DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS

DIRECTOR’S OFFICE

DENTISTRY - GENERAL RULES

Filed with the secretary of state on October 2, 2023

These rules take effect immediately upon filing with the secretary of state unless

adopted under section 33, 44, or 45a(9) of the administrative procedures act of 1969,

1969 PA 306, MCL 24.233, 24.244, or 24.245a. Rules adopted under these sections

become effective 7 days after filing with the secretary of state.

(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)

R 338.11101, R 338.11103, R 338.11120, R 338.11121, R 338.11201, R 338.11202,

R 338.11203, R 338.11209, R 338.11213, R 338.11218, R 338.11221, R 338.11223,

R 338.11233, R 338.11235, R 338.11239, R 338.11247, R 338.11255, R 338.11257,

R 338.11259, R 338.11261, R 338.11263, R 338.11265, R 338.11267, R 338.11269,

R 338.11301, R 338.11302, R 338.11302a, R 338.11303, R 338.11307, R 338.11401,

R 338.11411, R 338.11417, R 338.11501, R 338.11512, R 338.11513, R 338.11515,

R 338.11517, R 338.11519, R 338.11521, R 338.11523, R 338.11527, R 338.11601,

R 338.11602, R 338.11603, R 338.11701, R 338.11703, R 338.11704, R 338.11704a, R

338.11705, R 338.11811, R 338.11813, and R 338.11821 of the Michigan Administrative

Code are amended, R 338.11240, R 338.11256, R 338.11502,

R 338.11504, R 338.11506, R 338.11508, R 338.11510, R 338.11611, R 338.11613, and

R 338.11615 are added, and R 338.11605 is rescinded, as follows:

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.

April 9, 2023

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(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.

(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.

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(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

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.

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.

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.

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(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.

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.

(3) The dentist shall keep an inventory record in addition to the dental treatment records

required by R 338.11120.

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.

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(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.

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.

(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.

R 338.11203 Dental examinations; required passing scores.

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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.

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.

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.

(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.

R 338.11218 Dental therapy clinical practice in board approved program; requirements.

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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.

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

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equivalent to those established by the AHA, earned within the 2-year period before

receiving the license.

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.

(3) The required parts of the ADEX examination include the following:

(a) Computer simulated clinical examination.

(b) Patient or manikin treatment clinical examination.

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.

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.

R 338.11239 RDA examination; content; time; place; passing

score.

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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.

(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.

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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

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.

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(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

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

12

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.

(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.

R 338.11255 Licensure by endorsement of dentist; requirements.

13

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.

14

(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.

(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.

R 338.11256 Licensure by endorsement of dentist licensed in Canada;

requirements.

Rule 1256. An applicant who currently holds a license as a dentist in Canada but has

never been licensed as a dentist in this state may apply for a license by endorsement and

is presumed to meet the requirements of section 16186 of the code, MCL 333.16186, if

the applicant meets the requirements of the code, R 338.7001 to R 338.7005, any other

rules promulgated under the code, section 16174 of the code, MCL 333.16174, submits a

completed application on a form provided by the department together with the requisite

fee, and provides proof of all of the following:

(a) The applicant’s Canadian license is active and in good standing for 1 year before

filing an application in this state.

(b) The applicant has been certified by the NDEB.

(c) The applicant has passed 1 of the following:

(i) The NDEB dental written examination and the ADEX clinical examination.

(ii) All parts, written and clinical, of the ADEX examination that is conducted by the

CDCA-WREB-CITA, a successor organization, or by another regional testing agency.

(d) The applicant has graduated with 1 of the following:

(i) A BDS, DDS, or DMD degree from a program accredited by the CDAC with all

training completed in Canada.

(ii) A DDS degree or DMD degree from a dental educational program that complies

with the standards in R 338.11301.

15

(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.

R 338.11257 Licensure by endorsement of dental therapist; requirements.

Rule 1257. (1) An applicant who has never held a dental therapy license in this state and

who is not applying by examination may apply for licensure by endorsement by

submitting a completed application on a form provided by the department, together with

the requisite fee.

(2) An applicant who is licensed as a dental therapist in another state is presumed to

have met the requirements of section 16186 of the code, MCL 333.16186, if the applicant

meets the requirements of the code, R 338.7001 to R 338.7005, any other rules

promulgated under the code, and all of the following requirements:

(a) Graduated from a dental therapy educational program that meets the standards in R

338.11302 and provides the department with the original, official transcripts of

professional education and documentation of graduation for board evaluation.

(b) Passed all parts, written and clinical, of the ADEX examination that is conducted by

the CDCA-WREB-CITA, a successor organization, or by another regional testing

agency, with a converted passing score of not less than 75 on each component of the

examination.

(c) Verifies completion of not less than 500 hours of clinical practice in dental therapy

that substantially meets the requirements of R 338.11218, in a dental therapy educational

program that meets the standards in R 338.11302.

(d) Discloses each license, registration, or certification in a health profession or specialty

issued by another state, the United States military, the federal government, or another

country on the application form.

(e) Satisfies the requirements of section 16174(2) of the code, MCL 333.16174, which

includes verification from the issuing entity showing that disciplinary proceedings are not

pending against the applicant and sanctions are not in force at the time of application.

(f) Has held a license as a dental therapist that is active and in good standing in another

state for 1 year before filing an application in this state.

(g) Submits proof of current certification in BLS or ACLS for healthcare providers with

a hands-on component from an agency or organization that grants certification pursuant

to standards equivalent to those established by the AHA, earned within the 2-year period

before receiving the license.

(3) The board may deny an application for licensure by endorsement upon finding the

existence of a board action in another state for a violation related to applicable provisions

16

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.

R 338.11259 Licensure by endorsement of dental hygienists; requirements.

Rule 1259. (1) An applicant who has never held a RDH license in this state and who is

not applying by examination may apply for licensure by endorsement by submitting a

completed application, on a form provided by the department, together with the requisite

fee.

(2) An applicant who is licensed in another state as a dental hygienist is presumed to

have met the requirements of section 16186 of the code, MCL 333.16186, if the applicant

meets the requirements of the code, R 338.7001 to R 338.7005, any other rules

promulgated under the code, and all of the following requirements in subdivisions (a) to

(g) of this subrule, subject to subrules (3) and (4) of this rule:

(a) Has graduated from a dental hygiene educational program that meets the standards

provided in R 338.11303 and provides the department with the original, official

transcripts of professional education and documentation of graduation for board

evaluation.

(b) Has passed all phases of the NBDHE. This requirement is waived for persons who

graduated from an accredited school before 1962.

(c) The applicant submits proof of successful completion of all parts, written and

clinical, of the ADEX examination required in R 338.11223(2) and (3) that is conducted

by the CDCA-WREB-CITA, a successor organization, or by another regional testing

17

agency. If the applicant has passed a regional examination or state board examination the

applicant may petition the board for review of the regional examination or a state board

examination for a determination that it is substantially equivalent under R 338.11257(5)

and (6), to all parts, written and clinical, of the ADEX examination that is conducted by

the CDCA-WREB-CITA. A passing score on a substantially equivalent examination is

the score recommended by the sponsoring organization. However, an applicant shall

present evidence to the department of a converted score of 75 or higher on each

component of the examination.

(d) Holds a license as a dental hygienist that is active and in good standing in another

state for at least 1 year before filing an application in this state.

(e) Discloses each license, registration, or certification in a health profession or

specialty issued by another state, the United States military, the federal government, or

another country on the application form.

(f) Satisfies the requirements of section 16174(2) of the code, MCL 333.16174, which

includes verification from the issuing entity showing that disciplinary proceedings are not

pending against the applicant and sanctions are not in force at the time of application.

(g) Submits proof of current certification in BLS or ACLS for healthcare providers with

a hands-on component from an agency or organization that grants certification pursuant

to standards equivalent to those established by the AHA, earned within the 2-year period

before receiving the license.

(3) An applicant who is licensed and is practicing as a dental hygienist in another state

that required the successful completion of a regional examination or state board, for a

minimum of 3 years immediately preceding the application for licensure in this state,

meets the requirements of subrule (2)(a), (b), and (c) of this rule.

(4) An applicant who is licensed and is practicing as a dental hygienist in another state

that does not require the successful completion of a regional examination for a minimum

of 3 years immediately preceding the application for licensure in this state, meets the

requirement of subrule (2)(a) and (b) of this rule. The applicant may petition the board for

a determination that the applicant’s credentials are substantially equivalent to the

requirements for licensure by endorsement instead of taking an examination.

(5) An applicant who currently holds a license as a dental hygienist in Canada but who

has never been licensed as a dental hygienist in this state may apply for a license by

endorsement and is presumed to meet the requirements of section 16186 of the code,

MCL 333.16186, if the applicant meets the requirements of the code, R 338.7001 to R

338.7005, any other rules promulgated under the code, requirements of section 16174 of

the code, MCL 333.16174, submits a completed application on a form provided by the

department together with the requisite fee, and provides proof of all of the following:

(a) The applicant’s Canadian license is active and in good standing for at least 1 year

before filing an application in this state.

(b) The applicant has passed 1 of the following:

(i) The National Dental Hygiene Canadian Exam written examination and the ADEX

clinical examination.

(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:

18

(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.

R 338.11261 Licensure by endorsement of RDAs; requirements.

Rule 1261. (1) An applicant who has never held a RDA license in this state and who is

not applying for licensure by examination may apply for licensure by endorsement by

submitting a completed application, on a form provided by the department, together with

the requisite fee.

(2) An applicant who is licensed or registered in another state is presumed to have met

the requirements of section 16186 of the code, MCL 333.16186, if the applicant meets

the requirements of the code, R 338.7001 to R 338.7005, any other rules promulgated

under the code, and all of the following requirements:

(a) Graduated from a dental assistant educational program that meets the standards in R

338.11307 and provides the department with the original, official transcripts of

professional education and documentation of graduation for board evaluation.

(b) Submits proof of successful completion of both a written and clinical examination,

approved by the board under R 338.11239, with a score of not less than 75, on each

section of both the written and clinical examinations.

(c) Submits proof of current certification in BLS or ACLS for healthcare providers with

a hands-on component from an agency or organization that grants certification pursuant

to standards equivalent to those established by the AHA, earned within the 2-year period

before receiving the license.

(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.

19

(f) Satisfies the requirements of section 16174(2) of the code, MCL 333.16174, which

includes verification from the issuing entity showing that disciplinary proceedings are not

pending against the applicant and sanctions are not in force at the time of application.

(3) An applicant who currently holds a license as a dental assistant in Canada but who

has never been licensed as a dental assistant in this state may apply for a license by

endorsement and is presumed to meet the requirements of section 16186 of the code,

MCL 333.16186, if the applicant meets the requirements of the code, R 338.7001 to R

338.7005, any other rules promulgated under the code, the requirements of section 16174

of the code, MCL 333.16174, submits a completed application on a form provided by the

department together with the requisite fee, and provides proof of all of the following:

(a) The applicant’s Canadian license is active and in good standing for 1 year before

filing an application in this state.

(b) The applicant has met all the requirements of 1 of the following licensure paths:

(i) The applicant has graduated from a dental assistant educational program in Canada

with all training completed in Canada and meets all of the following requirements:

(A) The applicant has passed the National Dental Assistant Examining Board

examination in Canada.

(B) The applicant has 2 or more years of dental assisting experience.

(C) The applicant has completed the Washtenaw Community College Alternative

Dental Assistant Education Project pathway or a substantially similar pathway approved

by the board.

(D) The applicant has completed the board written examination, approved by the

board under R 338.11239, with a score of not less than 75.

(ii) The applicant graduated from a dental assistant educational program that complies

with the standards in R 338.11307, and completed both a written and clinical

examination, approved by the board under R 338.11239, with a score of not less than 75,

on each section of both the written and clinical examination.

(c) The applicant discloses each license, registration, or certification in a health

profession or specialty issued by another state, the United States military, the federal

government, or another country on the application form.

(d) The applicant satisfies the requirements of section 16174(2) of the code, MCL

333.16174, which includes verification from the issuing entity showing that disciplinary

proceedings are not pending against the applicant and sanctions are not in force at the

time of application.

(e) The applicant submits proof of current certification in BLS or ACLS for healthcare

providers with a hands-on component from an agency or organization that grants

certification pursuant to standards equivalent to those established by the AHA, earned

within the 2-year period before receiving the license.

(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.

R 338.11263 Relicensure requirements; dentists.

20

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

Lapsed more Lapsed

0-3 years than 3 years, 5 or more

but less than years

5 years

(a) Submit a completed application, on a form

provided by the department, together with the

requisite fee.

(b) Establish that the applicant is of good moral

character as that term is defined in, and determined

under, 1974 PA 381, MCL 338.41 to 338.47.

(c) Submit fingerprints as required under section

16174(3) of the code, MCL 333.16174.

√

(d) Submit proof of current certification in BLS or

ACLS for healthcare providers with a hands-on

component from an agency or organization that

grants certification pursuant to standards equivalent

to those established by the AHA, earned within the

2-year period before receiving the license.

(e) Submit proof of having completed 60 hours of

continuing education in courses and programs

approved by the board as required under R

338.11701, all of which were earned within the 3-

year period immediately preceding the application

for licensure. If the continuing education hours

submitted with the application are deficient, the

applicant has 2 years after the date of the application

to complete the deficient hours. The department shall

hold the application and not issue the license until

the applicant has completed the continuing education

requirements. The 60 hours of continuing education

must include all of the following:

√

(i) Not less than 3 hours in pain and symptom

management.

(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.

21

(f) Complete a 1-time training in identifying victims

of human trafficking that meets the standards in R

338.11271.

(g) Complete a 1-time training in opioids and other

controlled substances awareness as required in R

338.3135.

(h) Meet the English language requirement under R

338.7002b and the implicit bias training required in

R 338.7004.

(i) Verify with the application for relicensure, that

the applicant complies with R 338.11801 to R

338.11821, and specify the make of each amalgam

separator in the dentist’s office and the year that each

separator was installed, if the applicant is subject to

R 338.11801 to R 338.11821.

√

(j) An applicant who is or has ever been licensed,

registered, or certified in a health profession or

specialty by another state, the United States military,

the federal government, or another country, shall do

both of the following:

√

(i) Disclose each license, registration, or

certification on the application form.

(ii) Satisfy the requirements of section 16174(2) of

the code, MCL 333.16174, which includes

verification from the issuing entity showing that

disciplinary proceedings are not pending against the

applicant and sanctions are not in force at the time of

application.

(k) If an applicant’s license has lapsed for more than

3 years but less than 5 years, the applicant shall meet

either of the following:

√

(i) Retake and pass the ADEX clinical and written

examination for dentists developed and scored by the

CDCA-WREB-CITA or another testing agency with

a passing score of not less than 75, within the 2-year

period immediately preceding the application for

relicensure.

(ii) Provide the department documentation that 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

√

22

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.

R 338.11265 Relicensure requirements; dental therapists.

Rule 1265. (1) An applicant whose dental therapist license in this state has lapsed under

section 16201(3) or (4) of the code, MCL 333.16201, as applicable, may be relicensed by

complying with the following requirements:

For a dental therapist who has let a license in this state Lapsed 0-3 Lapsed more Lapsed

lapse:

years

than 3 years, 5 or more

but less than 5 years

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.

√

23

(d) Submit proof of current certification in BLS or

ACLS for healthcare providers with a hands-on

component from an agency or organization that grants √

certification pursuant to standards equivalent to those

established by the AHA, earned within the 2-year

period before receiving the license.

(e) Submit proof of having completed 35 hours of

continuing education in courses and programs

approved by the board as required under R 338.11703, √

all of which were earned within the 2-year period

immediately preceding the application for licensure. If

the continuing education hours submitted with the

application are deficient, an applicant has 2 years after

the date of the application to complete the deficient

hours. The department shall hold the application and

not issue the license until the applicant has completed

the continuing education requirements. The 35 hours

of continuing education must include all of the

following:

√

(i) Not less than 2 hours in pain and symptom

management.

(ii) One hour in dental ethics and jurisprudence with

inclusion of delegation of duties to allied dental

personnel, which may be completed in 1 or more

courses.

(iii) One hour in infection control, which must include

sterilization of hand pieces, personal protective

equipment, and the CDC’s infection control

guidelines.

(f) Submit proof of having completed a 1-time training

in identifying victims of human trafficking that meets

the standards in R 338.11271.

(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.

24

(ii) Satisfy the requirements of section 16174(2) of the

code, MCL 333.16174, which includes verification

from the issuing entity showing that disciplinary

proceedings are not pending against the applicant and

sanctions are not in force at the time of application.

(j) If an applicant’s license has lapsed for more than 3

years but less than 5 years, the applicant shall meet

either of the following:

√

(i) Retake and pass a comprehensive, competency-

based clinical examination approved by the

department with a converted passing score of not less

than 75, within the 2-year period immediately

preceding the application for relicensure.

(ii) Provide the department documentation that the

applicant holds or held a valid and unrestricted dental

therapist’s license in another state within 3 years

immediately preceding the application for relicensure.

(k) If an applicant’s license has lapsed for 5 years or

more, the applicant shall provide the department with

documentation that proves the applicant holds or held

a valid and unrestricted dental therapist license in

another state within the 3 years immediately preceding

the application for relicensure and meets all of the

requirements in subdivisions (a) to (i) of this subrule

or complies with all of the following:

√

(i) Meets the requirements of section 16174 of the

code, MCL 333.16174, and the rules.

(ii) Provides proof of graduation from a dental therapy

program that meets the standards in R 338.11302.

(iii) Provide proof of having passed a comprehensive,

competency-based dental therapy clinical examination

as required in R 338.11213, 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.

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 lapse:

Lapsed

Lapsed more Lapsed

0-3 years than 3 years,

25

but less than 5 or more

5 years

years

(a) Submit a completed application, on a form

provided by the department, together with the

requisite fee.

√

(b) Establish that the applicant is of good moral

character as that term is defined in, and determined

under, 1974 PA 381, MCL 338.41 to 338.47.

(c) Submit fingerprints as required under section

16174(3) of the code, MCL 333.16174.

√

(d) Submit proof of current certification in BLS or

ACLS for healthcare providers with a hands-on

component from an agency or organization that

grants certification pursuant to standards equivalent

to those established by the AHA, earned within the

2-year period before receiving the license.

(e) Submit proof of having completed 36 hours of

continuing education in courses and programs

approved by the board as required under R

338.11704, all of which were earned within the 3-

year period preceding the date of application for

relicensure. If the continuing education hours

submitted with the application are deficient, the

applicant has 2 years after the date of the application

to complete the deficient hours. The department shall

hold the application and not issue the license until

the applicant has completed the continuing education

requirements. The 36 hours of continuing education

must include all of the following:

√

(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.

√

26

(h) An applicant who is or has ever been licensed,

registered, or certified in a health profession or

specialty by another state, the United States military,

the federal government, or another country, shall do

both of the following:

√

(i) Disclose each license, registration, or certification

on the application form.

(ii) Satisfy the requirements of section 16174(2) of

the code, MCL 333.16174, which includes

verification from the issuing entity showing that

disciplinary proceedings are not pending against the

applicant and sanctions are not in force at the time of

application.

(i) If an applicant’s license is lapsed for more than 3

years but less than 5 years, the applicant shall meet 1

of the following:

√

(i) Provide proof of having passed the ADEX

hygiene clinical and written examination conducted

and scored by the CDCA-WREB-CITA or another

regional agency, within the 2-year period

immediately preceding the application for

relicensure.

(ii) Provide the department documentation that the

applicant holds or has held a valid and unrestricted

license in another state or in Canada within 3 years

immediately preceding the application for licensure.

(j) If an applicant’s license has lapsed for 5 years or

more, the applicant shall provide the department with

documentation that proves the applicant holds 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.

27

(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.

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 lapse:

Lapsed

Lapsed more Lapsed

0-3 years than 3 years, 5 or more

but less than years

5 years

(a) Submit a completed application, on a form

provided by the department, together with the

requisite fee.

(b) Establish that the applicant is of good moral

character as that term is defined in, and determined

under, 1974 PA 381, MCL 338.41 to 338.47.

(c) Submit fingerprints as required under section

16174(3) of the code, MCL 333.16174.

√

(d) Submit proof of current certification in BLS or

ACLS for healthcare providers with a hands-on

component from an agency or organization that

grants certification pursuant to standards equivalent

to those established by the AHA, earned within the

2-year period before receiving the license.

(e) Submit proof of having completed 36 hours of

continuing education in courses and programs

approved by the board as required under R

338.11704, all of which were earned within the 3-

year period immediately preceding the date of the

application for relicensure. If the continuing

education hours submitted with the application are

deficient, the applicant has 2 years after the date of

the application to complete the deficient hours. The

department shall hold the application and not issue

the license until the applicant has completed the

continuing education requirements. The 36 hours of

√

28

continuing education must include all of the

following:

(i) Not less than 2 hours in pain and symptom

management.

(ii) One hour in dental ethics and jurisprudence with

inclusion of delegation of duties to allied dental

personnel, which may be completed in 1 or more

courses.

(iii) One hour in infection control, which must

include sterilization of hand pieces, personal

protective equipment, and the CDC’s infection

control guidelines.

(f) Completed a 1-time training in identifying victims

of human trafficking that meets the standards in R

338.11271.

(g) Meet the English language requirement under R

338.7002b and the implicit bias training required in

R 338.7004.

√

(h) An applicant who is or has ever been licensed,

registered, or certified in a health profession or

specialty by another state, the United States military,

the federal government, or another country, shall do

both of the following:

√

(i) Disclose each license, registration, or

certification on the application form.

(ii) Satisfy the requirements of section 16174(2) of

the code, MCL 333.16174, which includes

verification from the issuing entity showing that

disciplinary proceedings are not pending against the

applicant and sanctions are not in force at the time of

application.

(i) If an applicant’s license has lapsed for more than

3 years but less than 5 years, the applicant shall meet

either of the following:

√

(i) Pass a board-approved written and clinical

examination that meets the requirements of R

338.11239, within the 2-year period immediately

preceding the application for relicensure.

(ii) Provide the department documentation that the

applicant holds or held a valid and unrestricted

license in another state or in Canada within the 3

years immediately preceding the application for

relicensure.

(j) If an applicant’s license has lapsed for 5 years or

more, the applicant shall provide the department with

documentation that proves the applicant holds or

√

29

held a valid and unrestricted license in another state

or in Canada within the 3 years immediately

preceding the application for relicensure and meets

all of the requirements in subdivisions (a) to (h) of

this subrule or complies with all of the following:

(i) Meets the requirements of section 16174 of the

code, MCL 333.16174, and the rules.

(ii) Provides proof of graduation or certification from

an educational program that meets the standards in R

338.11307.

(iii) Provides proof of having passed a board-

approved clinical examination that meets the

requirements of R 338.11239.

(iv) Provides proof of having passed a board-

approved written examination that meets the

requirements of R 338.11239, within the 2-year

period immediately preceding the application for

relicensure.

(2) If relicensure is granted and it is determined that a sanction has been imposed by

another state, the United States military, the federal government, or another country, the

disciplinary subcommittee may impose appropriate sanctions under section 16174(5) of

the code, MCL 333.16174.

PART 3. EDUCATION

R 338.11301 Approval of dental educational programs; accreditation standards; adoption

by reference.

Rule 1301. (1) The board adopts by reference the standards of CODA of the ADA, as

set forth in the following publications:

(b) “Accreditation Standards for Advanced Dental Education Programs in Oral and

(c) “Accreditation Standards for Advanced Dental Education Programs in

(d) “Accreditation Standards for Advanced Dental Education Programs in Orthodontics

(e) “Accreditation Standards for Advanced Dental Education Programs in

(f) “Accreditation Standards for Advanced Dental Education Programs in

(g) “Accreditation Standards for Advanced Dental Education Programs in Pediatric

(h) “Accreditation Standards for Advanced Dental Education Programs in Oral and

30

(i) “Accreditation Standards for Advanced Dental Education Programs in Oral

(j) “Accreditation Standards for Advanced Dental Education Programs in Orofacial

(k) “Accreditation Standards for Advanced Dental Education Programs in Dental

(l) “Accreditation Standards for Advanced Dental Education Programs in Oral and

(m) “Accreditation Standards for Advanced Dental Education Programs in Dental

(2) A dental educational program accredited by CODA, or a successor organization, is

considered board approved.

(3) These standards may be obtained at no cost from CODA of the ADA, 211 East

Chicago Avenue, Chicago, Illinois, 60611-2678 or at no cost from the association's

website at http://www.ada.org. Copies of these standards are available at 10 cents per

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.

R 338.11302 Approval of dental therapy educational programs; accreditation standards;

adoption by reference.

Rule 1302. (1) The board adopts by reference the standards of CODA of the ADA, as

set forth in the publication titled “Accreditation Standards for Dental Therapy Education

(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.

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

31

procedures of the Council for Higher Education Accreditation (CHEA) or the recognition

procedures and criteria of the United States Department of Education.

(2) The board adopts by reference the procedures and criteria for recognizing

accrediting agencies of the United States Department of Education, 34 CFR part 602, and

the CHEA Recognition of Accrediting Organizations Policy and Procedures, copyright

2021. Copies of the procedures and criteria of the United States Department of Education

and the policy and procedures of CHEA are available for inspection and distribution at no

cost from the website for the United States Department of Education at the Office of

Postsecondary Education, http://www.ed.gov/about/offices/list/OPE/index.html and the

CHEA website at http://www.chea.org . Copies are also available for inspection and

distribution at 10 cents per page from the Michigan Board of Dentistry, Bureau of

Professional Licensing, Department of Licensing and Regulatory Affairs, 611 West

Ottawa, P.O. Box 30670, Lansing, Michigan, 48909.

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

program accredited by CODA is considered board approved. CODA is the only

accreditation accepted by the board.

(2) These standards may be obtained at no cost from CODA of the ADA, 211 East

Chicago Avenue, Chicago, Illinois, 60611-2678 or at no cost from the association's

website at http://www.ada.org . Copies of these standards are available for inspection and

distribution at 10 cents per page from the Michigan Board of Dentistry, Department of

Licensing and Regulatory Affairs, Bureau of Professional Licensing, 611 West Ottawa,

P.O. Box 30670, Lansing, Michigan, 48909.

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

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

website at http://www.ada.org. Copies of these standards are available for inspection and

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.

PART 4A. DELEGATION, SUPERVISION, ASSIGNMENT OF

UDAs, RDAs, AND RDHs

R 338.11401 Definitions.

32

Rule 1401. As used in this part:

(a) “Assignment” means a dentist designates a patient of record upon whom services are

to be performed and describes the procedures to be performed. Unless assignment is

designated in these rules under general or direct supervision, the dentist need not be

physically present in the office when the procedures are being performed.

(b) “Delegation” means an authorization granted by a licensee to a licensed or

unlicensed individual to perform selected acts, tasks, or functions that fall within the

scope of practice of the delegator and that are not within the scope of practice of the

delegatee and that, in the absence of the authorization, would constitute illegal practice of

a licensed profession.

(c) “Direct supervision” means that a dentist complies with all of the following:

(i) Designates a patient of record upon whom the procedures are to be performed and

describes the procedures to be performed.

(ii) Examines the patient before prescribing the procedures to be performed and upon

completion of the procedures.

(iii) Is physically present in the office when the procedures are being performed.

(d) “General supervision” means that a dentist complies with both of the following:

(i) Designates a patient of record upon whom services are to be performed.

(ii) Is physically present in the office when the procedures are being performed.

(e) “Patient of record” means a patient who has been examined, evaluated, and

diagnosed with a resulting treatment plan by a dentist, or dental therapist to the extent

authorized by the supervising dentist, in-person at least once every 24 months. A patient

of record includes a patient getting radiographic images by allied dental personnel with

training pursuant to R 338.11411(4)(a) after receiving approval from the assigning dentist

or dental therapist.

R 338.11411 Delegated and assigned dental procedures for allied dental personnel.

Rule. 1411. (1) Before a dentist may delegate a function to a UDA the UDA shall meet

both of the following:

(a) Submit proof of current certification in BLS or ACLS for healthcare providers with

a hands-on component from an agency or organization that grants certification pursuant

to standards equivalent to those established by the AHA, earned within the 2-year period

before receiving the delegated or assigned function.

(b) Submit proof of attending training of at least 1 hour in infection control, which must

include sterilization of hand pieces, personal protective equipment, and the CDC’s

infection control guidelines.

(2) Before a dentist delegates functions to a UDA the dentist shall provide to the UDA a

copy of the delegation and assigned duties in Table 1 and explain the levels of

supervision.

(3) Except for the functions a dentist may delegate to a dental therapist, a dentist or

dental therapist may only assign or delegate procedures to an unlicensed or licensed

individual, including a UDA, RDA, or RDH under section 16611 of the code, MCL

333.16611, as provided in Table 1.

33

(4) Table 1 - Delegated and Assigned Dental Procedures for Allied Dental Personnel

UDA RDA RDH

Procedure

Operating of dental radiographic equipment. A UDA shall successfully complete a course in

dental radiography that is substantially equivalent to a course taught in a program approved by the

board pursuant to R 338.11302, R 338.11303, or R 338.11307. A dentist may delegate necessary

radiographs for a new patient to a UDA, RDA or RDH.

Instructing in the use and care of dental appliances.

(a)

A

(b)

(c)

G

A

Taking impressions or digital scans for study and opposing models and matrices for temporary

crowns and bridges.

(d)

(e)

(f)

G

D

A

Applying nonprescription topical anesthetic solution.

Trial sizing of orthodontic bands.

Placing, removing, and replacing orthodontic elastic or wire separators, arch wires, elastics, and

ligatures.

(g)

(h)

D

A

D

A

Dispensing orthodontic aligners.

Removing orthodontic bands, brackets, and adhesives with hand instruments only. Use of high-

speed rotary instruments is not in the scope of practice of a UDA, RDA, or RDH.

Polishing assigned teeth with a slow-speed rotary hand piece immediately before an acid etch

procedure.

Etching and placing adhesives before placement of orthodontic brackets and attachment for

aligners.

Cementing orthodontic bands or initial placement of orthodontic brackets and attachments for

aligners.

Removing excess temporary cement from supragingival surfaces of a tooth with hand instruments

only.

(i)

D**

A

(j)

G*

D

G*

D

(k)

(l)

A

(m)

A

Removing orthodontic or other cements from supragingival or subgingival surfaces with hand

instruments or powered scaling instruments.

(n)

(o)

D**

A

Providing nutritional counseling for oral health and maintenance.

Providing commonly accepted medical emergency procedures.

34

(p)

D**

A

Inspecting and charting the oral cavity using a mouth mirror and radiographs including the

classifying of occlusion.

Placing and removing dental dam.

Applying anticariogenic agents including, but not limited to, sealants, fluoride varnish, and

fluoride applications. UDAs may not place sealants.

(q)

(r)

A

(s)

A

Polishing and contouring of sealants with a slow-speed rotary hand piece immediately following a

procedure for occlusal adjustment.

(t)

A

G*

Fabricating temporary restorations, temporary crowns, and temporary bridges.

Placing a nonmetallic temporary or sedative restoration with non-tissue cutting instruments.

Temporarily cementing and removing temporary crowns and bands.

Preliminary examination including performing pulp vitality testing.

Applying desensitizing agents.

(u)

(v)

(w)

(x)

(y)

A

D**

Taking impressions for intraoral appliances including bite registrations.

(z)

G*

D

Placing and removing matrices and wedges.

Applying cavity liners and bases.

Drying endodontic canals with absorbent points.

Placing and removing nonepinephrine retraction cords or materials.

Removing sutures.

Applying and dispensing in-office bleaching products.

Before cementation by the dentist, adjusting and polishing contacts and occlusion of indirect

restorations.

(aa)

(bb)

(cc)

(dd)

(ee)

(ff)

A

G

D

G

(gg)

(hh)

(ii)

Placing, condensing, and carving amalgam restorations.

D***

Placing Class I resin bonded restorations, occlusal adjustment, finishing and polishing with non-

tissue cutting slow-speed rotary hand pieces.

Taking final impressions for indirect restorations and prosthesis including bite registration, intra-

oral imaging, and in-office fabrication of restorations.

Assisting and monitoring the administration of nitrous oxide analgesia by a dentist or the RDH. A

dentist shall assign these procedures only if the RDA or RDH has successfully completed an

approved course that meets the requirements of section 16611(7) of the code, MCL 333.16611,

D***

D

(jj)

D

35

with a minimum of 5 hours of didactic instruction. The levels must be preset by the dentist or

RDH and must not be adjusted by the RDA except in case of an emergency, in which case the

RDA may turn off the nitrous oxide and administer 100% oxygen. As used in this subdivision,

“assisting” means setting up equipment and placing the face mask. Assisting does not include

titrating and turning the equipment on or off, except in the case of an emergency in which

circumstances the RDA may turn off the nitrous oxide and administer 100% oxygen.

Removing accretions and stains from the surfaces of the teeth and applying topical agents essential

to complete prophylaxis.

(kk)

A

(ll)

(mm)

(nn)

A

Root planing, debridement, deep scaling, and removal of calcareous deposits.

Polishing and contouring restorations.

Charting of the oral cavity, including all the following: periodontal charting, intra oral and extra

oral examining of the soft tissue, charting of radiolucencies or radiopacities, existing restorations,

and missing teeth.

(oo)

(pp)

(qq)

(rr)

(ss)

(tt)

A

D

G

Applying topical anesthetic agents by prescription of the dentist.

Removing excess cement from tooth surfaces.

Placing subgingival medicaments.

Micro abrasion of tooth surfaces to remove defects, pitting, or deep staining.

Performing soft tissue curettage with or without a dental laser.

D

G

Taking digital scans for final restorations or intra-oral appliances.

(uu)

Administering intra oral block and infiltration anesthesia, or no more than 50% nitrous oxide

D**** analgesia, or both, to a patient who is 18 years of age or older if the RDH has met all of the

following requirements:

(i) Successfully completed an approved course that meets the requirements in section 16611(4) of

the code, MCL 333.16611, in the administration of local anesthesia, with a minimum of 15 hours

didactic instruction and 14 hours clinical experience.

(ii) Successfully completed a state or regional board administered written examination in local

anesthesia within 18 months after completion of the approved course in paragraph (i) of this

subdivision.

36

(iii) Successfully completed an approved course that meets the requirements in section 16611(4)

of the code, MCL 333.16611, in the administration of nitrous oxide analgesia, with a minimum of

4 hours didactic instruction and 4 hours clinical experience.

(iv) Successfully completed a state or regional board administered written examination in nitrous

oxide analgesia, within 18 months after completion of the approved course in paragraph (iii) of

this subdivision.

(v) Maintains and provides evidence of current certification in BLS or ACLS that meets the

standards contained in R 338.11705.

(5) As used in subrule (4) of this rule:

(a) “A” means assignment, as that term is defined in R 338.11401.

(b) “D” means direct supervision, as that term is defined in R 338.11401.

(c) “G” means general supervision, as that term is defined in R 338.11401.

* A dentist shall assign these procedures to an RDA and RDH only if the allied dental personnel has successfully completed an

approved course that meets the requirements in section 16611(12) and (13) of the code, MCL 333.16611, and contains a minimum of

10 hours of didactic and clinical instruction.

** A dentist shall delegate these procedures to a UDA only if the UDA has successfully completed an in-person or virtual training

with performance evaluations on the following functions:

 Polishing assigned teeth with a slow-speed rotary hand piece immediately before an acid etch procedure.

 Etching and placing adhesives before placement of orthodontic brackets and attachment for aligners.

 Cementing orthodontic bands or initial placement of orthodontic brackets and attachments for aligners.

 Providing nutritional counseling for oral health and maintenance.

 Inspecting and charting the oral cavity using a mouth mirror and radiographs including the classifying of occlusion.

 Applying anticariogenic agents including, but not limited to, sealants, fluoride varnish, and fluoride applications.

 Temporarily cementing and removing temporary crowns and bands.

 Taking impressions for intraoral appliances including bite registrations.

*** A dentist shall assign these procedures to a RDA only if the RDA has successfully completed an approved course that meets

the requirements in section 16611(11) of the code, MCL 333.16611, and contains a minimum of 20 hours of didactic instruction

followed by a comprehensive clinical experience of sufficient duration that validates clinical competence through a criterion-based

assessment instrument.

**** The department fee for certification of completion of the requirements is $10.

37

38

PART 4B. SUPERVISION OF DENTAL THERAPISTS

R 338.11417 Practice agreement; care or services.

Rule 1417. (1) A dental therapist may practice only under the supervision of a dentist

licensed and practicing in this state through a written practice agreement that is signed by

the dental therapist and dentist licensed and practicing in this state and that meets all the

requirements in section 16655 of the code, MCL 333.16655.

(2) A dentist may supervise no more than 4 dental therapists under section 16655(5) of

the code, MCL 333.16655.

(3) A dental therapist may supervise no more than 3 UDAs or RDAs and 2 RDHs in any

1 health setting as allowed in a written practice agreement. The practice agreement must

define the type of supervision required by the dental therapist.

(4) A dentist may not authorize a dental therapist to do either of the following:

(a) Prescribe controlled substances.

(b) Administer phentolamine mesylate.

(5) A dentist may authorize a dental therapist to provide care or services described in

section 16656(1)(a) to (w) of the code, MCL 333.16656.

(6) A dental therapist may perform other services and functions agreed to by the

supervising dentist for which the dental therapist is trained that are ancillary to those care

and services described in section 16656(1)(a) to (w) of the code, MCL 333.16656.

(7) Subject to section 16657 of the code, MCL 333.16657, and the dental therapist’s

written practice agreement, if the patient requires treatment that exceeds the dental

therapist’s capabilities or the scope of practice as a dental therapist, the dentist or dental

therapist shall refer the patient to an appropriate provider within a reasonable distance.

(8) Subject to sections 16655 and 16656(2) of the code, MCL 333.16655 and

333.16656, and the dental therapist’s written practice agreement, a dental therapist’s

authority to delegate to allied dental personnel may not exceed a dentist’s authority to

delegate to allied dental personnel under R 338.11411.

PART 5. SPECIALTIES

R 338.11501 Specialties; recognition by the board.

Rule 1501. (1) The department on behalf of the board may issue a health profession

specialty license in all of the following branches of dentistry as specialties:

(a) Endodontics.

(b) Oral and maxillofacial surgery.

(c) Oral and maxillofacial pathology.

(d) Orthodontics and dentofacial orthopedics.

(e) Pediatric dentistry.

(f) Periodontics.

(g) Prosthodontics.

(2) In addition to the specialties listed in subrule (1) of this rule, the department may

issue a health profession specialty license in the following branches of dentistry:

(a) Dental anesthesiology.

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(b) Dental public health.

(c) Oral and maxillofacial radiology.

(d) Oral Medicine

(e) Orofacial pain.

(3) Each branch of a dental specialty that is licensed by the board is defined in these

rules and by the standards set forth by CODA under R 338.11301.

(4) An applicant who currently holds a license as a dental specialist in endodontics, oral

and maxillofacial surgery, oral and maxillofacial pathology, orthodontics and dentofacial

orthopedics, periodontics, prosthodontics, dental public health, or oral and maxillofacial

radiology from a province in Canada may apply for a license if the applicant submits a

completed application, on a form provided by the department, together with the requisite

fee, and provides proof of all of the following:

(a) Meet the requirements of the code, R 338.7001 to R 338.7005, any other rules

promulgated under the code, and the requirements of section 16174, of the code, MCL

333.16174.

(b) Hold a current license to practice dentistry in this state.

(c) Hold at least a master’s degree in a specialty listed in subrule (4) of this rule, in

Canada, from a dental institution that is accredited by the NDEB.

(d) Have graduated from a specialty program recognized by the CDAC with all training

completed in Canada.

(e) Have passed the National Dental Specialty Examination (NDSE) and have NDSE

certification.

R 338.11502 Dental anesthesiology explained; licensure requirements; examination

content.

Rule 1502. (1) The practice of dental anesthesiology includes managing pain, anxiety,

and overall patient health during dental, oral, maxillofacial, and adjunctive surgical or

diagnostic procedures throughout the entire perioperative period. The specialty is

dedicated to promoting patient safety as well as access to care for all dental patients,

including the very young and patients with special healthcare needs.

(2) An applicant for licensure shall hold a current license to practice dentistry in this

state and satisfy all the requirements of either subdivision (a) or (b) of this subrule:

(a) Meet both of the following:

(i) Have graduated from a CODA-approved program of dental anesthesiology

approved by the board under R 338.11301 and submit a certification form from the

program or hospital of completion of all requirements.

(ii) Provide the department with evidence of the successful passing of the American

Board of Dental Anesthesiology (ADBA) written exam. The passing score accepted for

licensure is the passing score established by the ADBA.

(b) Meet both of the following:

(i) Have completed a hospital-based anesthesia residence program in the United States

before 1985 that was accredited by the Accreditation Council for Graduate Medical

Education.

(ii) Petition the board for a review of credentials, which must be substantially

equivalent to the current CODA standards.

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R 338.11504 Dental public health explained; licensure requirements; examination

content.

Rule 1504. (1) The practice of dental public health includes preventing and controlling

dental diseases and promoting dental health through organized community efforts. It is

the form of dental practice that serves the community as a patient rather than the

individual. It is concerned with the dental health education of the public, with applied

dental research, and with the administration of group dental care programs as well as the

prevention and control of dental diseases on a community basis. Implicit in this definition

is the requirement that the specialist have broad knowledge and skills in public health

administration, research methodology, the prevention and control of oral diseases, and the

delivery and financing of oral healthcare.

(2) An applicant for licensure shall comply with all of the following requirements:

(a) Hold a current license to practice dentistry in this state.

(b) Have graduated from a CODA-approved program of dental public health approved

by the board under R 338.11301 and submit a certification form from the program or

hospital of completion of all requirements.

(c) Provide the department with evidence of the successful passing of the American

Board of Dental Public Health (ABDPH) written exam. The passing score accepted for

licensure is the passing score established by the ABDPH.

R 338.11506 Oral and maxillofacial radiology explained; licensure requirements;

examination content.

Rule 1506. (1) The practice of oral and maxillofacial radiology includes the production

and interpretation of images and data produced by all modalities of radiant energy that

are used for the diagnosis and management of diseases, disorders, and conditions of the

oral and maxillofacial region.

(2) An applicant for licensure shall comply with all of the following requirements:

(a) Hold a current license to practice dentistry in this state.

(b) Have graduated from a CODA-approved program of oral and maxillofacial

radiology approved by the board under R 338.11301 and submit a certification form from

the program or hospital of completion of all requirements.

(c) Meet 1 of the following:

(i) Provide the department with evidence of the successful passing of the American

Board of Oral and Maxillofacial Radiology (ABOMR) written exam. The passing score

accepted for licensure is the passing score established by the ABOMR.

(ii) Petition the board for a review of credentials.

R 338.11508 Oral Medicine explained; licensure requirements; examination

content.

Rule 1508. (1) The practice of oral medicine includes the oral healthcare of medically

complex patients and for the diagnosis and management of medically related diseases,

disorders, and conditions affecting the oral and maxillofacial region.

(2) An applicant for licensure shall comply with all of the following requirements:

(a) Hold a current license to practice dentistry in this state.

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(b) Have graduated from a CODA-approved program of oral medicine approved by the

board under R 338.11301 and submit a certification form from the program or hospital of

completion of all requirements.

(c) Meet 1 of the following:

(i) Provide the department with evidence of the successful passing of the American

Board of Oral Medicine (AAOM) written exam. The passing score accepted for licensure

is the passing score established by the AAOM.

(ii) Petition the board for a review of credentials.

R 338.11510 Orofacial pain explained; licensure requirements; examination

content.

Rule 1510. (1) The practice of orofacial pain includes the diagnosis, management, and

treatment of pain disorders of the jaw, mouth, face, head, and neck. The specialty of

orofacial pain is dedicated to the evidenced-based understanding of the underlying

pathophysiology, etiology, prevention, and treatment of these disorders and improving

access to interdisciplinary patient care.

(2) An applicant for licensure shall comply with all of the following requirements:

(a) Hold a current license to practice dentistry in this state.

(b) Have graduated from a CODA-approved program of orofacial pain approved by the

board under R 338.11301 and submit a certification form from the program or hospital of

completion of all requirements.

(c) Meet 1 of the following:

(i) Provide the department with evidence of the successful passing of the American

Board of Orofacial Pain (AAOP) written exam. The passing score accepted for licensure

is the passing score established by the AAOP.

(ii) Petition the board for a review of credentials.

R 338.11512 Oral and maxillofacial pathology explained; licensure requirements.

Rule 1512. (1) The practice of oral and maxillofacial pathology deals with the nature,

identification, and management of diseases affecting the oral and maxillofacial regions.

It is a science that investigates the causes, processes, and effects of these diseases.

(2) The specialty of oral and maxillofacial pathology includes, but is not limited to, the

research and diagnosis of diseases using clinical, radiographic, microscopic, biochemical,

or other examinations.

(3) An applicant for licensure as an oral and maxillofacial pathologist shall meet all of

the following requirements:

(a) Hold a current license to practice dentistry in this state.

(b) Have graduated from a CODA-approved program of oral and maxillofacial

pathology approved by the board under R 338.11301 and submit a certification form from

the program or hospital of completion of all requirements.

(c) Provide verification of a passing score on the specialty certification examination by

the American Board of Oral and Maxillofacial Pathology.

R 338.11513 Oral and maxillofacial surgery explained; licensure requirements;

examination content.

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Rule 1513. (1) The practice of oral and maxillofacial surgery includes the diagnosis,

surgical, and adjunctive treatment of diseases, injuries, and defects involving both the

functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial

region.

(2) The specialty of oral and maxillofacial surgery includes, but is not limited to, the

care, treatment, and procedures associated with an office and hospital-based practice

under R 338.11301.

(3) A dentist who applies for licensure as an oral and maxillofacial surgeon shall comply

with both of the following requirements:

(a) Hold a current license to practice dentistry in this state.

(b) Have graduated from a CODA-approved program of oral and maxillofacial surgery

approved by the board under R 338.11301 and submit a certification form from the

program or hospital of completion of all requirements. The board accepts the

examinations and evaluative processes required to successfully complete a CODA-

accredited oral and maxillofacial residency program as meeting the requirements of

section 16608 of the code, MCL 333.16608.

R 338.11515 Orthodontics and dentofacial orthopedics explained; licensure

requirements; examination content.

Rule 1515. (1) The practice of orthodontics includes the diagnosis, prevention,

interception, and correction of malocclusion, as well as the neuromuscular and skeletal

abnormalities of the developing or mature orofacial structures. The term "orthodontics

and dentofacial orthopedics" means the same as the term "orthodontics."

(2) The specialty of orthodontics includes, but is not limited to, all of the following:

(a) The diagnosis, prevention, interception, and comprehensive treatment of all forms

of malocclusion of the teeth and associated alterations in their surrounding structures.

(b) The design, application, and control of functional and corrective appliances.

(c) The growth guidance of the dentition and its supporting structures to attain and

maintain optimum occlusal relations in physiologic and esthetic harmony among facial

and cranial structures.

(3) A dentist who desires licensure as an orthodontist shall comply with all of the

following requirements:

(a) Hold a current license to practice dentistry in this state.

(b) Have graduated from a CODA-approved program of orthodontics approved by the

board under R 338.11301 and submit a certification form from the program or hospital of

completion of all requirements.

(c) Provide the department with evidence of the successful passing of the American

Board of Orthodontics (ABO) written exam. The passing score accepted for licensure is

the passing score established by the ABO.

R 338.11517 Prosthodontics explained; licensure requirements; examination content.

Rule 1517. (1) The practice of prosthodontics includes the diagnosis, treatment

planning, rehabilitation, and maintenance of the oral function, comfort, appearance, and

health of patients with clinical conditions associated with missing or deficient teeth or

oral and maxillofacial tissues, or both, using biocompatible substitutes.

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(2) The specialty of prosthodontics includes, but is not limited to, the restoration and

maintenance of oral function, comfort, appearance, and health of the patient by the

restoration of natural teeth and the replacement of missing teeth and contiguous oral and

maxillofacial tissues with artificial substitutes.

(3) A dentist who applies for licensure as a prosthodontist shall comply with all of the

following requirements:

(a) Hold a current license to practice dentistry in this state.

(b) Have graduated from a CODA-approved program of prosthodontics approved by

the board under R 338.11301 and submit a certification form from the program or

hospital of completion of all requirements.

(c) Provide verification of a passing score on the written portion of the American

College of Prosthodontics (ACP).

R 338.11519 Periodontics explained; licensure requirements; examination content.

Rule 1519. (1) The practice of periodontics includes the prevention, diagnosis, and

treatment of disease of the supporting and surrounding tissues of the teeth or their

substitutes and the maintenance of the health, function, and esthetics of these structures

and tissues.

(2) A dentist who desires licensure as a periodontist shall comply with both of the

following requirements:

(a) Hold a current license to practice dentistry in this state.

(b) Have graduated from a CODA-approved program of periodontics approved by the

board under R 338.1130 and submit a certification form from the program or hospital of

completion of all requirements. The board accepts the examinations and evaluative

processes required to successfully complete a CODA-accredited oral and maxillofacial

residency program as meeting the requirements of section 16608 of the code, MCL

333.16608.

R 338.11521 Pediatric dentistry explained; licensure requirements; examination content.

Rule 1521. (1) The practice of pediatric dentistry is an age-defined specialty that

provides both primary and comprehensive preventive and therapeutic oral health care for

infants and children through adolescence, including those with special health care needs.

(2) A dentist who desires licensure as a pediatric dentist shall comply with all of the

following requirements:

(a) Hold a current license to practice dentistry in this state.

(b) Have graduated from a CODA-approved program of pediatric dentistry approved by

the board under R 338.11301 and submit a certification form from the program or

hospital of completion of all requirements.

(c) Provide verification of a passing score on the American Board of Pediatric Dentistry

(ABPD) qualifying examination that is conducted and scored by the ABPD.

R 338.11523 Endodontics explained; licensure requirements; examination content.

Rule 1523. (1) The practice of endodontics includes the morphology, physiology, and

pathology of the human dental pulp and periradicular tissues. Its study encompasses

related basic and clinical sciences, including the biology of the normal pulp and the

etiology, diagnosis, prevention, and treatment of diseases and injuries of the pulp and

associated periradicular conditions.

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(2) A dentist who applies for licensure as an endodontist shall comply with all of the

following requirements:

(a) Hold a current license to practice dentistry in this state.

(b) Have graduated from a CODA-approved program of endodontics approved by the

board under R 338.11301 and submit a certification form from the program or hospital of

completion of all requirements.

(c) Provide documentation to the department evidencing the successful passing of the

American Board of Endodontists (ABE) written examination. The passing score accepted

for licensure is the passing score established by the ABE.

R 338.11527 Dental license suspension or revocation; automatic suspension or

revocation of specialty licensure; American board discipline.

Rule 1527. (1) The suspension or revocation of the dental license of a dentist

automatically causes the suspension or revocation of a specialty license issued to that

dentist under the code and these rules.

(2) A licensee who holds a dental specialty license shall notify the department of any

action that results in a suspension or revocation of a certification by an American board

of dentistry within 30 days after the date of the suspension or revocation.

PART 6A. GENERAL ANESTHESIA AND SEDATION

R 338.11601 General anesthesia, deep sedation; requirements.

Rule 1601. (1) A general dentist who does not hold a specialty license in dental

anesthesiology or oral and maxillofacial surgery, shall not administer general anesthesia

or deep sedation to a dental patient in a dental office unless the dentist complies with the

following requirements:

(a) The dentist has demonstrated competency by meeting all the following requirements:

(i) Completing a minimum of 1 year of advanced training in general anesthesia and

pain control in a program that meets the standards adopted in R 338.11603(l). A program

that is accredited by CODA as meeting the accreditation standards for advanced dental

education programs in anesthesiology or oral and maxillofacial surgery meets the

requirements of this subdivision.

(ii) Completing a course in managing medical emergencies that includes all of the

following:

(A) Current monitoring guidelines for adults from the ADA or the American ASA, or

the AAOMS for oral and maxillofacial surgeons, and for children from the ASA, or

AAOMS for oral and maxillofacial surgeons, the AAP, and the AAPD.

(B) Equipment and material used in an anesthesia or sedation emergency.

(C) The personnel needed for anesthesia or sedation.

(D) The drugs needed for resuscitation in an emergency.

(iii) Maintaining certification in BLS and ACLS for healthcare providers with a hands-

on component from an agency or organization that grants certification pursuant to

standards substantially equivalent to the standards adopted in R 338.11603(2). A

certification in BLS and ACLS for healthcare providers with a hands-on component from

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AHA or BLS for the healthcare provider and PALS with a hands-on component from

AHA meets the requirements of this subdivision.

(b) If general anesthesia or deep sedation is performed in a dental office, any allied

dental personnel and dental therapists who are directly involved in the procedure shall

complete a course in managing medical emergencies that includes all of the following:

(i) Current monitoring guidelines for adults from the ADA or the ASA, or AAOMS for

oral and maxillofacial surgeons, and for children from the ASA, the AAP, and the AAPD

or AAOMS for oral and maxillofacial surgeons.

(ii) Equipment and materials used in an anesthesia or sedation emergency.

(iii) The personnel needed for anesthesia or sedation.

(iv) The drugs needed for resuscitation in an emergency.

(2) A general dentist who does not hold a specialty license in dental anesthesiology or

oral and maxillofacial surgery, shall not collaboratively provide general anesthesia or

deep sedation with a physician anesthesiologist, oral surgeon, or nurse anesthetist, under

section 17210 of the code, MCL 333.17210, in a dental office, unless the dentist, and

allied dental personnel and dental therapists who are directly involved in the procedure,

maintain certification in BLS for healthcare providers with a hands-on component from

an agency or organization that grants certification pursuant to standards substantially

equivalent to the standards adopted in R 338.11603(2). A certification in BLS for

healthcare providers with a hands-on component from AHA or BLS for the healthcare

provider and PALS with a hands-on component from AHA meets the requirements of

this subdivision.

(3) At no time is a RDA or RDH allowed to adjust medication levels during a

procedure, other than nitrous oxide and oxygen, as allowed in R 338.11411(4).

R 338.11602 Moderate or minimal sedation; requirements.

Rule 1602. (1) A general dentist who does not hold a specialty license in dental

anesthesiology or oral and maxillofacial surgery, shall not administer moderate or

minimal sedation to a dental patient in a dental office unless all of the following

requirements are satisfied:

(a) The dentist has demonstrated competency by meeting all of the following

requirements:

(i) Completing either of the following:

(A) A comprehensive training program in moderate sedation that satisfies the

requirements described in the moderate sedation section of the ADA Guidelines for

Teaching Pain Control and Sedation to Dentists and Dental Students when the training

was commenced, which must include 60 hours of classroom training and hands-on

interaction in moderate sedation with 20 patients.

(B) An advanced education program accredited by CODA that provides

comprehensive training to administer moderate sedation.

(ii) Maintaining certification in BLS and ACLS for healthcare providers with a hands-

on component from an agency or organization that grants certification under standards

substantially equivalent to the standards adopted in R 338.11603(2). A certification in

BLS and ACLS for healthcare providers with a hands-on component from AHA or basic

life support for the healthcare provider and PALS with a hands-on component from AHA

meets the requirements of this paragraph.

46

(iii) Completing a course in managing medical emergencies that includes all of the

following:

(A) Current monitoring guidelines for adults from the ADA or the ASA, or AAOMS

for oral and maxillofacial surgeons, and for children from the ASA, the AAP, and the

AAPD, or AAOMS for oral and maxillofacial surgeons.

(B) Equipment used in an anesthesia or sedation emergency.

(C) The personnel needed for anesthesia or sedation.

(D) The drugs needed for resuscitation in an emergency.

(b) If moderate sedation is performed in a dental office, any allied dental personnel and

dental therapists that are directly involved in the procedure shall complete a course in

managing medical emergencies that includes all of the following:

(i) Current monitoring guidelines for adults from the ADA or the ASA, or AAOMS for

oral and maxillofacial surgeons, and for children from the ASA, the AAP, and the AAPD,

or AAOMS for oral and maxillofacial surgeons.

(ii) Equipment and materials used in an anesthesia or sedation emergency.

(iii) The personnel needed for anesthesia or sedation.

(iv) The drugs needed for resuscitation in an emergency.

(2) A general dentist who does not hold a specialty license in dental anesthesiology or

oral and maxillofacial surgery, shall not collaboratively provide moderate or minimal

sedation with a physician anesthesiologist, oral surgeon, or nurse anesthetist, under

section 17210 of the code, MCL 333.17210, in a dental office, unless the dentist, and

allied dental personnel and dental therapists who are directly involved in the procedure,

maintain certification in BLS for healthcare providers with a hands-on component from

an agency or organization that grants certification pursuant to standards substantially

equivalent to the standards adopted in R 338.11603(2). A certification in BLS for

healthcare providers with a hands-on component from AHA or BLS for the healthcare

provider and PALS with a hands-on component from AHA meets the requirements of

this subdivision.

(3) At no time is a RDA or RDH allowed to adjust medication levels during a procedure,

other than nitrous oxide and oxygen, as allowed in R 338.11411(2).

R 338.11603 Adoption of standards; effect of certification of programs.

Rule 1603. (1) The board adopts by reference the CODA standards for anesthesiology

educational programs in the publication titled “Accreditation Standards for Advanced

advanced training in anesthesia and pain control and training in intravenous conscious

sedation and related subjects set forth by the ADA’s publication titled "Guidelines for

Teaching Pain Control and Sedation to Dentists and Dental Students," October 2016

edition. The guidelines may be obtained at no cost from the American Dental

Association, 211 E. Chicago Avenue, Chicago, Illinois, 60611, or at no cost on the

association's website at http://www.ada.org . A copy of the standards is available for

inspection and distribution, at 10 cents per page from the Michigan Board of Dentistry,

Department of Licensing and Regulatory Affairs, Bureau of Professional Licensing, 611

West Ottawa, P.O. Box 30670, Lansing, Michigan, 48909.

(2) The board adopts by reference the standards for credentialing in BLS and ACLS for

healthcare providers with a hands-on component set forth by the AHA in the standards

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and guidelines for cardiopulmonary resuscitation and emergency cardiac care for

professional providers, published in "2020 American Heart Association Guidelines for

Cardiopulmonary Resuscitation and Emergency Cardiovascular Care.” A copy of the

Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care may

be obtained at an approximate cost of $25.00 from the American Heart Association, 7272

Greenville Avenue, Dallas, Texas, 75231 or at no cost from the AHA’s website at

https://cpr.heart.org/. A copy of this document is available for inspection and distribution,

at the same cost as purchasing a copy from AHA, from the Michigan Board of Dentistry,

Department of Licensing and Regulatory Affairs, Bureau of Professional Licensing, 611

West Ottawa, P.O. Box 30670, Lansing, Michigan, 48909.

R 338.11605 Rescinded.

PART 6B. TELEHEALTH

R 338.11611 Definitions.

Rule 1611. As used in this part:

(a) “Telehealth” means the use of electronic information and telecommunication

technologies to support or promote long-distance clinical healthcare, patient and

professional health-related education, public health, or health administration. Telehealth

may include, but is not limited to, telemedicine.

(b) “Telehealth service” means a healthcare service that is provided through telehealth.

The requirement in R 338.11401 to have an “in-person” contact with the dentist or dental

therapist once every 24 months does not apply to telehealth services unless the dentist or

dental therapist delegates or assigns duties, other than radiographic images, to allied

dental personnel.

(c) “Telemedicine” means the use of electronic media to link patients with healthcare

professionals in different locations. To be considered telemedicine, the telemedicine

services must be provided by a healthcare professional who is licensed, registered, or

otherwise authorized to engage in the healthcare professional’s healthcare profession in

the state where the patient is located.

R 338.11613 Consent; scope of practice; standard of care.

Rule 1613. (1) The licensee shall obtain informed consent for treatment before

providing a telehealth service under section 16284 of the code, MCL 333.16284.

Informed consent requires all of the following:

(a) The licensee shall ensure that the patient understands the patient will be treated

remotely using telehealth.

(b) At the inception of care, any licensee who has contact with the patient shall identify

themselves to the patient as a dentist, dental therapist, UDA, RDA, or RDH consistent

with R 338.11103(a).

(c) The licensee shall ensure that the patient is mentally capable of giving informed

consent for diagnosis, care, or treatment.

(d) The licensee shall explain the alternatives, capabilities, and limitations of

telemedicine and that the patient may decline to receive telehealth services.

(2) If the patient is less than 18 years of age, a parent or legal guardian must provide

informed consent for the patient.

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(3) The licensee shall keep proof of consent for a telehealth service in the patient’s up-

to-date medical record and satisfy section 16213 of the code, MCL 333.16213.

(4) A licensee who provides telehealth services shall comply with all of the following:

(a) Act within the scope of the licensee’s practice.

(b) Exercise the same standard of care applicable to a traditional, in-person healthcare

service.

(c) Verify that telemedicine is appropriate to evaluate, diagnose, and treat the patient

based on the patient’s unique presentation.

(5) The licensee shall be able to examine the patient via a health insurance portability

and accountability act (HIPAA) of 1996, Public Law 104-191 compliant, secure

interactive audio or video, or both, telecommunications system, or through the use of

store and forward online messaging.

(6) Telehealth must be secure and compliant with federal and state security and privacy

regulations.

R 338.11615 Prescribing medications.

R 1615. A licensee who is authorized to prescribe may prescribe a drug during a

telehealth service if the licensee complies with all of the following:

(a) Is licensed in this state and is a prescriber in this state.

(b) Is acting within the licensee’s scope of practice in prescribing the drug.

(c) Is acting in compliance with section 16285 of the code, MCL 333.16285.

(d) If the licensee determines that it is medically necessary, the licensee shall refer the

patient for other healthcare services or to another health professional that is

geographically accessible to the patient.

(e) After providing the telehealth service, the licensee or delegatee shall provide follow-

up care services to the patient or refer the patient to another health professional for

follow-up care.

PART 7. CONTINUING EDUCATION

R 338.11701 License renewal for a dentist, dental specialist, and special-retired

volunteer dentist; requirements; applicability.

Rule 1701. (1) This rule applies to an application for the renewal of a dentist license,

dental specialist license, and special retired volunteer dentist license under sections 16201

and 16184 of the code, MCL 333.16201 and 333.16184. A dental specialist license must

be renewed at the same time as the dentistry license.

(2) An applicant for a dentist license renewal who has been licensed for the 3-year

period immediately preceding the expiration date of the license shall complete not less

than 60 hours of continuing education approved by the board under R 338.11704a during

the 3-year period before the end of the license cycle.

(3) An applicant for a dental specialist license renewal who has been licensed for the 3-

year period immediately preceding the expiration date of the license shall complete 60

hours of continuing education approved by the board under R 338.11704a, with not less

than 20 of the required 60 hours in board-approved continuing education in the dental

49

specialty field in which the applicant is licensed, within the 3-year period before the end

of the license cycle.

(4) In addition to meeting the requirements of section 16184 of the code, MCL

333.16184, an applicant for a special retired volunteer dentist license renewal who has

been licensed for the 3-year period immediately preceding the expiration date of the

license shall complete not less than 60 hours of continuing education approved by the

board under R 338.11704a during the 3-year period before the end of the license cycle.

(5) An applicant shall possess current certification in BLS or ACLS for healthcare

providers with a hands-on component from an agency or organization that grants

certification pursuant to standards substantially equivalent to the standards adopted in R

338.11705(4).

(6) In complying with the requirements of subrules (2) to (4) of this rule, an applicant

for a dentist license, dental specialist license, and special retired volunteer dentist license

renewal who has been licensed for the 3-year period immediately preceding the

expiration date of the license shall comply with all of the following before the end of the

license cycle:

(a) Complete not less than 3 hours of the required continuing education hours in pain

and symptom management. Continuing education hours in pain and symptom

management may include, but are not limited to, courses in behavior management,

psychology of pain, pharmacology, behavior modification, stress management, clinical

applications, and drug interactions. Hours earned through volunteer patient or supportive

dental services provided for in R 338.11704a(1)(m) do not count toward the required

hours for pain and symptom management.

(b) Complete at least 1 hour of the required continuing education hours in dental ethics

and jurisprudence with inclusion of delegation of duties to allied dental personnel, which

may be completed in 1 or more courses. Hours earned through volunteer patient or

supportive dental services provided for in R 338.11704a(1)(m) do not count toward the

required hours for dental ethics and jurisprudence with inclusion of delegation of duties

to allied dental personnel.

(c) Complete a minimum of 20 hours of the required continuing education hours in

programs directly related to clinical issues including delivery of care, materials used in

delivery of care, and pharmacology. Hours earned through volunteer patient or supportive

dental services provided for in R 338.11704a(1)(m) do not count toward the required

hours for clinical issues.

(d) Complete at least 1 hour of the required continuing education hours in infection

control, which must include sterilization of hand pieces, personal protective equipment,

and the CDC’s infection control guidelines. Hours earned through volunteer patient or

supportive dental services provided for in R 338.11704a(1)(m) do not count toward the

required hours for infection control.

(e) Complete a minimum of 20 hours of the required continuing education hours by

attending synchronous, live courses or programs, in-person or virtual, that provide for the

opportunity of direct interaction between faculty and participants including, but not

limited to, lectures, symposia, live teleconferences, workshops, and participation in

volunteer patient or supportive dental services provided for in R 338.11704a(1)(m).

These courses, with the exception of the volunteer services in R 338.11704a(1)(m), may

50

be counted toward the required courses in clinical issues, including delivery of care,

materials used in delivery of care, and pharmacology.

(f) Complete no more than 30 hours of the required continuing education hours

asynchronously, noninteractive.

(7) Except for the 1-time training in human trafficking, which may be used to comply

with the requirement for the 1-time training and a continuing education requirement, an

applicant may not earn continuing education credit for implicit bias training required by

R 338.7004, and may not earn credit for a continuing education program or activity that

is identical to a program or activity an applicant has already earned credit for during that

renewal period.

(8) The submission of the application for renewal constitutes the applicant's certification

of compliance with the requirements of this rule. The board may require an applicant or a

licensee to submit evidence to demonstrate compliance with this rule. An applicant or

licensee shall maintain evidence of complying with the requirements of this rule for a

period of 5 years after the date of the submission for renewal. Failure to comply with this

rule is a violation of section 16221(h) of the code, MCL 333.16221.

(9) A request for a waiver under section 16205 of the code, MCL 333.16205, must be

received by the department for the board’s consideration not less than 30 days before the

last regularly scheduled board meeting before the expiration date of the license. The

public notice for the board meetings can be found at:

https://www.michigan.gov/lara/bureau-list/bpl/.health/hp-lic-health-prof/dental .

R 338.11703 License renewal for a dental therapist and special-retired volunteer dental

therapist; requirements; applicability.

Rule 1703. (1) This rule applies to an application for the renewal of a dental therapist

license and special-retired volunteer dental therapist license under sections 16184, 16201,

and 16653 of the code, MCL 333.16184, 333.16201, and 333.16653.

(2) An applicant for a dental therapist license renewal who has been licensed for the 2-

year period immediately preceding the expiration date of the license shall complete not

less than 35 hours of continuing education approved by the board under R 338.11704a

during the 2-year period before renewal.

(3) In addition to meeting the requirements of section 16184 of the code, MCL

333.16184, an applicant for a special-retired volunteer dental therapist license renewal

who has been licensed for the 2-year period immediately preceding the expiration date of

the license shall complete not less than 35 hours of continuing education approved by the

board under R 338.11704a during the 2-year period before renewal.

(4) An applicant shall possess current certification in BLS or ACLS for healthcare

providers with a hands-on component froman agency or organization that grants

certification pursuant to standards substantially equivalent to the standards adopted in R

338.11705(4).

(5) In complying with the requirements of subrules (2) and (3) of this rule, an applicant

for a dental therapist license or special-retired volunteer dental therapist license renewal

who has been licensed for the 2-year period immediately preceding the expiration date of

the license shall comply with allof the following before the end of the license cycle:

(a) Complete not less than 2 hours of the required continuing education hours in pain

and symptom management. Continuing education hours in pain and symptom

51

management may include, but are not limited to, courses in behavior management,

psychology of pain, pharmacology, behavior modification, stress management, clinical

applications, and drug interactions. Hours earned through volunteer patient or supportive

dental services provided for in R 338.11704a(1)(m) do not count toward the required

hours for pain and symptom management.

(b) Complete at least 1 hour of the required continuing education hours in dental ethics

and jurisprudence that includes the delegation of duties to allied dental personnel, which

may be completed in 1 or more courses. Hours earned through volunteer patient or

supportive dental services provided for in R 338.11704a(1)(m) do not count toward the

required hours for dental ethics and jurisprudence.

(c) Complete at least 1 hour of the required continuing education hours in infection

control, which must include sterilization of hand pieces, personal protective equipment,

and the CDC’s infection control guidelines. Hours earned through volunteer patient or

supportive dental services provided for in R 338.11704a(1)(m) do not count toward the

required hours for infection control.

(d) Complete a minimum of 12 hours of the required continuing education hours in

programs directly related to clinical issues including delivery of care, materials used in

delivery of care, and pharmacology. Hours earned through volunteer patient or supportive

dental services provided for in R 338.11704a(1)(m) do not count toward the required

hours for clinical issues.

(e) Complete a minimum of 12 hours of the required continuing education hours by

attending synchronous live courses or programs, in-person or virtual, that provide for the

opportunity of direct interaction between faculty and participants including, but not

limited to, lectures, symposia, live teleconferences, workshops, and participation in

volunteer patient or supportive dental services provided for in R 338.11704a(1)(m).

These courses, with the exception of the volunteer services in R 338.11704a(1)(m), may

be counted toward the required courses in clinical issues including delivery of care,

materials used in delivery of care, and pharmacology.

(f) Complete no more than 18 hours of the required continuing education hours

asynchronously, noninteractive.

(6) Except for the 1-time training in human trafficking and 1-time training in opioid and

controlled substances awareness, which may be used to comply with the requirement for

the 1-time training and a continuing education requirement, an applicant may not earn

continuing education credit for implicit bias training required by R 338.7004, and may

not earn credit for a continuing education program or activity that is identical to a

program or activity the applicant has already earned credit for during that renewal period.

(7) The submission of the application for renewal constitutes the applicant's certification

of compliance with the requirements of this rule. The board may require an applicant or a

licensee to submit evidence to demonstrate compliance with this rule. An applicant or

licensee shall maintain evidence of complying with the requirements of this rule for a

period of 5 years after the date of the submission for renewal. Failure to comply with this

rule is a violation of section 16221(h) of the code, MCL 333.16221.

(8) A request for a waiver under section 16205 of the code, MCL 333.16205, must be

received by the department for the board’s consideration not less than 30 days before the

last regularly scheduled board meeting before the expiration date of the license. The

52

public notice for the board meetings can be found at:

https://www.michigan.gov/lara/bureau-list/bpl/.health/hp-lic-health-prof/dental .

R 338.11704 License renewal for a RDH, RDH special volunteer, RDA, and RDA

special volunteer; requirements; applicability.

Rule 1704. (1) This rule applies to an application for the renewal of a RDH license and a

RDA license under section 16201 of the code, MCL 333.16201, and a RDH special-

retired volunteer license and a RDA special-retired volunteer license under section 16184

of the code, MCL 333.16184.

(2) An applicant for a RDH license renewal or a RDA license renewal who has been

licensed for the 3-year period immediately preceding the expiration date of the license,

shall complete not less than 36 hours of continuing education approved by the board

under R 338.11704a during the 3 years before the end of the license cycle.

(3) An applicant holding both a RDH license and a RDA license shall complete not less

than 36 hours of continuing education acceptable to the board under R 338.11704a during

the 3 years before the end of the license cycle. The 36 hours must include not less than 12

hours devoted to RDH functions and not less than 12 hours devoted to RDA functions.

(4) In addition to meeting the requirements of section 16184 of the code, MCL

333.16184, an applicant for a special-retired volunteer RDA license renewal or a special-

retired volunteer RDH license renewal who has been licensed for the 3-year period

immediately preceding the expiration date of the license shall complete not less than 36

hours of continuing education approved by the board under R 338.11704a during the 3-

year period before the end of the license cycle.

(5) An applicant shall possess current certification in BLS or ACLS for healthcare

providers with a hands-on component from an agency or organization that grants

certification pursuant to standards substantially equivalent to the standards adopted in R

338.11705(4).

(6) A request for a waiver under section 16205 of the code, MCL 333.16205, must be

received by the department for the board’s consideration not less than 30 days before the

last regularly scheduled board meeting before the expiration date of the license. The

public notice for the board meetings can be found at:

https://www.michigan.gov/lara/bureau-list/bpl/.health/hp-lic-health-prof/dental .

(7) In complying with the requirements of subrules (2) to (4) of this rule, an applicant

for a RDA license, RDH license, special-retired volunteer RDA license, or special-retired

volunteer RDH license renewal who has been licensed for the 3-year period immediately

preceding the expiration date of the license shall also comply with all of the following

before the end of the license cycle:

(a) Complete a minimum of 12 hours of the required continuing education hours in

programs directly related to clinical issues including delivery of care, materials used in

the delivery of care, and pharmacology. Hours earned through volunteer patient or

supportive dental services provided for in R 338.11704a(1)(m) do not count toward the

required hours for clinical issues.

(b) Complete a minimum of 12 hours of the required continuing education hours by

attending synchronous, live courses or programs, in-person or virtual, that provide the

opportunity for direct interaction between faculty and participants including, but not

limited to, lectures, symposia, live teleconferences, workshops, and providing volunteer

53

patient or supportive dental services in R 338.11704a(1)(m). These courses, with the

exception of the volunteer services in R 338.11704a(1)(m), may be counted toward the

required courses in clinical issues including delivery of care, materials used in delivery of

care, and pharmacology.

(c) Complete not less than 2 hours of the required continuing education hours in pain

and symptom management. Continuing education credits in pain and symptom

management may include, but are not limited to, courses in behavior management,

psychology of pain, pharmacology, behavior modification, stress management, clinical

applications, and drug interactions. Hours earned through volunteer patient or supportive

dental services provided for in R 338.11704a(1)(m) do not count toward the required

hours for pain and symptom management.

(d) Earn no more than 18 of the 36 hours of the required continuing education hours

asynchronously, noninteractive.

(e) Complete at least 1 hour of the required continuing education hours in dental ethics

and jurisprudence with inclusion of delegation of duties to allied dental personnel, which

may be completed in 1 or more courses. Hours earned through volunteer patient or

supportive dental services provided for in R 338.11704a(1)(m) do not count toward the

required hours for ethics and jurisprudence with inclusion of delegation of duties to allied

dental personnel.

(f) Complete at least 1 hour of the required continuing education hours in infection

control, which must include sterilization of hand pieces, personal protective equipment,

and the CDC’s infection control guidelines. Hours earned through volunteer patient or

supportive dental services provided for in R 338.11704a(1)(m) do not count toward the

required hours for infection control.

(8) Except for the 1-time training in human trafficking which may be used to comply

with the requirement for the 1-time training and a continuing education requirement, an

applicant may not earn continuing education credit for implicit bias training required by

R 338.7004 and may not earn credit for a continuing education program or activity that is

identical to a program or activity the applicant has already earned credit for during that

renewal period.

(9) The submission of the application for renewal constitutes the applicant's certification

of compliance required by this rule. The board may require an applicant or licensee to

submit evidence to demonstrate compliance with this rule. The applicant or licensee shall

maintain evidence of complying with the requirements of this rule for a period of 5 years

after the date of the submission for renewal. Failure to comply with this rule is a violation

of section 16221(h) of the code, MCL 333.16221.

R 338.11704a Acceptable continuing education for licensees, limitations.

Rule 1704a. (1) The board shall consider any of the following as acceptable continuing

education for dentists, dental therapists, dental specialists, special-retired volunteer

dentists, special-retired volunteer dental therapists, RDH, special-retired volunteer RDHs,

RDAs, and special-retired volunteer RDAs, unless otherwise noted:

Acceptable Continuing Education activities

54

(a) Completion of an approved continuing

education program or activity related to the

The number of hours earned are

the number of hours approved by

practice of dentistry. A course or program must the sponsor or the approving

substantially meet the standards and criteria for organization.

an acceptable category of continuing education

under this rule and must be relevant to

healthcare and advancement of the licensee’s

dental education.

If the activity was not approved

for a set number of hours, then 1

credit hour for each 50 minutes of

participation may be earned.

A continuing education program or activity is

approved, regardless of the format in which it is No limitation on the number of

offered, if it is approved or offered for

continuing education credit by any of the

following:

hours earned.

 A dental, dental therapy, dental hygiene,

dental assistant, or a hospital-based

dental specialty educational program

approved by CODA.

 A continuing education sponsoring

organization, institution, or individual

approved by AGD.

 The Commission on Continuing

Education Provider Recognition ADA

CERP.

A continuing education program or activity is

approved, regardless of the format in which it is

offered, if it is offered for continuing education

credit by any of the following:

 American Academy of Dental Hygiene

(AADH).

 American Dental Hygienists’

Association (ADHA).

 American Dental Assistants Association

(ADAA).

 Michigan Dental Association (MDA).

 Michigan Dental Hygienists Association

(MDHA).

 Michigan Dental Assistants Association

(MDAA).

 Another state board of dentistry.

If audited, an applicant shall submit a copy of a

letter or certificate of completion showing the

applicant’s name, number of hours earned,

sponsor name or the name of the organization

55

that approved the program or activity for

continuing education credit, and the date the

program was held or activity completed.

(b) Completion of courses offered for credit in a

dental, dental therapy, dental hygiene, dental

assistant, or a hospital-based dental specialty

educational program approved by CODA.

Ten hours may be earned for each

quarter credit earned and 15 hours

may be earned for each semester

credit earned.

If audited, an applicant shall submit an official

No limitation on the number of

transcript that reflects completion of the course hours earned.

and number of semester or quarter credit hours

earned.

(c) Attendance at a program or activity related to

topics approved in R 338.2443(2) and R

338.143(2) for category 1 continuing education

by the board of medicine or board of

osteopathic medicine.

One hour may be earned for each

50 minutes of program attendance.

A maximum of 30 hours for a

dentist, and 18 hours for a dental

therapist, RDH, and RDA may be

If audited, an applicant shall submit a copy of a earned in each renewal period.

letter or certificate of completion showing the

applicant’s name, number of hours earned,

sponsor name or the name of the organization

that approved the program or activity for

continuing education credit, and the date the

program was held or activity completed.

(d) For dentists, satisfactory participation for a

minimum of 7 months in a hospital or

Twenty hours may be earned in

each calendar year for 7 months of

institution through a postgraduate dental clinical participation in the calendar year.

training program approved by CODA.

A maximum of 20 hours per

If audited, an applicant shall submit a copy of a calendar year may be earned.

letter or certificate of completion showing the

applicant’s name, number of hours attended, the

name of the hospital or institution, the name of

the clinical training program, the date of

participation, and the activities completed.

(e) For dentists, successful completion of an

American-board specialty examination.

Ten hours may be earned in the

year in which the applicant

achieves a passing score on a

specialty examination.

If audited, an applicant shall submit proof of a

passing score on the examination.

A maximum of 20 hours may be

earned in each renewal period.

Credit is not given for repeating

the same examination in a renewal

period.

56

(f) Renewal of a dentist, dental therapist, RDH, or For a dentist, 60 hours may be

RDA license held in another state that requires

earned. For a dental therapist, 35

continuing education for license renewal that is hours may be earned. For a RDH

substantially equivalent in subject matter and

total amount of required hours required in these

rules if the applicant resides and practices in

another state.

or RDA, 36 hours may be earned.

A maximum of 60 hours for a

dentist, 35 hours for a dental

therapist, and 36 hours for a RDH

or RDA may be earned in each

renewal period.

If audited, an applicant shall submit proof of

current licensure in another state and a copy of

a letter or certificate of completion showing the

applicant’s name, number of hours earned,

sponsor name or the name of the organization

that approved the program or activity for

continuing education credit, type of program or

activity, and the date the program was held or

activity completed.

(g) For a RDA, meeting the requirements for

recertification in R 338.11705(3).

Thirty-six hours may be earned.

A maximum of 36 hours may be

earned in each renewal period.

If audited, an applicant shall submit proof of

current certification, other than emeritus

certification, by the Dental Assisting National

Board (DANB).

(h) Initial publication of an article or text related to Twenty-five hours may be earned

the practice of dentistry, dental therapy, dental

hygiene, or dental assisting in either of the

following:

per publication.

A maximum of 25 hours may be

earned in each renewal period.

 A textbook.

 A journal of a national association of

dentists, dental therapists, dental

specialists, dental hygienists, or dental

assistants.

If audited, an applicant shall submit a copy of

the publication that identifies the applicant as

the author or a publication acceptance letter.

(i) Initial publication of an article related to the

practice of dentistry, dental therapy, dental

hygiene, or dental assisting in either of the

following:

Twelve hours may be earned per

publication.

A maximum of 12 hours may be

earned in each renewal period.

 A journal of an accredited dentistry,

dental therapy, dental hygiene, or dental

assisting school.

 A state or state-component association

of dentists, dental therapists, dental

57

specialists, dental hygienists, or dental

assistants.

If audited, an applicant shall submit a copy of

the publication that identifies the applicant as

the author or a publication acceptance letter.

(j) Independent reading of articles or viewing or

listening to media, other than online programs,

One hour for each 50 minutes of

participation may be earned per

related to dental, dental therapy, dental hygiene, activity.

or dental assisting education.

A maximum of 10 hours may be

If audited, an applicant shall submit an affidavit earned in each renewal period.

attesting to the number of hours the applicant

spent participating in these activities that

includes a description of the activity.

(k) Development and presentation of a table

One hour for each 50 minutes

clinical demonstration or a continuing education devoted to the development and

lecture offered in conjunction with the

presentation of continuing education programs

approved by the board pursuant to subrule (3)

of this rule that is not a part of the licensee’s

regular job description.

initial presentation.

A maximum of 10 hours may be

earned in each renewal period.

If audited, an applicant shall submit a copy of

the curriculum and a letter from the program

sponsor verifying the length and date of the

presentation.

(l) Attendance at a dental-related program that is

approved by the board pursuant to subrule (3)

of this rule and that is relevant to healthcare and

Ten hours may be credited per

year.

advancement of the licensee's dental education. A maximum of 10 hours may be

earned in each renewal period.

If audited, an applicant shall submit a copy of a

letter or certificate of completion showing the

applicant’s name, number of hours earned,

sponsor name or the name of the organization

that approved the program or activity for

continuing education credit, and the date the

program was held or activity completed.

(m) Providing volunteer patient or supportive dental One hour for each 120 minutes of

services in this state at a board-approved

providing patient or supportive

program pursuant to subrule (4) of this rule that dental services.

is not a part of the licensee’s regular job

description or required under a board order or

agreement and that complies with the

following:

A dentist or special-retired

volunteer dentist may earn a

58

maximum of 20 hours per renewal

period.

 The program is a public or nonprofit

entity, program, or event, or a school or

nursing home.

A dental therapist, RDH, RDA,

special-retired volunteer dental

therapist, special-retired volunteer

RDH, and special-retired

volunteer RDA may earn a

maximum of 12 hours per renewal

period.

 The program provides patient or

supportive dental services to the

indigent or dentally underserved

populations.

 The licensee does not receive direct or

indirect remuneration of any kind

including, but not limited to,

remuneration for materials purchased or

used.

 The licensee shall sign in and sign out

daily upon commencement and

termination of the provision of services.

 A dentist with a specialty license issued

from this state shall limit volunteer

clinical dental services to the specialty

area in which the dentist is licensed.

If audited, an applicant shall submit proof from

the sponsor of the assignments and the hours of

service provided.

(n) Providing patient or supportive dental services

One hour for each 120 minutes of

in this state to indigent or dentally underserved providing patient or supportive

populations that is part of the licensee’s regular dental services.

job description but is not required under a board

order or agreement.

A dentist or special-retired

volunteer dentist may earn a

If audited, an applicant shall submit proof from maximum of 20 hours per renewal

an employer of the assignments and the hours

worked.

period.

A dental therapist, RDH, RDA,

special-retired volunteer dental

therapist, special-retired volunteer

RDH, and special-retired

volunteer RDA may earn a

maximum of 12 hours per renewal

period.

(2) If an organized continuing education course or program is offered in segments of 50

to 60 minutes each, 1 hour of credit is given for each segment.

(3) The following requirements are established for continuing education, which

includes, but is not limited to, any continuing education not otherwise approved by

subrule (1) of this rule:

59

(a) The continuing education applicant shall submit a completed application, on forms

provided by the department, which includes submission of a curriculum vitae or

biography for all instructors and speakers.

(b) A completed application form must be submitted to the department not less than 70

days before the date the course or program is conducted and not less than 70 days before

the next regularly scheduled board meeting for the proposed continuing education to be

considered for approval by the board. Continuing education conducted before board

consideration and approval will be denied approval.

(c) A course or program must substantially meet the standards and criteria for an

acceptable category of continuing education under this rule and must be relevant to

healthcare and advancement of the licensee’s dental education.

(d) Board approval is for a term of 3 years from the date of approval.

(e) Approved continuing education must be reevaluated by the board before any

changes during the 3-year approval term including, but not limited to, changes in the

following:

(i) Instructors and speakers.

(ii) Content, title, or number of continuing education hours to be awarded to

participants.

(f) Subject to subdivision (g) of this subrule, all changes to previously approved

continuing education courses or programs must be submitted on required department

forms not less than 70 days before the date the continuing education course or program is

offered to participants and not less than 70 days before the next regularly scheduled board

meeting to be considered for approval by the board. Any changes to the submitted and

previously approved courses or programs conducted before board reconsideration and

approval will be denied approval.

(g) Emergency changes to instructors and speakers that are unable to be submitted to

the board not less than 70 days before the date of the continuing education may be

reviewed by the department in consultation with the board chair when proof acceptable to

the department is submitted with the change supporting the nature of the emergency.

(h) Other than the beginning term of approval, specific dates of the continuing

education course or program and the number of times the course or program are offered

do not require further board approval and may be changed without review by the board if

the presentation dates are within the board’s original 3-year term of approval.

(i) All of the following information must be recorded on a continuing education course

or program certificate of completion or other proof prepared by the sponsor conducting

the continuing education:

(i) The name of the applicant, sponsor, or both.

(ii) Continuing education approval number issued by the board.

(iii) Course title.

(iv) Date the approved continuing education course was conducted.

(v) Number of continuing education hours awarded.

(vi) Signature of the individual responsible for attendance.

(vii) Dates of the current approval term.

(viii) Name of participant.

(j) The board may revoke the approval status of any approved continuing education

course or program any time the course or program fails to comply with these rules.

60

(k) The continuing education applicant shall submit a “Patient Protection” form

provided by the department to the department for each continuing education course or

program involving treatment of live patients.

(4) The following requirements are established for board approval of a sponsor offering

volunteer continuing education opportunities under subrule (1)(m) of this rule:

(a) A sponsor shall apply to the department to obtain approval as a sponsoring entity on

the volunteer dental application form.

(b) A sponsor shall retain patient records.

(c) A sponsor shall retain documentation of all volunteer assignments and the hours of

service provided.

(d) Upon request, a sponsor shall provide the board with the records, copy of the

assignments, hours of service, and evidence of compliance with the requirements of

subrule (1)(m) of this rule.

(e) A sponsor shall provide each licensee with verification of all volunteer hours of

dental care provided by the licensee upon completion of the licensee’s service.

(f) Upon request, a sponsor shall submit documentation to the department, evidencing

compliance with the requirements of subrules (1)(m) and (5) of this rule.

(g) Board approval is for a term of 4 years from the date of approval.

(h) The board may revoke the approval status of any volunteer continuing education

opportunity any time an approved continuing education program fails to comply with

these rules.

(i) All of the following information must be recorded on a continuing education

certificate of completion or other proof prepared by the sponsor conducting the volunteer

continuing education course or program:

(i) The name of the sponsoring organization.

(ii) Continuing education approval number issued by the board.

(iii) Dates and times of volunteer services.

(iv) Number of continuing education hours earned.

(v) Signature of individual responsible for attendance.

(vi) Dates of the current approval term.

(vii) Name of participant.

(5) A continuing education sponsor shall maintain evidence of participation in

continuing education, including signed continuing education certificates of completion

issued to participants, for a period of 5 years from the date of the continuing education

program or course.

R 338.11705 Standards and requirements; adoption by reference.

Rule 1705. (1) The board adopts by reference the standards and criteria of the AGD’s

Program Approval for Continuing Education (PACE) which are set forth in the

publication titled "PACE Academy of General Dentistry Program Approval for

Continuing Education Program Guidelines, revised August 2021.” Information on the

PACE standards and criteria is available at no cost from the Academy of General

Dentistry, 560 W. Lake St., Sixth Floor, Chicago, Illinois, 60661-6600 or at no cost from

the academy's internet website at www.agd.org . A copy of the guidebook is available for

inspection and distribution at 10 cents per page from the Michigan Board of Dentistry,

61

Michigan Department of Licensing and Regulatory Affairs, Bureau of Professional

Licensing, 611 West Ottawa, P.O. Box 30670, Lansing, Michigan, 48909.

(2) The board adopts by reference the standards and criteria of the ADA CERP for

approval of continuing education sponsoring organizations, which are set forth in the

publication titled "ADA CERP Recognition Standards and Procedures January 2022.” A

copy of this publication may be obtained at no cost from the association at ADA CERP,

211 East Chicago Avenue, Chicago, Illinois, 60611-2678 or at no cost from the

association's internet website at www.ada.org . A copy of the publication is available for

inspection and distribution at 10 cents per page from the Michigan Board of Dentistry,

Department of Licensing and Regulatory Affairs, Bureau of Professional Licensing, 611

West Ottawa, P.O. Box 30670, Lansing, Michigan, 48909.

(3) The board adopts by reference the requirements for recertification established by

DANB as set forth in the publication titled "Dental Assisting National Board, Inc.

Recertification Requirements 2022." A copy of the publication may be obtained at no

cost from the Dental Assisting National Board, Inc., 444 North Michigan Avenue, Suite

900, Chicago, Illinois, 60611 or at no cost from the national board's internet website at

www.danb.org . A copy of the guidelines and requirements are available for inspection

and distribution at 10 cents per page from the Michigan Board of Dentistry, Department

of Licensing and Regulatory Affairs, Bureau of Professional Licensing, 611 West

Ottawa, P.O. Box 30670, Lansing, Michigan, 48909.

(4) The board adopts by reference the standards for certification in BLS and ACLS for

healthcare providers with a hands-on component set forth by the AHA in the standards

and guidelines for cardiopulmonary resuscitation and emergency cardiac care for

professional providers, published in "2020 American Heart Association Guidelines for

Cardiopulmonary Resuscitation and Emergency Cardiovascular Care.” A copy of the

guidelines for cardiopulmonary resuscitation and emergency cardiovascular care may be

obtained at a cost of approximately $25.00 from the AHA’s website at

www.cpr.heart.org . A copy of this document is available for inspection and distribution,

at the same cost as purchasing a copy from the AHA, from the Michigan Board of

Dentistry, Department of Licensing and Regulatory Affairs, Bureau of Professional

Licensing, 611 West Ottawa, P.O. Box 30670, Lansing, Michigan, 48909.

PART 8. DENTAL AMALGAM

R 338.11811 Amalgam separator; installation and operation; requirements.

Rule 1811. (1) A dentist shall have installed an amalgam separator on each wastewater

drain in the dentist’s dental office that is used to discharge dental amalgam waste. In

addition to meeting the requirements of the code and these rules, a dentist who is required

to install an amalgam separator, under section 16631 of the code, MCL 333.16631, shall

comply with all of the following:

(a) Install an amalgam separator that meets the requirements of R 338.11813.

(b) Install, operate, and maintain the amalgam separator according to the

manufacturer’s instructions.

(c) Ensure the installed amalgam separator is properly sized to accommodate maximum

dental amalgam wastewater flow rates at the dental office. The maximum allowable flow

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rate through an amalgam separator at a dental office must not exceed the maximum flow

rate capacity at which the amalgam separator was tested under R 338.11813(1)(a).

(d) Ensure that all wastewater from the dental office containing dental amalgam waste

passes through an installed and properly functioning and maintained amalgam separator

before being discharged.

(2) Subrule (1) of this rule does not apply to any of the following:

(a) Oral and maxillofacial surgeons.

(b) Oral and maxillofacial radiologists.

(c) Oral and maxillofacial pathologists.

(d) Orthodontists.

(e) Periodontists.

(f) Dentists while providing services in a dental educational program, in a hospital, or

through a local health department.

(g) Dentists who install and use a holding tank and do not discharge amalgam waste.

R 338.11813 Amalgam separator; requirements.

Rule 1813. (1) An amalgam separator that is installed in a dental office under R

338.11811 must meet all of the following requirements:

(a) Be certified as passing the International Organization for Standardization (ISO)

11143 standard, 2008, for evaluating amalgam separators.

(b) Have a removal efficiency of not less than 95% as determined by the testing

required under subdivision (a) of this subrule, based on the overall average of the 3 empty

and the 3 simulated full test results.

(c) Be tested and certified by 1 of the following:

(i) SP Technical Research Institute of Sweden.

(ii) TUV Nord, Germany.

(iii) NSF international.

(iv) Both of the following:

(A) A testing laboratory accredited by an accreditation body that is a signatory to the

International Laboratory Accreditation Cooperation’s mutual recognition arrangement

and has a scope of accreditation that includes ISO 11143 standard, 2008.

(B) A certification body accredited by an accreditation body that is a signatory to the

International Accreditation Forum’s multilateral recognition arrangement and has a scope

of accreditation that includes ISO 11143 standard, 2008.

(2) Any amalgam separator that meets the requirements of subrule (1) of this rule

qualifies as an amalgam separator approved by the board.

R 338.11821 Compliance and enforcement.

Rule 1821. Failure to comply with the requirements of these rules, or the Department of

Environment, Great Lakes, and Energy’s amalgam reporting requirements is a violation

of section 16221(h) of the code, MCL 333.16221, and may result in sanctions as provided

for in the code, or under state or federal law. The amalgam reporting requirements can be

found at: https://www.michigan.gov/egle/about/organization/Water-Resources/industrial-

pretreatment/epa-dental-rule .