reglab/statecodes huggingface dataset:
Code of Massachusetts Regulations › 234 CMR - BOARD OF REGISTRATION IN DENTISTRY › Title 234 CMR 5.00 - REQUIREMENTS FOR THE PRACTICE OF DENTISTRY, DENTAL HYGIENE, AND DENTAL ASSISTING › Section 5.05 - Infection Control, Occupational Safety and Health Standards, and Radiation Control Requirements

Current through Register 1525, July 5, 2024
(1)
Infection Control Practices
. All persons licensed by
			 the Board and all practices providing dental services are required to operate
			 in compliance with the current Recommended Infection Control in Dental
			 Health-Care Settings - 2003, Centers for Disease Control and Prevention (CDC),
			 U.S. Department of Health and Human Services, Atlanta.
(2)
Occupational Health and
			 Safety Practices
. All persons licensed by the Board and all
			 practices providing dental services are required to operate in compliance with
			 the Occupational Safety and Health Administration Standards at 29 CFR: OSHA
			 Standards.
(3)
Radiation Control
. All persons licensed by the Board
			 and all dental practices providing dental services utilizing radiological
			 equipment are required to operate and maintain such equipment in compliance
			 with Massachusetts Radiation Control Program statutes and
			 regulations.
Code of Massachusetts Regulations › 234 CMR - BOARD OF REGISTRATION IN DENTISTRY › Title 234 CMR 5.00 - REQUIREMENTS FOR THE PRACTICE OF DENTISTRY, DENTAL HYGIENE, AND DENTAL ASSISTING › Section 5.06 - Controlled Substances

Current through Register 1525, July 5, 2024
(1)
			 Dentists registered to dispense, administer and prescribe any controlled
			 substances shall do so in accordance with M.G.L. c. 94C and 105 CMR 700.00:
			 Implementation of M.G.L. c. 94C and all applicable state and federal statutes
			 and regulations pertaining to controlled substances.
(2) Dentists are limited to writing
			 prescriptions for controlled substances for legitimate dental purposes in the
			 usual course of practice and are prohibited from prescribing controlled
			 substances in Schedules II through IV for personal use.
(3) Except in an emergency, a dentist is
			 prohibited from prescribing Schedule II controlled substances to a member of
			 his or her immediate family including a spouse (or equivalent), parent, child,
			 sibling, parent-in-law, son or daughter-in-law, brother or sister-in-law,
			 step-parent, step-child, step-sibling, or other relative permanently residing
			 in the same residence as the licensee.
(4) Prior to prescribing a hydrocodone-only
			 extended release medication that is not in an abuse deterrent form, a licensee
			 must:
(a) Thoroughly assess the patient,
			 including an evaluation of the patient's risk factors, substance abuse history,
			 presenting condition(s), current medication(s), a determination that other pain
			 management treatments are inadequate, and a check of the patient's data through
			 the online Prescription Monitoring Program;
(b) Discuss the risks and benefits of the
			 medication with the patient;
(c)
			 Enter into a Pain Management Treatment Agreement with the patient that shall
			 appropriately address drug screening, pill counts, safe storage and disposal
			 and other requirements based on the patient's diagnoses, treatment plan, and
			 risk assessment unless a Pain Management Treatment Agreement is not clinically
			 indicated due to the severity of the patient's medical condition;
(d) Supply a Letter of Medical Necessity as
			 required by the Board of Registration in Pharmacy pursuant to
			 247 CMR
			 9.04(8)(c); and
(e) Document 234 CMR 5.06(4)(a) through (d)
			 in the patient's medical record.
The purpose of 234 CMR 5.06(4) is to enhance the public health
				and welfare by promoting optimum therapeutic outcomes, avoiding patient injury
				and eliminating medication errors. Nothing in 234 CMR 5.06(4) shall alter the
				standard of care a licensee must use when prescribing any Schedule II, III or
				IV controlled substance.
Code of Massachusetts Regulations › 234 CMR - BOARD OF REGISTRATION IN DENTISTRY › Title 234 CMR 5.00 - REQUIREMENTS FOR THE PRACTICE OF DENTISTRY, DENTAL HYGIENE, AND DENTAL ASSISTING › Section 5.07 - Dental Hygiene Practice and Public Health Dental Hygienist Practice

Current through Register 1525, July 5, 2024
(1) A dental
			 hygienist may provide dental services which are educational, therapeutic,
			 prophylactic and preventive in nature as may be authorized by the Board and may
			 perform all tasks performed by a dental assistant under the specific type of
			 supervision set forth in
			 234 CMR
			 5.11. A dental hygienist or public health
			 dental hygienist may not perform acts or services which require diagnosis and
			 treatment planning for non-dental hygiene services, surgical or cutting
			 procedures on hard or soft tissue, and/or the prescription of medications,
			 unless specifically authorized in 234 CMR 5.07 and
			 5.12.
(2)
Educational Requirements for
			 Public Health Dental Hygiene Practice
.
(a) Prior to practicing as a public health
			 dental hygienist pursuant to
			 234 CMR 2.03:
			 Definitions and 5.08, a dental hygienist shall successfully complete a minimum
			 of ten hours of continuing education as follows:
1.A minimum of six hours of hands-on
			 experience in a public health setting. A dental hygienist who has documentation
			 demonstrating a minimum of six hours of hands on experience in a public health
			 setting between January 1, 2005 and August 20, 2010 shall be deemed to have
			 fulfilled this requirement.
2.Successful completion, within 24 months
			 prior to commencement of practice as a public health dental hygienist, of
			 continuing education in each of the following areas:
a.CDC Guidelines (
			 234 CMR
			 2.00: Purpose, Authority, Definitions);
b.Risk Management for practice in a public
			 health setting; and
c.Management of
			 medical emergencies.
Code of Massachusetts Regulations › 234 CMR - BOARD OF REGISTRATION IN DENTISTRY › Title 234 CMR 5.00 - REQUIREMENTS FOR THE PRACTICE OF DENTISTRY, DENTAL HYGIENE, AND DENTAL ASSISTING › Section 5.09 - Requirements for Training in Radiology

Current through Register 1525, July 5, 2024
(1) A Registered Dental Hygienist (RDH),
			 Public Health Dental Hygienist (PHDH), Expanded Function Dental Assistant
			 (EFDA), Certified Assistant (CA) or a Formally-trained Dental Assistant (FTDA)
			 may take dental radiographs only under the supervision of a dentist provided
			 that the dental auxiliary has successfully completed a course with a curriculum
			 that complies with CODA-standards for radiological techniques and safeguards in
			 dentistry.
(2) An On-the-job
			 Trained Dental Assistant (OJT) may take radiographs only under the supervision
			 of a dentist and must have completed a course in radiological techniques and
			 safeguards and successfully passed the DANB Radiation Health and Safety
			 Examination (RHS), or other examination as approved by the Board, within one
			 year of the course completion.
Code of Massachusetts Regulations › 234 CMR - BOARD OF REGISTRATION IN DENTISTRY › Title 234 CMR 5.00 - REQUIREMENTS FOR THE PRACTICE OF DENTISTRY, DENTAL HYGIENE, AND DENTAL ASSISTING › Section 5.10 - Delegation of Duties

Current through Register 1525, July 5, 2024
(1) A dentist
			 licensed to practice dentistry in the Commonwealth pursuant to M.G.L. c. 112,
			 § 45 may delegate certain dental duties set forth in this section to a
			 dental auxiliary who is properly educated, trained, and qualified as specified
			 in M.G.L. c 112, §§ 43 through 53, 61 and 234 CMR and any rule,
			 advisory or written policy adopted by the Board related to the practice of
			 dentistry, dental hygiene, or dental assisting.
(2) The supervising dentist shall be
			 responsible for all delegated acts and procedures performed by the dental
			 auxiliary. Any dentist who delegates a procedure to an auxiliary who does not
			 meet the requirements necessary to perform that procedure may be subject to
			 disciplinary action by the Board.
Code of Massachusetts Regulations › 234 CMR - BOARD OF REGISTRATION IN DENTISTRY › Title 234 CMR 5.00 - REQUIREMENTS FOR THE PRACTICE OF DENTISTRY, DENTAL HYGIENE, AND DENTAL ASSISTING › Section 5.12 - Non-delegable Dental Duties

Current through Register 1525, July 5, 2024
Only licensed dentists shall:
(1) Perform final diagnoses and treatment
			 planning;
(2) Perform surgical or
			 cutting procedures on hard or soft tissue;
(3) Prescribe or parenterally administer drugs or
			 medicaments;
(4) Prescribe dental
			 lab work orders for any appliance or prosthetic device or restoration to be
			 inserted into a patient's mouth;
(5) Operate high speed rotary instruments in
			 the mouth;
(6) Perform pulp-capping
			 procedures;
(7) Take final
			 impressions for fixed and removable prosthetic restoration of teeth or oral
			 structures;
(8) Perform final
			 positioning and attachment of orthodontic bonds and bands;
(9) Perform final cementation of crowns and
			 bridges; and
(10) Irrigate root
			 canals.
Code of Massachusetts Regulations › 234 CMR - BOARD OF REGISTRATION IN DENTISTRY › Title 234 CMR 5.00 - REQUIREMENTS FOR THE PRACTICE OF DENTISTRY, DENTAL HYGIENE, AND DENTAL ASSISTING › Section 5.14 - Content of Patient Records

Current through Register 1525, July 5, 2024
(1)
			 The patient record shall be a complete record of all patient contact,
			 including, but not limited to, a general description of the patient's medical
			 and dental history and status at time of examination, diagnoses, patient
			 education, treatment plan, referral for specialty treatment, medications
			 administered and prescribed, pre- and post-treatment instructions and
			 information conveyed to the patient pursuant to M.G.L. c. 112, §§ 43
			 through 53 and
			 234 CMR
			 2.00: Purpose, Authority, Definitions.
(2) Patient records shall be legible and
			 clear in meaning to a subsequent examining or treating dentist, the patient,
			 dental auxiliaries or other authorized persons.
(3) At a minimum, a patient's record must
			 include:
(a)
Patient
			 Information
.
1.Name, address and
			 date of birth of the patient;
2.If
			 the patient is not of the age of majority, the name of the parent or legal
			 representative;
3.If the parents of
			 the minor child are separated or divorced, the name of the custodial
			 parent;
4.If the patient has a
			 legal representative pursuant to
			 234 CMR
			 2.00: Purpose, Authority, Definitions, the name and
			 address of the legal representative.
5.Whether the patient is an emancipated
			 minor; and
6.Patient's telephone
			 numbers(s) and electronic mail addresses, except if the patient declines to
			 provide this information.
Code of Massachusetts Regulations › 234 CMR - BOARD OF REGISTRATION IN DENTISTRY › Title 234 CMR 5.00 - REQUIREMENTS FOR THE PRACTICE OF DENTISTRY, DENTAL HYGIENE, AND DENTAL ASSISTING › Section 5.15 - Emergency Protocol

Current through Register 1525, July 5, 2024
All dental practices shall:
(1) Have a written protocol for managing
			 medical or dental emergencies;
(2)
			 Maintain a current emergency drug kit;
(3) Have communication equipment that ensures
			 rapid access to emergency responders and others as necessary; and
(4) Ensure that all staff are trained when
			 hired, and at least annually thereafter, to implement the emergency
			 protocols.
Code of Massachusetts Regulations › 234 CMR - BOARD OF REGISTRATION IN DENTISTRY › Title 234 CMR 5.00 - REQUIREMENTS FOR THE PRACTICE OF DENTISTRY, DENTAL HYGIENE, AND DENTAL ASSISTING › Section 5.16 - Reporting of Patient Deaths in Dental Facilities

Current through Register 1525, July 5, 2024
(1)
Purpose
. All
			 dental patient deaths that occur in a dental facility or that are pronounced in
			 another facility, e.g. hospital to which the dental patient has been
			 transported from a dental facility, must be reported to the Board. The dentist
			 who was treating and/or responsible for said patient must submit a written
			 report describing the event to the Board by certified mail, electronic mail, or
			 facsimile within seven days.
(2)
Failure to Comply
. The license, permit, or
			 registration of the dentist responsible for said patient may be revoked,
			 suspended, or placed on probation for failure to comply with this reporting
			 requirement.
Code of Massachusetts Regulations › 234 CMR - BOARD OF REGISTRATION IN DENTISTRY › Title 234 CMR 5.00 - REQUIREMENTS FOR THE PRACTICE OF DENTISTRY, DENTAL HYGIENE, AND DENTAL ASSISTING › Section 5.17 - Inspection of Facilities and Requirements for Corrective Action

Current through Register 1525, July 5, 2024
(1)
Inspection of Dental Facilities
. The Board or its
			 designee(s) may visit a dental practice at any time without prior notice and
			 conduct an inspection to determine compliance with state law M.G.L. c. 112,
			 §§ 43 through 53 and § 61 and 234 CMR and any rule, advisory or
			 written policy adopted by the Board related to the practice of dentistry,
			 dental hygiene, or dental assisting.
(2)
Deficiency
			 Statement
. Following a Board inspection during which any violation
			 of M.G.L. c. 112, §§ 43 through 53 and
			 234 CMR
			 2.00: Purpose, Authority, Definitions is found, the
			 Board or its designee(s) may prepare a deficiency statement citing any and all
			 violations observed, a copy of which shall be sent to the licensee for
			 response.
(3)
Plans of
			 Correction
. The licensee shall submit to the Board a written plan
			 of correction for violations cited in a deficiency statement within the time
			 specified by the Board. The plan of correction shall set forth, with respect to
			 each deficiency, the specific corrective step(s) to be taken, a timetable for
			 such steps, and the date by which compliance will be achieved. The timetable
			 and the compliance dates shall be consistent with achievement of compliance in
			 the most expeditious manner possible. A plan of correction which does not meet
			 the requirements of this section shall be considered unacceptable by the Board
			 and may be returned to the licensee for further correction.
Code of Massachusetts Regulations › 234 CMR - BOARD OF REGISTRATION IN DENTISTRY › Title 234 CMR 5.00 - REQUIREMENTS FOR THE PRACTICE OF DENTISTRY, DENTAL HYGIENE, AND DENTAL ASSISTING › Section 5.18 - Advertising

Current through Register 1525, July 5, 2024
(1)
Illegal Advertising Practices
. A dentist may advertise
			 truthful and accurate information pertaining to dental services. Unfair,
			 misleading, deceptive and fraudulent advertising is prohibited.
(2)
Advertising Dental Services
			 and Dental Fees
.
(a) A dental
			 service is one that a dentist and/or dental auxiliary performs for a specific
			 fee.
(b) Dental services advertised
			 as free or no charge must describe the specific services offered and the
			 comparative monetary value.
(c) The
			 period of time during which the advertised fees will be in effect must be
			 included in the advertisement. Advertised fees for all dental services must be
			 in effect for a reasonable period of time from the initial date of the
			 advertisement.
Code of Massachusetts Regulations › 234 CMR - BOARD OF REGISTRATION IN DENTISTRY › Title 234 CMR 5.00 - REQUIREMENTS FOR THE PRACTICE OF DENTISTRY, DENTAL HYGIENE, AND DENTAL ASSISTING › Section 5.19 - Principles of Ethics and Code of Professional Conduct

Current through Register 1525, July 5, 2024
All dentists licensed by the Board and all practices providing
				dental services shall comply with the Principles of Ethics and Code of
				Professional Conduct, January 2004 of the American Dental Association, and all
				registered dental hygienists shall comply with the Code of Ethics, 2006 of the
				American Dental Hygienists Association, Inc. All registered dental assistants
				shall comply with The Policy on Principles of Ethics and Code of Professional
				Conduct 2011, published by the American Dental Assistants
				Association.
Code of Massachusetts Regulations › 234 CMR - BOARD OF REGISTRATION IN DENTISTRY › Title 234 CMR 5.00 - REQUIREMENTS FOR THE PRACTICE OF DENTISTRY, DENTAL HYGIENE, AND DENTAL ASSISTING › Section 5.20 - Prohibited Practices

Current through Register 1525, July 5, 2024
Licensees are prohibited from engaging in the following
				practices:
(1) Associating or
			 cooperating with any person, firm or corporation in any manner in an effort to
			 avoid or circumvent the intent or provisions of M.G.L. c. 112, §§ 43
			 through 53 and § 61;
(2)
			 Paying or accepting fees in any form or manner as compensation for referring
			 patients to any person for professional services, written work orders, or other
			 services or articles supplied to the patient;
(3) Entering into an agreement or other
			 arrangement with a person who does not hold a valid license to practice
			 dentistry in the Commonwealth which allows said person final decision-making
			 authority over any of the following:
(a)
			 Selection of a course of treatment for a patient;
(b) Procedures for materials to be used as
			 part of such treatment;
(c) Manner
			 in which treatment is carried out by the licensee;
(d) Professional practice
			 decision-making;
(e) Patient
			 records;
(f) Policies and decisions
			 relating to pricing, credit, refunds, warranties and advertising;
(g) Decisions related to delegation of dental
			 duties; and
(h) Control and
			 maintenance of dental equipment, materials and supplies.
Code of Massachusetts Regulations › 234 CMR - BOARD OF REGISTRATION IN DENTISTRY › Title 234 CMR 6.00 - ADMINISTRATION OF ANESTHESIA AND SEDATION › Section 6.03 - Facility Permit: Anesthesia Permits Required for Facilities

Current through Register 1525, July 5, 2024
(1)
General
			 Requirements.
(a) Prior to the
			 administration of general anesthesia and/or deep sedation, moderate sedation,
			 minimal sedation, or nitrous oxide-oxygen in a dental office by a qualified
			 dentist as described in
			 234 CMR 6.02, or a
			 medical anesthesiologist licensed by the Massachusetts Board of Medicine, a
			 dental facility must obtain a Facility Permit issued by the Board to allow the
			 administration of these anesthesia services on the premises.
(b) The Board may issue a Facility Permit for
			 a specific office site in the name of a dentist who is qualified and licensed
			 pursuant to M.G.L. c. 112, § 45.
(c)
Exemption
: A
			 Facility Permit is not required for the administration of anesthesia at those
			 hospital and/or dental school settings that have been approved by the Joint
			 Commission on Accreditation of Hospitals or the Commission on Accreditation of
			 the Council on Education of the American Dental Association, or for hospitals
			 and clinics licensed pursuant to M.G.L. c. 111, §§ 51 through 56. A
			 private dental office of a licensed dentist that is located within a hospital
			 or dental school facility, however, is subject to
			 234 CMR 6.00.
(d) A Facility Permit issued by the Board
			 shall be posted in each office in a public area.
(e) A Facility Permit issued by the Board is
			 not transferable to another person, site, location, facility or
			 entity.
Code of Massachusetts Regulations › 234 CMR - BOARD OF REGISTRATION IN DENTISTRY › Title 234 CMR 6.00 - ADMINISTRATION OF ANESTHESIA AND SEDATION › Section 6.04 - Facility Permit D-A: Facility Requirements for the Administration of General Anesthesia and Deep Sedation

Current through Register 1525, July 5, 2024
(1)
Application
. An applicant shall submit an accurate and
			 complete application on form(s) provided by the Board and accompanied by the
			 permit fee to be determined annually by the Executive Office of Administration
			 and Finance. The application shall, at a minimum, include the following:
(a) Applicant name and Massachusetts dental
			 license number;
(b) Name(s) of
			 dental establishment(s), owner(s) of said establishment(s), and address(es) of
			 the site(s) where anesthesia will be administered;
(c) Documentation of provision and
			 maintenance of equipment, materials, and drugs required for the administration
			 of general anesthesia and deep, moderate, minimal and nitrous oxide-oxygen
			 sedation; and either
1. A written request for
			 an on-site inspection conducted by the Board; or
2. A certificate of successful completion of
			 an on-site inspection conducted by the Massachusetts Society of Oral and
			 Maxillofacial Surgeons, if eligible by membership in that
			 organization.
Code of Massachusetts Regulations › 234 CMR - BOARD OF REGISTRATION IN DENTISTRY › Title 234 CMR 6.00 - ADMINISTRATION OF ANESTHESIA AND SEDATION › Section 6.05 - Facility Permit D-B1: Facility Requirements for Administration of Moderate Sedation including Nitrous Oxide-oxygen in Conjunction with any Anesthetic or Enteral Sedative Agents Dispensed or Administered in the Dental Facility

Current through Register 1525, July 5, 2024
(1)
Application
. An applicant shall submit an accurate and
			 complete application on form(s) provided by the Board and accompanied by the
			 permit fee to be determined annually by the Executive Office of Administration
			 and Finance. The application shall, at a minimum, include the following:
(a) Applicant name and Massachusetts dental
			 license number;
(b) Name(s) of
			 dental establishment(s), owner(s) of said establishment, and address(es) of the
			 site(s) where anesthesia will be administered;
(c) Documentation of provision and
			 maintenance of equipment, materials, and drugs required for the administration
			 of moderate, minimal and nitrous oxide-oxygen sedation;
(d) A written request for an on-site
			 inspection conducted by the Board; and
(e) Other information as may be requested by
			 the Board.
Code of Massachusetts Regulations › 234 CMR - BOARD OF REGISTRATION IN DENTISTRY › Title 234 CMR 6.00 - ADMINISTRATION OF ANESTHESIA AND SEDATION › Section 6.06 - Facility Permit D-B2: Facility Requirements for Administration of Minimal Sedation and/or Nitrous Oxide-oxygen in Conjunction with an Enteral Agent Dispensed or Administered in a Dental Facility

Current through Register 1525, July 5, 2024
(1)
Application
. An
			 applicant shall submit an accurate and complete application on form(s) provided
			 by the Board and accompanied by the permit fee to be determined annually by the
			 Executive Office of Administration and Finance. The application shall, at a
			 minimum, include the following:
(a) Applicant
			 name and Massachusetts dental license number;
(b) Name(s) of dental establishment(s),
			 owner(s) of said establishment, and address(es) of the site(s) where anesthesia
			 will be administered;
(c)
			 Documentation of provision and maintenance of equipment, materials, and drugs
			 required for the administration of minimal and nitrous oxide-oxygen
			 sedation;
(d) A written request for
			 an on-site inspection conducted by the Board; and
(e) Any other information as may be requested
			 by the Board.
Code of Massachusetts Regulations › 234 CMR - BOARD OF REGISTRATION IN DENTISTRY › Title 234 CMR 6.00 - ADMINISTRATION OF ANESTHESIA AND SEDATION › Section 6.07 - Facility Permit D-C: Administration of Nitrous Oxide-oxygen Sedation Only

Current through Register 1525, July 5, 2024
(1)
Application
. An applicant shall submit an accurate and
			 complete application on form(s) provided by the Board and accompanied by the
			 permit fee to be determined annually by the Executive Office of Administration
			 and Finance. The application shall, at a minimum, include the following:
(a) Applicant name and Massachusetts dental
			 license number;
(b) Name(s) of
			 dental establishment(s), owner(s) of said establishment(s), and address(es) of
			 the site(s) where anesthesia will be administered; and
(c) Documentation of the provision and
			 maintenance of equipment, materials, and drugs required for emergency response
			 and the administration of nitrous oxide-oxygen sedation.
Code of Massachusetts Regulations › 234 CMR - BOARD OF REGISTRATION IN DENTISTRY › Title 234 CMR 6.00 - ADMINISTRATION OF ANESTHESIA AND SEDATION › Section 6.08 - Mobile Facility Permit D-H: Facility Requirements for Dental Offices Using Mobile and/or Portable Anesthesia Services

Current through Register 1525, July 5, 2024
Each dental facility or practice site utilizing mobile or
				portable anesthesia services is required to have a Facility Permit D-H. The
				operating dentist shall be responsible for ensuring that the qualified dental
				anesthesiologist has the proper individual anesthesia permit issued by the
				Board, and that the portable anesthesia service is appropriately permitted and
				equipped in accordance with
				234 CMR 6.00 for the level of
				pain control and/or sedation to be provided.
(1)
Application
. An
			 applicant shall submit an accurate and complete application on form(s) provided
			 by the Board and accompanied by the permit fee to be determined annually by the
			 Executive Office of Administration and Finance. The application shall, at a
			 minimum, include the following:
(a) Applicant
			 name and Massachusetts dental license number;
(b) Name(s) of dental establishment(s),
			 owner(s) of said establishment(s), and address(es) of the site(s) where
			 anesthesia will be administered; and
(c) Documentation of the provision and
			 maintenance of equipment, materials, and drugs and emergency response protocols
			 required by the Board pursuant to 234 CMR 6.08(2).
Code of Massachusetts Regulations › 234 CMR - BOARD OF REGISTRATION IN DENTISTRY › Title 234 CMR 6.00 - ADMINISTRATION OF ANESTHESIA AND SEDATION › Section 6.09 - Facility Permit D-P: Requirements for the Use and Provision of Portable and/or Mobile Anesthesia Services

Current through Register 1525, July 5, 2024
(1) A qualified dentist anesthesiologist who
			 travels to dental facilities or practice sites for the purpose of delivering
			 anesthesia services or sedation services at the site must hold a Mobile
			 Facility D-P Permit for the use of portable and/or mobile anesthesia equipment,
			 supplies and personnel.
(2)
Application
. Each applicant shall submit an accurate
			 and complete application on form(s) provided by the Board and accompanied by
			 the permit fee to be determined annually by the Executive Office of
			 Administration and Finance. The application shall, at a minimum, include the
			 following:
(a) Applicant name and
			 Massachusetts dental license number, and copy of current Individual Anesthesia
			 Permit number or copy of a permit application pending approval by the
			 Board;
(b) Name(s) of dental
			 establishment(s), owner(s) of said establishment(s), and address(es) of the
			 site(s) where mobile or portable anesthesia will be administered;
(c) Documentation of provision and
			 maintenance of equipment, materials, and drugs required for the administration
			 of the type of anesthesia to be administered;
(d) Request for an on-site inspection by the
			 Board of the applicant's equipment, supplies, anesthesia administration
			 protocols, and site(s) where anesthesia will be administered;
(e) Names and qualifications of staff who
			 will assist the applicant in the administration of anesthesia;
(f) Copies of the following:
1. Proof of current ACLS (BLS for
			 auxiliaries) certification for the applicant and other dental professionals, as
			 applicable for the type of anesthesia or sedation to be administered by the
			 applicant;
2. Medical history form
			 to be utilized by the applicant;
3.
			 Anesthesia chart;
4. Schedule of
			 drug and equipment checks;
5.
			 Written protocol for management of emergencies;
6. Schedule of emergency drills;
			 and
7. List of drugs and equipment
			 that the applicant will provide at each site.
(g) Other information as may be requested by
			 the Board.
Code of Massachusetts Regulations › 234 CMR - BOARD OF REGISTRATION IN DENTISTRY › Title 234 CMR 6.00 - ADMINISTRATION OF ANESTHESIA AND SEDATION › Section 6.10 - Requirements for Individual Anesthesia Permits for the Administration of General Anesthesia, Deep Sedation, Moderate Sedation, Minimal Sedation Nitrous Oxide-oxygen, and Local Anesthesia

Current through Register 1525, July 5, 2024
(1)
			 The Board may issue an anesthesia permit to administer deep sedation and
			 general anesthesia, moderate sedation, minimal sedation, and nitrous
			 oxide-oxygen sedation to a dentist licensed under the provisions of M.G.L. c.
			 112, § 45 who meets the qualifications described in
			 234 CMR 6.00.
(2) The Board may issue a dental hygienist
			 licensed to practice pursuant to M. G. L. c. 112, § 51 a Permit L to
			 administer local anesthesia under the direct supervision of a licensed
			 dentist.
(3)
Renewal of
			 Individual Anesthesia Permits
. An Individual Anesthesia Permit
			 shall be renewed biennially by March 31st  of
			 even-numbered years. (
			 234
			 CMR 4.10 ). The application for renewal of an
			 Individual Anesthesia Permit shall be accompanied by the permit fee to be
			 determined annually by the Executive Office of Administration and Finance.
Exemption
: A dentist holding an
				Individual Anesthesia Permit issued on or before August 20, 2010 shall be
				exempt from the educational requirements contained in
				234 CMR 6.00.
Code of Massachusetts Regulations › 234 CMR - BOARD OF REGISTRATION IN DENTISTRY › Title 234 CMR 6.00 - ADMINISTRATION OF ANESTHESIA AND SEDATION › Section 6.11 - Individual Permit A: Administration of General Anesthesia and/or Deep Sedation

Current through Register 1525, July 5, 2024
(1)
Initial Application Requirements
. An applicant shall
			 submit an accurate and complete application on forms provided by the Board and
			 accompanied by a fee established annually by the Executive Office of
			 Administration and Finance, and includes documentation that demonstrates proof
			 that the applicant:
(a) Is a dentist licensed
			 under M.G.L. c. 112, § 45 to practice in the Commonwealth;
(b) Has current certification in ACLS or
			 PALS;
(c) Has successfully
			 completed an education program accredited by the ADA Commission on Dental
			 Accreditation that provides comprehensive and appropriate training necessary to
			 administer and manage deep sedation or general anesthesia, commensurate with
			 Part III C of the
ADA Guidelines for the Use of Sedation and General
			 Anesthesia,
2007 at the time training was commenced; or
(d) Is certified by the American Board of
			 Oral and Maxillofacial Surgery (ABOMS); or
(e) Is certified as a Fellow and/or has Board
			 certification in Anesthesia issued by the American Dental Board of
			 Anesthesiology.
Code of Massachusetts Regulations › 234 CMR - BOARD OF REGISTRATION IN DENTISTRY › Title 234 CMR 6.00 - ADMINISTRATION OF ANESTHESIA AND SEDATION › Section 6.12 - Individual Permit B-1: Administration of Moderate Sedation and Nitrous Oxide-oxygen in Conjunction with any Other Anesthetic or Enteral Sedative Agents Dispensed or Administered in a Dental Facility

Current through Register 1525, July 5, 2024
(1)
Initial Application
			 Requirements
. An applicant shall submit an accurate and complete
			 application on forms provided by the Board and accompanied by a fee established
			 annually by the Executive Office of Administration and Finance, and includes
			 documentation that demonstrates proof the applicant:
(a) Is a dentist licensed under M.G.L. c.
			 112, § 45 to practice in the Commonwealth;
(b) Has current certification in ACLS or
			 PALS;
(c) Has successfully
			 completed an education program accredited by the ADA Commission on Dental
			 Accreditation that provides comprehensive and appropriate training necessary to
			 administer and manage moderate sedation commensurate with the
ADA
			 Guidelines for Teaching Pain Control Sedation to Dentists and Dental
			 Students,
2007, at the time training was commenced; or
(d) Is certified by the American Board of
			 Oral and Maxillofacial Surgery (ABOMS); or
(e) Is certified as a Fellow and/or has Board
			 certification in Anesthesia issued by the American Dental Board of
			 Anesthesiology.
Code of Massachusetts Regulations › 234 CMR - BOARD OF REGISTRATION IN DENTISTRY › Title 234 CMR 6.00 - ADMINISTRATION OF ANESTHESIA AND SEDATION › Section 6.13 - Individual Permit B-2: Administration of Minimal Sedation and/or Nitrous Oxide-oxygen in Conjunction with an Enteral Agent Dispensed or Administered in a Dental Facility

Current through Register 1525, July 5, 2024
(1)
Initial Application Requirements
. An applicant shall
			 submit an accurate and complete application on forms provided by the Board and
			 accompanied by a fee established annually by the Executive Office of
			 Administration and Finance, and includes documentation that demonstrates proof
			 that the applicant:
(a) Is a dentist licensed
			 under M.G.L. c. 112, § 45 to practice in the Commonwealth;
(b) Has current certification in ACLS or
			 PALS;
(c) Has successfully
			 completed an education program that complies at a minimum with the
ADA
			 Guidelines for Teaching Pain Control Sedation to Dentists and Dental Students,
			 2007,
at the time training was commenced; or
(d) Is certified by the American Board of
			 Oral and Maxillofacial Surgery (ABOMS); or
(e) Is certified as a Fellow and/or has Board
			 certification in Anesthesia issued by the American Dental Board of
			 Anesthesiology.
Code of Massachusetts Regulations › 234 CMR - BOARD OF REGISTRATION IN DENTISTRY › Title 234 CMR 6.00 - ADMINISTRATION OF ANESTHESIA AND SEDATION › Section 6.14 - Individual Permit C: Administration of Nitrous Oxide-oxygen Alone or in Conjunction with Local Anesthesia

Current through Register 1525, July 5, 2024
(1)
Initial Application Requirements
. An applicant shall
			 submit an accurate and complete application on forms provided by the Board and
			 accompanied by a fee established annually by the Executive Office of
			 Administration and Finance, and includes documentation that demonstrates proof
			 that the applicant:
(a) Is a dentist licensed
			 under M.G.L. c. 112, § 45 to practice in the Commonwealth;
(b) Has current certification in BLS, ACLS or
			 PALS;
(c) Has successfully
			 completed between 14 hours of didactic and clinical training in the
			 administration of nitrous oxide-oxygen only; or
(d) An advanced education program accredited
			 by the ADA Commission on Dental Accreditation that affords comprehensive and
			 appropriate training necessary to administer and manage nitrous oxide-oxygen
			 only.
Code of Massachusetts Regulations › 234 CMR - BOARD OF REGISTRATION IN DENTISTRY › Title 234 CMR 6.00 - ADMINISTRATION OF ANESTHESIA AND SEDATION › Section 6.15 - Administration of Local Anesthesia Only

Current through Register 1525, July 5, 2024
(1)
Scope of
			 Practice.
(a) A dentist licensed
			 to practice dentistry may administer local anesthesia under the authority of
			 his or her dental license. The administering dentist shall be currently
			 certified in Basic Life Support (BLS).
(b) The Board may issue qualified dental
			 hygienists, licensed pursuant to M.G.L. c. 112, § 51, a Permit L which
			 authorizes the holder to administer local anesthesia under the direct
			 supervision of a licensed dentist.
Code of Massachusetts Regulations › 234 CMR - BOARD OF REGISTRATION IN DENTISTRY › Title 234 CMR 6.00 - ADMINISTRATION OF ANESTHESIA AND SEDATION › Section 6.16 - Permit L: Administration of Local Anesthesia by a Dental Hygienist

Current through Register 1525, July 5, 2024
(1) No licensed
			 dental hygienist shall administer local anesthesia unless he or she has been
			 issued a Permit L by the Board. A dental hygienist who has been issued a Permit
			 L may only administer local anesthesia under the direct supervision of a
			 licensed dentist.
(2)
Application for Permit L by Examination
. Application
			 for a Permit L shall be on forms provided by the Board and shall be accompanied
			 by the permit fee, to be determined annually by the Secretary of Administration
			 and Finance, and documentation demonstrating proof of:
(a) Licensure as a dental hygienist in the
			 Commonwealth;
(b) Current Basic
			 Life Support (BLS) certification;
(c) Successful completion of a training
			 program or course of study, no more than two years prior to application for the
			 permit, in a formal program in the administration of local anesthesia, which
			 shall be a minimum of 35 hours of instruction, including no less than 12 hours
			 of clinical training, and be conducted by an educational institution accredited
			 by the Commission on Dental Accreditation of the American Dental Association;
			 and
(d) Successful completion of a
			 written examination in the administration of local anesthesia administered by
			 the Northeast Regional Board of Dental Examiners (NERB) or any successor agency
			 approved by the Board.
Code of Massachusetts Regulations › 234 CMR - BOARD OF REGISTRATION IN DENTISTRY › Title 234 CMR 6.00 - ADMINISTRATION OF ANESTHESIA AND SEDATION › Section 6.17 - Reporting of Adverse Occurrences

Current through Register 1525, July 5, 2024
A qualified dentist who holds an anesthesia administration
				permit issued pursuant to
				234 CMR 6.00 shall report to
				the Board any anesthesia, deep sedation and general anesthesia, moderate
				sedation, minimal sedation, nitrous oxide-oxygen only and local anesthetic
				related mortality which occurs during or as a result of treatment provided by
				the administration permit holder within 24 hours of the occurrence of any such
				mortality. Any morbidity which may result in permanent physical or mental
				injury as a result of the administration of general anesthetic agents, sedative
				agents or nitrous oxide-oxygen analgesia shall be reported to the Board by the
				anesthesia permit holder providing such treatment within 30 days of the
				occurrence of any such morbidity.
Code of Massachusetts Regulations › 234 CMR - BOARD OF REGISTRATION IN DENTISTRY › Title 234 CMR 6.00 - ADMINISTRATION OF ANESTHESIA AND SEDATION › Section 6.18 - Penalty for Non-compliance

Current through Register 1525, July 5, 2024
Non compliance with
				234 CMR 6.00 shall subject a
				licensee's administration permit, facility permit and/or dental license to
				disciplinary action by the Board.
Code of Massachusetts Regulations › 234 CMR - BOARD OF REGISTRATION IN DENTISTRY › Title 234 CMR 7.00 - Mobile And Portable Dentistry › Section 7.01 - Scope

Current through Register 1525, July 5, 2024
The Board may issue a permit for operation of a Mobile Dental
				Facility (MDF) or Portable Dental Operation (PDO) to a dentist licensed
				pursuant to M.G.L. c. 112, § 45 provided that the applicant has met all
				the requirements of
				234 CMR
				2.00.
The Board may issue a permit for operation of an MDF or PDO to
				a dental hygienist practicing pursuant to M.G.L. c. 112, § 51, provided
				that the services are limited to services provided in a public health setting
				as described in
				234 CMR 5.00.
A MDF is any self-contained facility where dentistry will be
				practiced, which may be driven, moved, towed or transported from one location
				to another. A PDO is any dental practice where a portable dental unit is
				transported to and utilized on a temporary basis at an out-of-office
				location.
Exceptions
: Licensees may provide
				dental services through the use of dental instruments and materials taken out
				of a dental office without a MDF or PDO permit if:
(a) The service is provided as emergency
			 treatment;
(b) A patient of record
			 is homebound; or
(c) The services
			 rendered are limited to dental screening only.
234
				CMR 7.00 takes effect on February 20, 2011. A MDF or
				PDO which is in operation on or before February 20, 2011 must submit their
				application for a Facility D-P Permit (
				234 CMR 6.00 ) on or before
				February 20, 2011. A MDF or PDO commencing operation after February 20, 2011
				shall not do so without a Facility D-P Permit.
Code of Massachusetts Regulations › 234 CMR - BOARD OF REGISTRATION IN DENTISTRY › Title 234 CMR 7.00 - Mobile And Portable Dentistry › Section 7.02 - Purpose

Current through Register 1525, July 5, 2024
The purpose of
				234
				CMR 7.00 is to set forth the requirements for the
				practice of dentistry utilizing a MDF or PDO in the
				Commonwealth.
Code of Massachusetts Regulations › 234 CMR - BOARD OF REGISTRATION IN DENTISTRY › Title 234 CMR 7.00 - Mobile And Portable Dentistry › Section 7.03 - Permit M: Application for Mobile Dental Facility Permit and/or Portable Dental Operation

Current through Register 1525, July 5, 2024
(1)
Initial Application
. The Board may issue a permit to
			 operate a MDF or PDO to a qualified dentist who holds a valid license issued
			 pursuant to M.G.L. c. 112, § 45 or a qualified dental hygienist who holds
			 a valid license pursuant to M.G.L. c. 112, § 51, provided the applicant is
			 of good moral character, has met all of the eligibility requirements, and has
			 submitted a complete, accurate and signed application on forms specified by the
			 Board for that purpose and which is accompanied by the permit fee established
			 by the Secretary of Administration and Finance.
(2)
Renewal of
			 Permit
. A MDF or PDO permit issued pursuant to
			 234
			 CMR 7.00 shall be subject to biennial renewal at the
			 same time the applicant's license to practice dentistry or dental hygiene is
			 renewed on forms specified by the Board for that purpose and accompanied by the
			 permit fee established by the Secretary of Administration and
			 Finance.
(3)
On-site
			 Inspection
. The Board may require an on-site inspection of the MDF
			 or PDO prior to the issuance of a permit.
(4) A permit issued pursuant to
			 234
			 CMR 7.00 is not transferable to another person or
			 entity.
Code of Massachusetts Regulations › 234 CMR - BOARD OF REGISTRATION IN DENTISTRY › Title 234 CMR 7.00 - Mobile And Portable Dentistry › Section 7.04 - General Requirements

Current through Register 1525, July 5, 2024
(1)
Official Business or Mailing Address
. The operator of
			 a MDF or PDO shall maintain a phone number and official address of record which
			 shall be filed with the Board. The operator of a MDF or PDO who does not
			 maintain an office in Massachusetts shall also file the name, address, and
			 telephone number of the entity's resident agent as filed with the Massachusetts
			 Secretary of the Commonwealth.
(2)
			 The Board shall be notified within 30 days of any change in the address or
			 telephone number of record, or director of the MDF or PDO.
(3) All written or electronic publications
			 and documents issued by the MDF or PDO shall include the name of the MDF or PDO
			 director and official telephone number and the address of record for the MDF or
			 PDO.
(4)
Patient
			 Records
. Patient records shall be maintained in accordance with
			 234 CMR
			 5.14 and
			 5.15. In
			 addition, the MDF or PDO shall also comply with the following:
(a)
Treatment in a School
			 Setting
. Where consent has been granted by the patient or legal
			 representative, a copy of the patient's information sheet or other written
			 summary of the screening, examination or treatment shall be provided to the
			 official designated by the school.
(b)
Treatment in a Nursing Home
			 or Residential Treatment Facility
. A copy of the patient's
			 information sheet or other written summary of the screening, examination or
			 treatment shall be provided to the official designated by the nursing home or
			 residential treatment facility and shall become part of the patient's
			 record.
Code of Massachusetts Regulations › 234 CMR - BOARD OF REGISTRATION IN DENTISTRY › Title 234 CMR 7.00 - Mobile And Portable Dentistry › Section 7.05 - Physical Requirements for Mobile Dental Facility and Portable Dental Operations

Current through Register 1525, July 5, 2024
(1) An
			 MDF or PDO shall comply with all applicable local, state and federal statutes,
			 regulations, or ordinances concerning radiographic equipment, flammability,
			 ventilation, construction, sanitation, zoning, infectious waste management,
			 OSHA Standards at 29 CFR,
CDC Guidelines
, and for the
			 registration and operation of a motor vehicle being used for the provision of
			 mobile or portable dental services.
(2) The MDF or PDO shall have the following:
(a) Handicap access;
(b) Equipment and sterilization systems which
			 are necessary to comply with
CDC Guidelines
;
(c) Ready access to an adequate supply of
			 potable water;
(d) Ready access to
			 hand-washing and toilet facilities;
(e) A covered galvanized, stainless steel, or
			 other non-corrosive container for deposit of refuse and waste material as
			 required by
			 310 CMR 73.00:
Amalgam, Wastewater and Recycling Regulations for Dental
			 Facilities
; and
(f)
			 Equipment necessary for services being provided.
Code of Massachusetts Regulations › 234 CMR - BOARD OF REGISTRATION IN DENTISTRY › Title 234 CMR 7.00 - Mobile And Portable Dentistry › Section 7.06 - Cessation of Operation and Transfer of Ownership or Control

Current through Register 1525, July 5, 2024
(1) Upon cessation
			 of operation, the permit holder shall:
(a)
			 Within 30 calendar days notify the Board in writing of the last day of
			 operations of the final date of service and the disposition of patient
			 records;
(b) Notify all of the
			 permit holder's patients who have received treatment within two years of the
			 date of cessation of operations by letter to each patient or electronic notice
			 or public notice in appropriate newspaper(s) or by other means which is widely
			 disseminated how patients may obtain a copy of their dental records;
			 and
(c) Within 30 calendar days
			 make arrangements with the patients of the MDF or PDO for the transfer of the
			 patient's records, including if applicable, radiographs or copies thereof, to a
			 succeeding practitioner, or, at the written request of the patient, to the
			 patient.
(d) A minimum of 30
			 calendar days prior to cessation of operation, notify any and all entities for
			 whom the MDF or PDO is providing services or who are hosting said
			 services.
Code of Massachusetts Regulations › 234 CMR - BOARD OF REGISTRATION IN DENTISTRY › Title 234 CMR 8.00 - CONTINUING EDUCATION › Section 8.01 - Purpose

Current through Register 1525, July 5, 2024
234 CMR
				8.00 describes the continuing education requirements
				for license renewal. Each dentist, dental hygienist and dental assistant shall
				complete continuing education as a condition precedent to license
				renewal.