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<section article="gho" article_name="Health Occupations" number="4-205" title_number="4" title_name="Dentistry" subtitle_number="2" subtitle_name="State Board of Dental Examiners">
  <level label="a">
    <text>In addition to the powers set forth elsewhere in this title, the Board may:</text>
    <level label="1">
      <text>Adopt regulations governing:</text>
      <level label="i">
        <text>The administration of general anesthesia by a licensed dentist;</text>
      </level>
      <level label="ii">
        <text>The administration of sedation by a licensed dentist;</text>
      </level>
      <level label="iii">
        <text>The use of a dental assistant by a licensed dentist in performing intraoral procedures, including:</text>
        <level label="1">
          <text>Reasonable policies and guidelines for a dental assistant to assist in performing intraoral procedures authorized under § 4–301(a) of this title; and</text>
        </level>
        <level label="2">
          <text>Subject to § 4–302.1(e) of this title, reasonable education or training requirements for an individual to become an expanded function dental assistant and perform the intraoral procedures authorized under § 4–301.1(b) of this title;</text>
        </level>
      </level>
      <level label="iv">
        <text>Subject to subsection (b) of this section, the issuance of a permit to a facility not otherwise regulated where a dentist administers or has general anesthesia or sedation administered;</text>
      </level>
      <level label="v">
        <text>Subject to subsection (b) of this section, the issuance of a permit to a dentist who administers or has general anesthesia or sedation administered;</text>
      </level>
      <level label="vi">
        <text>Reasonable requirements for the training and evaluation of a dentist before the dentist may administer general anesthesia or sedation other than nitrous oxide administered alone and not in conjunction with:</text>
        <level label="1">
          <text>Another method of diminishing or eliminating pain; or</text>
        </level>
        <level label="2">
          <text>Medication used for diminishing or eliminating anxiety;</text>
        </level>
      </level>
      <level label="vii">
        <text>Reasonable requirements for:</text>
        <level label="1">
          <text>The education, training, evaluation, and examination of a dental hygienist before the dental hygienist may perform manual curettage in conjunction with scaling and root planing; and</text>
        </level>
        <level label="2">
          <text>Performance by a dental hygienist of manual curettage in conjunction with scaling and root planing;</text>
        </level>
      </level>
      <level label="viii">
        <text>Reasonable requirements for:</text>
        <level label="1">
          <text>The education, training, evaluation, and examination of a dental hygienist before the dental hygienist may administer local anesthesia under § 4–206.1 of this subtitle; and</text>
        </level>
        <level label="2">
          <text>Administering by a dental hygienist of local anesthesia under § 4–206.1 of this subtitle;</text>
        </level>
      </level>
      <level label="ix">
        <text>Reasonable requirements for:</text>
        <level label="1">
          <text>The education, training, evaluation, and examination of a dental hygienist before a dental hygienist may administer nitrous oxide under § 4–206.2 of this subtitle; and</text>
        </level>
        <level label="2">
          <text>Administering nitrous oxide by a dental hygienist under § 4–206.2 of this subtitle;</text>
        </level>
      </level>
      <level label="x">
        <text>Reasonable requirements for the education, training, evaluation, and examination of a dental hygienist before a dental hygienist may administer local anesthesia by inferior alveolar nerve block under § 4–206.3 of this subtitle;</text>
      </level>
      <level label="xi">
        <text>Reasonable requirements for:</text>
        <level label="1">
          <text>The education, training, evaluation, and examination of a dental hygienist before a dental hygienist may prescribe or administer medication under § 4–206.4 of this subtitle; and</text>
        </level>
        <level label="2">
          <text>Prescribing or administering medication by a dental hygienist under § 4–206.4 of this subtitle;</text>
        </level>
      </level>
      <level label="xii">
        <text>The discipline of a holder of any facility or administration permit for the administration of general anesthesia or sedation; and</text>
      </level>
      <level label="xiii">
        <text>The release of patient dental records;</text>
      </level>
    </level>
    <level label="2">
      <text>After consulting with the State Board of Pharmacy, adopt regulations regarding the dispensing of prescription drugs by a licensed dentist;</text>
    </level>
    <level label="3">
      <text>On receipt of a written and signed complaint, investigate an alleged violation of this title;</text>
    </level>
    <level label="4">
      <text>After consulting with the Maryland Dental Hygienists’ Association, adopt regulations establishing continuing education requirements for licensed dental hygienists;</text>
    </level>
    <level label="5">
      <text>Adopt regulations establishing continuing education requirements for licensed dentists;</text>
    </level>
    <level label="6">
      <text>On receipt of a written and signed complaint, including a referral from the Commissioner of Labor and Industry, conduct an unannounced inspection of the office of a dentist, other than an office of a dentist in a hospital, related institution, freestanding medical facility, or a freestanding birthing center, to determine compliance at that office with the Centers for Disease Control and Prevention’s guidelines on universal precautions; and</text>
    </level>
    <level label="7">
      <text>Establish committees from among its members to facilitate and assist the Board in discharging its duties and responsibilities under this title by evaluating, reviewing, and making recommendations to the Board on matters referred to the committees by the Board. The committees established shall include, but may not be limited to:</text>
      <level label="i">
        <text>A nominations committee;</text>
      </level>
      <level label="ii">
        <text>A regulations committee;</text>
      </level>
      <level label="iii">
        <text>A committee on dental hygiene composed of 3 dental hygienists, 1 dentist, and 1 consumer to which the Board shall refer all matters within the Board’s jurisdiction under this title relating to or affecting the practice of dental hygiene for the committee’s evaluation, review, and recommendation;</text>
      </level>
      <level label="iv">
        <text>A disciplinary committee; and</text>
      </level>
      <level label="v">
        <text>Such other committees as the Board considers appropriate.</text>
      </level>
    </level>
  </level>
  <level label="b">
    <text>The Board may not require a facility or a dentist to obtain a permit if a dentist:</text>
    <level label="1">
      <text>Administers nitrous oxide that is not administered in conjunction with:</text>
      <level label="i">
        <text>Another method of diminishing or eliminating pain; or</text>
      </level>
      <level label="ii">
        <text>Medication used for diminishing or eliminating anxiety; or</text>
      </level>
    </level>
    <level label="2">
      <text>Prescribes or administers oral medication to a patient within the maximum recommended dosage for that patient for the sole purpose of diminishing or eliminating anxiety that is not prescribed in conjunction with:</text>
      <level label="i">
        <text>Another method of diminishing or eliminating pain; or</text>
      </level>
      <level label="ii">
        <text>The administration of nitrous oxide.</text>
      </level>
    </level>
  </level>
  <level label="c">
    <level label="1">
      <text>In addition to the duties set forth elsewhere in this title, the Board shall:</text>
      <level label="i">
        <text>Keep a record of each license and each action taken under § 4–315 of this title;</text>
      </level>
      <level label="ii">
        <text>Have an official seal;</text>
      </level>
      <level label="iii">
        <text>Be trained for at least 1 hour each year on the powers, duties, and procedures, including complaint and hearing procedures, of the Board;</text>
      </level>
      <level label="iv">
        <level label="1">
          <text>Require applicants for an initial license and applicants for a license renewal to report whether the applicant provides or intends to provide mobile dental services or portable dental services; and</text>
        </level>
        <level label="2">
          <text>Publish on the Board’s website a searchable list of licensed dentists and licensed dental hygienists who provide mobile dental services or portable dental services in the State; and</text>
        </level>
      </level>
      <level label="v">
        <text>Adopt rules, regulations, and bylaws as may be necessary to carry out the provisions of this title.</text>
      </level>
    </level>
    <level label="2">
      <text>To be determined to be in compliance with the training requirement under paragraph (1)(iii) of this subsection, the Board shall:</text>
      <level label="i">
        <text>Select an attorney, after consultation with the Maryland State Bar Association, with the appropriate expertise to provide the training to the Board;</text>
      </level>
      <level label="ii">
        <text>Require each member of the Board to attend the training and receive documentation of completion from the attorney providing the training; and</text>
      </level>
      <level label="iii">
        <text>Include a summary of the training and attendance in the Board’s annual report.</text>
      </level>
    </level>
  </level>
</section>
