. 51, No. 14, July 12, 2024
A. A treating
				  dentist who wishes to allow a physician or another dentist to administer
				  anesthesia and sedation to a patient at a specific practice location shall
				  receive a certificate from the Board before allowing a physician or another
				  dentist to administer anesthesia and sedation at that location.
B. To apply for a certificate to allow a
				  physician or another dentist to administer anesthesia and sedation:
(1) A treating dentist shall:
(a) Apply to the Board on a form approved by
				  the Board;
(b) Possess either a
				  Class I, Class II, or Class III permit;
(c) Provide an affidavit to the Board
				  indicating whether the applicant has ever treated a patient under deep sedation
				  or general anesthesia with an incident;
(d) Submit any other pertinent documents or
				  information requested by the Board; and
(e) Pay a nonrefundable fee to the Board as
				  set forth in COMAR 10.44.20; or
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 5 › Subtitle 44 - BOARD OF DENTAL EXAMINERS › Chapter 10.44.12 - Anesthesia and Sedation › Section 10.44.12.32 - Certification of a Dentist Providing Treatment Outside the Dentist's Location

Current through Register Vol. 51, No. 14, July 12, 2024
A. A treating
				  dentist who treats a patient at a practice location other than the dentist's
				  own location, at which anesthesia and sedation are administered to the patient,
				  shall receive a certificate from the Board before treating the patient.
B. To apply for a certificate to
				  treat a patient at a practice location other than the dentist's own location,
				  at which anesthesia and sedation are administered to the patient:
(1) A treating dentist shall:
(a) Apply to the Board on a form approved by
				  the Board;
(b) Possess a Class I,
				  Class II, or Class III permit;
(c)
				  Provide an affidavit to the Board indicating whether the applicant has ever
				  treated a patient under deep sedation or general anesthesia with an incident;
(d) Submit any other pertinent
				  documents or information requested by the Board; and
(e) Pay a nonrefundable fee to the Board as
				  set forth in COMAR 10.44.20; or
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 5 › Subtitle 44 - BOARD OF DENTAL EXAMINERS › Chapter 10.44.12 - Anesthesia and Sedation › Section 10.44.12.33 - Administration by a Certified Registered Nurse Anesthetist

Current through Register Vol. 51, No. 14, July 12, 2024
A. A treating dentist who wishes to allow a
				  certified registered nurse anesthetist to administer anesthesia and sedation to
				  a patient at a specific practice location shall receive a certificate from the
				  Board before allowing a certified registered nurse anesthetist to administer
				  anesthesia and sedation at that location.
B. To apply for a certificate to allow a
				  certified registered nurse anesthetist to administer anesthesia and sedation, a
				  treating dentist shall:
(1) Apply to the
				  Board on a form approved by the Board;
(2) Provide an affidavit to the Board
				  indicating whether the treating dentist has ever treated a patient under deep
				  sedation or general anesthesia with an incident;
(3) Submit any other pertinent documents or
				  information requested by the Board; and
(4) Pay a nonrefundable fee to the Board as
				  set forth in COMAR 10.44.20.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 5 › Subtitle 44 - BOARD OF DENTAL EXAMINERS › Chapter 10.44.12 - Anesthesia and Sedation › Section 10.44.12.34 - Display and Location of Permit

Current through Register Vol. 51, No. 14, July 12, 2024
A.
				  A dentist who holds a Class I, Class II, or Class III permit shall maintain
				  their wallet certificate in their possession for inspection at the
				  administration site.
B. A dentist
				  who holds a general anesthesia facility permit or a parenteral sedation
				  facility permit shall display the permit and any current renewal certificates
				  in the facility.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 5 › Subtitle 44 - BOARD OF DENTAL EXAMINERS › Chapter 10.44.12 - Anesthesia and Sedation › Section 10.44.12.35 - Exceptions to Anesthesia and Sedation Permits and Dentist Certification

Current through Register Vol. 51, No. 14, July 12, 2024
A dentist who treats a patient at an accredited facility as
					 defined in Regulation .03 of this chapter where anesthesia or sedation is being
					 administered to the patient by either another dentist, physician, or certified
					 registered nurse anesthetist is not required to hold:
A. A Class I, Class II, or Class III permit;
				  or
B. A certification to allow
				  another dentist, physician, or certified registered nurse anesthetist to
				  administer anesthesia or sedation.