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, 11626, 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) “Allied dental personnel” means the supporting team who receives appropriate  
delegation from a dentist or dental therapist to participate in dental treatment.  
(b) “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.  
(c) “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 (CODA) of the American Dental Association (ADA) that meets the  
requirements in section 16611 of the code, MCL 333.16611.  
(d) “Assistant” means a nonlicensed person who may perform basic supportive  
procedures under the supervision of a dentist as provided in these rules.  
(e) “Board” means the Michigan board of dentistry.  
(f) “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.  
(g) “Code” means the public health code, 1978 PA 368, MCL 333.1101 to  
333.25211.  
(h) “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.  
(i) “Dentist” means, except as otherwise provided in R 338.11801, a person  
licensed by the board under the code and these rules to engage in the practice of dentistry.  
(j) “Department” means the department of licensing and regulatory affairs.  
Page 1  
(k) “Enteral” means any technique of administration in which the agent is absorbed  
through the gastrointestinal or oral mucosa.  
(l) “General anesthesia” means the elimination of all sensations accompanied by a  
state of unconsciousness and loss of reflexes necessary to maintain a patent airway.  
(m) “Licensed” means the possession of a full license to practice, unless otherwise  
stated by the code or these rules.  
(n) “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.  
(o) “Office” means the building or suite in which dental treatment is performed.  
(p) “Parenteral” means a technique of administration in which the drug bypasses  
the gastrointestinal (gi) tract, including intramuscular (im), intravenous (iv), intranasal  
(in), submucosal (sm), subcutaneous (sc), and intraocular (io).  
(q) “Registered dental assistant” (RDA) means a person licensed as a registered  
dental assistant by the board under the code and these rules. A dental hygienist may  
perform the functions of a registered dental assistant if he or she is licensed by the board  
as a registered dental assistant.  
(r) “Registered dental hygienist” (RDH) means a person licensed as such a  
registered dental hygienist by the board under the code and these rules.  
(s) “Second pair of hands” means acts, tasks, functions, and procedures performed  
by a dental assistant, registered dental assistant, or registered dental hygienist at the  
direction of a dentist, dental therapist, or registered dental hygienist who is in the process  
of rendering dental services and treatment to a patient. The acts, tasks, functions, and  
procedures performed by a dental assistant, registered dental assistant, or registered  
dental hygienist are ancillary to the procedures performed by the dentist, dental therapist,  
or registered dental hygienist and intended to provide help and assistance at the time the  
procedures are performed. This definition does not expand the duties of the dental  
assistant, registered dental assistant, or registered dental hygienist as provided by the  
code and rules promulgated by the board.  
(t) “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.  
(2) Unless otherwise defined in these rules, the terms defined in the code have the  
same meaning when used in these rules.  
treatment is performed upon a patient.  
History: 1984 AACS; 1989 AACS; 2006 AACS; 2011 AACS; 2014 AACS; 2021 MR 8, Eff. Apr. 26,  
2021.  
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, dental assistant, registered dental assistant, and  
registered dental hygienist shall identify himself or herself to the patient as a dentist,  
dental therapist, dental assistant, registered dental assistant, or registered dental hygienist.  
(b) The patient shall be provided with a written consent for treatment.  
History: 1984 AACS; 2021 MR 8, Eff. Apr. 26, 2021.  
Page 2  
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.  
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 on 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 health care status and the results of any diagnostic  
aids used.  
(c) Diagnosis and treatment plan.  
(d) Dental procedures performed upon the patient, including both of the following:  
(i) The date the procedure was performed.  
(ii) Identity of the dentist, dental therapist, or allied dental personnel performing  
each procedure.  
Page 3  
(e) Progress notes that include a chronology of the patient’s progress throughout  
the course of all treatment.  
(f) The date, dosage, and amount of any drug prescribed, dispensed, or  
administered to the patient.  
(g) Radiographic images taken in the course of treatment. If radiographic 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 from  
the date of the last treatment.  
History: 1989 AACS; 2014 AACS; 2021 MR 8, Eff. Apr. 26, 2021.  
R 338.11121 Scheduled controlled substances; inventory record requirements.  
Rule 1121. (1) When 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 it the drug was dispensed or administered.  
(2) The inventory record must be available for inspection for not less than 10 years.  
(3) The dentist shall keep an inventory record in addition to the dental treatment  
records required by R 338.11120.  
History: 1989 AACS; 2021 MR 8, Eff. Apr. 26, 2021.  
R 338.11123 Rescinded.  
History: 2017 AACS; 2021 MR 8, Eff. Apr. 26, 2021.  
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 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 shall meet all of the following requirements:  
(a) Graduate from a dental educational program that complies with the standards in  
R 338.11301, in which he or she has obtained a doctor of dental surgery (DDS) degree or  
doctor of dental medicine (DMD) degree.  
Page 4  
(b) Pass all parts of the national board examination that is conducted and scored by  
the Joint Commission on National Dental Examinations (JCNDE), to qualify for the  
licensing examination in subdivision (c) or (d) of this rule.  
(c) Subject to subdivision (d) of this rule, pass a dental simulated clinical written  
examination that is conducted the Commission on Dental Competency Assessments  
(CDCA), previously known as North East Regional Board (NERB), or a successor  
organization, and 1 of the following:  
(i) Pass all parts of a clinical examination that is conducted and scored by the  
CDCA or a successor organization, or pass all parts of a clinical examination that is  
conducted by a regional testing agency if the examination is substantially equivalent, as  
provided in R 338.11255(5) and (6), to the dental simulated clinical written examination  
conducted by the CDCA, or a successor organization.  
(ii) Pass all parts of a clinical examination developed and scored by a state or other  
entity that is substantially equivalent, as provided in R 338.11255(5) and (6), to the  
clinical examination of the CDCA or a successor organization.  
(d) Pass all parts, written and clinical, of the American Board of Dental Examiners,  
Inc (ADEX) clinical examination that is conducted by the CDCA, a successor  
organization, or by another regional testing agency. Beginning 1 year after the effective  
date of this subdivision, an applicant shall meet the requirements of this subdivision  
instead of the requirements under subdivision (c) of this rule.  
(e) Beginning January 6, 2022, complete a 1-time training identifying victims of  
human trafficking as required in R 338.11271 and section 16148 of the code, MCL  
333.16148.  
(f) Complete a 1-time training in opioids and other controlled substances awareness  
as required in R 338.3135.  
History: 1984 AACS; 1989 AACS; 1997 AACS; 2006 AACS; 2021 MR 8, Eff. Apr. 26, 2021.  
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 and meet all of the following requirements:  
(a) Comply with section 16174 of the code, MCL 333.16174.  
(b) Submit to the department a final, official transcript establishing graduation from  
a program in which he or she 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) Meet 1 of the following requirements:  
(i) Graduate from a program in dentistry that complies with the standards in R  
338.11301, in which he or she 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 he or she 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.  
Page 5  
(d) Pass all parts of the national board examination that is conducted and scored by  
the JCNDE.  
(e) Subject to subdivision (f) of this subrule, pass the dental clinical written  
examination and a clinical examination, as described in R 338.11201(c).  
(f) Pass all parts, written and clinical, of the ADEX clinical examination that is  
conducted by the CDCA, a successor organization, or by another regional testing agency.  
Beginning 1 year after the effective date of this subdivision, an applicant shall meet the  
requirements of this subdivision instead of the requirements under subdivision (e).  
(g) Beginning January 6, 2022, complete a 1-time training identifying victims of  
human trafficking as required in R 338.11271 and section 16148 of the code, MCL  
333.16148.  
(h) Complete a 1-time training in opioids and other controlled substances awareness  
as required in R 338.3135.  
History: 1989 AACS; 1997 AACS; 2006 AACS; 2017 AACS; 2021 MR 8, Eff. Apr. 26, 2021.  
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 clinical examination. A  
passing score on the clinical examination is the score recommended by the CDCA or its  
successor organization. An applicant shall provide evidence to the department of a  
converted score of 75 or higher on each component of the examination.  
History: 1984 AACS; 1997 AACS; 2006 AACS; 2021 MR 8, Eff. Apr. 26, 2021.  
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 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 shall meet all of the following requirements:  
(a) Graduate from a dental therapy educational program that meets the standards in  
R 338.11302.  
Page 6  
(b) Pass the comprehensive, competency-based clinical examination developed and  
scored by the CDCA with a passing converted score of not less than 75 on each  
component of the examination.  
(c) Complete at least 500 hours of clinical practice as required under R 338.11218.  
(d) Beginning January 6, 2022, complete a 1-time training identifying victims of  
human trafficking as required in R 338.11271 and section 16148 of the code, MCL  
333.16148.  
(e) Complete a 1-time training in opioids and other controlled substances awareness  
as required in R 338.3135.  
History: 2021 MR 8, Eff. Apr. 26, 2021.  
R 338.11211 Rescinded.  
History: 1984 AACS; 1997 AACS.  
R 338.11213 Dental therapy examinations; required passing scores.  
Rule 1213. The board approves and adopts the comprehensive, competency-based  
dental therapy clinical examination developed and scored by the CDCA. An applicant  
shall provide evidence to the department of passing each component of the examination  
with a converted score of not less than 75.  
History: 2021 MR 8, Eff. Apr. 26, 2021.  
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 at least 500 clinical practice hours  
within the educational program, including practice hours in extractions and restorations  
as determined by the educational program.  
Page 7  
(c) A dental therapy student shall be under the direct supervision of a dentist who is  
currently licensed in this state and is in good standing.  
(d) A dentist under disciplinary review or action shall not provide direct  
supervision of a dental therapy student in a clinical practice. If a dentist is notified by the  
department that he or she is under disciplinary review or action by any state, within 7  
days of notification, he or she shall notify the dental therapist program and discontinue  
directly supervising the dental therapy student in his or her clinical practice.  
(2) As used in this rule, “direct supervision” means that the supervising dentist  
complies with all of the following:  
(a) Designates a patient of record upon whom the procedures are to be performed  
by the dental therapy student.  
(b) Describes the procedures to be performed to the dental therapy student.  
(c) Examines the patient before prescribing the procedures to be performed by the  
dental therapy student.  
(d) Examines the patient upon completion of the procedures that were performed  
by the dental therapy student.  
(e) Is physically present in the office at the time the procedures are being  
performed by the dental therapy student.  
History: 2021 MR 8, Eff. Apr. 26, 2021.  
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 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 shall 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 dental hygiene national board examination that is conducted  
and scored by the JCNDE to qualify for the licensing examination provided for in  
subdivision (c) or (d) of this rule. The requirement does not apply to an applicant who  
graduated from a dental hygiene program before 1962.  
(c) Subject to subdivision (d) of this rule, pass a dental hygiene simulated clinical  
written examination conducted by the CDCA or a successor organization, and 1 of the  
following:  
(i) Pass all parts of a clinical examination that is conducted and scored by the  
CDCA or a successor organization or pass all parts of a clinical examination that is  
conducted by a regional testing agency if the examination is substantially equivalent, as  
provided in R 338.11255(5) and (6), to the dental hygiene simulated clinical written  
examination conducted by CDCA or a successor organization.  
Page 8  
(ii) Pass all parts of a clinical examination developed and scored by a state or other  
entity that is substantially equivalent as provided in R 338.11255(5) and (6), to the  
clinical examination of the CDCA or a successor organization.  
(d) Pass all parts written and clinical, of the ADEX clinical examination that is  
conducted and scored by the CDCA, a successor organization, or by another regional  
testing agency. Beginning 1 year after the effective date of this subdivision, an applicant  
shall meet the requirements of this subdivision instead of the requirements under  
subdivision (c) of this rule.  
(e) Beginning January 6, 2022, complete a 1-time training identifying victims of  
human trafficking as required in R 338.11271 and section 16148 of the code, MCL  
333.16148.  
History: 1984 AACS; 1997 AACS; 2006 AACS; 2021 MR 8, Eff. Apr. 26, 2021.  
R 338.11222 Rescinded.  
History: 1989 AACS; 1997 AACS; 2006 AACS; 2021 MR 8, Eff. Apr. 26, 2021.  
R 338.11223 Registered dental hygienist 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 clinical examination. A  
passing score on the clinical examination is the score recommended by the CDCA 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.  
History: 1984 AACS; 1997 AACS; 2006 AACS.  
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) Pursuant to section 16264 of the code, MCL 333.16264, the  
registered dental hygienist who has received a bona fide degree or certificate of dental  
Page 9  
hygiene from a duly recognized and accredited program of dental hygiene and who has  
completed all requirements for licensure may use the letters "R.D.H." after his or her  
name in connection with the practice of dental hygiene.  
(2) Pursuant to section 16264 of the code, MCL 333.16264, a registered dental  
assistant who has received a bona fide degree or certificate of dental assisting from a duly  
recognized and accredited program of dental assisting and who has completed all  
requirements for licensure may use the letters "R.D.A." after his or her name in  
connection with the practice of dental assisting.  
History: 1984 AACS; 2021 MR 8, Eff. Apr. 26, 2021.  
R 338.11235  
requirements.  
Licensure to practice as a registered dental assistant;  
Rule 1235. In addition to meeting the requirements of section 16174 of the code,  
MCL 333.16174, an applicant for registered dental assistant licensure by examination  
shall submit a completed application, on a form provided by the department, together  
with the requisite fee and shall meet both 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 January 6, 2022, complete a 1-time training identifying victims of  
human trafficking as required in R 338.11271 and section 16148 of the code, MCL  
333.16148.  
History: 1984 AACS; 2021 MR 8, Eff. Apr. 26, 2021.  
R 338.11239 Registered dental assistant 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 registered dental assistant 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.  
Page 10  
(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.  
(3) The passing score for an examination is a converted score of 75 on each section.  
History: 1984 AACS; 1989 AACS; 2011 AACS; 2021 MR 8, Eff. Apr. 26, 2021.  
R 338.11241 Rescinded.  
History: 1984 AACS; 2021 MR 8, Eff. Apr. 26, 2021.  
R 338.11245 Rescinded.  
History: 1984 AACS; 2021 MR 8, Eff. Apr. 26, 2021.  
R 338.11247 Limited licenses; issuance; requirements.  
Rule 1247. (1) The board may issue a 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 CODA accredited postgraduate dental education. An  
Page 11  
educational limited license is renewable only 7 times. A 1-time extension may be granted  
by the board. All of the following apply to an educational limited license:  
(a) An applicant for an educational limited license shall comply with all of the  
following:  
(i) Submit the required fee and a completed application on a form provided by the  
department.  
(ii) Meet the requirements of section 16174 of the code, MCL 333.16174.  
(iii) 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, an applicant shall submit an original,  
official translation.  
(iv) Submit documentation verifying that he or she has been accepted into a  
CODA accredited postgraduate dental education program.  
(b) An educational limited license holder shall not hold himself or herself 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 his or her postgraduate dental  
education program.  
(c) An educational limited licensed dentist, dental therapist, or dental hygienist  
may perform dental procedures upon patients as directed by his or her postgraduate  
dental education program if the procedures are performed under the general supervision,  
as defined in R 338.11401(d), of a fully licensed dentist.  
(d) An educational limited licensed dental assistant may perform dental procedures  
upon patients as directed by his or her postgraduate dental education program if he or she  
complies with all of the following:  
(i) The procedures are performed under the direct supervision, as 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. All of the following apply to a nonclinical limited  
license:  
(a) An applicant for a nonclinical limited license shall comply with all of the  
following:  
(i) Submit the required fee and a completed application on a form provided by the  
department.  
(ii) Meet the requirements of section 16174 of the code, MCL 333.16174.  
(iii) 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 12  
(iv) Submit documentation verifying that the applicant has been placed in a  
nonclinical academic, research, or administrative setting.  
(b) A nonclinical license holder shall not hold himself or herself 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 his or her 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 his or her employment or other contractual  
relationship with that academic institution. All of the following apply to a clinical limited  
license:  
(a) An applicant for a clinical limited license shall comply with all of the  
following:  
(i) Submit the required fee and a completed application on a form provided by the  
department.  
(ii) Meet the requirements of section 16174 of the code, MCL 333.16174.  
(iii) 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.  
(iv) Submit documentation verifying that the applicant has been offered and  
accepted employment in an academic institution.  
(b) A clinical limited license holder shall not hold himself or herself 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 his or her employment or other  
contractual relationship with an academic institution, or provide dental services outside  
his or her employment or other contractual relationship with an academic institution.  
(c) A clinical academic limited licensed dentist, dental therapist, or dental hygienist  
may perform dental procedures upon patients in connection with his or her employment  
or contractual relationship with an academic institution if the procedures are performed  
under the general supervision, as defined in R 338.11401(d), of a fully licensed dentist.  
(d) A clinical academic limited licensed dental assistant may perform dental  
procedures upon patients in connection with his or her employment or contractual  
relationship with an academic institution if he or she complies with all of the following:  
(i) The procedures are performed under the direct supervision, as 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.  
Page 13  
History: 1984 AACS; 2006 AACS; 2011 AACS; 2014 AACS; 2021 MR 8, Eff. Apr. 26, 2021.  
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 MR 8, Eff. Apr. 26, 2021.  
R 338.11255 Licensure by endorsement of dentist; requirements.  
Rule 1255. (1) An applicant who has never held a dental 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 in another state as a dentist is presumed to have met  
the requirements of section 16186 of the code, MCL 333.16186, if he or she meets all of  
the following requirements in subdivisions (a) to (e), subject to subdivisions (f) and (g):  
(a) Has graduated from a dental educational program that meets the standards in R  
338.11301 and provides the department with the original, official transcripts of  
professional education and documentation of graduation.  
(b) Has passed all phases of the national board examination for dentists, in  
sequence.  
(c) Verifies his or her license, on a form supplied by the department, by the  
licensing agency of any state in which the applicant holds a current license or ever held a  
license as a dentist, including the record of any disciplinary action taken or pending  
against the applicant.  
(d) Has held a license as a dentist in good standing in another state for 30 days  
before filing an application in this state.  
(e) Submits proof of successful completion of 1 of the regional examinations  
described in subrule (4) of this rule. This requirement is waived for individuals who were  
licensed initially in another state before 2002 and who were not required to complete a  
regional examination as part of the initial licensing process as confirmed by the state in  
which the initial license was awarded.  
(f) If an applicant was licensed as a dentist in another state that required the  
successful completion of a regional examination and the applicant has been practicing for  
a minimum of 5 years in the United States immediately preceding the application for  
licensure in this state, it is presumed that the applicant meets the requirements of  
subdivisions (a), (b), and (d) of this subrule.  
Page 14  
(g) If an applicant is licensed as a dentist in another state that does not require the  
successful completion of a regional examination and the applicant has been practicing for  
a minimum of 5 years in the United States immediately preceding the application for  
licensure in this state, it is presumed that the applicant meets the requirements of  
subdivisions (a) and (b) of this subrule.  
(3) The board may deny an application for licensure by endorsement upon finding  
the existence of a board action in any other 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.  
(4) For purposes of this rule, subject to subrules (5) and (6) of this rule, the board  
approves and adopts the clinical examinations of other regional testing agencies or state  
boards if the examinations are substantially equivalent to all parts, written and clinical, of  
the ADEX clinical examination that is conducted and scored by the CDCA, a successor  
organization, or another regional testing agency. A passing score on the clinical  
examination is the score recommended by the sponsoring organization. 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 subrule (4) of this rule, an  
applicant may be required to submit materials, including 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: 1989 AACS; 2006 AACS; 2011 AACS; 2021 MR 8, Eff. Apr. 26, 2021.  
R 338.11257 Licensure by endorsement of dentist 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 he or she  
meets all of the following requirements:  
(a) Has graduated from a dental therapy educational program that meets the  
standards in R 338.11302 and provides the department with the original, official  
Page 15  
transcripts of professional education and documentation of graduation for board  
evaluation.  
(b) Has passed the comprehensive, competency-based clinical examination  
developed and scored by the CDCA with a converted passing score of not less than 75 on  
each component of the examination.  
(c) Verifies completion of at least 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) Verifies his or her license, on a form supplied by the department, by the  
licensing agency of any state in which the applicant holds a current license or ever held a  
license as a dental therapist, including the record of any disciplinary action taken or  
pending against the applicant.  
(e) Has held a license as a dental therapist in good standing in another state 30 days  
before filing an application in this state.  
(3) The board may deny an application for licensure by endorsement upon finding  
the existence of a board action in any other 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.  
(4) For purposes of this rule, subject to subrules (5) and (6) of this rule, the board  
may approve a dental therapist clinical examination of another state board if the  
examination is substantially equivalent to all parts of the comprehensive, competency-  
based clinical examination developed and scored by the CDCA or a successor  
organization. A passing score on a substantially equivalent examination is the score  
recommended by the sponsoring organization. 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 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 MR 8, Eff. Apr. 26, 2021.  
R 338.11259 Licensure by endorsement of dental hygienists; requirements.  
Page 16  
Rule 1259. (1) An applicant who has never held a registered dental hygienist 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 he or she  
meets all of the following requirements in subdivisions (a) to (e), subject to subdivisions  
(f) and (g):  
(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 national board examination for dental hygienists.  
This requirement is waived for persons who graduated from an accredited school before  
1962.  
(c) Verifies his or her license, on a form supplied by the department, by the  
licensing agency of any state of the United States in which the applicant holds a current  
license or ever held a dental hygienist license including the record of any disciplinary  
action taken or pending against the applicant.  
(d) Submits proof of successful completion of a written and clinical examination  
that is substantially equivalent to the examinations required in R 338.11223. This  
requirement is waived for individuals who were licensed initially in another state of the  
United States before 2002 and who were not required to complete a regional examination  
as part of the initial licensing process as confirmed by the state of the United States in  
which the initial license was awarded.  
(e) Has held a license as a dental hygienist in good standing in another state 30  
days before filing an application in this state.  
(f) If an applicant was licensed as a dental hygienist in another state that requires  
the successful completion of a regional examination and the applicant has been practicing  
in the United States for a minimum of 3 years immediately preceding the application for  
licensure in this state, it is presumed that the applicant meets the requirements of  
subdivisions (a), (b), and (d) of this subrule.  
(g) If an applicant is licensed as a dental hygienist in another state that does not  
require the successful completion of a regional examination and the applicant has been  
practicing in the United States for a minimum of 3 years immediately preceding the  
application for licensure in this state, it is presumed that the applicant meets the  
requirement of subdivisions (a) and (b) of this subrule.  
(3) The board may deny an application for licensure by endorsement upon finding  
the existence of a board action in any other state of the United States 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.  
(4) For purposes of this rule, subject to subrules (5) and (6) of this rule, the board  
approves and adopts the clinical examinations of other regional testing agencies or state  
boards if the examinations are considered to be substantially equivalent to all parts,  
written and clinical, of the ADEX clinical examination that is conducted and scored by  
Page 17  
the CDCA, a successor organization, or another regional testing agency. A passing score  
on the clinical examination is the score recommended by the sponsoring organization. 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 subrule (4) of this rule, an  
applicant may be required to submit materials, including 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: 1989 AACS; 2006 AACS; 2011 AACS; 2021 MR 8, Eff. Apr. 26, 2021.  
R 338.11261 Licensure by endorsement of registered dental assistants;  
requirements.  
Rule 1261. (1) An applicant who has never held a registered dental assistant 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 he or she meets  
all of the following requirements:  
(a) Has 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) Verifies his or her license, on a form supplied by the department, by the  
licensing agency of any state in which the applicant holds a current license or ever held a  
license including the record of any disciplinary action taken or pending against the  
applicant.  
(d) Has held a license as a dental assistant in good standing in another state 30 days  
before filing an application in this state.  
Page 18  
(3) A dental assistant who does not fulfill the requirements of subrule (2) of this rule  
is not eligible for licensure by endorsement in this state and shall comply with the  
provisions of R 338.11235.  
(4) The board may deny an application for licensure by endorsement upon finding  
the existence of a board action in any other state of the United States 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 MR 8, Eff. Apr. 26, 2021.  
R 338.11263 Relicensure requirements; dentists.  
Rule 1263. An applicant whose dentist license in this state has lapsed, under the  
provisions of 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 his or her license in this  
state lapse:  
Lapsed  
Lapsed more Lapsed  
0-3 years than 3 years, 5 or more  
but less than years  
5 years  
(a) Submits a completed application, on a form  
provided by the department, together with the  
requisite fee.  
(b) Establishes that he or she is of good moral  
character as defined under sections 1 to 7 of 1974 PA √  
381, MCL 338.41 to 338.47.  
(c) Submits fingerprints as required under section  
16174(3) of the code, MCL 333.16174.  
(d) Submits proof of current certification in basic or  
advanced cardiac life support for health care  
providers with a hands-on component from an  
agency or organization that grants certification  
pursuant to standards equivalent to those established  
by the American Heart Association (AHA), earned  
within the 2-year period before receiving the license.  
(e) Submits 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 from the date of the application  
to complete the deficient hours. The department shall  
Page 19  
hold the application and shall 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) At least 3 hours in pain and symptom  
management.  
(ii) One hour in dental ethics and jurisprudence with  
inclusion of delegation of duties to allied dental  
personnel.  
(iii) One hour in infection control, which must  
include sterilization of hand pieces, personal  
protective equipment, and the Centers for Disease  
Control and Prevention’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) Completed a 1-time training in opioids and other  
controlled substances awareness as required in R  
338.3135.  
(h) A dentist who is subject to part 8 of these rules, R  
338.11801 to R 338.11821, shall verify with his or  
her application for relicensure, that he or she  
complies with part 8 of these rules, R 338.11801 to R  
338.11821, and specify the make of the amalgam  
separator in his or her office and the year that each  
separator was installed.  
(i) An applicant’s license must be verified by the  
licensing agency of all other states of the United  
States in which he or she ever held a license as a  
dentist. Verification must include the record of any  
disciplinary action taken or pending against the  
applicant.  
(j) If an applicant’s license is lapsed for more than 3  
years but less than 5 years, he or she shall meet either  
of the following:  
(i) Within the 2-year period immediately preceding  
the application for relicensure, retakes and passes the  
ADEX simulated clinical written examination for  
dentists developed and scored by the CDCA or  
another testing agency with a passing score of not  
less than 75.  
(ii) Provides the department documentation that he or  
she holds or held a valid and unrestricted dentist’s  
license in another state in the United States within 3  
years immediately preceding the application for  
Page 20  
relicensure.  
(k) If an applicant’s license is lapsed 5 or more years,  
he or she shall provide the department with  
documentation that proves he or she holds or held a  
valid and unrestricted dentist license in another state  
in the United States within 3 years immediately  
preceding the application for relicensure and meets  
all of the requirements in subrules (a) to (i) of this  
rule or complies with all of the following:  
(i) Meets the requirements of section 16174 of the  
code, MCL 333.16174, and the administrative rules.  
(ii) Provides proof of graduation from a dental  
educational program that meets the standards in R  
338.11301 in which he or she obtained a DDS or  
DMD degree.  
(iii) Provides proof of having passed all parts of the  
national board examination conducted and scored by  
the JCNDE to qualify for the dental simulated  
clinical written examination.  
(iv) Provides proof of having passed the ADEX  
dental simulated clinical written examination  
conducted and scored by the CDCA or another  
regional agency within the 2-year period  
immediately preceding the application for  
relicensure.  
(v) Provides proof of having passed the ADEX  
dental clinical examination conducted and scored by  
the CDCA or another regional testing agency.  
History: 2021 MR 8, Eff. Apr. 26, 2021.  
R 338.11265 Relicensure requirements; dental therapists.  
Rule 1265. An applicant whose dental therapist license in this state has lapsed, under  
the provisions of section 16201(3) or (4) of the code, MCL 333.16201, as applicable, may  
be relicensed by complying with the following requirements:  
For a dental therapist who has let his or her license in Lapsed 0-3 Lapsed more Lapsed  
this state lapse:  
years  
than 3 years, 5 or more  
but less than 5 years  
years  
(a) Submits a completed application, on a form  
provided by the department, together with the requisite√  
fee.  
Page 21  
(b) Establishes that he or she is of good moral  
character as defined under sections 1 to 7 of 1974 PA √  
381, MCL 338.41 to 338.47.  
(c) Submits fingerprints as required under section  
16174(3) of the code, MCL 333.16174.  
(d) Submits proof of current certification in basic or  
advanced cardiac life support for health care 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) Submits proof of having completed 35 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 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 from  
the date of the application to complete the deficient  
hours. The department shall hold the application and  
shall 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) At least 2 hours in pain and symptom management.  
(ii) One hour in dental ethics and jurisprudence.  
(iii) One hour in infection control, which must include  
sterilization of hand pieces, personal protective  
equipment, and the Centers for Disease Control and  
Prevention’s infection control guidelines.  
(f) Submits proof of having completed a 1-time  
training in identifying victims of human trafficking  
that meets the standards in R 338.11271.  
(g) Submits proof of having completed a 1-time  
training in opioids and other controlled substances  
awareness as required in R 338.3135.  
Page 22  
(h) An applicant’s license must be verified by the  
licensing agency of all other states of the United States  
in which he or she ever held a license as a dental  
therapist. Verification must include the record of any  
disciplinary action taken or pending against the  
applicant.  
(i) If an applicant’s license is lapsed for more than 3  
years but less than 5 years, he or she shall meet either  
of the following:  
(i) Within the 2-year period immediately preceding the  
application for relicensure, retakes and passes a  
comprehensive, competency-based clinical  
examination approved by the department with a  
converted passing score of not less than 75.  
(ii) Provides the department documentation that he or  
she holds or held a valid and unrestricted dental  
therapist’s license in another state in the United States  
within 3 years immediately preceding the application  
for relicensure.  
(j) If an applicant’s license is lapsed for 5 years or  
more, he or she shall provide the department with  
documentation that proves he or she holds or held a  
valid and unrestricted dental therapist license in  
another state in the United States within 3 years  
immediately preceding the application for relicensure  
and meets all of the requirements in subrules (a) to (h)  
of this rule or complies with all of the following:  
(i) Meets the requirements of section 16174 of the  
code, MCL 333.16174, and the administrative rules.  
(ii) Provides proof of graduation from a dental therapy  
program that meets the standards in R 338.11302.  
(iii) Provides proof of having passed a  
comprehensive, competency-based dental therapy  
clinical examination as required in R 338.11213,  
within the 2-year period immediately preceding the  
application for relicensure.  
History: 2021 MR 8, Eff. Apr. 26, 2021.  
R 338.11267 Relicensure requirements; registered dental hygienists.  
Page 23  
Rule 1267. An applicant whose registered dental hygienist license in this state has  
lapsed, under the provisions of section 16201(3) or (4) of the code, MCL 333.16201, as  
applicable, may be relicensed by complying with the following requirements:  
For a registered dental hygienist who has let his or  
her license in this state lapse:  
Lapsed  
Lapsed more Lapsed  
0-3 years than 3 years, 5 or more  
but less than years  
5 years  
(a) Submits a completed application, on a form  
provided by the department, together with the  
requisite fee.  
(b) Establishes that he or she is of good moral  
character as defined under sections 1 to 7 of 1974 PA √  
381, MCL 338.41 to 338.47.  
(c) Submits fingerprints as required under section  
16174(3) of the code, MCL 333.16174.  
(d) Submits proof of current certification in basic or  
advanced cardiac life support for health care  
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) Submits 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 from the date of the application  
to complete the deficient hours. The department shall  
hold the application and shall 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) At least 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.  
(iii) One hour in infection control, which must  
include sterilization of hand pieces, personal  
protective equipment, and the Centers for Disease  
Control and Prevention’s infection control  
Page 24  
guidelines.  
(f) Submits proof of having completed a 1-time  
training in identifying victims of human trafficking  
that meets the standards in R 338.11271.  
(g) An applicant’s license must be verified by the  
licensing agency of all other states of the United  
States in which he or she ever held a license as a  
dental hygienist. Verification must include the  
record of any disciplinary action taken or pending  
against the applicant.  
(h) If an applicant’s license is lapsed for more than 3  
years but less than 5 years, he or she shall meet 1 of  
the following:  
(i) Provide proof of having passed the ADEX  
hygiene simulated clinical written examination  
conducted and scored by the CDCA 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 within 3 years immediately  
preceding the application for licensure.  
(i) If an applicant’s license is lapsed for 5 years or  
more, he or she shall provide the department with  
documentation that proves he or she holds or held a  
valid and unrestricted license in another state within  
3 years immediately preceding the application for  
relicensure and meets all of the requirements in  
subrules (a) through (g) of this rule or complies with  
all of the following:  
(i) Meets the requirements of section 16174 of the  
code, MCL 333.16174, and the administrative 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 passed all parts of the  
dental hygiene national board examination conducted  
and scored by the JCNDE to qualify for the dental  
hygiene simulated clinical 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 simulated clinical written examination  
conducted and scored by the CDCA or another  
Page 25  
regional testing agency, within the 2-year period  
immediately preceding the application for  
relicensure.  
(v) Provides proof of having passed the ADEX  
hygiene clinical examination conducted and scored  
by the CDCA or another regional testing agency.  
History: 1989 AACS; 2011 AACS; 2021 MR 8, Eff. Apr. 26, 2021.  
R 338.11269 Relicensure requirements; registered dental assistants.  
Rule 1269. An applicant whose registered dental assistant license in this state has  
lapsed, under the provisions of section 16201(3) or (4) of the code, MCL 333.16201, as  
applicable, may be relicensed by complying with the following requirements:  
For a registered dental assistant who has let his or her Lapsed  
Lapsed more Lapsed  
license in this state lapse:  
0-3 years than 3 years, 5 or more  
but less than years  
5 years  
(a) Submits a completed application, on a form  
provided by the department, together with the  
requisite fee.  
(b) Establishes that he or she is of good moral  
character as defined under sections 1 to section 7 of  
1974 PA 381, MCL 338.41 to 338.47.  
(c) Submits fingerprints as required under section  
16174(3) of the code, MCL 333.16174.  
(d) Submits proof of current certification in basic or  
advanced cardiac life support for health care  
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) Submits 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 from the date of  
the application to complete the deficient hours. The  
department shall hold the application and shall not  
issue the license until the applicant has completed the  
Page 26  
continuing education requirements. The 36 hours of  
continuing education must include all of the  
following:  
(i) At least 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.  
(iii) One hour in infection control, which must  
include sterilization of hand pieces, personal  
protective equipment, and the Centers for Disease  
Control and Prevention’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) An applicant’s license must be verified by the  
licensing agency of all other states of the United  
States in which he or she ever held a license as a  
dental assistant. Verification must include the record  
of any disciplinary action taken or pending against  
the applicant.  
(h) If an applicant’s license is lapsed more than 3  
years but less than 5 years, he or she 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 he or  
she holds or held a valid and unrestricted license in  
another state within 3 years immediately preceding  
the application for relicensure.  
(i) If an applicant’s license is lapsed 5 years or more,  
he or she shall provide the department with  
documentation that proves he or she holds or held a  
valid and unrestricted license in another state within  
3 years immediately preceding the application for  
relicensure and meets all of the requirements in  
subrules (a) through (g) of this rule or complies with  
all of the following:  
(i) Meets the requirements of section 16174 of the  
code, MCL 333.16174, and the administrative rules.  
(ii) Provides proof of graduation or certification from  
an educational program that meets the standards in R  
338.11307.  
Page 27  
(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.  
History: 2021 MR 8, Eff. Apr. 26, 2021.  
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:  
Page 28  
(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 MR 8, Eff. Apr. 26, 2021.  
PART 3. EDUCATION  
R 338.11301 Approval of dental educational programs; accreditation standards;  
adoption by reference.  
Rule 1301. (1) The board adopts by reference in these rules the standards of CODA  
of the ADA, as set forth in the following publications:  
(a) “Accreditation Standards for Dental Education Programs,” copyright 2019.  
(b) “Accreditation Standards for Advanced Dental Education Programs in Oral and  
Maxillofacial Surgery”, copyright 2018.  
(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 2018.  
(e) “Accreditation Standards for Advanced Dental Education Programs in  
Prosthodontics”, copyright 2018.  
(f) “Accreditation Standards for Advanced Dental Education Programs in  
Periodontics”, copyright 2018.  
(g) “Accreditation Standards for Advanced Dental Education Programs in Pediatric  
Dentistry”, copyright 2018.  
(h) “Accreditation Standards for Advanced Dental Education Programs in Oral and  
Maxillofacial Pathology”, copyright 2018.  
(2) A dental educational program accredited by CODA, or a successor organization,  
is considered board approved. CODA is the only accreditation accepted by the board.  
(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 MR 8, Eff. Apr. 26, 2021.  
Page 29  
R 338.11302 Approval of dental therapy educational programs; accreditation  
standards; adoption by reference.  
Rule 1302. (1) The board adopts by reference in these rules 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 2019.  
(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 MR 8, Eff. Apr. 26, 2021.  
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  
(2009), and the CHEA Recognition of Accrediting Organizations Policy and Procedures,  
September 24, 2018. 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,  
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 MR 8, Eff. Apr. 26, 2021.  
Page 30  
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 2018. 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  
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 MR 8, Eff. Apr. 26, 2021.  
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 2019. 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 MR 8, Eff. Apr. 26, 2021.  
PART 4A. DELEGATION, SUPERVISION, ASSIGNMENT OF DENTAL  
ASSISTANTS, REGISTERED DENTAL ASSISTANTS, AND REGISTERED  
DENTAL HYGIENISTS  
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 at the time the procedures are being performed.  
Page 31