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.  
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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.  
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(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.  
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(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.  
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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.  
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(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.  
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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.  
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(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.  
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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.  
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(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.  
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  
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  
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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.  
(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  
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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  
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.  
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(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: 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 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  
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  
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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.  
(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.  
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(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.  
History: 1984 AACS; 2006 AACS; 2011 AACS; 2014 AACS; 2021 AACS;  
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.  
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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  
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  
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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.  
(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.  
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(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  
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.  
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(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.  
(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:  
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(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  
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  
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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.  
(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.  
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(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.  
(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  
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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.  
(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  
√
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√
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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.  
(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.  
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(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  
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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  
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.  
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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:  
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.  
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(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) 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.  
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(iii) Provide 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.  
(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  
√
√
√
√
√
√
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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) 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.  
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(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 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.  
√
√
√
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