# COMAR Title 10 — Maryland Department of Health

## Subtitle 44 — Board of Dental Examiners

### Chapter 04 — Practice of Dental Hygiene

#### Regulation .09 Board-Approved Course of Instruction for Local Anesthesia.

*COMAR 10.44.04.09*

The 28-hour Board-approved local anesthesia course of instruction outlined in Regulation .08A and B of this chapter shall include but not be limited to the following:

A. 20 hours of didactic training, including at least the following:

  (1) The psychology of pain management;

  (2) A review of anatomy, physiology, and pharmacology of anesthetic agents;

  (3) Emergency precautions and management;

  (4) Patient management; and

  (5) Instruction on the safe and effective administration of local anesthesia; and

B. 8 hours of clinical training, including the direct observation of the performance of procedures.