# Health Occupations (GHO)

## Title 4. Dentistry

### Subtitle 2. State Board of Dental Examiners

#### Section 4-206.3

(a) Subject to the requirements of subsection (b) of this section, a dental hygienist may administer local anesthesia by inferior alveolar nerve block to facilitate the practice of dental hygiene by a dental hygienist or the practice of dentistry by a dentist, but not as a medical specialty, provided the administration of the local anesthesia is under the supervision of a dentist who:

  (1) Is physically present on the premises; and

  (2) Prescribes the administration of local anesthesia by the dental hygienist.

(b)

  (1) Before a dental hygienist may administer local anesthesia under subsection (a) of this section, the dental hygienist shall successfully complete the following:

    (i) Any educational requirements established by the Board; and

    (ii) A written and clinical examination as required by the Board.

  (2) A dental hygienist shall obtain the education required under paragraph (1) of this subsection from an accredited dental hygiene program.

  (3) A dental hygienist who successfully completed the education requirements and examination required under paragraph (1) of this subsection before October 1, 2011, shall take and successfully complete a refresher course and a clinical examination from an accredited dental hygiene program.

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Md. Code Ann., Health Occ. (as displayed at mgaleg.maryland.gov, October 16, 2026)