DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS  
DIRECTOR’S OFFICE  
DENTISTRY - GENERAL RULES  
(By authority conferred on the director of the department of licensing and regulatory  
affairs by sections 16145, 16148, 16174, 16178, 16182, 16186, 16201, 16204, 16205,  
16215, 16608, 16611, 16625, 16626, 16631, 16644, 16651, 16652, 16653, 16654, 16655,  
16656, 16657, and 16658 of the public health code, 1978 PA 368, MCL 333.16145,  
333.16148, 333.16174, 333.16178, 333.16182, 333.16186, 333.16201, 333.16204,  
333.16205, 333.16215, 333.16608, 333.16611, 333.16625, 333.16626, 333.16631,  
333.16644, 333.16651, 333.16652, 333.16653, 333.16654, 333.16655, 333.16656,  
333.16657, and 333.16658, and Executive Reorganization Order Nos. 1991-9, 1996-2,  
2003-1, and 2011-4, MCL 338.3501, 445.2001, 445.2011, and 445.2030)  
PART 1. GENERAL PROVISIONS  
R 338.11101 Definitions.  
Rule 1101. (1) As used in these rules:  
(a)“AAOMS” means American Association of Oral and Maxillofacial Surgeons.  
(b) “AAP” means the American Academy of Pediatrics.  
(c) “AAPD” means the American Academy of Pediatric Dentistry.  
(d) “ACLS” means advanced cardiac life support.  
(e) “ADA” means the American Dental Association or a successor organization.  
(f) “ADA CERP” means the American Dental Association Continuing Education  
Recognition Program.  
(g) “ADEX” means the American Board of Dental Examiners, Inc. examination that is  
conducted by the CDCA-WREB-CITA.  
(h) “AGD” means the Academy of General Dentistry.  
(i) “AHA” means the American Heart Association.  
(j)“Allied dental personnel” means the supporting team that receives appropriate  
delegation from a dentist or dental therapist to participate in dental treatment.  
(k) “Analgesia” means the diminution or elimination of pain in the conscious patient as  
a result of the administration of an agent including, but not limited to, local anesthetic,  
nitrous oxide, and pharmacological and non-pharmacological methods.  
(l) “Approved course” means a course offered by either a dental, dental therapy, dental  
hygiene, or dental assistant program accredited by the Commission on Dental  
Accreditation of the American Dental Association that meets the requirements in section  
16611 of the code, MCL 333.16611.  
(m) “ASA” means the American Society of Anesthesiologists.  
(n) “BLS” means basic cardiac life support.  
(o) “Board” means the Michigan Board of Dentistry.  
(p) “CDAC” means the Commission on Dental Accreditation of Canada.  
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(q) “CDC infection control guidelines” means the Centers for Disease Control and  
Prevention infection control guidelines established by the CDC in effect on the effective  
date of the rules and any amendments adopted by the CDC.  
(r) “CDCA-WREB-CITA” means the Commission on Dental Competency Assessments  
Western Regional Examining Board Council of Interstate Testing Agencies or a  
successor organization.  
(s) “CODA” means the Commission on Dental Accreditation or a successor  
organization.  
(t) “Code” means the public health code, 1978 PA 368, MCL 333.1101 to 333.25211.  
(u) “Conscious sedation” means a minimally depressed level of consciousness that  
retains a patient’s ability to independently and continuously maintain an airway and  
respond appropriately to physical stimulation or verbal command and that is produced by  
a pharmacological or a non-pharmacological method or a combination of both.  
(v) “DDS” means doctor of dental surgery degree.  
(w) “Dental therapist” means a person licensed under part 166 of the code, MCL  
333.16601 to 333.16659, to provide the care and services and perform any of the duties  
described in section 16656 of the code, MCL 333.16656.  
(x) “Dentist” means, except as otherwise provided in R 338.11801 and R 338.11218, a  
person licensed by the board under the code and these rules to engage in the practice of  
dentistry.  
(y) “Department” means the department of licensing and regulatory affairs.  
(z) “DMD” means doctor of dental medicine degree.  
(aa) “General anesthesia” means the elimination of all sensations accompanied by a  
state of unconsciousness and loss of reflexes necessary to maintain a patent airway.  
(bb) “INBDE” means the Integrated National Board Dental Examination.  
(cc) “JCNDE” means the Joint Commission on National Dental Examinations.  
(dd) “Licensed” means the possession of a full license to practice, unless otherwise  
stated by the code or these rules.  
(ee) “Local anesthesia” means the elimination of sensation, especially pain, in 1 part of  
the body by the topical application or regional injection of a drug.  
(ff) “NBDE” means the National Board Dental Examination.  
(gg) “NBDHE” means the National Board Dental Hygiene Examination.  
(hh) “NDEB” means the National Dental Examining Board of Canada.  
(ii) “Office” means the building or suite in which dental treatment is performed.  
(jj) “PALS” means pediatric advanced life support.  
(kk) “RDA” means a person licensed as a registered dental assistant by the board under  
the code and these rules who performs dental procedures as specified in R 338.11411,  
Table 1. A RDH may perform the functions of a RDA if the RDH is licensed by the  
board as a RDA.  
(ll) “RDH” means an individual licensed as a registered dental hygienist by the board  
under the code and these rules, who performs basic supportive dental procedures as  
specified in R 338.11411, Table 1.  
(mm) “Second pair of hands” means acts, tasks, functions, and procedures performed  
by a UDA, RDA, or RDH at the direction of a dentist, dental therapist, or RDH who is in  
the process of rendering dental services and treatment to a patient. The acts, tasks,  
functions, and procedures performed by a UDA, RDA, or RDH are ancillary to the  
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procedures performed by the dentist, dental therapist, or RDH and intended to provide  
help and assistance when the procedures are performed. This definition does not expand  
the duties of a UDA, RDA, or RDH as provided by the code and rules promulgated by  
the board.  
(nn) “Sedation” means the calming of a nervous, apprehensive individual, without  
inducing loss of consciousness, through the use of systemic drugs. Agents may be given  
orally, parenterally, or by inhalation.  
(oo) “UDA” means an unregistered dental auxiliary, who is unlicensed and performs  
basic supportive dental procedures as specific in R 338.11411, Table 1.  
(2) Unless otherwise defined in these rules, the terms defined in the code have the same  
meaning as used in these rules.  
History: 1984 AACS; 1989 AACS; 2006 AACS; 2011 AACS; 2014 AACS; 2023 MR 19, Eff. Oct. 2,  
2023.  
R 338.11103 Identification, written consent.  
Rule 1103. At the inception of care for a patient, both of the following must occur:  
(a) Each dentist, dental therapist, UDA, RDA, and RDH shall identify themselves to  
the patient as a dentist, dental therapist, UDA, RDA, or RDH.  
(b) The patient is provided with a written consent for treatment.  
History: 1984 AACS; 2021 AACS; 2023 MR 19, Eff. Oct. 2, 2023.  
R 338.11105 Rescinded.  
History: 1984 AACS; 1997 AACS.  
R 338.11107 Rescinded.  
History: 1984 AACS.  
R 338.11109 Rescinded.  
History: 1984 AACS; 2014 AACS; 2015 AACS.  
R 338.11115 Rescinded.  
History: 1989 AACS; 2014 AACS; 2015 AACS.  
R 338.11117 Rescinded.  
History: 1984 AACS.  
Page 3  
R 338.11199 Rescission.  
Rule 1199. R 338.4101 to R 338.4555 of the Michigan Administrative Code,  
appearing on pages 2672 to 2693 of the 1979 Michigan Administrative Code, are  
rescinded.  
History: 1984 AACS.  
R 338.11120 Dental treatment records; requirements.  
Rule 1120. (1) A dentist or dental therapist shall make and maintain a dental  
treatment record of each patient.  
(2) A dental treatment record must include all of the following information:  
(a) Medical and dental history.  
(b) The patient’s existing oral healthcare status and the results of any diagnostic  
aids used.  
(c) The patient’s current health status as classified by the American Society of  
Anesthesiologists physical status classification system.  
(d) Diagnosis and treatment plan.  
(e) Dental procedures performed upon the patient, including both of the following:  
(i) The date the procedure was performed.  
(ii) The identity of the dentist, dental therapist, or allied dental personnel  
performing each procedure.  
(f) Progress notes that include a chronology of the patient’s progress throughout the  
course of all treatment.  
(g) The date, dosage, and amount of any drug prescribed, dispensed, or  
administered to the patient.  
(h) Radiographic and photographic images taken in the course of treatment. If  
radiographic or photographic images are transferred to another dentist, the name and  
address of that dentist must be entered in the treatment record.  
(3) All dental treatment records must be maintained for not less than 10 years after  
the date of the last treatment.  
History: 1989 AACS; 2014 AACS; 2021 AACS; 2023 MR 19, Eff. Oct. 2, 2023.  
R 338.11121 Scheduled controlled substances; inventory record requirements.  
Rule 1121. (1) If a controlled substance, as described in article 7 of the code, MCL  
333.7101 to 333.7545, is stocked in a dental office for dispensing or administering to a  
patient, the dentist shall maintain an accurate inventory record of the drug that includes  
all of the following information:  
(a) The date and quantity of the drug purchased.  
(b) The amount of the drug, dosage of the drug, and the date the drug was dispensed  
or administered.  
(c) The name of the patient to whom the drug was dispensed or administered.  
(2) The inventory record must be available for inspection for not less than 10 years.  
Page 4  
(3) The dentist shall keep an inventory record in addition to the dental treatment  
records required by R 338.11120.  
History: 1989 AACS; 2021 AACS; 2023 MR 19, Eff. Oct. 2, 2023.  
R 338.11123 Rescinded.  
History: 2017 AACS; 2021 AACS.  
PART 2. LICENSURE  
R 338.11201 Licensure by examination to practice dentistry; graduates of  
programs in compliance with board standards.  
Rule 1201. In addition to meeting the requirements of R 338.7001 to R 338.7005;  
any other rules promulgated under the code; and section 16174 of the code, MCL  
333.16174, an applicant for dentist licensure by examination shall submit a completed  
application, on a form provided by the department, together with the requisite fee and  
meet all of the following requirements:  
(a) Graduate from a dental educational program that complies with the standards in  
R 338.11301, in which the applicant has obtained a DDS degree or DMD degree.  
(b) Pass all parts of the NBDE, or the INBDE if the INBDE replaces the NBDE, that  
is conducted and scored by the JCNDE, to qualify for the licensing examination in  
subdivision (c) of this rule.  
(c) Pass all parts, written and clinical, of the ADEX examination that is conducted  
by the CDCA-WREB-CITA, or by another regional testing agency.  
(d) Submit proof of current certification in BLS or ACLS for healthcare providers  
with a hands-on component from an agency or organization that grants certification  
pursuant to standards equivalent to those established by the AHA, earned within the 2-  
year period before receiving the license, beginning 6 months after the effective date of  
this rule.  
History: 1984 AACS; 1989 AACS; 1997 AACS; 2006 AACS; 2021 AACS; 2023 MR 19, Eff. Oct. 2,  
2023.  
R 338.11202 Licensure to practice dentistry; graduates of programs not meeting  
board standards; requirements.  
Rule 1202. An applicant for dentist licensure by examination who graduated from a  
dental educational program that does not comply with the standards provided in R  
338.11301 shall submit a completed application, on a form provided by the department,  
together with the requisite fee, meet the requirements of the code, R 338.7001 to R  
338.7005, and any other rules promulgated under the code, and meet all of the following  
requirements:  
(a) Comply with section 16174 of the code, MCL 333.16174.  
Page 5  
(b) Submit to the department a final, official transcript establishing graduation from  
a program in which the applicant has obtained a dental degree. If the transcript is issued  
in a language other than English, an original, official translation must also be submitted.  
(c) An applicant for dentist licensure by examination shall meet 1 of the following  
requirements:  
(i) Graduate from a program in dentistry that complies with the standards in R  
338.11301, in which the applicant has obtained a DDS degree or DMD degree. The  
completion of the program must be confirmed by official transcripts from the school.  
(ii) Graduate from a minimum 2-year master's degree or certificate program in  
dentistry that complies with the standards in R 338.11301, in which the applicant has  
obtained a degree or certificate in a specialty branch of dentistry recognized in R  
338.11501, with proof as required in part 5 of these rules.  
(iii) Graduate from a minimum 2-year master’s degree or certificate program in  
dentistry that complies with the standards in R 338.11301, in which the applicant has  
obtained a degree or certificate in a specialty branch of dentistry that has not been  
recognized in R 338.11501 but is approved by the board by request.  
(d) Pass all parts of the NBDE or INBDE if the INBDE replaces the NBDE that is  
conducted and scored by the JCNDE.  
(e) Pass all parts, written and clinical, of the ADEX examination that is conducted  
by the CDCA-WREB-CITA, a successor organization, or by another regional testing  
agency.  
(f) Beginning 6 months after the effective date of this subdivision, submit proof of  
current certification in BLS or ACLS for healthcare providers with a hands-on  
component from an agency or organization that grants certification pursuant to standards  
equivalent to those established by the AHA, earned within the 2-year period before  
receiving the license.  
History: 1989 AACS; 1997 AACS; 2006 AACS; 2017 AACS; 2021 AACS; 2023 MR 19, Eff. Oct. 2,  
2023.  
R 338.11203 Dental examinations; required passing scores.  
Rule 1203. (1) The board approves and adopts the examinations developed and  
scored by the JCNDE. An applicant shall provide evidence to the department of passing  
each component of the examination with a converted score of not less than 75.  
(2) The board approves and adopts all parts of the ADEX examination. A passing  
score on the examination is the score recommended by the CDCA-WREB-CITA or its  
successor organization. An applicant shall provide evidence to the department of a  
converted score of 75 or higher on each part of the examination.  
(3) The required parts of the ADEX examination include all of the following:  
(a) Computer-based diagnostic skills examination objective structured clinical  
examination.  
(b) Endodontic clinical examination.  
(c) Fixed prosthodontic clinical examination.  
(d) Periodontal/scaling patient or manikin clinical examination  
(e) Restorative clinical patient or manikin examination.  
Page 6  
History: 1984 AACS; 1997 AACS; 2006 AACS; 2021 AACS; 2023 MR 19, Eff. Oct. 2, 2023.  
R 338.11205 Rescinded.  
History: 1984 AACS; 1997 AACS.  
R 338.11207 Rescinded.  
History: 1984 AACS; 1997 AACS.  
R 338.11209 Licensure by examination to practice dental therapy.  
Rule 1209. In addition to meeting the requirements of R 338.7001 to R 338.7005,  
any other rules promulgated under the code, and section 16174 of the code, MCL  
333.16174, an applicant for dental therapist licensure by examination shall submit a  
completed application, on a form provided by the department, together with the requisite  
fee and meet all of the following requirements:  
(a) Graduate from a dental therapy educational program that meets the standards in  
R 338.11302.  
(b) Pass all parts, written and clinical, of the ADEX examination that is conducted  
by the CDCA-WREB-CITA, a successor organization, or by another regional testing  
agency, or an examination that is substantially equivalent to the ADEX examination as  
determined by the board pursuant to R 338.11257(5) and (6), with a passing converted  
score of not less than 75 on each component of the examination.  
(c) Complete not less than 500 hours of clinical practice as required under R  
338.11218.  
(d) Beginning 6 months after the effective date of this subdivision, submit proof of  
current certification in BLS or ACLS for healthcare providers with a hands-on  
component from an agency or organization that grants certification pursuant to standards  
equivalent to those established by the AHA, earned within the 2-year period before  
receiving the license.  
History: 2021 AACS; 2023 MR 19, Eff. Oct. 2, 2023.  
R 338.11211 Rescinded.  
History: 1984 AACS; 1997 AACS.  
R 338.11213 Dental therapy examinations; required passing scores.  
Rule 1213. (1) The board approves and adopts all parts of the ADEX examination,  
conducted by the CDCA-WREB-CITA, a successor organization, or by another regional  
testing agency. An applicant shall provide evidence to the department of passing each  
component of the examination with a converted score of not less than 75.  
Page 7  
(2) The required parts of the examination include both of the following:  
(a) Computer-based dental therapy objective structured clinical examination.  
(b) Clinical examinations on a manikin or patient.  
History: 2021 AACS; 2023 MR 19, Eff. Oct. 2, 2023.  
R 338.11215 Rescinded.  
History: 1984 AACS; 1989 AACS; 1997 AACS.  
R 338.11217 Rescinded.  
History: 1984 AACS; 1989 AACS; 1997 AACS.  
R 338.11218 Dental therapy clinical practice in board approved program;  
requirements.  
Rule 1218. (1) The dental therapy clinical practice required for licensure must  
comply with all of the following:  
(a) The clinical practice must be included in a dental therapy education program  
that meets the standards in R 338.11302.  
(b) A dental therapy student shall complete not less than 500 clinical practice hours  
within the educational program, including practice hours in extractions and restorations  
as determined by the educational program.  
(c) A dental therapy student shall be under the direct supervision of a dentist.  
(2) A dentist under disciplinary action or who has been under disciplinary action in  
the past 5 years shall not provide direct supervision of a dental therapy student in a  
clinical practice. If a dentist is notified by the department that the dentist is under  
disciplinary review or action by any state, within 7 days after notification, the dentist  
shall notify the dental therapist program and discontinue directly supervising the dental  
therapy student in the student’s clinical practice.  
(3) As used in this rule:  
(a) “Dentist” means a dentist licensed in this state or an individual authorized under  
the laws of another state to engage in the practice of dentistry.  
(b) “Direct supervision” means that the supervising dentist complies with all of the  
following:  
(i) Designates a patient of record upon whom the procedures are to be performed  
by the dental therapy student.  
(ii) Describes the procedures to be performed to the dental therapy student.  
(iii) Examines the patient before prescribing the procedures to be performed by the  
dental therapy student.  
(iv) Examines the patient upon completion of the procedures that were performed  
by the dental therapy student.  
(v) Is physically present in the office when the procedures are being performed by  
the dental therapy student.  
Page 8  
History: 2021 AACS; 2023 MR 19, Eff. Oct. 2, 2023.  
R 338.11219 Rescinded.  
History: 1984 AACS; 1989 AACS; 1997 AACS.  
R 338.11221 Licensure by examination to practice dental hygiene.  
Rule 1221. In addition to meeting the requirements of R 338.7001 to R 338.7005,  
any other rules promulgated under the code, and section 16174 of the code, MCL  
333.16174, an applicant for dental hygienist licensure by examination shall submit a  
completed application, on a form provided by the department, together with the requisite  
fee, and meet all of the following requirements:  
(a) Graduate from a dental hygiene educational program in compliance with the  
standards in R 338.11303.  
(b) Pass all parts of the NBDHE that is conducted and scored by the JCNDE to  
qualify for the licensing examination provided for in subdivision (c) of this rule. The  
requirement does not apply to an applicant who graduated from a dental hygiene program  
before 1962.  
(c) Pass all parts written and clinical, of the ADEX examination that is conducted by  
the CDCA-WREB-CITA, a successor organization, or by another regional testing  
agency.  
(d) Beginning 6 months after the effective date of this subdivision, submit proof of  
current certification in BLS or ACLS for healthcare providers with a hands-on  
component from an agency or organization that grants certification pursuant to standards  
equivalent to those established by the AHA, earned within the 2-year period before  
receiving the license.  
History: 1984 AACS; 1997 AACS; 2006 AACS; 2021 AACS; 2023 MR 19, Eff. Oct. 2, 2023.  
R 338.11222 Rescinded.  
History: 1989 AACS; 1997 AACS; 2006 AACS; 2021 AACS.  
R 338.11223 RDH examinations; passing scores.  
Rule 1223. (1) The board approves and adopts the dental hygiene examination  
developed and scored by the JCNDE. An applicant shall provide evidence to the  
department of passing each component of the examination with a converted score of not  
less than 75.  
(2) The board approves and adopts all parts of the ADEX examination. A passing  
score on the clinical examination is the score recommended by the CDCA-WREB-CITA  
or its successor organization. An applicant shall provide evidence to the department of a  
converted score of 75 or greater on each component of the examination.  
Page 9  
(3) The required parts of the ADEX examination include the following:  
(a) Computer simulated clinical examination.  
(b) Patient or manikin treatment clinical examination.  
History: 1984 AACS; 1997 AACS; 2006 AACS; 2023 MR 19, Eff. Oct. 2, 2023.  
R 338.11225 Rescinded.  
History: 1984 AACS; 1997 AACS.  
R 338.11227 Rescinded.  
History: 1984 AACS; 1997 AACS.  
R 338.11233 Registered dental hygienist; use of letters "R.D.H."; registered  
dental assistant; use of letters "R.D.A."  
Rule 1233. (1) Under section 16264 of the code, MCL 333.16264, a RDH who has  
received a bona fide degree or certificate of dental hygiene from a CODA-approved  
program of dental hygiene and who has completed all requirements for licensure may use  
the letters "R.D.H." after their name in connection with the practice of dental hygiene.  
(2) Under section 16264 of the code, MCL 333.16264, a RDA who has received a  
bona fide degree or certificate of dental assisting from a CODA-approved program of  
dental assisting and who has completed all requirements for licensure may use the letters  
"R.D.A." after their name in connection with the practice of dental assisting.  
History: 1984 AACS; 2021 AACS; 2023 MR 19, Eff. Oct. 2, 2023.  
R 338.11235 Licensure to practice as a RDA; requirements.  
Rule 1235. In addition to meeting the requirements of R 338.7001 to R 338.7005,  
any other rules promulgated under the code, and section 16174 of the code, MCL  
333.16174, an applicant for RDA licensure by examination shall submit a completed  
application, on a form provided by the department, together with the requisite fee and  
meet all of the following requirements:  
(a) Graduate or receive a certificate from an educational program that meets the  
standards in R 338.11307.  
(b) Provide evidence to the department of passing both a board-approved written  
examination and board-approved clinical examination that meets the requirements in R  
338.11239, with a score of not less than 75, on all sections of both examinations.  
(c) Beginning 6 months after the effective date of this subdivision, submit proof of  
current certification in BLS or ACLS for healthcare providers with a hands-on  
component from an agency or organization that grants certification pursuant to standards  
equivalent to those established by the AHA, earned within the 2-year period before  
receiving the license.  
Page 10  
History: 1984 AACS; 2021 AACS; 2023 MR 19, Eff. Oct. 2, 2023.  
R 338.11239 RDA examination; content; time; place; passing score.  
Rule 1239. (1) Upon a written request, the board shall review a written and clinical  
examination for compliance with the criteria in subrule (2) of this rule.  
(2) An examination for licensure as a RDA must be both written and clinical and  
include all of the following:  
(a) Oral anatomy.  
(b) Law and rules governing allied dental personnel.  
(c) Instrumentation and use of dental materials.  
(d) Mouth mirror inspection.  
(e) Dental dam application.  
(f) Application of anticariogenics, which includes sealants, fluoride varnish, and  
fluoride applications.  
(g) Placement and removal of temporary crowns and bands.  
(h) Radiography.  
(i) Application and removal of post extraction and periodontal dressings.  
(j) Removal of sutures.  
(k) Fabrication of temporary crowns.  
(l) Placing, condensing, and carving amalgam restorations.  
(m) Taking final impressions for indirect restorations.  
(n) Assisting and monitoring the administration of nitrous oxide analgesia.  
(o) Placing, condensing, and carving intracoronal temporaries.  
(p) Infection control, safety, and occupational safety and health administration.  
(q) Orthodontic procedures.  
(r) Placing resin bonded restorations, occlusal adjustment, and finishing and  
polishing with a non-tissue cutting slow-speed handpiece.  
(s) Selective coronal polishing before orthodontic or restorative procedures only.  
(t) Charting the oral cavity.  
(u) Classifying occlusion.  
(v) Nutritional counseling.  
(w) Medical emergency procedures.  
(x) Pulp vitality testing.  
(y) Placement and removal of gingival retraction materials or agents.  
(z) Drying endodontic canals.  
(aa) Taking impressions for study and opposing models.  
(bb) Instructing in the use and care of dental appliances.  
(cc) Applying topical anesthetic solution.  
(dd) Etching, placing, contouring, and polishing of sealants with a slow-speed  
rotary handpiece for occlusal adjustment.  
(ee) Placing and removing matrices and wedges.  
(ff) Applying cavity liners and bases.  
(gg) Applying and dispensing in-office bleaching products.  
(hh) Adjusting and polishing contacts and occlusion of indirect restorations.  
(ii) Digital scans.  
Page 11  
(jj) Impressions for bite registration.  
(kk) Applying desensitizing agents.  
(ll) Cement removal.  
(3) The passing score for an examination is a converted score of 75 on each section.  
History: 1984 AACS; 1989 AACS; 2011 AACS; 2021 AACS; 2023 MR 19, Eff. Oct. 2, 2023.  
R 338.11240 Registered dental assisting licensure applicant who fails the  
Michigan examination.  
Rule 1240. (1) The applicant shall pass both the clinical and written portions of this  
state’s examination within 18 months after the date the applicant takes either  
examination.  
(2) If the applicant fails either the clinical or written portion of the examination 3  
successive times, the applicant shall retake both the written and clinical portions of the  
examination.  
History: 2023 MR 19, Eff. Oct. 2, 2023.  
R 338.11241 Rescinded.  
History: 1984 AACS; 2021 AACS.  
R 338.11245 Rescinded.  
History: 1984 AACS; 2021 AACS.  
R 338.11247 Limited licenses; issuance; requirements.  
Rule 1247. (1) The board may issue an educational limited license for postgraduate  
education, under section 16182(2)(a) of the code, MCL 333.16182, to an applicant who is  
a graduate of a dental, dental therapy, dental hygiene, or dental assistant program, and  
who is engaged in a CODA-accredited postgraduate dental education program. An  
educational limited license must be renewed annually at the discretion of the department,  
and except for a 1-time extension that may be granted by the board, it is renewable only 7  
times. An applicant for an educational limited license shall comply with all of the  
following:  
(a) Submit the required fee and a completed application on a form provided by the  
department.  
(b) Meet the requirements of R 338.7001 to R 338.7005, any other rules  
promulgated under the code, and the requirements of section 16174 of the code, MCL  
333.16174.  
(c) Submit proof of graduation from a dental, dental therapy, dental hygiene, or  
dental assistant program in the form of a certified copy of a diploma and transcript. If the  
Page 12  
transcript is issued in a language other than English, an applicant shall submit an original,  
official translation.  
(d) Submit documentation verifying that the applicant has been accepted into a  
CODA-accredited postgraduate dental education program.  
(e) Beginning 6 months after the effective date of this subdivision, submit proof of  
current certification in BLS or ACLS for healthcare providers with a hands-on  
component from an agency or organization that grants certification pursuant to standards  
equivalent to those established by the AHA, earned within the 2-year period before  
receiving the license.  
(f) Beginning 6 months after the effective date of this subdivision, submit proof of  
having attended training of at least 1 hour in infection control that includes sterilization of  
hand pieces, personal protective equipment, and the CDC infection control guidelines.  
(g) An educational limited license holder shall not hold themselves out to the public  
as being engaged in the practice of dentistry, dental therapy, dental hygiene, or as a dental  
assistant, or provide dental services outside the licensee’s postgraduate dental education  
program.  
(h) An educational limited licensed dentist, dental therapist, or dental hygienist may  
perform dental procedures on patients as directed by the licensee’s postgraduate dental  
education program if the procedures are performed under the general supervision, as that  
term is defined in R 338.11401(d), of a fully licensed dentist.  
(i) An educational limited licensed dental assistant may perform dental procedures  
on patients as directed by the licensee’s postgraduate dental education program if the  
applicant complies with all of the following:  
(i) The procedures are performed under the direct supervision, as that term is  
defined in R 338.11401(c), of a fully licensed dentist.  
(ii) The limited licensed dental assistant has satisfied the 35 hours of additional  
education in an approved course as required under sections 16611(7) and (11) to (13) of  
the code, MCL 333.16611.  
(iii) The limited licensed dental assistant has successfully completed a course in  
dental radiography that is substantially equivalent to a course taught in a program  
approved by the board under R 338.11302, R 338.11303, or R 338.11307.  
(2) The board may issue a limited license, under section 16182(2)(b) of the code,  
MCL 333.16182, for nonclinical services, to an applicant of a dental, dental therapy,  
dental hygiene, or dental assistant program who functions only in a nonclinical academic  
research or administrative setting. An applicant for a nonclinical limited license shall  
comply with all of the following:  
(a) Submit the required fee and a completed application on a form provided by the  
department.  
(b) Meet the requirements of R 338.7001 to R 338.7005, any other administrative  
rules promulgated under the code, and the requirements of section 16174 of the code,  
MCL 333.16174.  
(c) Submit proof of graduation from a dental, dental therapy, dental hygiene, or  
dental assistant program in the form of a certified copy of a diploma and transcript. If the  
transcript is issued in a language other than English, the applicant shall submit an  
original, official translation.  
Page 13  
(d) Submit documentation verifying that the applicant has been placed in a  
nonclinical academic, research, or administrative setting.  
(e) Beginning 6 months after the effective date of this subdivision, submit proof of  
current certification in BLS or ACLS for healthcare providers with a hands-on  
component from an agency or organization that grants certification pursuant to standards  
equivalent to those established by the AHA, earned within the 2-year period before  
receiving the license.  
(f) Beginning 6 months after the effective date of this subdivision submit proof of  
having attended training of at least 1 hour in infection control, which must include  
sterilization of hand pieces, personal protective equipment, and the CDC’s infection  
control guidelines.  
(g) A nonclinical license holder shall not hold themselves out to the public as being  
engaged in the practice of dentistry, dental therapy, dental hygiene, or as a dental  
assistant other than in their nonclinical academic, research, or administrative setting, or  
provide dental services outside of the licensee’s nonclinical academic, research, or  
administrative setting.  
(3) The board may issue a limited license, under section 16182(2)(c) of the code,  
MCL 333.16182, for clinical academic services, to an applicant who is a graduate of a  
dental, dental therapy, dental hygiene, or dental assistant program, who practices the  
health profession only in connection with the applicant’s employment or other  
contractual relationship with that academic institution. An applicant for a clinical limited  
license shall comply with all of the following:  
(a) Submit the required fee and a completed application on a form provided by the  
department.  
(b) Meet the requirements of R 338.7001 to R 338.7005, any other rules  
promulgated under the code, and the requirements of section 16174 of the code, MCL  
333.16174.  
(c) Submit proof of graduation from a dental, dental therapy, dental hygiene, or  
dental assistant program in the form of a certified copy of a diploma and transcript. If the  
transcript is issued in a language other than English, the applicant shall submit an  
original, official translation.  
(d) Submit documentation verifying that the applicant has been offered and  
accepted employment in an academic institution.  
(e) Beginning 6 months after the effective date of this subdivision, submit proof of  
current certification in BLS or ACLS for healthcare providers with a hands-on  
component from an agency or organization that grants certification pursuant to standards  
equivalent to those established by the AHA, earned within the 2-year period before  
receiving the license.  
(f) Beginning 6 months after the effective date of this subdivision, submit proof of  
having attended training of at least 1 hour in infection control, which must include  
sterilization of hand pieces, personal protective equipment, and the CDC’s infection  
control guidelines.  
(g) A clinical limited license holder shall not hold themselves out to the public as  
being engaged in the practice of dentistry, dental therapy, dental hygiene, or as a dental  
assistant other than in connection with the licensee’s employment or other contractual  
Page 14  
relationship with an academic institution, or provide dental services outside the licensee’s  
employment or other contractual relationship with an academic institution.  
(h) A clinical academic limited licensed dentist, dental therapist, or dental hygienist  
may perform dental procedures on patients in connection with the licensee’s employment  
or contractual relationship with an academic institution if the procedures are performed  
under the general supervision, as that term is defined in R 338.11401(d), of a fully  
licensed dentist.  
(i) A clinical academic limited licensed dental assistant may perform dental  
procedures on patients in connection with the licensee’s employment or contractual  
relationship with an academic institution if the applicant complies with all of the  
following:  
(i) The procedures are performed under the direct supervision, as that term is  
defined in R 338.11401(c), of a fully licensed dentist.  
(ii) The limited licensed dental assistant has satisfied the 35 hours of additional  
education in an approved course as required under section 16611(7), and (11) to (13) of  
the code, MCL 333.16611.  
(iii) The limited licensed dental assistant has successfully completed a course in  
dental radiography that is substantially equivalent to a course taught in a program  
approved by the board pursuant to R 338.11303 or R 338.11307.  
(4) Limited licenses must be renewed annually and are issued at the discretion of the  
department.  
History: 1984 AACS; 2006 AACS; 2011 AACS; 2014 AACS; 2021 AACS; 2023 MR 19, Eff. Oct. 2,  
2023  
R 338.11249 Rescinded.  
History: 1984 AACS; 1989 AACS.  
R 338.11253 Certification of renewal; display.  
Rule 1253. A licensee shall display a current certificate of licensure in his or her  
principal place of practice. A licensee whose practice involves more than 1 office shall  
have a copy of his or her current certificate of licensure on display at all additional  
locations.  
History: 1984 AACS; 2021 AACS.  
R 338.11255 Licensure by endorsement of dentist; requirements.  
Rule 1255. (1) An applicant who has never held a dental license in this state, who is  
licensed in another state, and who is not applying for licensure by examination may apply  
for licensure by endorsement by submitting a completed application on a form provided  
by the department, together with the requisite fee.  
(2) An applicant who is licensed in another state as a dentist is presumed to have met  
the requirements of section 16186 of the code, MCL 333.16186, if the applicant meets  
Page 15  
the requirements of the code, R 338.7001 to R 338.7005, any other rules promulgated  
under the code, and all of the following requirements in subdivisions (a) to (g) of this  
subrule, subject to subdivisions (h) and (i) of this subrule:  
(a) An applicant for licensure by endorsement shall meet 1 of the following  
requirements:  
(i) Has graduated from a dental educational program that meets the standards in R  
338.11301, in which the applicant has obtained at least a 2-year DDS degree or DMD  
degree. The completion of the program must be confirmed by official transcripts from the  
school, with documentation of graduation.  
(ii) If the applicant graduated from a dental educational program that does not  
comply with the standards provided in R 338.11301, the applicant shall meet 1 of the  
following requirements for licensure by endorsement in this state:  
(A) Has graduated from a minimum 2-year master's degree or certificate program  
in dentistry that complies with the standards in R 338.11301, in which the applicant has  
obtained a degree or certificate in a specialty branch of dentistry recognized in R  
338.11501, with proof as required in part 5 of these rules.  
(B) Has graduated from a minimum 2-year master’s degree or certificate program  
in dentistry that complies with the standards in R 338.11301, in which the applicant has  
obtained a degree or certificate in a specialty branch of dentistry that has not been  
recognized in R 338.11501 but is approved by the board.  
(b) Has passed all phases of the NBDE or INBDE if the INBDE replaces the NBDE  
for dentists.  
(c) Subject to (h) and (i) of this rule, the applicant submits proof of successful  
completion of all parts, written and clinical, of the ADEX examination required in R  
338.11223(2) and (3) that is conducted by the CDCA-WREB-CITA, a successor  
organization, or by another regional testing agency. If the applicant has passed a regional  
or state board examination the applicant may petition the board for review of the regional  
examination or a state board examination for a determination that it is substantially  
equivalent under R 338.11257(5) and (6), to all parts, written and clinical, of the ADEX  
examination that is conducted by the CDCA-WREB-CITA. A passing score on a  
substantially equivalent examination is the score recommended by the sponsoring  
organization. However, an applicant shall present evidence to the department of a  
converted score of 75 or higher on each component of the examination.  
(d) Has held a license as a dentist in good standing in another state for 1 year before  
filing an application in this state.  
(e) Discloses each license, registration, or certification in a health profession or  
specialty issued by any another state, the United States military, the federal government,  
or another country on the application form.  
(f) Satisfies the requirements of section 16174(2) of the code, MCL 333.16174,  
which includes verification from the issuing entity showing that disciplinary proceedings  
are not pending against the applicant and sanctions are not in force at the time of  
application.  
(g) Submits proof of current certification in BLS or ACLS for healthcare providers  
with a hands-on component from an agency or organization that grants certification  
pursuant to standards equivalent to those established by the AHA, earned within the 2-  
year period before receiving the license.  
Page 16  
(h) An applicant who is licensed and practicing as a dentist in another state that  
required the successful completion of a regional examination or state board, who has  
been practicing for a minimum of 5 years immediately preceding the application for  
licensure in this state, meets the requirements of subdivisions (a), (b), and (c) of this  
subrule.  
(i) An applicant who is licensed and practicing as a dentist in another state that does  
not require the successful completion of a regional examination, and who has been  
practicing for a minimum of 5 years immediately preceding the application for licensure  
in this state, meets the requirements of subdivisions (a) and (b) of this subrule. The  
applicant may petition the board for a determination that the applicant’s credentials are  
substantially equivalent to the requirements for licensure by endorsement instead of  
taking an examination.  
(3) The board may deny an application for licensure by endorsement upon finding  
the existence of a board action in another state for a violation related to applicable  
provisions of section 16221 of the code, MCL 333.16221, or upon determining that the  
applicant does not fulfill the requirements of section 16186 of the code, MCL 333.16186.  
History: 1989 AACS; 2006 AACS; 2011 AACS; 2021 AACS; 2023 MR 19, Eff. Oct. 2, 2023.  
R 338.11256 Licensure by endorsement of dentist licensed in Canada;  
requirements.  
Rule 1256. An applicant who currently holds a license as a dentist in Canada but has  
never been licensed as a dentist in this state may apply for a license by endorsement and  
is presumed to meet the requirements of section 16186 of the code, MCL 333.16186, if  
the applicant meets the requirements of the code, R 338.7001 to R 338.7005, any other  
rules promulgated under the code, section 16174 of the code, MCL 333.16174, submits a  
completed application on a form provided by the department together with the requisite  
fee, and provides proof of all of the following:  
(a) The applicant’s Canadian license is active and in good standing for 1 year before  
filing an application in this state.  
(b) The applicant has been certified by the NDEB.  
(c) The applicant has passed 1 of the following:  
(i) The NDEB dental written examination and the ADEX clinical examination.  
(ii) All parts, written and clinical, of the ADEX examination that is conducted by  
the CDCA-WREB-CITA, a successor organization, or by another regional testing  
agency.  
(d) The applicant has graduated with 1 of the following:  
(i) A BDS, DDS, or DMD degree from a program accredited by the CDAC with all  
training completed in Canada.  
(ii) A DDS degree or DMD degree from a dental educational program that  
complies with the standards in R 338.11301.  
(e) The applicant discloses each license, registration, or certification in a health  
profession or specialty issued by another state, the United States military, the federal  
government, or another country on the application form.  
(f) The applicant satisfies the requirements of section 16174(2) of the code, MCL  
333.16174, which includes verification from the issuing entity showing that disciplinary  
Page 17  
proceedings are not pending against the applicant and sanctions are not in force at the  
time of application.  
(g) The applicant submits proof of current certification in BLS or ACLS for  
healthcare providers with a hands-on component from an agency or organization that  
grants certification pursuant to standards equivalent to those established by the AHA,  
earned within the 2-year period before receiving the license.  
History: 2023 MR 19, Eff. Oct. 2, 2023.  
R 338.11257 Licensure by endorsement of dental therapist; requirements.  
Rule 1257. (1) An applicant who has never held a dental therapy license in this state  
and who is not applying by examination may apply for licensure by endorsement by  
submitting a completed application on a form provided by the department, together with  
the requisite fee.  
(2) An applicant who is licensed as a dental therapist in another state is presumed to  
have met the requirements of section 16186 of the code, MCL 333.16186, if the applicant  
meets the requirements of the code, R 338.7001 to R 338.7005, any other rules  
promulgated under the code, and all of the following requirements:  
(a) Graduated from a dental therapy educational program that meets the standards in  
R 338.11302 and provides the department with the original, official transcripts of  
professional education and documentation of graduation for board evaluation.  
(b) Passed all parts, written and clinical, of the ADEX examination that is  
conducted by the CDCA-WREB-CITA, a successor organization, or by another regional  
testing agency, with a converted passing score of not less than 75 on each component of  
the examination.  
(c) Verifies completion of not less than 500 hours of clinical practice in dental  
therapy that substantially meets the requirements of R 338.11218, in a dental therapy  
educational program that meets the standards in R 338.11302.  
(d) Discloses each license, registration, or certification in a health profession or  
specialty issued by another state, the United States military, the federal government, or  
another country on the application form.  
(e) Satisfies the requirements of section 16174(2) of the code, MCL 333.16174,  
which includes verification from the issuing entity showing that disciplinary proceedings  
are not pending against the applicant and sanctions are not in force at the time of  
application.  
(f) Has held a license as a dental therapist that is active and in good standing in  
another state for 1 year before filing an application in this state.  
(g) Submits proof of current certification in BLS or ACLS for healthcare providers  
with a hands-on component from an agency or organization that grants certification  
pursuant to standards equivalent to those established by the AHA, earned within the 2-  
year period before receiving the license.  
(3) The board may deny an application for licensure by endorsement upon finding  
the existence of a board action in another state for a violation related to applicable  
provisions of section 16221 of the code, MCL 333.16221, or upon determining that the  
applicant does not fulfill the requirements of section 16186 of the code, MCL 333.16186.  
Page 18  
(4) For purposes of this rule, subject to subrules (5) and (6) of this rule, the board  
may approve a dental therapist clinical regional or state board examination if the  
examination is substantially equivalent to all parts of the ADEX examination, a  
comprehensive, competency-based clinical examination developed by the CDCA-  
WREB-CITA, or a successor organization. A passing score on a substantially equivalent  
examination is the score recommended by the sponsoring organization. However, an  
applicant shall present evidence to the department of a converted score of 75 or higher on  
each component of the examination.  
(5) To determine substantial equivalency as specified in subrule (4) of this rule, the  
board shall consider at least the following factors:  
(a) Subject areas included.  
(b) Detail of material.  
(c) Comprehensiveness.  
(d) Length of an examination.  
(e) Degree of difficulty.  
(6) To demonstrate substantial equivalency as specified in subrules (4) and (5) of  
this rule, an applicant may be required to submit materials, including any of the  
following:  
(a) A copy of the examination booklet or description of the examination content and  
examination scores issued by the testing agency.  
(b) An affidavit from the appropriate state licensing agency that describes the  
examination and sets forth the legal standards that were in effect at the time of the  
examination.  
(c) An affidavit from a state licensing board or examination agency that describes  
the examination.  
History: 2021 AACS; 2023 MR 19, Eff. Oct. 2, 2023.  
R 338.11259 Licensure by endorsement of dental hygienists; requirements.  
Rule 1259. (1) An applicant who has never held a RDH license in this state and who  
is not applying by examination may apply for licensure by endorsement by submitting a  
completed application, on a form provided by the department, together with the requisite  
fee.  
(2) An applicant who is licensed in another state as a dental hygienist is presumed to  
have met the requirements of section 16186 of the code, MCL 333.16186, if the applicant  
meets the requirements of the code, R 338.7001 to R 338.7005, any other rules  
promulgated under the code, and all of the following requirements in subdivisions (a) to  
(g) of this subrule, subject to subrules (3) and (4) of this rule:  
(a) Has graduated from a dental hygiene educational program that meets the  
standards provided in R 338.11303 and provides the department with the original, official  
transcripts of professional education and documentation of graduation for board  
evaluation.  
(b) Has passed all phases of the NBDHE. This requirement is waived for persons  
who graduated from an accredited school before 1962.  
(c) The applicant submits proof of successful completion of all parts, written and  
clinical, of the ADEX examination required in R 338.11223(2) and (3) that is conducted  
Page 19  
by the CDCA-WREB-CITA, a successor organization, or by another regional testing  
agency. If the applicant has passed a regional examination or state board examination the  
applicant may petition the board for review of the regional examination or a state board  
examination for a determination that it is substantially equivalent under R 338.11257(5)  
and (6), to all parts, written and clinical, of the ADEX examination that is conducted by  
the CDCA-WREB-CITA. A passing score on a substantially equivalent examination is  
the score recommended by the sponsoring organization. However, an applicant shall  
present evidence to the department of a converted score of 75 or higher on each  
component of the examination.  
(d) Holds a license as a dental hygienist that is active and in good standing in  
another state for at least 1 year before filing an application in this state.  
(e) Discloses each license, registration, or certification in a health profession or  
specialty issued by another state, the United States military, the federal government, or  
another country on the application form.  
(f) Satisfies the requirements of section 16174(2) of the code, MCL 333.16174,  
which includes verification from the issuing entity showing that disciplinary proceedings  
are not pending against the applicant and sanctions are not in force at the time of  
application.  
(g) Submits proof of current certification in BLS or ACLS for healthcare providers  
with a hands-on component from an agency or organization that grants certification  
pursuant to standards equivalent to those established by the AHA, earned within the 2-  
year period before receiving the license.  
(3) An applicant who is licensed and is practicing as a dental hygienist in another  
state that required the successful completion of a regional examination or state board, for  
a minimum of 3 years immediately preceding the application for licensure in this state,  
meets the requirements of subrule (2)(a), (b), and (c) of this rule.  
(4) An applicant who is licensed and is practicing as a dental hygienist in another  
state that does not require the successful completion of a regional examination for a  
minimum of 3 years immediately preceding the application for licensure in this state,  
meets the requirement of subrule (2)(a) and (b) of this rule. The applicant may petition  
the board for a determination that the applicant’s credentials are substantially equivalent  
to the requirements for licensure by endorsement instead of taking an examination.  
(5) An applicant who currently holds a license as a dental hygienist in Canada but  
who has never been licensed as a dental hygienist in this state may apply for a license by  
endorsement and is presumed to meet the requirements of section 16186 of the code,  
MCL 333.16186, if the applicant meets the requirements of the code, R 338.7001 to R  
338.7005, any other rules promulgated under the code, requirements of section 16174 of  
the code, MCL 333.16174, submits a completed application on a form provided by the  
department together with the requisite fee, and provides proof of all of the following:  
(a) The applicant’s Canadian license is active and in good standing for at least 1  
year before filing an application in this state.  
(b) The applicant has passed 1 of the following:  
(i) The National Dental Hygiene Canadian Exam written examination and the  
ADEX clinical examination.  
Page 20  
(ii) All parts, written and clinical, of the ADEX examination that is conducted by  
the CDCA-WREB-CITA, a successor organization, or by another regional testing  
agency.  
(c) The applicant has graduated from 1 of the following:  
(i) A dental hygiene program accredited by CDAC with all training completed in  
Canada.  
(ii) A dental hygiene educational program in compliance with the standards in R  
338.11303.  
(f) The applicant discloses each license, registration, or certification in a health  
profession or specialty issued by another state, the United States military, the federal  
government, or another country on the application form.  
(g) The applicant satisfies the requirements of section 16174(2) of the code, MCL  
333.16174, which includes verification from the issuing entity showing that disciplinary  
proceedings are not pending against the applicant and sanctions are not in force at the  
time of application.  
(h) Submits proof of current certification in BLS or ACLS for healthcare providers  
with a hands-on component from an agency or organization that grants certification  
pursuant to standards equivalent to those established by the AHA, earned within the 2-  
year period before receiving the license.  
(6) The board may deny an application for licensure by endorsement upon finding  
the existence of a board action in another state for a violation related to applicable  
provisions of section 16221 of the code, MCL 333.16221, or upon determining that the  
applicant does not fulfill the requirements of section 16186 of the code, MCL 333.16186.  
History: 1989 AACS; 2006 AACS; 2011 AACS; 2021 AACS; 2023 MR 19, Eff. Oct. 2, 2023.  
R 338.11261 Licensure by endorsement of RDAs; requirements.  
Rule 1261. (1) An applicant who has never held a RDA license in this state and who  
is not applying for licensure by examination may apply for licensure by endorsement by  
submitting a completed application, on a form provided by the department, together with  
the requisite fee.  
(2) An applicant who is licensed or registered in another state is presumed to have  
met the requirements of section 16186 of the code, MCL 333.16186, if the applicant  
meets the requirements of the code, R 338.7001 to R 338.7005, any other rules  
promulgated under the code, and all of the following requirements:  
(a) Graduated from a dental assistant educational program that meets the standards  
in R 338.11307 and provides the department with the original, official transcripts of  
professional education and documentation of graduation for board evaluation.  
(b) Submits proof of successful completion of both a written and clinical  
examination, approved by the board under R 338.11239, with a score of not less than 75,  
on each section of both the written and clinical examinations.  
(c) Submits proof of current certification in BLS or ACLS for healthcare providers  
with a hands-on component from an agency or organization that grants certification  
pursuant to standards equivalent to those established by the AHA, earned within the 2-  
year period before receiving the license.  
Page 21  
(d) Holds a license as a dental assistant that is active and in good standing in  
another state for at least 1 year before filing an application in this state.  
(e) Discloses each license, registration, or certification in a health profession or  
specialty issued by another state, the United States military, the federal government, or  
another country on the application form.  
(f) Satisfies the requirements of section 16174(2) of the code, MCL 333.16174,  
which includes verification from the issuing entity showing that disciplinary proceedings  
are not pending against the applicant and sanctions are not in force at the time of  
application.  
(3) An applicant who currently holds a license as a dental assistant in Canada but  
who has never been licensed as a dental assistant in this state may apply for a license by  
endorsement and is presumed to meet the requirements of section 16186 of the code,  
MCL 333.16186, if the applicant meets the requirements of the code, R 338.7001 to R  
338.7005, any other rules promulgated under the code, the requirements of section 16174  
of the code, MCL 333.16174, submits a completed application on a form provided by the  
department together with the requisite fee, and provides proof of all of the following:  
(a) The applicant’s Canadian license is active and in good standing for 1 year before  
filing an application in this state.  
(b) The applicant has met all the requirements of 1 of the following licensure paths:  
(i) The applicant has graduated from a dental assistant educational program in  
Canada with all training completed in Canada and meets all of the following  
requirements:  
(A) The applicant has passed the National Dental Assistant Examining Board  
examination in Canada.  
(B) The applicant has 2 or more years of dental assisting experience.  
(C) The applicant has completed the Washtenaw Community College Alternative  
Dental Assistant Education Project pathway or a substantially similar pathway approved  
by the board.  
(D) The applicant has completed the board written examination, approved by the  
board under R 338.11239, with a score of not less than 75.  
(ii) The applicant graduated from a dental assistant educational program that  
complies with the standards in R 338.11307, and completed both a written and clinical  
examination, approved by the board under R 338.11239, with a score of not less than 75,  
on each section of both the written and clinical examination.  
(c) The applicant discloses each license, registration, or certification in a health  
profession or specialty issued by another state, the United States military, the federal  
government, or another country on the application form.  
(d) The applicant satisfies the requirements of section 16174(2) of the code, MCL  
333.16174, which includes verification from the issuing entity showing that disciplinary  
proceedings are not pending against the applicant and sanctions are not in force at the  
time of application.  
(e) The applicant submits proof of current certification in BLS or ACLS for  
healthcare providers with a hands-on component from an agency or organization that  
grants certification pursuant to standards equivalent to those established by the AHA,  
earned within the 2-year period before receiving the license.  
Page 22  
(4) The board may deny an application for licensure by endorsement upon finding  
the existence of a board action in another state for a violation related to applicable  
provisions of section 16221 of the code, MCL 333.16221, or upon determining that the  
applicant does not fulfill the requirements of section 16186 of the code, MCL 333.16186.  
History: 1989 AACS; 2006 AACS; 2011 AACS; 2021 AACS; 2023 MR 19, Eff. Oct. 2, 2023.  
R 338.11263 Relicensure requirements; dentists.  
Rule 1263. (1) An applicant whose dentist license in this state has lapsed, under  
section 16201(3) or (4) of the code, MCL 333.16201, as applicable, may be relicensed by  
complying with the following requirements:  
For a dentist who has let a license in this state  
lapse:  
Lapsed  
0-3  
Lapsed more Lapsed  
than 3 years, 5 or  
years  
but less than more years  
5 years  
(a) Submit a completed application, on a form  
provided by the department, together with the  
requisite fee.  
(b) Establish that the applicant is of good moral  
character as that term is defined in, and determined  
under, 1974 PA 381, MCL 338.41 to 338.47.  
(c) Submit fingerprints as required under section  
16174(3) of the code, MCL 333.16174.  
(d) Submit proof of current certification in BLS  
or ACLS for healthcare providers with a hands-on  
component from an agency or organization that  
grants certification pursuant to standards equivalent  
to those established by the AHA, earned within the  
2-year period before receiving the license.  
(e) Submit proof of having completed 60 hours of  
continuing education in courses and programs  
approved by the board as required under R  
338.11701, all of which were earned within the 3-  
year period immediately preceding the application  
for licensure. If the continuing education hours  
submitted with the application are deficient, the  
applicant has 2 years after the date of the application  
to complete the deficient hours. The department shall  
hold the application and not issue the license until  
the applicant has completed the continuing education  
requirements. The 60 hours of continuing education  
must include all of the following:  
(i) Not less than 3 hours in pain and symptom  
management.  
Page 23  
(ii) One hour in dental ethics and jurisprudence  
with inclusion of delegation of duties to allied dental  
personnel, which may be completed in 1 or more  
courses.  
(iii) One hour in infection control, which must  
include sterilization of hand pieces, personal  
protective equipment, and the CDC’s infection  
control guidelines.  
(f) Complete a 1-time training in identifying  
victims of human trafficking that meets the standards  
in R 338.11271.  
(g) Complete a 1-time training in opioids and  
other controlled substances awareness as required in  
R 338.3135.  
(h) Meet the English language requirement under  
R 338.7002b and the implicit bias training required  
in R 338.7004.  
(i) Verify with the application for relicensure,  
that the applicant complies with R 338.11801 to R  
338.11821, and specify the make of each amalgam  
separator in the dentist’s office and the year that each  
separator was installed, if the applicant is subject to  
R 338.11801 to R 338.11821.  
(j) An applicant who is or has ever been licensed,  
registered, or certified in a health profession or  
specialty by another state, the United States military,  
the federal government, or another country, shall do  
both of the following:  
(i) Disclose each license, registration, or  
certification on the application form.  
(ii) Satisfy the requirements of section 16174(2)  
of the code, MCL 333.16174, which includes  
verification from the issuing entity showing that  
disciplinary proceedings are not pending against the  
applicant and sanctions are not in force at the time of  
application.  
(k) If an applicant’s license has lapsed for more  
than 3 years but less than 5 years, the applicant shall  
meet either of the following:  
(i) Retake and pass the ADEX clinical and  
written examination for dentists developed and  
scored by the CDCA-WREB-CITA or another  
testing agency with a passing score of not less than  
75, within the 2-year period immediately preceding  
the application for relicensure.  
(ii) Provide the department documentation that  
Page 24  
the applicant holds or held a valid and unrestricted  
dentist’s license in another state or in Canada within  
3 years immediately preceding the application for  
relicensure.  
(l) If an applicant’s license has lapsed 5 or more  
years, the applicant shall provide the department with  
documentation that proves the applicant holds or  
held a valid and unrestricted dentist license in  
another state or Canada within the 3 years  
immediately preceding the application for relicensure  
and meets all of the requirements in subdivisions (a)  
to (j) of this subrule or complies with all of the  
following:  
(i) Meets the requirements of section 16174 of  
the code, MCL 333.16174, and the rules.  
(ii) Provides proof of graduation from a dental  
educational program that meets the standards in R  
338.11301 in which the applicant obtained a DDS or  
DMD degree.  
(iii) Provides proof of having ever passed all  
parts of the NBDE, or INBDE if the INBDE replaces  
the NBDE, conducted and scored by the JCNDE to  
qualify for the dental clinical and written  
examination.  
(iv) Provides proof of having passed the ADEX  
dental clinical and written examination conducted  
and scored by the CDCA-WREB-CITA or another  
regional agency within the 2-year period  
immediately preceding the application for  
relicensure.  
(2) If relicensure is granted and it is determined that a sanction has been imposed by  
another state, the United States military, the federal government, or another country, the  
disciplinary subcommittee may impose appropriate sanctions under section 16174(5) of  
the code, MCL 333.16174.  
History: 2021 AACS; 2023 MR 19, Eff. Oct. 2, 2023.  
R 338.11265 Relicensure requirements; dental therapists.  
Rule 1265. (1) An applicant whose dental therapist license in this state has lapsed  
under section 16201(3) or (4) of the code, MCL 333.16201, as applicable, may be  
relicensed by complying with the following requirements:  
Page 25  
For a dental therapist who has let a license in this  
state lapse:  
Lapsed  
0-3 years more than 3  
Lapsed  
Lapsed  
5 or more  
years, but less years  
than 5 years  
(a) Submit a completed application, on a form  
provided by the department, together with the requisite  
fee.  
(b) Establish that the applicant is of good moral  
character as that term is defined in, and determined  
under, 1974 PA 381, MCL 338.41 to 338.47.  
(c) Submit fingerprints as required under section  
16174(3) of the code, MCL 333.16174.  
(d) Submit proof of current certification in BLS or  
ACLS for healthcare providers with a hands-on  
component from an agency or organization that grants  
certification pursuant to standards equivalent to those  
established by the AHA, earned within the 2-year  
period before receiving the license.  
(e) Submit proof of having completed 35 hours of  
continuing education in courses and programs  
approved by the board as required under R 338.11703,  
all of which were earned within the 2-year period  
immediately preceding the application for licensure. If  
the continuing education hours submitted with the  
application are deficient, an applicant has 2 years after  
the date of the application to complete the deficient  
hours. The department shall hold the application and  
not issue the license until the applicant has completed  
the continuing education requirements. The 35 hours  
of continuing education must include all of the  
following:  
(i) Not less than 2 hours in pain and symptom  
management.  
(ii) One hour in dental ethics and jurisprudence  
with inclusion of delegation of duties to allied dental  
personnel, which may be completed in 1 or more  
courses.  
(iii) One hour in infection control, which must  
include sterilization of hand pieces, personal protective  
equipment, and the CDC’s infection control  
guidelines.  
(f) Submit proof of having completed a 1-time  
training in identifying victims of human trafficking  
that meets the standards in R 338.11271.  
Page 26  
(g) Submit proof of having completed a 1-time  
training in opioids and other controlled substances  
awareness as required in R 338.3135.  
(h) Meet the English language requirement under  
R 338.7002b and the implicit bias training required in  
R 338.7004.  
(i) An applicant who is or has ever been licensed,  
registered, or certified in a health profession or  
specialty by another state, the United States military,  
the federal government, or another country, shall do  
both of the following:  
(i) Disclose each license, registration, or  
certification on the application form.  
(ii) Satisfy the requirements of section 16174(2) of  
the code, MCL 333.16174, which includes verification  
from the issuing entity showing that disciplinary  
proceedings are not pending against the applicant and  
sanctions are not in force at the time of application.  
(j) If an applicant’s license has lapsed for more  
than 3 years but less than 5 years, the applicant shall  
meet either of the following:  
(i) Retake and pass a comprehensive, competency-  
based clinical examination approved by the  
department with a converted passing score of not less  
than 75, within the 2-year period immediately  
preceding the application for relicensure.  
(ii) Provide the department documentation that the  
applicant holds or held a valid and unrestricted dental  
therapist’s license in another state within 3 years  
immediately preceding the application for relicensure.  
(k) If an applicant’s license has lapsed for 5 years  
or more, the applicant shall provide the department  
with documentation that proves the applicant holds or  
held a valid and unrestricted dental therapist license in  
another state within the 3 years immediately preceding  
the application for relicensure and meets all of the  
requirements in subdivisions (a) to (i) of this subrule  
or complies with all of the following:  
(i) Meets the requirements of section 16174 of the  
code, MCL 333.16174, and the rules.  
(ii) Provides proof of graduation from a dental  
therapy program that meets the standards in R  
338.11302.  
(iii) Provide proof of having passed  
a
comprehensive, competency-based dental therapy  
clinical examination as required in R 338.11213,  
Page 27  
within the 2-year period immediately preceding the  
application for relicensure.  
(2) If relicensure is granted and it is determined that a sanction has been imposed by  
another state, the United States military, the federal government, or another country, the  
disciplinary subcommittee may impose appropriate sanctions under section 16174(5) of  
the code, MCL 333.16174.  
History: 2021 AACS; 2023 MR 19, Eff. Oct. 2, 2023.  
R 338.11267 Relicensure requirements; RDHs.  
Rule 1267. (1) An applicant whose RDH license in this state has lapsed under  
section 16201(3) or (4) of the code, MCL 333.16201, as applicable, may be relicensed by  
complying with the following requirements:  
For a RDH who has let a license in this state Lapsed  
lapse: 0-3  
years  
Lapsed more Lapsed  
than 3 years, 5 or  
but less than more years  
5 years  
(a) Submit a completed application, on a form  
provided by the department, together with the  
requisite fee.  
(b) Establish that the applicant is of good moral  
character as that term is defined in, and determined  
under, 1974 PA 381, MCL 338.41 to 338.47.  
(c) Submit fingerprints as required under section  
16174(3) of the code, MCL 333.16174.  
(d) Submit proof of current certification in BLS  
or ACLS for healthcare providers with a hands-on  
component from an agency or organization that  
grants certification pursuant to standards equivalent  
to those established by the AHA, earned within the  
2-year period before receiving the license.  
(e) Submit proof of having completed 36 hours of  
continuing education in courses and programs  
approved by the board as required under R  
338.11704, all of which were earned within the 3-  
year period preceding the date of application for  
relicensure. If the continuing education hours  
submitted with the application are deficient, the  
applicant has 2 years after the date of the application  
to complete the deficient hours. The department shall  
hold the application and not issue the license until  
the applicant has completed the continuing education  
requirements. The 36 hours of continuing education  
must include all of the following:  
Page 28  
(i) Not less than 2 hours in pain and symptom  
management.  
(ii) One hour in dental ethics and jurisprudence  
with inclusion of delegation of duties to allied dental  
personnel, which may be completed in 1 or more  
courses.  
(iii) One hour in infection control, which must  
include sterilization of hand pieces, personal  
protective equipment, and the CDC’s infection  
control guidelines.  
(f) Submit proof of having completed a 1-time  
training in identifying victims of human trafficking  
that meets the standards in R 338.11271.  
(g) Meet the English language requirement under  
R 338.7002b and the implicit bias training required  
in R 338.7004.  
(h) An applicant who is or has ever been  
licensed, registered, or certified in a health  
profession or specialty by another state, the United  
States military, the federal government, or another  
country, shall do both of the following:  
(i) Disclose each license, registration, or  
certification on the application form.  
(ii) Satisfy the requirements of section 16174(2)  
of the code, MCL 333.16174, which includes  
verification from the issuing entity showing that  
disciplinary proceedings are not pending against the  
applicant and sanctions are not in force at the time of  
application.  
(i) If an applicant’s license is lapsed for more  
than 3 years but less than 5 years, the applicant shall  
meet 1 of the following:  
(i) Provide proof of having passed the ADEX  
hygiene clinical and written examination conducted  
and scored by the CDCA-WREB-CITA or another  
regional agency, within the 2-year period  
immediately preceding the application for  
relicensure.  
(ii) Provide the department documentation that  
the applicant holds or has held a valid and  
unrestricted license in another state or in Canada  
within 3 years immediately preceding the application  
for licensure.  
(j) If an applicant’s license has lapsed for 5 years  
or more, the applicant shall provide the department  
with documentation that proves the applicant holds  
Page 29  
or held a valid and unrestricted license in another  
state or in Canada within the 3 years immediately  
preceding the application for relicensure and meets  
all of the requirements in subrules subdivisions (a) to  
(h) of this subrule or complies with all of the  
following:  
(i) Meets the requirements of section 16174 of  
the code, MCL 333.16174, and the rules.  
(ii) Provides proof of graduation from a dental  
hygiene educational program that meets the  
standards in R 338.11303.  
(iii) Provides proof of having ever passed all  
parts of the NBDHE conducted and scored by the  
JCNDE to qualify for the dental hygiene clinical and  
written examination. This paragraph does not apply  
to an applicant who graduated from a dental hygiene  
program before 1962.  
(iv) Provides proof of having passed the ADEX  
hygiene clinical and written examination conducted  
and scored by the CDCA-WREB-CITA or another  
regional testing agency, within the 2-year period  
immediately preceding the application for  
relicensure.  
(2) If relicensure is granted and it is determined that a sanction has been imposed by  
another state, the United States military, the federal government, or another country, the  
disciplinary subcommittee may impose appropriate sanctions under section 16174(5) of  
the code, MCL 333.16174.  
History: 1989 AACS; 2011 AACS; 2021 AACS; 2023 MR 19, Eff. Oct. 2, 2023.  
R 338.11269 RDA relicensure requirements.  
Rule 1269. (1) An applicant whose RDA license in this state has lapsed under  
section 16201(3) or (4) of the code, MCL 333.16201, as applicable, may be relicensed by  
complying with the following requirements:  
For a RDA who has let a license in this state Lapsed  
Lapsed more Lapsed  
lapse:  
0-3 years than 3 years, 5 or more  
but less than years  
5 years  
(a) Submit a completed application, on a form  
provided by the department, together with the  
requisite fee.  
(b) Establish that the applicant is of good moral  
character as that term is defined in, and determined  
under, 1974 PA 381, MCL 338.41 to 338.47.  
Page 30  
(c) Submit fingerprints as required under section  
16174(3) of the code, MCL 333.16174.  
(d) Submit proof of current certification in BLS  
or ACLS for healthcare providers with a hands-on  
component from an agency or organization that  
grants certification pursuant to standards equivalent  
to those established by the AHA, earned within the  
2-year period before receiving the license.  
(e) Submit proof of having completed 36 hours of  
continuing education in courses and programs  
approved by the board as required under R  
338.11704, all of which were earned within the 3-  
year period immediately preceding the date of the  
application for relicensure. If the continuing  
education hours submitted with the application are  
deficient, the applicant has 2 years after the date of  
the application to complete the deficient hours. The  
department shall hold the application and not issue  
the license until the applicant has completed the  
continuing education requirements. The 36 hours of  
continuing education must include all of the  
following:  
(i) Not less than 2 hours in pain and symptom  
management.  
(ii) One hour in dental ethics and jurisprudence  
with inclusion of delegation of duties to allied dental  
personnel, which may be completed in 1 or more  
courses.  
(iii) One hour in infection control, which must  
include sterilization of hand pieces, personal  
protective equipment, and the CDC’s infection  
control guidelines.  
(f) Completed a 1-time training in identifying  
victims of human trafficking that meets the standards  
in R 338.11271.  
(g) Meet the English language requirement under  
R 338.7002b and the implicit bias training required  
in R 338.7004.  
(h) An applicant who is or has ever been  
licensed, registered, or certified in a health  
profession or specialty by another state, the United  
States military, the federal government, or another  
country, shall do both of the following:  
(i) Disclose each license, registration, or  
certification on the application form.  
(ii) Satisfy the requirements of section 16174(2)  
Page 31  
of the code, MCL 333.16174, which includes  
verification from the issuing entity showing that  
disciplinary proceedings are not pending against the  
applicant and sanctions are not in force at the time of  
application.  
(i) If an applicant’s license has lapsed for more  
than 3 years but less than 5 years, the applicant shall  
meet either of the following:  
(i) Pass a board-approved written and clinical  
examination that meets the requirements of R  
338.11239, within the 2-year period immediately  
preceding the application for relicensure.  
(ii) Provide the department documentation that  
the applicant holds or held a valid and unrestricted  
license in another state or in Canada within the 3  
years immediately preceding the application for  
relicensure.  
(j) If an applicant’s license has lapsed for 5 years  
or more, the applicant shall provide the department  
with documentation that proves the applicant holds  
or held a valid and unrestricted license in another  
state or in Canada within the 3 years immediately  
preceding the application for relicensure and meets  
all of the requirements in subdivisions (a) to (h) of  
this subrule or complies with all of the following:  
(i) Meets the requirements of section 16174 of  
the code, MCL 333.16174, and the rules.  
(ii) Provides proof of graduation or certification  
from an educational program that meets the  
standards in R 338.11307.  
(iii) Provides proof of having passed a board-  
approved clinical examination that meets the  
requirements of R 338.11239.  
(iv) Provides proof of having passed a board-  
approved written examination that meets the  
requirements of R 338.11239, within the 2-year  
period immediately preceding the application for  
relicensure.  
(2) If relicensure is granted and it is determined that a sanction has been imposed by  
another state, the United States military, the federal government, or another country, the  
disciplinary subcommittee may impose appropriate sanctions under section 16174(5) of  
the code, MCL 333.16174.  
History: 2021 AACS; 2023 MR 19, Eff. Oct. 2, 2023.  
Page 32  
R 338.11271 Training standards for identifying victims of human trafficking;  
requirements.  
Rule 1271. (1) Pursuant to section 16148 of the code, MCL 333.16148, an  
individual seeking licensure, registration, or who is licensed or registered shall complete  
training in identifying victims of human trafficking that meets the following standards:  
(a) Training content covers all of the following:  
(i) Understanding the types and venues of human trafficking in this state or the  
United States.  
(ii) Identifying victims of human trafficking in health care settings.  
(iii) Identifying the warning signs of human trafficking in health care settings for  
adults and minors.  
(iv) Specifying resources for reporting the suspected victims of human trafficking.  
(b) Acceptable providers or methods of training include any of the following:  
(i) Training offered by a nationally recognized or state-recognized health-related  
organization.  
(ii) Training offered by, or in conjunction with, a state or federal agency.  
(iii) Training obtained in an educational program that has been approved by the board  
for initial licensure, or by a college or university.  
(iv) Reading an article related to the identification of victims of human trafficking  
that meets the requirements of subdivision (a) of this subrule and is published in a peer  
review journal, health care journal, or professional or scientific journal.  
(c) Acceptable modalities of training include any of the following:  
(i) Teleconference or webinar.  
(ii) Online presentation.  
(iii) Live presentation.  
(iv) Printed or electronic media.  
(2) The department may select and audit a sample of individuals and request  
documentation of proof of completion of training. If audited by the department, an  
individual shall provide an acceptable proof of completion of training, including either of  
the following:  
(a) Proof of completion certificate issued by the training provider that includes the  
date, provider name, name of training, and individual’s name.  
(b) A self-certification statement by an individual. The certification statement must  
include the individual’s name and either of the following:  
(i) For training completed pursuant to subrule (1)(b)(i) to (iii) of this rule, the  
date, training provider name, and name of training.  
(ii) For training completed pursuant to subrule (1)(b)(iv) of this rule, the title of  
article, author, publication name of peer review journal, health care journal, or  
professional or scientific journal, and date, volume, and issue of publication, as  
applicable.  
(3) Pursuant to section 16148 of the code, MCL 333.16148, the requirements  
specified in subrule (1) of this rule apply for license or registration renewals beginning  
with the first renewal cycle after January 6, 2017, and for initial licenses or registrations  
issued after January 6, 2022.  
History: 2021 AACS.  
Page 33  
PART 3. EDUCATION  
R 338.11301 Approval of dental educational programs; accreditation standards;  
adoption by reference.  
Rule 1301. (1) The board adopts by reference the standards of CODA of the ADA,  
as set forth in the following publications:  
(a) “Accreditation Standards for Dental Education Programs,” copyright 2021.  
(b) “Accreditation Standards for Advanced Dental Education Programs in Oral and  
Maxillofacial Surgery,” copyright 2021.  
(c) “Accreditation Standards for Advanced Dental Education Programs in  
Endodontics,” copyright 2019.  
(d) “Accreditation Standards for Advanced Dental Education Programs in  
Orthodontics and Dentofacial Orthopedics,” copyright 2019.  
(e) “Accreditation Standards for Advanced Dental Education Programs in  
Prosthodontics,” copyright 2020.  
(f) “Accreditation Standards for Advanced Dental Education Programs in  
Periodontics,” copyright 2020.  
(g) “Accreditation Standards for Advanced Dental Education Programs in Pediatric  
Dentistry,” copyright 2021.  
(h) “Accreditation Standards for Advanced Dental Education Programs in Oral and  
Maxillofacial Pathology,” copyright 2021.  
(i) “Accreditation Standards for Advanced Dental Education Programs in Oral  
Medicine,” copyright 2020.  
(j) “Accreditation Standards for Advanced Dental Education Programs in Orofacial  
Pain,” copyright 2020.  
(k) “Accreditation Standards for Advanced Dental Education Programs in Dental  
Public Health,” copyright 2020.  
(l) “Accreditation Standards for Advanced Dental Education Programs in Oral and  
Maxillofacial Radiology,” copyright 2020.  
(m) “Accreditation Standards for Advanced Dental Education Programs in Dental  
Anesthesiology,” copyright 2020.  
(2) A dental educational program accredited by CODA, or a successor organization,  
is considered board approved.  
(3) These standards may be obtained at no cost from CODA of the ADA, 211 East  
Chicago Avenue, Chicago, Illinois, 60611-2678 or at no cost from the association's  
page for inspection and distribution, from the Michigan Board of Dentistry, Department  
of Licensing and Regulatory Affairs, Bureau of Professional Licensing, 611 West  
Ottawa, P.O. Box 30670, Lansing, Michigan, 48909.  
History: 1984 AACS; 1997 AACS; 2006 AACS; 2017 AACS; 2021 AACS; 2023 MR 19, Eff. Oct. 2,  
2023.  
Page 34  
R 338.11302 Approval of dental therapy educational programs; accreditation  
standards; adoption by reference.  
Rule 1302. (1) The board adopts by reference the standards of CODA of the ADA,  
as set forth in the publication titled “Accreditation Standards for Dental Therapy  
Education Programs,” effective February 6, 2015, copyright 2021.  
(2) A dental therapy educational program that is accredited by CODA or a successor  
organization is considered board approved.  
(3) For an applicant applying for a dental therapy license, upon application for  
licensure on a department form, the board shall review and may approve an applicant’s  
dental therapy education program if the program substantially conforms to the dental  
therapy education program CODA standards at the time of graduation of the dental  
therapy applicant.  
(4) A dental therapy educational program must be taught at a postsecondary  
education institution that meets the standards in R 338.11302a.  
(5) CODA standards may be obtained at no cost from CODA of the ADA, 211 East  
Chicago Avenue, Chicago, Illinois, 60611-2678 or at no cost from the association's  
website at http://www.ada.org. Copies of these standards are available for inspection and  
distribution at 10 cents per page from the Michigan Board of Dentistry, Department of  
Licensing and Regulatory Affairs, Bureau of Professional Licensing, 611 West Ottawa,  
P.O. Box 30670, Lansing, Michigan, 48909.  
History: 2021 AACS; 2023 MR 19, Eff. Oct. 2, 2023.  
R 338.11302a Higher education institutions; accreditation standards; adoption  
by reference.  
Rule 1302a. (1) A higher education institution meets the requirements of R  
338.11302(4) if it is accredited by the accrediting body of the region in which the  
institution is located, and the accrediting body meets either the recognition policy and  
procedures of the Council for Higher Education Accreditation (CHEA) or the recognition  
procedures and criteria of the United States Department of Education.  
(2) The board adopts by reference the procedures and criteria for recognizing  
accrediting agencies of the United States Department of Education, 34 CFR part 602, and  
the CHEA Recognition of Accrediting Organizations Policy and Procedures, copyright  
2021. Copies of the procedures and criteria of the United States Department of Education  
and the policy and procedures of CHEA are available for inspection and distribution at no  
cost from the website for the United States Department of Education at the Office of  
Postsecondary Education, http://www.ed.gov/about/offices/list/OPE/index.html and the  
CHEA website at http://www.chea.org. Copies are also available for inspection and  
distribution at 10 cents per page from the Michigan Board of Dentistry, Bureau of  
Professional Licensing, Department of Licensing and Regulatory Affairs, 611 West  
Ottawa, P.O. Box 30670, Lansing, Michigan, 48909.  
History: 2021 AACS; 2023 MR 19, Eff. Oct. 2, 2023.  
Page 35  
R 338.11303 Approval of dental hygiene educational programs; accreditation  
standards; adoption by reference.  
Rule 1303. (1) The board adopts by reference the standards of CODA of the ADA,  
as set forth in the publication titled "Accreditation Standards for Dental Hygiene  
Education Programs," effective January 1, 2013, copyright 2019. A dental hygiene  
educational program accredited by CODA is considered board approved. CODA is the  
only accreditation accepted by the board.  
(2) These standards may be obtained at no cost from CODA of the ADA, 211 East  
Chicago Avenue, Chicago, Illinois, 60611-2678 or at no cost from the association's  
website at http://www.ada.org. Copies of these standards are available for inspection and  
distribution at 10 cents per page from the Michigan Board of Dentistry, Department of  
Licensing and Regulatory Affairs, Bureau of Professional Licensing, 611 West Ottawa,  
P.O. Box 30670, Lansing, Michigan, 48909.  
History: 1984 AACS; 1997 AACS; 2006 AACS; 2017 AACS; 2021 AACS; 2023 MR 19, Eff. Oct. 2,  
2023.  
R 338.11307 Approval of dental assisting schools educational programs;  
standards; adoption by reference.  
Rule 1307. (1) The board adopts by reference the standards of CODA of the ADA,  
as set forth in the publication titled "Accreditation Standards for Dental Assisting  
Education Programs," copyright 2021. A dental education program accredited by CODA  
is approved by the board. CODA is the only accreditation accepted by the board.  
(2) These standards may be obtained at no cost from CODA of the ADA, 211 East  
Chicago Avenue, Chicago, Illinois, 60611-2678 or at no cost from the association's  
distribution at 10 cents per page from the Board of Dentistry, Bureau of Professional  
Licensing, Michigan Department of Licensing and Regulatory Affairs, 611 West Ottawa,  
P.O. Box 30670, Lansing, Michigan, 48909.  
History: 1984 AACS; 1997 AACS; 2006 AACS; 2017 AACS; 2021 AACS; 2023 MR 19, Eff. Oct. 2,  
2023.  
PART 4A. DELEGATION, SUPERVISION, ASSIGNMENT OF  
UDAs, RDAs, AND RDHs  
R 338.11401 Definitions.  
Rule 1401. As used in this part:  
(a) “Assignment” means a dentist designates a patient of record upon whom services  
are to be performed and describes the procedures to be performed. Unless assignment is  
designated in these rules under general or direct supervision, the dentist need not be  
physically present in the office when the procedures are being performed.  
(b) “Delegation” means an authorization granted by a licensee to a licensed or  
unlicensed individual to perform selected acts, tasks, or functions that fall within the  
Page 36  
scope of practice of the delegator and that are not within the scope of practice of the  
delegatee and that, in the absence of the authorization, would constitute illegal practice of  
a licensed profession.  
(c) “Direct supervision” means that a dentist complies with all of the following:  
(i) Designates a patient of record upon whom the procedures are to be performed  
and describes the procedures to be performed.  
(ii) Examines the patient before prescribing the procedures to be performed and  
upon completion of the procedures.  
(iii) Is physically present in the office when the procedures are being performed.  
(d) “General supervision” means that a dentist complies with both of the following:  
(i) Designates a patient of record upon whom services are to be performed.  
(ii) Is physically present in the office when the procedures are being performed.  
(e) “Patient of record” means a patient who has been examined, evaluated, and  
diagnosed with a resulting treatment plan by a dentist, or dental therapist to the extent  
authorized by the supervising dentist, in-person at least once every 24 months. A patient  
of record includes a patient getting radiographic images by allied dental personnel with  
training pursuant to R 338.11411(4)(a) after receiving approval from the assigning dentist  
or dental therapist.  
History: 1984 AACS; 1998-2000 AACS; 2014 AACS; 2021 AACS; 2023 MR 19, Eff. Oct. 2, 2023.  
R 338.11402 Rescinded.  
History: 2014 AACS; 2021 AACS.  
R 338.11403 Rescinded.  
History: 1984 AACS; 1989 AACS; 2006 AACS; 2014 AACS; 2021 AACS.  
R 338.11404 Rescinded.  
History: 2006 AACS; 2011 AACS; 2021 AACS.  
R 338.11404a Rescinded.  
History: 2011 AACS; 2014 AACS; 2021 AACS.  
R 338.11405 Rescinded.  
History: 1984 AACS; 1998-2000 AACS; 2006 AACS; 2011 AACS; 2014 AACS; 2021 AACS.  
R 338.11405a Rescinded.  
Page 37  
History: 2006 AACS; 2011 AACS; 2014 AACS; 2021 AACS.  
R 338.11405b Rescinded.  
History: 2014 AACS; 2021 AACS.  
R 338.11405c Rescinded.  
History: 2014 AACS; 2021 AACS.  
R 338.11406 Rescinded.  
History: 1984 AACS; 2006 AACS; 2014 AACS; 2014 AACS; 2021 AACS.  
R 338.11408 Rescinded.  
History: 1984 AACS; 1998-2000 AACS; 2006 AACS; 2011 AACS; 2014 AACS; 2021 AACS.  
R 338.11409 Rescinded.  
History: 2006 AACS; 2011 AACS; 2014 AACS; 2021 AACS.  
R 338.11410 Rescinded.  
History: 2014 AACS; 2021 AACS.  
R 338.11411 Delegated and assigned dental procedures for allied dental  
personnel.  
Rule. 1411. (1) Before a dentist may delegate a function to a UDA the UDA shall  
meet both of the following:  
(a) Submit proof of current certification in BLS or ACLS for healthcare providers  
with a hands-on component from an agency or organization that grants certification  
pursuant to standards equivalent to those established by the AHA, earned within the 2-  
year period before receiving the delegated or assigned function.  
(b) Submit proof of attending training of at least 1 hour in infection control, which  
must include sterilization of hand pieces, personal protective equipment, and the CDC’s  
infection control guidelines.  
(2) Before a dentist delegates functions to a UDA the dentist shall provide to the  
UDA a copy of the delegation and assigned duties in Table 1 and explain the levels of  
supervision.  
Page 38  
(3) Except for the functions a dentist may delegate to a dental therapist, a dentist or  
dental therapist may only assign or delegate procedures to an unlicensed or licensed  
individual, including a UDA, RDA, or RDH under section 16611 of the code, MCL  
333.16611, as provided in Table 1.:  
Page 39  
(4) Table 1 - Delegated and Assigned Dental Procedures for Allied Dental Personnel  
U
R
R
Procedure  
DA  
DA  
A
DH  
A
Operating of dental radiographic equipment. A UDA shall successfully complete a course in  
dental radiography that is substantially equivalent to a course taught in a program approved by the  
board pursuant to R 338.11302, R 338.11303, or R 338.11307. A dentist may delegate necessary  
radiographs for a new patient to a UDA, RDA or RDH.  
(a)  
A
(b)  
(c)  
(d)  
(e)  
(f)  
(g)  
(h)  
(i)  
G
G
G
G
D
D
D
Instructing in the use and care of dental appliances.  
A
A
A
A
A
A
D
A
G*  
D
A
A
A
A
A
A
A
A
A
G*  
D
Taking impressions or digital scans for study and opposing models and matrices for temporary  
crowns and bridges.  
Applying nonprescription topical anesthetic solution.  
Trial sizing of orthodontic bands.  
Placing, removing, and replacing orthodontic elastic or wire separators, arch wires, elastics,  
and ligatures.  
Dispensing orthodontic aligners.  
Removing orthodontic bands, brackets, and adhesives with hand instruments only. Use of  
high-speed rotary instruments is not in the scope of practice of a UDA, RDA, or RDH.  
Polishing assigned teeth with a slow-speed rotary hand piece immediately before an acid etch  
procedure.  
Etching and placing adhesives before placement of orthodontic brackets and attachment for  
aligners.  
Cementing orthodontic bands or initial placement of orthodontic brackets and attachments for  
aligners.  
D**  
D**  
D**  
(j)  
(k)  
(l)  
Removing excess temporary cement from supragingival surfaces of a tooth with hand  
instruments only.  
Page 40  
(m)  
(n)  
(o)  
(p)  
(q)  
(r)  
Removing orthodontic or other cements from supragingival or subgingival surfaces with hand  
instruments or powered scaling instruments.  
A
A
A
A
A
A
A
Providing nutritional counseling for oral health and maintenance.  
D**  
D**  
D**  
A
A
Providing commonly accepted medical emergency procedures.  
A
Inspecting and charting the oral cavity using a mouth mirror and radiographs including the  
classifying of occlusion.  
A
Placing and removing dental dam.  
A
Applying anticariogenic agents including, but not limited to, sealants, fluoride varnish, and  
fluoride applications. UDAs may not place sealants.  
Polishing and contouring of sealants with a slow-speed rotary hand piece immediately  
following a procedure for occlusal adjustment.  
A
(s)  
A
(t)  
Fabricating temporary restorations, temporary crowns, and temporary bridges.  
A
(u)  
(v)  
(w)  
(x)  
(y)  
(z)  
(aa)  
Placing a nonmetallic temporary or sedative restoration with non-tissue cutting instruments.  
Temporarily cementing and removing temporary crowns and bands.  
Preliminary examination including performing pulp vitality testing.  
Applying desensitizing agents.  
A
A
A
A
A
A
D**  
D**  
A
G*  
G*  
G*  
G*  
G*  
Taking impressions for intraoral appliances including bite registrations.  
Placing and removing matrices and wedges.  
Applying cavity liners and bases.  
Page 41  
(bb)  
(cc)  
(dd)  
(ee)  
(ff)  
Drying endodontic canals with absorbent points.  
G*  
G*  
D
Placing and removing nonepinephrine retraction cords or materials.  
Removing sutures.  
A
A
G
Applying and dispensing in-office bleaching products.  
Before cementation by the dentist, adjusting and polishing contacts and occlusion of indirect  
D
G
restorations.  
(gg)  
(hh)  
(ii)  
Placing, condensing, and carving amalgam restorations.  
D***  
D***  
Placing Class I resin bonded restorations, occlusal adjustment, finishing and polishing with  
non-tissue cutting slow-speed rotary hand pieces.  
Taking final impressions for indirect restorations and prosthesis including bite registration,  
intra-oral imaging, and in-office fabrication of restorations.  
D***  
D
(jj)  
Assisting and monitoring the administration of nitrous oxide analgesia by a dentist or the  
RDH. A dentist shall assign these procedures only if the RDA or RDH has successfully  
completed an approved course that meets the requirements of section 16611(7) of the code, MCL  
333.16611, with a minimum of 5 hours of didactic instruction. The levels must be preset by the  
dentist or RDH and must not be adjusted by the RDA except in case of an emergency, in which  
case the RDA may turn off the nitrous oxide and administer 100% oxygen. As used in this  
subdivision, “assisting” means setting up equipment and placing the face mask. Assisting does not  
include titrating and turning the equipment on or off, except in the case of an emergency in which  
circumstances the RDA may turn off the nitrous oxide and administer 100% oxygen.  
Removing accretions and stains from the surfaces of the teeth and applying topical agents  
essential to complete prophylaxis.  
D
(kk)  
(ll)  
A
A
Root planing, debridement, deep scaling, and removal of calcareous deposits.  
(mm)  
Polishing and contouring restorations.  
Page 42  
A
A
(nn)  
Charting of the oral cavity, including all the following: periodontal charting, intra oral and  
extra oral examining of the soft tissue, charting of radiolucencies or radiopacities, existing  
restorations, and missing teeth.  
(oo)  
(pp)  
(qq)  
(rr)  
Applying topical anesthetic agents by prescription of the dentist.  
A
A
A
A
D
G
Removing excess cement from tooth surfaces.  
Placing subgingival medicaments.  
Micro abrasion of tooth surfaces to remove defects, pitting, or deep staining.  
Performing soft tissue curettage with or without a dental laser.  
Taking digital scans for final restorations or intra-oral appliances.  
Administering intra oral block and infiltration anesthesia, or no more than 50% nitrous oxide  
(ss)  
(tt)  
D
G
(uu)  
D**** analgesia, or both, to a patient who is 18 years of age or older if the RDH has met all of the  
following requirements:  
(i) Successfully completed an approved course that meets the requirements in section 16611(4)  
of the code, MCL 333.16611, in the administration of local anesthesia, with a minimum of 15  
hours didactic instruction and 14 hours clinical experience.  
(ii) Successfully completed a state or regional board administered written examination in local  
anesthesia within 18 months after completion of the approved course in paragraph (i) of this  
subdivision.  
(iii) Successfully completed an approved course that meets the requirements in section  
16611(4) of the code, MCL 333.16611, in the administration of nitrous oxide analgesia, with a  
minimum of 4 hours didactic instruction and 4 hours clinical experience.  
(iv) Successfully completed a state or regional board administered written examination in  
nitrous oxide analgesia, within 18 months after completion of the approved course in paragraph  
Page 43  
(iii) of this subdivision.  
(v) Maintains and provides evidence of current certification in BLS or ACLS that meets the  
standards contained in R 338.11705.  
(5) As used in subrule (4) of this rule:  
(a) “A” means assignment, as that term is defined in R 338.11401.  
(b) “D” means direct supervision, as that term is defined in R 338.11401.  
(c) “G” means general supervision, as that term is defined in R 338.11401.  
* A dentist shall assign these procedures to an RDA and RDH only if the allied dental personnel has successfully completed an  
approved course that meets the requirements in section 16611(12) and (13) of the code, MCL 333.16611, and contains a minimum of  
10 hours of didactic and clinical instruction.  
** A dentist shall delegate these procedures to a UDA only if the UDA has successfully completed an in-person or virtual training  
with performance evaluations on the following functions:  
Polishing assigned teeth with a slow-speed rotary hand piece immediately before an acid etch procedure.  
Etching and placing adhesives before placement of orthodontic brackets and attachment for aligners.  
Cementing orthodontic bands or initial placement of orthodontic brackets and attachments for aligners.  
Providing nutritional counseling for oral health and maintenance.  
Inspecting and charting the oral cavity using a mouth mirror and radiographs including the classifying of occlusion.  
Applying anticariogenic agents including, but not limited to, sealants, fluoride varnish, and fluoride applications.  
Temporarily cementing and removing temporary crowns and bands.  
Taking impressions for intraoral appliances including bite registrations.  
*** A dentist shall assign these procedures to a RDA only if the RDA has successfully completed an approved course that meets  
the requirements in section 16611(11) of the code, MCL 333.16611, and contains a minimum of 20 hours of didactic instruction  
followed by a comprehensive clinical experience of sufficient duration that validates clinical competence through a criterion-based  
assessment instrument.  
**** The department fee for certification of completion of the requirements is $10.  
History: 2021 AACS; 2023 MR 19, Eff. Oct. 2, 2023.  
Page 44  
PART 4B. SUPERVISION OF DENTAL THERAPISTS  
R 338.11415 Definitions  
R 1415. As used in this part, “supervise” or "supervision” means overseeing or  
participating in the work of another individual by a health professional licensed under  
article 15 of the code, MCL 333.16101 to 333.18838, in circumstances where at least all  
of the following conditions exist:  
(a) Continuous availability of direct communication in person or by radio,  
telephone, or telecommunication between the supervised individual and a health  
professional licensed in this state.  
(b) Availability of a health professional licensed in this state on a regularly  
scheduled basis to review the practice of the supervised individual, to provide  
consultation to the supervised individual, to review records, and to further educate the  
supervised individual in the performance of his or her functions.  
(c) The provision by the supervising health professional licensed in this state of  
predetermined procedures and drug protocol.  
History: 2021 AACS.  
R 338.11417 Practice agreement; care or services.  
Rule 1417. (1) A dental therapist may practice only under the supervision of a  
dentist licensed and practicing in this state through a written practice agreement that is  
signed by the dental therapist and dentist licensed and practicing in this state and that  
meets all the requirements in section 16655 of the code, MCL 333.16655.  
(2) A dentist may supervise no more than 4 dental therapists under section 16655(5)  
of the code, MCL 333.16655.  
(3) A dental therapist may supervise no more than 3 UDAs or RDAs and 2 RDHs in  
any 1 health setting as allowed in a written practice agreement. The practice agreement  
must define the type of supervision required by the dental therapist.  
(4) A dentist may not authorize a dental therapist to do either of the following:  
(a) Prescribe controlled substances.  
(b) Administer phentolamine mesylate.  
(5) A dentist may authorize a dental therapist to provide care or services described in  
section 16656(1)(a) to (w) of the code, MCL 333.16656.  
(6) A dental therapist may perform other services and functions agreed to by the  
supervising dentist for which the dental therapist is trained that are ancillary to those care  
and services described in section 16656(1)(a) to (w) of the code, MCL 333.16656.  
(7) Subject to section 16657 of the code, MCL 333.16657, and the dental therapist’s  
written practice agreement, if the patient requires treatment that exceeds the dental  
therapist’s capabilities or the scope of practice as a dental therapist, the dentist or dental  
therapist shall refer the patient to an appropriate provider within a reasonable distance.  
(8) Subject to sections 16655 and 16656(2) of the code, MCL 333.16655 and  
333.16656, and the dental therapist’s written practice agreement, a dental therapist’s  
authority to delegate to allied dental personnel may not exceed a dentist’s authority to  
delegate to allied dental personnel under R 338.11411.  
Page 45  
History: 2021 AACS; 2023 MR 19, Eff. Oct. 2, 2023.  
R 338.11419 Health settings.  
Rule 1419. (1) A dental therapist may provide care and services in any health setting  
included in section 16654 of the code, MCL 333.16654.  
(2) The health setting in section 16654(f) of the code, MCL 333.16654, includes a  
geographic area that is designated as a dental shortage area by the United States  
Department of Health and Human Services in geographic health professional shortage  
areas based on geographic area and population groups.  
(3) The computation to determine 50% of the annual total patient base of the dental  
therapist in section 16654(i) of the code, MCL 333.16654, includes any patient who has  
been seen at least once by the dental therapist.  
History: 2021 AACS.  
PART 5. SPECIALTIES  
R 338.11501 Specialties; recognition by the board.  
Rule 1501. (1) The department on behalf of the board may issue a health profession  
specialty license in all of the following branches of dentistry as specialties:  
(a) Endodontics.  
(b) Oral and maxillofacial surgery.  
(c) Oral and maxillofacial pathology.  
(d) Orthodontics and dentofacial orthopedics.  
(e) Pediatric dentistry.  
(f) Periodontics.  
(g) Prosthodontics.  
(2) In addition to the specialties listed in subrule (1) of this rule, the department may  
issue a health profession specialty license in the following branches of dentistry:  
(a) Dental anesthesiology.  
(b) Dental public health.  
(c) Oral and maxillofacial radiology.  
(d) Oral Medicine  
(e) Orofacial pain.  
(3) Each branch of a dental specialty that is licensed by the board is defined in these  
rules and by the standards set forth by CODA under R 338.11301.  
(4) An applicant who currently holds a license as a dental specialist in endodontics,  
oral and maxillofacial surgery, oral and maxillofacial pathology, orthodontics and  
dentofacial orthopedics, periodontics, prosthodontics, dental public health, or oral and  
maxillofacial radiology from a province in Canada may apply for a license if the  
applicant submits a completed application, on a form provided by the department,  
together with the requisite fee, and provides proof of all of the following:  
Page 46  
(a) Meet the requirements of the code, R 338.7001 to R 338.7005, any other rules  
promulgated under the code, and the requirements of section 16174, of the code, MCL  
333.16174.  
(b) Hold a current license to practice dentistry in this state.  
(c) Hold at least a master’s degree in a specialty listed in subrule (4) of this rule, in  
Canada, from a dental institution that is accredited by the NDEB.  
(d) Have graduated from a specialty program recognized by the CDAC with all  
training completed in Canada.  
(e) Have passed the National Dental Specialty Examination (NDSE) and have  
NDSE certification.  
History: 1984 AACS; 1994 AACS; 2011 AACS; 2017 AACS; 2021 AACS; 2023 MR 19, Eff. Oct. 2,  
2023.  
R 338.11502  
Dental anesthesiology explained; licensure requirements;  
examination content.  
Rule 1502. (1) The practice of dental anesthesiology includes managing pain,  
anxiety, and overall patient health during dental, oral, maxillofacial, and adjunctive  
surgical or diagnostic procedures throughout the entire perioperative period. The  
specialty is dedicated to promoting patient safety as well as access to care for all dental  
patients, including the very young and patients with special healthcare needs.  
(2) An applicant for licensure shall hold a current license to practice dentistry in this  
state and satisfy all the requirements of either subdivision (a) or (b) of this subrule:  
(a) Meet both of the following:  
(i) Have graduated from a CODA-approved program of dental anesthesiology  
approved by the board under R 338.11301 and submit a certification form from the  
program or hospital of completion of all requirements.  
(ii) Provide the department with evidence of the successful passing of the  
American Board of Dental Anesthesiology (ADBA) written exam. The passing score  
accepted for licensure is the passing score established by the ADBA.  
(b) Meet both of the following:  
(i) Have completed a hospital-based anesthesia residence program in the United  
States before 1985 that was accredited by the Accreditation Council for Graduate  
Medical Education.  
(ii) Petition the board for a review of credentials, which must be substantially  
equivalent to the current CODA standards.  
History: 2023 MR 19, Eff. Oct. 2, 2023.  
R 338.11503 Rescinded.  
History: 1984 AACS; 1994 AACS; 2011 AACS; 2014 AACS; 2017 AACS; 2021 AACS.  
Page 47  
R 338.11504  
Dental public health explained; licensure requirements;  
examination content.  
Rule 1504. (1) The practice of dental public health includes preventing and  
controlling dental diseases and promoting dental health through organized community  
efforts. It is the form of dental practice that serves the community as a patient rather than  
the individual. It is concerned with the dental health education of the public, with applied  
dental research, and with the administration of group dental care programs as well as the  
prevention and control of dental diseases on a community basis. Implicit in this definition  
is the requirement that the specialist have broad knowledge and skills in public health  
administration, research methodology, the prevention and control of oral diseases, and the  
delivery and financing of oral healthcare.  
(2) An applicant for licensure shall comply with all of the following requirements:  
(a) Hold a current license to practice dentistry in this state.  
(b) Have graduated from a CODA-approved program of dental public health  
approved by the board under R 338.11301 and submit a certification form from the  
program or hospital of completion of all requirements.  
(c) Provide the department with evidence of the successful passing of the American  
Board of Dental Public Health (ABDPH) written exam. The passing score accepted for  
licensure is the passing score established by the ABDPH.  
History: 2023 MR 19, Eff. Oct. 2, 2023.  
R 338.11505 Rescinded.  
History: 1984 AACS; 1989 AACS; 1994 AACS; 2011 AACS; 2014 AACS; 2017 AACS; 2021  
AACS.  
R 338.11506  
Oral and maxillofacial radiology explained; licensure  
requirements; examination content.  
Rule 1506. (1) The practice of oral and maxillofacial radiology includes the  
production and interpretation of images and data produced by all modalities of radiant  
energy that are used for the diagnosis and management of diseases, disorders, and  
conditions of the oral and maxillofacial region.  
(2) An applicant for licensure shall comply with all of the following requirements:  
(a) Hold a current license to practice dentistry in this state.  
(b) Have graduated from a CODA-approved program of oral and maxillofacial  
radiology approved by the board under R 338.11301 and submit a certification form from  
the program or hospital of completion of all requirements.  
(c) Meet 1 of the following:  
(i) Provide the department with evidence of the successful passing of the American  
Board of Oral and Maxillofacial Radiology (ABOMR) written exam. The passing score  
accepted for licensure is the passing score established by the ABOMR.  
(ii) Petition the board for a review of credentials.  
History: 2023 MR 19, Eff. Oct. 2, 2023.  
Page 48  
R 338.11507 Rescinded.  
History: 1984 AACS; 2011 AACS; 2017 AACS.  
R 338.11508 Oral Medicine explained; licensure requirements; examination  
content.  
Rule 1508. (1) The practice of oral medicine includes the oral healthcare of  
medically complex patients and for the diagnosis and management of medically related  
diseases, disorders, and conditions affecting the oral and maxillofacial region.  
(2) An applicant for licensure shall comply with all of the following requirements:  
(a) Hold a current license to practice dentistry in this state.  
(b) Have graduated from a CODA-approved program of oral medicine approved by  
the board under R 338.11301 and submit a certification form from the program or  
hospital of completion of all requirements.  
(c) Meet 1 of the following:  
(i) Provide the department with evidence of the successful passing of the American  
Board of Oral Medicine (AAOM) written exam. The passing score accepted for licensure  
is the passing score established by the AAOM.  
(ii) Petition the board for a review of credentials.  
History: 2023 MR 19, Eff. Oct. 2, 2023.  
R 338.11509 Rescinded.  
History: 1984 AACS; 2011 AACS; 2017 AACS.  
R 338.11510 Orofacial pain explained; licensure requirements; examination  
content.  
Rule 1510. (1) The practice of orofacial pain includes the diagnosis, management,  
and treatment of pain disorders of the jaw, mouth, face, head, and neck. The specialty of  
orofacial pain is dedicated to the evidenced-based understanding of the underlying  
pathophysiology, etiology, prevention, and treatment of these disorders and improving  
access to interdisciplinary patient care.  
(2) An applicant for licensure shall comply with all of the following requirements:  
(a) Hold a current license to practice dentistry in this state.  
(b) Have graduated from a CODA-approved program of orofacial pain approved by  
the board under R 338.11301 and submit a certification form from the program or  
hospital of completion of all requirements.  
(c) Meet 1 of the following:  
(i) Provide the department with evidence of the successful passing of the American  
Board of Orofacial Pain (AAOP) written exam. The passing score accepted for licensure  
is the passing score established by the AAOP.  
(ii) Petition the board for a review of credentials.  
Page 49  
History: 2023 MR 19, Eff. Oct. 2, 2023.  
R 338.11511 Rescinded.  
History: 1984 AACS; 2011 AACS; 2017 AACS.  
R 338.11512  
requirements.  
Oral and maxillofacial pathology explained; licensure  
Rule 1512. (1) The practice of oral and maxillofacial pathology deals with the  
nature, identification, and management of diseases affecting the oral and maxillofacial  
regions. It is a science that investigates the causes, processes, and effects of these  
diseases.  
(2) The specialty of oral and maxillofacial pathology includes, but is not limited to,  
the research and diagnosis of diseases using clinical, radiographic, microscopic,  
biochemical, or other examinations.  
(3) An applicant for licensure as an oral and maxillofacial pathologist shall meet all  
of the following requirements:  
(a) Hold a current license to practice dentistry in this state.  
(b) Have graduated from a CODA-approved program of oral and maxillofacial  
pathology approved by the board under R 338.11301 and submit a certification form from  
the program or hospital of completion of all requirements.  
(c) Provide verification of a passing score on the specialty certification examination  
by the American Board of Oral and Maxillofacial Pathology.  
History: 1994 AACS; 2011 AACS; 2021 AACS; 2023 MR 19, Eff. Oct. 2, 2023.  
R 338.11513 Oral and maxillofacial surgery explained; licensure requirements;  
examination content.  
Rule 1513. (1) The practice of oral and maxillofacial surgery includes the diagnosis,  
surgical, and adjunctive treatment of diseases, injuries, and defects involving both the  
functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial  
region.  
(2) The specialty of oral and maxillofacial surgery includes, but is not limited to, the  
care, treatment, and procedures associated with an office and hospital-based practice  
under R 338.11301.  
(3) A dentist who applies for licensure as an oral and maxillofacial surgeon shall  
comply with both of the following requirements:  
(a) Hold a current license to practice dentistry in this state.  
(b) Have graduated from a CODA-approved program of oral and maxillofacial  
surgery approved by the board under R 338.11301 and submit a certification form from  
the program or hospital of completion of all requirements. The board accepts the  
examinations and evaluative processes required to successfully complete a CODA-  
Page 50  
accredited oral and maxillofacial residency program as meeting the requirements of  
section 16608 of the code, MCL 333.16608.  
History: 1984 AACS; 2011 AACS; 2014 AACS; 2021 AACS; 2023 MR 19, Eff. Oct. 2, 2023.  
R 338.11515 Orthodontics and dentofacial orthopedics explained; licensure  
requirements; examination content.  
Rule 1515. (1) The practice of orthodontics includes the diagnosis, prevention,  
interception, and correction of malocclusion, as well as the neuromuscular and skeletal  
abnormalities of the developing or mature orofacial structures. The term "orthodontics  
and dentofacial orthopedics" means the same as the term "orthodontics."  
(2) The specialty of orthodontics includes, but is not limited to, all of the following:  
(a) The diagnosis, prevention, interception, and comprehensive treatment of all  
forms of malocclusion of the teeth and associated alterations in their surrounding  
structures.  
(b) The design, application, and control of functional and corrective appliances.  
(c) The growth guidance of the dentition and its supporting structures to attain and  
maintain optimum occlusal relations in physiologic and esthetic harmony among facial  
and cranial structures.  
(3) A dentist who desires licensure as an orthodontist shall comply with all of the  
following requirements:  
(a) Hold a current license to practice dentistry in this state.  
(b) Have graduated from a CODA-approved program of orthodontics approved by  
the board under R 338.11301 and submit a certification form from the program or  
hospital of completion of all requirements.  
(c) Provide the department with evidence of the successful passing of the American  
Board of Orthodontics (ABO) written exam. The passing score accepted for licensure is  
the passing score established by the ABO.  
History: 1984 AACS; 2011 AACS; 2017 AACS; 2021 AACS; 2023 MR 19, Eff. Oct. 2, 2023.  
R 338.11517 Prosthodontics explained; licensure requirements; examination  
content.  
Rule 1517. (1) The practice of prosthodontics includes the diagnosis, treatment  
planning, rehabilitation, and maintenance of the oral function, comfort, appearance, and  
health of patients with clinical conditions associated with missing or deficient teeth or  
oral and maxillofacial tissues, or both, using biocompatible substitutes.  
(2) The specialty of prosthodontics includes, but is not limited to, the restoration and  
maintenance of oral function, comfort, appearance, and health of the patient by the  
restoration of natural teeth and the replacement of missing teeth and contiguous oral and  
maxillofacial tissues with artificial substitutes.  
(3) A dentist who applies for licensure as a prosthodontist shall comply with all of  
the following requirements:  
(a) Hold a current license to practice dentistry in this state.  
Page 51  
(b) Have graduated from a CODA-approved program of prosthodontics approved  
by the board under R 338.11301 and submit a certification form from the program or  
hospital of completion of all requirements.  
(c) Provide verification of a passing score on the written portion of the American  
College of Prosthodontics (ACP).  
History: 1984 AACS; 1998-2000 AACS; 2011 AACS; 2014 AACS; 2021 AACS; 2023 MR 19, Eff.  
Oct. 2, 2023.  
R 338.11519 Periodontics explained; licensure requirements; examination  
content.  
Rule 1519. (1) The practice of periodontics includes the prevention, diagnosis, and  
treatment of disease of the supporting and surrounding tissues of the teeth or their  
substitutes and the maintenance of the health, function, and esthetics of these structures  
and tissues.  
(2) A dentist who desires licensure as a periodontist shall comply with both of the  
following requirements:  
(a) Hold a current license to practice dentistry in this state.  
(b) Have graduated from a CODA-approved program of periodontics approved by  
the board under R 338.1130 and submit a certification form from the program or hospital  
of completion of all requirements. The board accepts the examinations and evaluative  
processes required to successfully complete a CODA-accredited oral and maxillofacial  
residency program as meeting the requirements of section 16608 of the code, MCL  
333.16608.  
History: 1984 AACS; 2011 AACS; 2017 AACS;2021 AACS; 2023 MR 19, Eff. Oct. 2, 2023.  
R 338.11521 Pediatric dentistry explained; licensure requirements; examination  
content.  
Rule 1521. (1) The practice of pediatric dentistry is an age-defined specialty that  
provides both primary and comprehensive preventive and therapeutic oral health care for  
infants and children through adolescence, including those with special health care needs.  
(2) A dentist who desires licensure as a pediatric dentist shall comply with all of the  
following requirements:  
(a) Hold a current license to practice dentistry in this state.  
(b) Have graduated from a CODA-approved program of pediatric dentistry  
approved by the board under R 338.11301 and submit a certification form from the  
program or hospital of completion of all requirements.  
(c) Provide verification of a passing score on the American Board of Pediatric  
Dentistry (ABPD) qualifying examination that is conducted and scored by the ABPD.  
History: 1984 AACS; 2011 AACS; 2021 AACS; 2023 MR 19, Eff. Oct. 2, 2023.  
Page 52  
R 338.11523 Endodontics explained; licensure requirements; examination  
content.  
Rule 1523. (1) The practice of endodontics includes the morphology, physiology,  
and pathology of the human dental pulp and periradicular tissues. Its study encompasses  
related basic and clinical sciences, including the biology of the normal pulp and the  
etiology, diagnosis, prevention, and treatment of diseases and injuries of the pulp and  
associated periradicular conditions.  
(2) A dentist who applies for licensure as an endodontist shall comply with all of the  
following requirements:  
(a) Hold a current license to practice dentistry in this state.  
(b) Have graduated from a CODA-approved program of endodontics approved by  
the board under R 338.11301 and submit a certification form from the program or  
hospital of completion of all requirements.  
(c) Provide documentation to the department evidencing the successful passing of  
the American Board of Endodontists (ABE) written examination. The passing score  
accepted for licensure is the passing score established by the ABE.  
History: 1984 AACS; 2011 AACS; 2014 AACS; 2017 AACS; 2021 AACS; 2023 MR 19, Eff. Oct. 2,  
2023.  
R 338.11525 Specialists; holding self out to public.  
Rule 1525. (1) A dentist who is not licensed as a specialist by the board shall not  
announce or hold himself or herself out to the public as limiting his or her practice to, as  
being specially qualified in, or as giving special attention to, a branch of dentistry that is  
listed as a specialty in R 338.11501. A dentist is considered to be holding himself or  
herself out as a specialist in a branch of dentistry that is listed as a specialty in R  
338.11501 in either of the following situations:  
(a) When, in any way, he or she gives public emphasis to the practice of a specialty  
of dentistry listed in R 338.11501 without disclosing that he or she is a dentist who is not  
licensed in this state as a specialist under R 338.11501.  
(b) When he or she identifies himself or herself with a specialty of dentistry in R  
338.11501, whether or not he or she claims special attention to or a practice limited to the  
specialty, or if he or she employs the use of signs, professional cards, letterheads, other  
listings, or letters to the public or the profession that, in any way, implies special  
knowledge or ability in a specialty of dentistry in R 338.11501. This subdivision does  
not apply to specialists who are advertising in the specialty for which they are licensed in  
this state under R 338.11501.  
(2) A dentist who is licensed as a specialist in this state under R 338.11501 shall  
include his or her license number in all public advertisements for that specialty,  
including, but not limited to, telephone books, solicitations, print media, newspapers, and  
internet advertising.  
(3) Identification as an employer, employee, or partner, with an individual who is  
duly licensed as a specialist in this state under R 338.11501 constitutes announcement to  
the public of qualifications for specialization, unless the individual so associating  
himself or herself publicly states, by signs, cards, or announcements, that he or she is  
not licensed in this state as a specialist under R 338.11501 or is engaged in the practice of  
Page 53  
some other specialty of dentistry in which he or she is duly licensed in this state under R  
338.11501.  
History: 1984 AACS; 1994 AACS; 2011 AACS; 2021 AACS.  
R 338.11527 Dental license suspension or revocation; automatic suspension or  
revocation of specialty licensure; American board discipline.  
Rule 1527. (1) The suspension or revocation of the dental license of a dentist  
automatically causes the suspension or revocation of a specialty license issued to that  
dentist under the code and these rules.  
(2) A licensee who holds a dental specialty license shall notify the department of any  
action that results in a suspension or revocation of a certification by an American board  
of dentistry within 30 days after the date of the suspension or revocation.  
History: 1984 AACS; 2011 AACS; 2021 AACS; 2023 MR 19, Eff. Oct. 2, 2023.  
PART 6A. GENERAL ANESTHESIA AND SEDATION  
R 338.11601 General anesthesia, deep sedation; requirements.  
Rule 1601. (1) A general dentist who does not hold a specialty license in dental  
anesthesiology or oral and maxillofacial surgery, shall not administer general anesthesia  
or deep sedation to a dental patient in a dental office unless the dentist complies with the  
following requirements:  
(a) The dentist has demonstrated competency by meeting all the following  
requirements:  
(i) Completing a minimum of 1 year of advanced training in general anesthesia and  
pain control in a program that meets the standards adopted in R 338.11603(l). A program  
that is accredited by CODA as meeting the accreditation standards for advanced dental  
education programs in anesthesiology or oral and maxillofacial surgery meets the  
requirements of this subdivision.  
(ii) Completing a course in managing medical emergencies that includes all of the  
following:  
(A) Current monitoring guidelines for adults from the ADA or the American ASA,  
or the AAOMS for oral and maxillofacial surgeons, and for children from the ASA, or  
AAOMS for oral and maxillofacial surgeons, the AAP, and the AAPD.  
(B) Equipment and material used in an anesthesia or sedation emergency.  
(C) The personnel needed for anesthesia or sedation.  
(D) The drugs needed for resuscitation in an emergency.  
(iii) Maintaining certification in BLS and ACLS for healthcare providers with a  
hands-on component from an agency or organization that grants certification pursuant to  
standards substantially equivalent to the standards adopted in R 338.11603(2). A  
certification in BLS and ACLS for healthcare providers with a hands-on component from  
AHA or BLS for the healthcare provider and PALS with a hands-on component from  
AHA meets the requirements of this subdivision.  
Page 54  
(b) If general anesthesia or deep sedation is performed in a dental office, any allied  
dental personnel and dental therapists who are directly involved in the procedure shall  
complete a course in managing medical emergencies that includes all of the following:  
(i) Current monitoring guidelines for adults from the ADA or the ASA, or AAOMS  
for oral and maxillofacial surgeons, and for children from the ASA, the AAP, and the  
AAPD or AAOMS for oral and maxillofacial surgeons.  
(ii) Equipment and materials used in an anesthesia or sedation emergency.  
(iii) The personnel needed for anesthesia or sedation.  
(iv) The drugs needed for resuscitation in an emergency.  
(2) A general dentist who does not hold a specialty license in dental anesthesiology  
or oral and maxillofacial surgery, shall not collaboratively provide general anesthesia or  
deep sedation with a physician anesthesiologist, oral surgeon, or nurse anesthetist, under  
section 17210 of the code, MCL 333.17210, in a dental office, unless the dentist, and  
allied dental personnel and dental therapists who are directly involved in the procedure,  
maintain certification in BLS for healthcare providers with a hands-on component from  
an agency or organization that grants certification pursuant to standards substantially  
equivalent to the standards adopted in R 338.11603(2). A certification in BLS for  
healthcare providers with a hands-on component from AHA or BLS for the healthcare  
provider and PALS with a hands-on component from AHA meets the requirements of  
this subdivision.  
(3) At no time is a RDA or RDH allowed to adjust medication levels during a  
procedure, other than nitrous oxide and oxygen, as allowed in R 338.11411(4).  
History: 1990 AACS; 2011 AACS; 2017 AACS; 2021 AACS; 2023 MR 19, Eff. Oct. 2, 2023.  
R 338.11602 Moderate or minimal sedation; requirements.  
Rule 1602. (1) A general dentist who does not hold a specialty license in dental  
anesthesiology or oral and maxillofacial surgery, shall not administer moderate or  
minimal sedation to a dental patient in a dental office unless all of the following  
requirements are satisfied:  
(a) The dentist has demonstrated competency by meeting all of the following  
requirements:  
(i) Completing either of the following:  
(A) A comprehensive training program in moderate sedation that satisfies the  
requirements described in the moderate sedation section of the ADA Guidelines for  
Teaching Pain Control and Sedation to Dentists and Dental Students when the training  
was commenced, which must include 60 hours of classroom training and hands-on  
interaction in moderate sedation with 20 patients.  
(B) An advanced education program accredited by CODA that provides  
comprehensive training to administer moderate sedation.  
(ii) Maintaining certification in BLS and ACLS for healthcare providers with a  
hands-on component from an agency or organization that grants certification under  
standards substantially equivalent to the standards adopted in R 338.11603(2). A  
certification in BLS and ACLS for healthcare providers with a hands-on component from  
AHA or basic life support for the healthcare provider and PALS with a hands-on  
component from AHA meets the requirements of this paragraph.  
Page 55  
(iii) Completing a course in managing medical emergencies that includes all of the  
following:  
(A) Current monitoring guidelines for adults from the ADA or the ASA, or  
AAOMS for oral and maxillofacial surgeons, and for children from the ASA, the AAP,  
and the AAPD, or AAOMS for oral and maxillofacial surgeons.  
(B) Equipment used in an anesthesia or sedation emergency.  
(C) The personnel needed for anesthesia or sedation.  
(D) The drugs needed for resuscitation in an emergency.  
(b) If moderate sedation is performed in a dental office, any allied dental personnel  
and dental therapists that are directly involved in the procedure shall complete a course in  
managing medical emergencies that includes all of the following:  
(i) Current monitoring guidelines for adults from the ADA or the ASA, or AAOMS  
for oral and maxillofacial surgeons, and for children from the ASA, the AAP, and the  
AAPD, or AAOMS for oral and maxillofacial surgeons.  
(ii) Equipment and materials used in an anesthesia or sedation emergency.  
(iii) The personnel needed for anesthesia or sedation.  
(iv) The drugs needed for resuscitation in an emergency.  
(2) A general dentist who does not hold a specialty license in dental anesthesiology  
or oral and maxillofacial surgery, shall not collaboratively provide moderate or minimal  
sedation with a physician anesthesiologist, oral surgeon, or nurse anesthetist, under  
section 17210 of the code, MCL 333.17210, in a dental office, unless the dentist, and  
allied dental personnel and dental therapists who are directly involved in the procedure,  
maintain certification in BLS for healthcare providers with a hands-on component from  
an agency or organization that grants certification pursuant to standards substantially  
equivalent to the standards adopted in R 338.11603(2). A certification in BLS for  
healthcare providers with a hands-on component from AHA or BLS for the healthcare  
provider and PALS with a hands-on component from AHA meets the requirements of  
this subdivision.  
(3) At no time is a RDA or RDH allowed to adjust medication levels during a  
procedure, other than nitrous oxide and oxygen, as allowed in R 338.11411(2).  
History: 1990 AACS; 1997 AACS; 2011 AACS; 2017 AACS; 2021 AACS; 2023 MR 19, Eff. Oct. 2,  
2023.  
R 338.11603 Adoption of standards; effect of certification of programs.  
Rule 1603. (1) The board adopts by reference the CODA standards for  
anesthesiology educational programs in the publication titled “Accreditation Standards  
for Advanced Dental Education Programs in Anesthesiology,” copyright 2020, and the  
standards for advanced training in anesthesia and pain control and training in intravenous  
conscious sedation and related subjects set forth by the ADA’s publication titled  
"Guidelines for Teaching Pain Control and Sedation to Dentists and Dental Students,"  
October 2016 edition. The guidelines may be obtained at no cost from the American  
Dental Association, 211 E. Chicago Avenue, Chicago, Illinois, 60611, or at no cost on the  
association's website at http://www.ada.org. A copy of the standards is available for  
inspection and distribution, at 10 cents per page from the Michigan Board of Dentistry,  
Page 56  
Department of Licensing and Regulatory Affairs, Bureau of Professional Licensing, 611  
West Ottawa, P.O. Box 30670, Lansing, Michigan, 48909.  
(2) The board adopts by reference the standards for credentialing in BLS and ACLS  
for healthcare providers with a hands-on component set forth by the AHA in the  
standards and guidelines for cardiopulmonary resuscitation and emergency cardiac care  
for professional providers, published in "2020 American Heart Association Guidelines  
for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care.” A copy of the  
Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care may  
be obtained at an approximate cost of $25.00 from the American Heart Association, 7272  
Greenville Avenue, Dallas, Texas, 75231 or at no cost from the AHA’s website at  
https://cpr.heart.org/. A copy of this document is available for inspection and distribution,  
at the same cost as purchasing a copy from AHA, from the Michigan Board of Dentistry,  
Department of Licensing and Regulatory Affairs, Bureau of Professional Licensing, 611  
West Ottawa, P.O. Box 30670, Lansing, Michigan, 48909.  
History: 1990 AACS; 1997 AACS; 2006 AACS; 2011 AACS; 2014 AACS; 2017 AACS; 2021  
AACS; 2023 MR 19, Eff. Oct. 2, 2023.  
R 338.11604 Rescinded.  
History: 1990 AACS; 2011 AACS; 2021 AACS.  
R 338.11605 Rescinded.  
History: 2006 AACS; 2011 AACS; 2014 AACS; 2017 AACS; 2021 AACS; 2023 MR 19, Eff. Oct. 2,  
2023.  
PART 6B. TELEHEALTH  
R 338.11611 Definitions.  
Rule 1611. As used in this part:  
(a) “Telehealth” means the use of electronic information and telecommunication  
technologies to support or promote long-distance clinical healthcare, patient and  
professional health-related education, public health, or health administration. Telehealth  
may include, but is not limited to, telemedicine.  
(b) “Telehealth service” means a healthcare service that is provided through  
telehealth. The requirement in R 338.11401 to have an “in-person” contact with the  
dentist or dental therapist once every 24 months does not apply to telehealth services  
unless the dentist or dental therapist delegates or assigns duties, other than radiographic  
images, to allied dental personnel.  
(c) “Telemedicine” means the use of electronic media to link patients with  
healthcare professionals in different locations. To be considered telemedicine, the  
telemedicine services must be provided by a healthcare professional who is licensed,  
Page 57  
registered, or otherwise authorized to engage in the healthcare professional’s healthcare  
profession in the state where the patient is located.  
History: 2023 MR 19, Eff. Oct. 2, 2023.  
R 338.11613 Consent; scope of practice; standard of care.  
Rule 1613. (1) The licensee shall obtain informed consent for treatment before  
providing a telehealth service under section 16284 of the code, MCL 333.16284.  
Informed consent requires all of the following:  
(a) The licensee shall ensure that the patient understands the patient will be treated  
remotely using telehealth.  
(b) At the inception of care, any licensee who has contact with the patient shall  
identify themselves to the patient as a dentist, dental therapist, UDA, RDA, or RDH  
consistent with R 338.11103(a).  
(c) The licensee shall ensure that the patient is mentally capable of giving informed  
consent for diagnosis, care, or treatment.  
(d) The licensee shall explain the alternatives, capabilities, and limitations of  
telemedicine and that the patient may decline to receive telehealth services.  
(2) If the patient is less than 18 years of age, a parent or legal guardian must provide  
informed consent for the patient.  
(3) The licensee shall keep proof of consent for a telehealth service in the patient’s  
up-to-date medical record and satisfy section 16213 of the code, MCL 333.16213.  
(4) A licensee who provides telehealth services shall comply with all of the  
following:  
(a) Act within the scope of the licensee’s practice.  
(b) Exercise the same standard of care applicable to a traditional, in-person  
healthcare service.  
(c) Verify that telemedicine is appropriate to evaluate, diagnose, and treat the  
patient based on the patient’s unique presentation.  
(5) The licensee shall be able to examine the patient via a health insurance  
portability and accountability act (HIPAA) of 1996, Public Law 104-191 compliant,  
secure interactive audio or video, or both, telecommunications system, or through the use  
of store and forward online messaging.  
(6) Telehealth must be secure and compliant with federal and state security and  
privacy regulations.  
History: 2023 MR 19, Eff. Oct. 2, 2023.  
R 338.11615 Prescribing medications.  
R 1615. A licensee who is authorized to prescribe may prescribe a drug during a  
telehealth service if the licensee complies with all of the following:  
(a) Is licensed in this state and is a prescriber in this state.  
(b) Is acting within the licensee’s scope of practice in prescribing the drug.  
(c) Is acting in compliance with section 16285 of the code, MCL 333.16285.  
Page 58  
(d) If the licensee determines that it is medically necessary, the licensee shall refer  
the patient for other healthcare services or to another health professional that is  
geographically accessible to the patient.  
(e) After providing the telehealth service, the licensee or delegatee shall provide  
follow-up care services to the patient or refer the patient to another health professional for  
follow-up care.  
History: 2023 MR 19, Eff. Oct. 2, 2023.  
PART 7. CONTINUING EDUCATION  
R 338.11701 License renewal for a dentist, dental specialist, and special-retired  
volunteer dentist; requirements; applicability.  
Rule 1701. (1) This rule applies to an application for the renewal of a dentist license,  
dental specialist license, and special retired volunteer dentist license under sections 16201  
and 16184 of the code, MCL 333.16201 and 333.16184. A dental specialist license must  
be renewed at the same time as the dentistry license.  
(2) An applicant for a dentist license renewal who has been licensed for the 3-year  
period immediately preceding the expiration date of the license shall complete not less  
than 60 hours of continuing education approved by the board under R 338.11704a during  
the 3-year period before the end of the license cycle.  
(3) An applicant for a dental specialist license renewal who has been licensed for the  
3-year period immediately preceding the expiration date of the license shall complete 60  
hours of continuing education approved by the board under R 338.11704a, with not less  
than 20 of the required 60 hours in board-approved continuing education in the dental  
specialty field in which the applicant is licensed, within the 3-year period before the end  
of the license cycle.  
(4) In addition to meeting the requirements of section 16184 of the code, MCL  
333.16184, an applicant for a special retired volunteer dentist license renewal who has  
been licensed for the 3-year period immediately preceding the expiration date of the  
license shall complete not less than 60 hours of continuing education approved by the  
board under R 338.11704a during the 3-year period before the end of the license cycle.  
(5) An applicant shall possess current certification in BLS or ACLS for healthcare  
providers with a hands-on component from an agency or organization that grants  
certification pursuant to standards substantially equivalent to the standards adopted in R  
338.11705(4).  
(6) In complying with the requirements of subrules (2) to (4) of this rule, an  
applicant for a dentist license, dental specialist license, and special retired volunteer  
dentist license renewal who has been licensed for the 3-year period immediately  
preceding the expiration date of the license shall comply with all of the following before  
the end of the license cycle:  
(a) Complete not less than 3 hours of the required continuing education hours in  
pain and symptom management. Continuing education hours in pain and symptom  
management may include, but are not limited to, courses in behavior management,  
psychology of pain, pharmacology, behavior modification, stress management, clinical  
Page 59  
applications, and drug interactions. Hours earned through volunteer patient or supportive  
dental services provided for in R 338.11704a(1)(m) do not count toward the required  
hours for pain and symptom management.  
(b) Complete at least 1 hour of the required continuing education hours in dental  
ethics and jurisprudence with inclusion of delegation of duties to allied dental personnel,  
which may be completed in 1 or more courses. Hours earned through volunteer patient or  
supportive dental services provided for in R 338.11704a(1)(m) do not count toward the  
required hours for dental ethics and jurisprudence with inclusion of delegation of duties  
to allied dental personnel.  
(c) Complete a minimum of 20 hours of the required continuing education hours in  
programs directly related to clinical issues including delivery of care, materials used in  
delivery of care, and pharmacology. Hours earned through volunteer patient or supportive  
dental services provided for in R 338.11704a(1)(m) do not count toward the required  
hours for clinical issues.  
(d) Complete at least 1 hour of the required continuing education hours in infection  
control, which must include sterilization of hand pieces, personal protective equipment,  
and the CDC’s infection control guidelines. Hours earned through volunteer patient or  
supportive dental services provided for in R 338.11704a(1)(m) do not count toward the  
required hours for infection control.  
(e) Complete a minimum of 20 hours of the required continuing education hours by  
attending synchronous, live courses or programs, in-person or virtual, that provide for the  
opportunity of direct interaction between faculty and participants including, but not  
limited to, lectures, symposia, live teleconferences, workshops, and participation in  
volunteer patient or supportive dental services provided for in R 338.11704a(1)(m).  
These courses, with the exception of the volunteer services in R 338.11704a(1)(m), may  
be counted toward the required courses in clinical issues, including delivery of care,  
materials used in delivery of care, and pharmacology.  
(f) Complete no more than 30 hours of the required continuing education hours  
asynchronously, noninteractive.  
(7) Except for the 1-time training in human trafficking, which may be used to  
comply with the requirement for the 1-time training and a continuing education  
requirement, an applicant may not earn continuing education credit for implicit bias  
training required by R 338.7004, and may not earn credit for a continuing education  
program or activity that is identical to a program or activity an applicant has already  
earned credit for during that renewal period.  
(8) The submission of the application for renewal constitutes the applicant's  
certification of compliance with the requirements of this rule. The board may require an  
applicant or a licensee to submit evidence to demonstrate compliance with this rule. An  
applicant or licensee shall maintain evidence of complying with the requirements of this  
rule for a period of 5 years after the date of the submission for renewal. Failure to comply  
with this rule is a violation of section 16221(h) of the code, MCL 333.16221.  
(9) A request for a waiver under section 16205 of the code, MCL 333.16205, must  
be received by the department for the board’s consideration not less than 30 days before  
the last regularly scheduled board meeting before the expiration date of the license. The  
public  
notice  
for  
the  
board  
meetings  
can  
be  
found  
at:  
Page 60  
History: 1991 AACS; 2004 AACS; 2011 AACS; 2014 AACS; 2017 AACS; 2021 AACS; 2023 MR  
19, Eff. Oct. 2, 2023.  
R 338.11703 License renewal for a dental therapist and special-retired volunteer  
dental therapist; requirements; applicability.  
Rule 1703. (1) This rule applies to an application for the renewal of a dental  
therapist license and special-retired volunteer dental therapist license under sections  
16184, 16201, and 16653 of the code, MCL 333.16184, 333.16201, and 333.16653.  
(2) An applicant for a dental therapist license renewal who has been licensed for the  
2-year period immediately preceding the expiration date of the license shall complete not  
less than 35 hours of continuing education approved by the board under R 338.11704a  
during the 2-year period before renewal.  
(3) In addition to meeting the requirements of section 16184 of the code, MCL  
333.16184, an applicant for a special-retired volunteer dental therapist license renewal  
who has been licensed for the 2-year period immediately preceding the expiration date of  
the license shall complete not less than 35 hours of continuing education approved by the  
board under R 338.11704a during the 2-year period before renewal.  
(4) An applicant shall possess current certification in BLS or ACLS for healthcare  
providers with a hands-on component from an agency or organization that grants  
certification pursuant to standards substantially equivalent to the standards adopted in R  
338.11705(4).  
(5) In complying with the requirements of subrules (2) and (3) of this rule, an  
applicant for a dental therapist license or special-retired volunteer dental therapist license  
renewal who has been licensed for the 2-year period immediately preceding the  
expiration date of the license shall comply with all of the following before the end of the  
license cycle:  
(a) Complete not less than 2 hours of the required continuing education hours in  
pain and symptom management. Continuing education hours in pain and symptom  
management may include, but are not limited to, courses in behavior management,  
psychology of pain, pharmacology, behavior modification, stress management, clinical  
applications, and drug interactions. Hours earned through volunteer patient or supportive  
dental services provided for in R 338.11704a(1)(m) do not count toward the required  
hours for pain and symptom management.  
(b) Complete at least 1 hour of the required continuing education hours in dental  
ethics and jurisprudence that includes the delegation of duties to allied dental personnel,  
which may be completed in 1 or more courses. Hours earned through volunteer patient or  
supportive dental services provided for in R 338.11704a(1)(m) do not count toward the  
required hours for dental ethics and jurisprudence.  
(c) Complete at least 1 hour of the required continuing education hours in infection  
control, which must include sterilization of hand pieces, personal protective equipment,  
and the CDC’s infection control guidelines. Hours earned through volunteer patient or  
supportive dental services provided for in R 338.11704a(1)(m) do not count toward the  
required hours for infection control.  
(d) Complete a minimum of 12 hours of the required continuing education hours in  
programs directly related to clinical issues including delivery of care, materials used in  
Page 61  
delivery of care, and pharmacology. Hours earned through volunteer patient or supportive  
dental services provided for in R 338.11704a(1)(m) do not count toward the required  
hours for clinical issues.  
(e) Complete a minimum of 12 hours of the required continuing education hours by  
attending synchronous live courses or programs, in-person or virtual, that provide for the  
opportunity of direct interaction between faculty and participants including, but not  
limited to, lectures, symposia, live teleconferences, workshops, and participation in  
volunteer patient or supportive dental services provided for in R 338.11704a(1)(m).  
These courses, with the exception of the volunteer services in R 338.11704a(1)(m), may  
be counted toward the required courses in clinical issues including delivery of care,  
materials used in delivery of care, and pharmacology.  
(f) Complete no more than 18 hours of the required continuing education hours  
asynchronously, noninteractive.  
(6) Except for the 1-time training in human trafficking and 1-time training in opioid  
and controlled substances awareness, which may be used to comply with the requirement  
for the 1-time training and a continuing education requirement, an applicant may not earn  
continuing education credit for implicit bias training required by R 338.7004, and may  
not earn credit for a continuing education program or activity that is identical to a  
program or activity the applicant has already earned credit for during that renewal period.  
(7) The submission of the application for renewal constitutes the applicant's  
certification of compliance with the requirements of this rule. The board may require an  
applicant or a licensee to submit evidence to demonstrate compliance with this rule. An  
applicant or licensee shall maintain evidence of complying with the requirements of this  
rule for a period of 5 years after the date of the submission for renewal. Failure to comply  
with this rule is a violation of section 16221(h) of the code, MCL 333.16221.  
(8) A request for a waiver under section 16205 of the code, MCL 333.16205, must  
be received by the department for the board’s consideration not less than 30 days before  
the last regularly scheduled board meeting before the expiration date of the license. The  
public  
notice  
for  
the  
board  
meetings  
can  
be  
found  
at:  
History: 1991 AACS; 2004 AACS; 2011 AACS; 2014 AACS; 2021 AACS; 2023 MR 19, Eff. Oct. 2,  
2023.  
R 338.11704 License renewal for a RDH, RDH special volunteer, RDA, and  
RDA special volunteer; requirements; applicability.  
Rule 1704. (1) This rule applies to an application for the renewal of a RDH license  
and a RDA license under section 16201 of the code, MCL 333.16201, and a RDH  
special-retired volunteer license and a RDA special-retired volunteer license under  
section 16184 of the code, MCL 333.16184.  
(2) An applicant for a RDH license renewal or a RDA license renewal who has been  
licensed for the 3-year period immediately preceding the expiration date of the license,  
shall complete not less than 36 hours of continuing education approved by the board  
under R 338.11704a during the 3 years before the end of the license cycle.  
(3) An applicant holding both a RDH license and a RDA license shall complete not  
less than 36 hours of continuing education acceptable to the board under R 338.11704a  
Page 62  
during the 3 years before the end of the license cycle. The 36 hours must include not less  
than 12 hours devoted to RDH functions and not less than 12 hours devoted to RDA  
functions.  
(4) In addition to meeting the requirements of section 16184 of the code, MCL  
333.16184, an applicant for a special-retired volunteer RDA license renewal or a special-  
retired volunteer RDH license renewal who has been licensed for the 3-year period  
immediately preceding the expiration date of the license shall complete not less than 36  
hours of continuing education approved by the board under R 338.11704a during the 3-  
year period before the end of the license cycle.  
(5) An applicant shall possess current certification in BLS or ACLS for healthcare  
providers with a hands-on component from an agency or organization that grants  
certification pursuant to standards substantially equivalent to the standards adopted in R  
338.11705(4).  
(6) A request for a waiver under section 16205 of the code, MCL 333.16205, must  
be received by the department for the board’s consideration not less than 30 days before  
the last regularly scheduled board meeting before the expiration date of the license. The  
public  
notice  
for  
the  
board  
meetings  
can  
be  
found  
at:  
(7) In complying with the requirements of subrules (2) to (4) of this rule, an  
applicant for a RDA license, RDH license, special-retired volunteer RDA license, or  
special-retired volunteer RDH license renewal who has been licensed for the 3-year  
period immediately preceding the expiration date of the license shall also comply with all  
of the following before the end of the license cycle:  
(a) Complete a minimum of 12 hours of the required continuing education hours in  
programs directly related to clinical issues including delivery of care, materials used in  
the delivery of care, and pharmacology. Hours earned through volunteer patient or  
supportive dental services provided for in R 338.11704a(1)(m) do not count toward the  
required hours for clinical issues.  
(b) Complete a minimum of 12 hours of the required continuing education hours by  
attending synchronous, live courses or programs, in-person or virtual, that provide the  
opportunity for direct interaction between faculty and participants including, but not  
limited to, lectures, symposia, live teleconferences, workshops, and providing volunteer  
patient or supportive dental services in R 338.11704a(1)(m). These courses, with the  
exception of the volunteer services in R 338.11704a(1)(m), may be counted toward the  
required courses in clinical issues including delivery of care, materials used in delivery of  
care, and pharmacology.  
(c) Complete not less than 2 hours of the required continuing education hours in  
pain and symptom management. Continuing education credits in pain and symptom  
management may include, but are not limited to, courses in behavior management,  
psychology of pain, pharmacology, behavior modification, stress management, clinical  
applications, and drug interactions. Hours earned through volunteer patient or supportive  
dental services provided for in R 338.11704a(1)(m) do not count toward the required  
hours for pain and symptom management.  
(d) Earn no more than 18 of the 36 hours of the required continuing education hours  
asynchronously, noninteractive.  
Page 63  
(e) Complete at least 1 hour of the required continuing education hours in dental  
ethics and jurisprudence with inclusion of delegation of duties to allied dental personnel,  
which may be completed in 1 or more courses. Hours earned through volunteer patient or  
supportive dental services provided for in R 338.11704a(1)(m) do not count toward the  
required hours for ethics and jurisprudence with inclusion of delegation of duties to allied  
dental personnel.  
(f) Complete at least 1 hour of the required continuing education hours in infection  
control, which must include sterilization of hand pieces, personal protective equipment,  
and the CDC’s infection control guidelines. Hours earned through volunteer patient or  
supportive dental services provided for in R 338.11704a(1)(m) do not count toward the  
required hours for infection control.  
(8) Except for the 1-time training in human trafficking which may be used to comply  
with the requirement for the 1-time training and a continuing education requirement, an  
applicant may not earn continuing education credit for implicit bias training required by  
R 338.7004 and may not earn credit for a continuing education program or activity that is  
identical to a program or activity the applicant has already earned credit for during that  
renewal period.  
(9) The submission of the application for renewal constitutes the applicant's  
certification of compliance required by this rule. The board may require an applicant or  
licensee to submit evidence to demonstrate compliance with this rule. The applicant or  
licensee shall maintain evidence of complying with the requirements of this rule for a  
period of 5 years after the date of the submission for renewal. Failure to comply with this  
rule is a violation of section 16221(h) of the code, MCL 333.16221.  
History: 2004 AACS; 2011 AACS; 2014 AACS; 2017 AACS; 2021 AACS; 2023 MR 19, Eff. Oct. 2,  
2023.  
R 338.11704a Acceptable continuing education for licensees, limitations.  
Rule 1704a. (1) The board shall consider any of the following as acceptable  
continuing education for dentists, dental therapists, dental specialists, special-retired  
volunteer dentists, special-retired volunteer dental therapists, RDH, special-retired  
volunteer RDHs, RDAs, and special-retired volunteer RDAs, unless otherwise noted:  
Acceptable Continuing Education activities  
(a)  
Completion of an approved continuing  
The number of hours earned  
education program or activity related to the are the number of hours approved  
practice of dentistry. A course or program must by the sponsor or the approving  
substantially meet the standards and criteria for organization.  
an acceptable category of continuing education  
under this rule and must be relevant to  
If the activity was not  
healthcare and advancement of the licensee’s approved for a set number of  
dental education.  
hours, then 1 credit hour for each  
50 minutes of participation may be  
A continuing education program or activity earned.  
is approved, regardless of the format in which it  
is offered, if it is approved or offered for  
No limitation on the number of  
Page 64  
continuing education credit by any of the hours earned.  
following:  
A dental, dental therapy, dental hygiene,  
dental assistant, or a hospital-based dental  
specialty educational program approved by  
CODA.  
A
continuing  
education  
sponsoring  
organization, institution, or individual approved  
by AGD.  
The Commission on Continuing Education  
Provider Recognition ADA CERP.  
A continuing education program or activity  
is approved, regardless of the format in which it  
is offered, if it is offered for continuing  
education credit by any of the following:  
American Academy of Dental Hygiene  
(AADH).  
American Dental Hygienists’ Association  
(ADHA).  
American Dental Assistants Association  
(ADAA).  
Michigan Dental Association (MDA).  
Michigan Dental Hygienists Association  
(MDHA).  
Michigan Dental Assistants Association  
(MDAA).  
Another state board of dentistry.  
If audited, an applicant shall submit a copy  
of a letter or certificate of completion showing  
the applicant’s name, number of hours earned,  
sponsor name or the name of the organization  
that approved the program or activity for  
continuing education credit, and the date the  
program was held or activity completed.  
(b)  
Completion of courses offered for credit in a  
Ten hours may be earned for  
dental, dental therapy, dental hygiene, dental each quarter credit earned and 15  
assistant, or a hospital-based dental specialty hours may be earned for each  
educational program approved by CODA.  
semester credit earned.  
If audited, an applicant shall submit an  
No limitation on the number of  
official transcript that reflects completion of the hours earned.  
course and number of semester or quarter credit  
hours earned.  
Page 65  
(c)  
Attendance at a program or activity related  
One hour may be earned for  
to topics approved in R 338.2443(2) and R each 50 minutes of program  
338.143(2) for category 1 continuing education attendance.  
by the board of medicine or board of  
osteopathic medicine.  
A maximum of 30 hours for a  
dentist, and 18 hours for a dental  
If audited, an applicant shall submit a copy therapist, RDH, and RDA may be  
of a letter or certificate of completion showing earned in each renewal period.  
the applicant’s name, number of hours earned,  
sponsor name or the name of the organization  
that approved the program or activity for  
continuing education credit, and the date the  
program was held or activity completed.  
(d)  
For dentists, satisfactory participation for a  
Twenty hours may be earned  
minimum of 7 months in a hospital or in each calendar year for 7 months  
institution through a postgraduate dental clinical of participation in the calendar  
training program approved by CODA.  
year.  
If audited, an applicant shall submit a copy  
A maximum of 20 hours per  
of a letter or certificate of completion showing calendar year may be earned.  
the applicant’s name, number of hours attended,  
the name of the hospital or institution, the name  
of the clinical training program, the date of  
participation, and the activities completed.  
(e)  
For dentists, successful completion of an  
American-board specialty examination.  
Ten hours may be earned in  
the year in which the applicant  
achieves a passing score on a  
If audited, an applicant shall submit proof of specialty examination.  
a passing score on the examination.  
A maximum of 20 hours may  
be earned in each renewal period.  
Credit is not given for repeating  
the same examination in a renewal  
period.  
(f)  
Renewal of a dentist, dental therapist, RDH,  
For a dentist, 60 hours may be  
or RDA license held in another state that earned. For a dental therapist, 35  
requires continuing education for license hours may be earned. For a RDH  
renewal that is substantially equivalent in or RDA, 36 hours may be earned.  
subject matter and total amount of required  
hours required in these rules if the applicant  
resides and practices in another state.  
A maximum of 60 hours for a  
dentist, 35 hours for a dental  
therapist, and 36 hours for a RDH  
If audited, an applicant shall submit proof of or RDA may be earned in each  
current licensure in another state and a copy of renewal period.  
a letter or certificate of completion showing the  
applicant’s name, number of hours earned,  
Page 66  
sponsor name or the name of the organization  
that approved the program or activity for  
continuing education credit, type of program or  
activity, and the date the program was held or  
activity completed.  
(g)  
(h)  
For a RDA, meeting the requirements for  
recertification in R 338.11705(3).  
Thirty-six hours may be  
earned.  
If audited, an applicant shall submit proof of  
A maximum of 36 hours may  
current certification, other than emeritus be earned in each renewal period.  
certification, by the Dental Assisting National  
Board (DANB).  
Initial publication of an article or text  
Twenty-five hours may be  
related to the practice of dentistry, dental earned per publication.  
therapy, dental hygiene, or dental assisting in  
either of the following:  
A maximum of 25 hours may  
be earned in each renewal period.  
A textbook.  
A journal of a national association of  
dentists, dental therapists, dental specialists,  
dental hygienists, or dental assistants.  
If audited, an applicant shall submit a copy  
of the publication that identifies the applicant as  
the author or a publication acceptance letter.  
Initial publication of an article related to the  
(i)  
Twelve hours may be earned  
practice of dentistry, dental therapy, dental per publication.  
hygiene, or dental assisting in either of the  
following:  
A maximum of 12 hours may  
A journal of an accredited dentistry, dental be earned in each renewal period.  
therapy, dental hygiene, or dental assisting  
school.  
A state or state-component association of  
dentists, dental therapists, dental specialists,  
dental hygienists, or dental assistants.  
If audited, an applicant shall submit a copy  
of the publication that identifies the applicant as  
the author or a publication acceptance letter.  
Independent reading of articles or viewing  
(j)  
One hour for each 50 minutes  
or listening to media, other than online of participation may be earned per  
programs, related to dental, dental therapy, activity.  
dental hygiene, or dental assisting education.  
A maximum of 10 hours may  
If audited, an applicant shall submit an be earned in each renewal period.  
affidavit attesting to the number of hours the  
applicant spent participating in these activities  
Page 67  
that includes a description of the activity.  
Development and presentation of a table  
(k)  
One hour for each 50 minutes  
clinical demonstration or a continuing education devoted to the development and  
lecture offered in conjunction with the initial presentation.  
presentation of continuing education programs  
approved by the board pursuant to subrule (3)  
A maximum of 10 hours may  
of this rule that is not a part of the licensee’s be earned in each renewal period.  
regular job description.  
If audited, an applicant shall submit a copy  
of the curriculum and a letter from the program  
sponsor verifying the length and date of the  
presentation.  
(l)  
Attendance at a dental-related program that  
is approved by the board pursuant to subrule (3) year.  
of this rule and that is relevant to healthcare and  
advancement of the licensee's dental education.  
Ten hours may be credited per  
A maximum of 10 hours may  
be earned in each renewal period.  
If audited, an applicant shall submit a copy  
of a letter or certificate of completion showing  
the applicant’s name, number of hours earned,  
sponsor name or the name of the organization  
that approved the program or activity for  
continuing education credit, and the date the  
program was held or activity completed.  
(m)  
Providing volunteer patient or supportive  
One hour for each 120 minutes  
dental services in this state at a board-approved of providing patient or supportive  
program pursuant to subrule (4) of this rule that dental services.  
is not a part of the licensee’s regular job  
description or required under a board order or  
agreement and that complies with the  
following:  
A dentist or special-retired  
volunteer dentist may earn a  
The program is a public or nonprofit entity, maximum of 20 hours per renewal  
program, or event, or a school or nursing home. period.  
The program provides patient or supportive  
dental services to the indigent or dentally  
underserved populations.  
A
dental therapist, RDH,  
RDA, special-retired volunteer  
The licensee does not receive direct or dental therapist, special-retired  
indirect remuneration of any kind including, but volunteer RDH, and special-  
not limited to, remuneration for materials retired volunteer RDA may earn a  
purchased or used.  
maximum of 12 hours per renewal  
The licensee shall sign in and sign out daily period.  
upon commencement and termination of the  
provision of services.  
Page 68  
A dentist with a specialty license issued  
from this state shall limit volunteer clinical  
dental services to the specialty area in which the  
dentist is licensed.  
If audited, an applicant shall submit proof  
from the sponsor of the assignments and the  
hours of service provided.  
(n)  
Providing patient or supportive dental  
One hour for each 120 minutes  
services in this state to indigent or dentally of providing patient or supportive  
underserved populations that is part of the dental services.  
licensee’s regular job description but is not  
required under a board order or agreement.  
A dentist or special-retired  
volunteer dentist may earn a  
If audited, an applicant shall submit proof maximum of 20 hours per renewal  
from an employer of the assignments and the period.  
hours worked.  
A
dental therapist, RDH,  
RDA, special-retired volunteer  
dental therapist, special-retired  
volunteer RDH, and special-  
retired volunteer RDA may earn a  
maximum of 12 hours per renewal  
period.  
(2) If an organized continuing education course or program is offered in segments of  
50 to 60 minutes each, 1 hour of credit is given for each segment.  
(3) The following requirements are established for continuing education, which  
includes, but is not limited to, any continuing education not otherwise approved by  
subrule (1) of this rule:  
(a) The continuing education applicant shall submit a completed application, on  
forms provided by the department, which includes submission of a curriculum vitae or  
biography for all instructors and speakers.  
(b) A completed application form must be submitted to the department not less than  
70 days before the date the course or program is conducted and not less than 70 days  
before the next regularly scheduled board meeting for the proposed continuing education  
to be considered for approval by the board. Continuing education conducted before board  
consideration and approval will be denied approval.  
(c) A course or program must substantially meet the standards and criteria for an  
acceptable category of continuing education under this rule and must be relevant to  
healthcare and advancement of the licensee’s dental education.  
(d) Board approval is for a term of 3 years from the date of approval.  
(e) Approved continuing education must be reevaluated by the board before any  
changes during the 3-year approval term including, but not limited to, changes in the  
following:  
(i) Instructors and speakers.  
Page 69  
(ii) Content, title, or number of continuing education hours to be awarded to  
participants.  
(f) Subject to subdivision (g) of this subrule, all changes to previously approved  
continuing education courses or programs must be submitted on required department  
forms not less than 70 days before the date the continuing education course or program is  
offered to participants and not less than 70 days before the next regularly scheduled board  
meeting to be considered for approval by the board. Any changes to the submitted and  
previously approved courses or programs conducted before board reconsideration and  
approval will be denied approval.  
(g) Emergency changes to instructors and speakers that are unable to be submitted  
to the board not less than 70 days before the date of the continuing education may be  
reviewed by the department in consultation with the board chair when proof acceptable to  
the department is submitted with the change supporting the nature of the emergency.  
(h) Other than the beginning term of approval, specific dates of the continuing  
education course or program and the number of times the course or program are offered  
do not require further board approval and may be changed without review by the board if  
the presentation dates are within the board’s original 3-year term of approval.  
(i) All of the following information must be recorded on a continuing education  
course or program certificate of completion or other proof prepared by the sponsor  
conducting the continuing education:  
(i) The name of the applicant, sponsor, or both.  
(ii) Continuing education approval number issued by the board.  
(iii) Course title.  
(iv) Date the approved continuing education course was conducted.  
(v) Number of continuing education hours awarded.  
(vi) Signature of the individual responsible for attendance.  
(vii) Dates of the current approval term.  
(viii) Name of participant.  
(j) The board may revoke the approval status of any approved continuing education  
course or program any time the course or program fails to comply with these rules.  
(k) The continuing education applicant shall submit a “Patient Protection” form  
provided by the department to the department for each continuing education course or  
program involving treatment of live patients.  
(4) The following requirements are established for board approval of a sponsor  
offering volunteer continuing education opportunities under subrule (1)(m) of this rule:  
(a) A sponsor shall apply to the department to obtain approval as a sponsoring  
entity on the volunteer dental application form.  
(b) A sponsor shall retain patient records.  
(c) A sponsor shall retain documentation of all volunteer assignments and the hours  
of service provided.  
(d) Upon request, a sponsor shall provide the board with the records, copy of the  
assignments, hours of service, and evidence of compliance with the requirements of  
subrule (1)(m) of this rule.  
(e) A sponsor shall provide each licensee with verification of all volunteer hours of  
dental care provided by the licensee upon completion of the licensee’s service.  
Page 70  
(f) Upon request, a sponsor shall submit documentation to the department,  
evidencing compliance with the requirements of subrules (1)(m) and (5) of this rule.  
(g) Board approval is for a term of 4 years from the date of approval.  
(h) The board may revoke the approval status of any volunteer continuing education  
opportunity any time an approved continuing education program fails to comply with  
these rules.  
(i) All of the following information must be recorded on a continuing education  
certificate of completion or other proof prepared by the sponsor conducting the volunteer  
continuing education course or program:  
(i) The name of the sponsoring organization.  
(ii) Continuing education approval number issued by the board.  
(iii) Dates and times of volunteer services.  
(iv) Number of continuing education hours earned.  
(v) Signature of individual responsible for attendance.  
(vi) Dates of the current approval term.  
(vii) Name of participant.  
(5) A continuing education sponsor shall maintain evidence of participation in  
continuing education, including signed continuing education certificates of completion  
issued to participants, for a period of 5 years from the date of the continuing education  
program or course.  
History: 2004 AACS; 2006 AACS; 2011 AACS; 2014 AACS; 2021 AACS; 2023 MR 19, Eff. Oct. 2,  
2023.  
R 338.11704b Rescinded.  
History: 2011 AACS; 2017 AACS; 2021 AACS.  
R 338.11704c Rescinded.  
History: 2011 AACS; 2017 AACS; 2021 AACS.  
R 338.11705 Standards and requirements; adoption by reference.  
Rule 1705. (1) The board adopts by reference the standards and criteria of the  
AGD’s Program Approval for Continuing Education (PACE) which are set forth in the  
publication titled "PACE Academy of General Dentistry Program Approval for  
Continuing Education Program Guidelines, revised August 2021.” Information on the  
PACE standards and criteria is available at no cost from the Academy of General  
Dentistry, 560 W. Lake St., Sixth Floor, Chicago, Illinois, 60661-6600 or at no cost from  
the academy's internet website at www.agd.org . A copy of the guidebook is available for  
inspection and distribution at 10 cents per page from the Michigan Board of Dentistry,  
Michigan Department of Licensing and Regulatory Affairs, Bureau of Professional  
Licensing, 611 West Ottawa, P.O. Box 30670, Lansing, Michigan, 48909.  
Page 71  
(2) The board adopts by reference the standards and criteria of the ADA CERP for  
approval of continuing education sponsoring organizations, which are set forth in the  
publication titled "ADA CERP Recognition Standards and Procedures January 2022.” A  
copy of this publication may be obtained at no cost from the association at ADA CERP,  
211 East Chicago Avenue, Chicago, Illinois, 60611-2678 or at no cost from the  
association's internet website at www.ada.org . A copy of the publication is available for  
inspection and distribution at 10 cents per page from the Michigan Board of Dentistry,  
Department of Licensing and Regulatory Affairs, Bureau of Professional Licensing, 611  
West Ottawa, P.O. Box 30670, Lansing, Michigan, 48909.  
(3) The board adopts by reference the requirements for recertification established by  
DANB as set forth in the publication titled "Dental Assisting National Board, Inc.  
Recertification Requirements 2022." A copy of the publication may be obtained at no  
cost from the Dental Assisting National Board, Inc., 444 North Michigan Avenue, Suite  
900, Chicago, Illinois, 60611 or at no cost from the national board's internet website at  
www.danb.org . A copy of the guidelines and requirements are available for inspection  
and distribution at 10 cents per page from the Michigan Board of Dentistry, Department  
of Licensing and Regulatory Affairs, Bureau of Professional Licensing, 611 West  
Ottawa, P.O. Box 30670, Lansing, Michigan, 48909.  
(4) The board adopts by reference the standards for certification in BLS and ACLS  
for healthcare providers with a hands-on component set forth by the AHA in the  
standards and guidelines for cardiopulmonary resuscitation and emergency cardiac care  
for professional providers, published in "2020 American Heart Association Guidelines  
for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care.” A copy of the  
guidelines for cardiopulmonary resuscitation and emergency cardiovascular care may be  
obtained at a cost of approximately $25.00 from the AHA’s website at  
www.cpr.heart.org. A copy of this document is available for inspection and distribution,  
at the same cost as purchasing a copy from the AHA, from the Michigan Board of  
Dentistry, Department of Licensing and Regulatory Affairs, Bureau of Professional  
Licensing, 611 West Ottawa, P.O. Box 30670, Lansing, Michigan, 48909.  
History: 1991 AACS; 2004 AACS; 2006 AACS; 2011 AACS; 2014 AACS; 2017 AACS; 2011  
AACS; 2017 AACS; 2021 AACS; 2023 MR 19, Eff. Oct. 2, 2023.  
PART 8. DENTAL AMALGAM  
R 338.11801 Definitions.  
Rule 1801. (1) As used in this part:  
(a) “Amalgam separator” means a device designed to remove dental amalgam  
waste particles from dental office wastewater.  
(b) “Dental amalgam” means a mixture of mercury and other metals used as a  
dental restorative material.  
(c) “Dental amalgam waste” means waste from a dental office containing any of  
the following:  
(i) Contact amalgam waste, which means dental amalgam that has been in contact  
with the patient including, but not limited to, extracted teeth with dental amalgam  
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restorations; carving scrap collected at chair-side; and dental amalgam captured by chair-  
side traps, vacuum pump filters, amalgam separators, or other dental amalgam capture  
devices.  
(ii) Non-contact amalgam scrap, which means dental amalgam that has not been  
in contact with the patient including, but not limited to, excess dental amalgam mix  
remaining at the end of a dental procedure.  
(iii) Empty amalgam capsules, which means individually dosed containers left over  
after mixing precapsulated dental amalgam.  
(iv) Dental amalgam that may have accumulated in the plumbing system or that is  
found in other areas of a dental office.  
(d) “Dentist,” means an individual licensed under article 15 of the code, MCL  
333.16101 to 333.18838, and these rules, to engage in the practice of dentistry, who uses  
or removes dental amalgam or who owns or operates a dental office that generates dental  
amalgam waste.  
(e) “Discharge” means the release of any dental amalgam waste into the  
environment. This includes any releases to land, ground or surface waters, septic systems,  
or wastewater treatment systems.  
(f) “Holding tank” means a closed, watertight, sealed structure designed and used  
to receive and store wastewater. Holding tanks are designed and constructed for ultimate  
disposal of collected wastewater at another site.  
(g) “Recycle” or “recycling” means sending mercury or dental amalgam waste to  
either the contracted separator company or a facility in the United States that reclaims or  
distills the mercury for reuse. “Recycle” or “recycling” does not include any of the  
following:  
(i) The on-site processing of mercury or dental amalgam waste.  
(ii) The sale, donation, or exchange of mercury or dental amalgam waste through  
internet lists.  
(iii) The sale or donation of mercury or dental amalgam waste to any individual or  
company for any other reuse purpose.  
(2) Unless otherwise defined in these rules, the terms defined in the code have the  
same meanings when used in this part.  
History: 2012 AACS; 2021 AACS.  
R 338.11811 Amalgam separator; installation and operation; requirements.  
Rule 1811. (1) A dentist shall have installed an amalgam separator on each  
wastewater drain in the dentist’s dental office that is used to discharge dental amalgam  
waste. In addition to meeting the requirements of the code and these rules, a dentist who  
is required to install an amalgam separator, under section 16631 of the code, MCL  
333.16631, shall comply with all of the following:  
(a) Install an amalgam separator that meets the requirements of R 338.11813.  
(b) Install, operate, and maintain the amalgam separator according to the  
manufacturer’s instructions.  
(c) Ensure the installed amalgam separator is properly sized to accommodate  
maximum dental amalgam wastewater flow rates at the dental office. The maximum  
allowable flow rate through an amalgam separator at a dental office must not exceed the  
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maximum flow rate capacity at which the amalgam separator was tested under R  
338.11813(1)(a).  
(d) Ensure that all wastewater from the dental office containing dental amalgam  
waste passes through an installed and properly functioning and maintained amalgam  
separator before being discharged.  
(2) Subrule (1) of this rule does not apply to any of the following:  
(a) Oral and maxillofacial surgeons.  
(b) Oral and maxillofacial radiologists.  
(c) Oral and maxillofacial pathologists.  
(d) Orthodontists.  
(e) Periodontists.  
(f) Dentists while providing services in a dental educational program, in a hospital,  
or through a local health department.  
(g) Dentists who install and use a holding tank and do not discharge amalgam  
waste.  
History: 2012 AACS; 2021 AACS; 2023 MR 19, Eff. Oct. 2, 2023.  
R 338.11813 Amalgam separator; requirements.  
Rule 1813. (1) An amalgam separator that is installed in a dental office under R  
338.11811 must meet all of the following requirements:  
(a) Be certified as passing the International Organization for Standardization (ISO)  
11143 standard, 2008, for evaluating amalgam separators.  
(b) Have a removal efficiency of not less than 95% as determined by the testing  
required under subdivision (a) of this subrule, based on the overall average of the 3 empty  
and the 3 simulated full test results.  
(c) Be tested and certified by 1 of the following:  
(i) SP Technical Research Institute of Sweden.  
(ii) TUV Nord, Germany.  
(iii) NSF international.  
(iv) Both of the following:  
(A) A testing laboratory accredited by an accreditation body that is a signatory to  
the International Laboratory Accreditation Cooperation’s mutual recognition arrangement  
and has a scope of accreditation that includes ISO 11143 standard, 2008.  
(B) A certification body accredited by an accreditation body that is a signatory to  
the International Accreditation Forum’s multilateral recognition arrangement and has a  
scope of accreditation that includes ISO 11143 standard, 2008.  
(2) Any amalgam separator that meets the requirements of subrule (1) of this rule  
qualifies as an amalgam separator approved by the board.  
History: 2012 AACS; 2021 AACS; 2023 MR 19, Eff. Oct. 2, 2023.  
R 338.11815 Collection, disposal, and recycling of dental amalgam waste;  
requirements.  
Rule 1815. (1) A dentist shall comply with all of the following:  
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(a) Use amalgam only in a precapsulated form.  
(b) Salvage, store, and recycle non-contact and contact dental amalgam materials,  
including empty amalgam capsules.  
(c) Collect and recycle extracted teeth or portions of teeth that contain dental  
amalgam materials.  
(d) Store all dental amalgam waste in enclosed and structurally sound containers  
until a sufficient amount has been collected for shipment to a reclamation facility or  
recycler or at a minimum, recycle annually.  
(e) Label all containers holding dental amalgam waste. The label must include at a  
minimum, the title “dental amalgam waste for recycling” and the date the waste was  
initially placed in the container.  
(f) Use chair-side traps to retain amalgam and recycle the content.  
(g) Recycle all amalgam materials collected in amalgam separators, vacuum pump  
filters, chair-side traps, or other wastewater processing devices.  
(h) Ensure that the separators operate properly and do not become full and bypass.  
This may include inspecting the separators annually, halfway through the operating life,  
or as required by the manufacturer.  
(i) Follow the steps for the cleanup of mercury spills as recommended by the  
Michigan department of health and human services at www.michigan.gov/mercury.  
(2) A dentist shall not do any of the following:  
(a) Store bulk elemental mercury that is not in capsule form.  
(b) Put dental amalgam waste down a toilet or drain.  
(c) Put dental amalgam waste or empty amalgam capsules into trash containers, or  
biohazard or infectious waste bags.  
(d) Disinfect teeth or any item containing dental amalgam by autoclaving or using  
heat.  
(e) Use cleaners containing bleach or chlorine to flush drains or wastewater lines.  
(3) A dentist shall train and have written procedures for training dental office staff  
who manage or dispose of dental amalgam waste to ensure compliance with this rule.  
(4) This rule does not apply to a dentist listed in R 338.11811(2)(a) to (f). A dentist  
who installs and uses a holding tank and does not discharge amalgam waste shall comply  
with the requirements of subrules (1), (2), and (3) of this rule, as applicable.  
History: 2012 AACS; 2021 AACS.  
R 338.11817 Record keeping.  
Rule 1817. (1) A dentist who is subject to the provisions of R 338.11811 shall  
maintain records at his or her dental office that include all of the following:  
(a) Type of amalgam separator installed, including the manufacturer and model.  
(b) Date the amalgam separator became operational.  
(c) Documentation verifying that the amalgam separator meets the requirements of  
R 338.11813.  
(d) Documentation of the manufacturer’s instructions for the operation and  
maintenance of the amalgam separator.  
(e) Service records for each amalgam separator in use at the dental office that  
includes all of the following:  
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(i) Dates of maintenance.  
(ii) Dates separator contents were recycled.  
(iii) Name of the staff or contractor performing the service.  
(f) Documentation verifying that the dentist disposed of and recycled any dental  
amalgam waste that was generated from the individual’s dental office consistent with the  
requirements of R 338.11815. The documentation must include all of the following:  
(i) Name and address of the collection service or recycler.  
(ii) Amount by weight of dental amalgam waste that was collected and the date it  
was collected or shipped from the dental office for recycling.  
(iii) Name and address of the facility where the dental amalgam waste is recycled.  
(iv) Shipping or manifest papers documenting transfer of the dental amalgam  
waste to the recycler.  
(2) Upon request by an authorized state official, local public health department staff,  
or local municipality’s representative, a dentist subject to this rule shall provide the  
records required under subrule (1) of this rule.  
(3) A dentist subject to this rule shall retain the records required under subrule (1) of  
this rule for a minimum of 3 years.  
History: 2012 AACS; 2021 AACS.  
R 338.11819 Verification.  
Rule 1819. With each license renewal, a dentist who is subject to the provisions of R  
338.11811 shall verify on a form provided by the department that he or she is in  
compliance with these rules and provide the amalgam separator make and year that each  
separator was installed.  
History: 2012 AACS; 2021 AACS.  
R 338.11821 Compliance and enforcement.  
Rule 1821. Failure to comply with the requirements of these rules, or the  
Department of Environment, Great Lakes, and Energy’s amalgam reporting requirements  
is a violation of section 16221(h) of the code, MCL 333.16221, and may result in  
sanctions as provided for in the code, or under state or federal law. The amalgam  
reporting  
requirements  
can  
be  
found  
at:  
History: 2012 AACS; 2021 AACS; 2023 MR 19, Eff. Oct. 2, 2023.  
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