With respect to a dental hygienist, the Board is very clear: “‘Practice as a dental hygienist’ means practice at the assignment of a dentist in the specific area of dentistry based on specialized knowledge, formal education, and skill with particular emphasis on preventive services and oral health education.”
MCL 333.16611 states:
“(4) Upon delegation by a dentist under section 16215 and under the direct supervision of a dentist [emphasis added], a dental hygienist may administer intraoral block and infiltration anesthesia or nitrous oxide analgesia, or both, to a patient 18 years of age or older, if the following criteria are met:
(a) The dental hygienist has successfully completed a course in the administration of local anesthesia or nitrous oxide analgesia, or both, as applicable, offered by a dental or dental hygiene program accredited by the commission on dental accreditation of the American dental association and approved by the department. A course described in this subdivision involving local anesthesia administration must contain a minimum of 15 hours didactic instruction and 14 hours of clinical experience. A course described in this subdivision involving nitrous oxide analgesia administration must contain a minimum of 4 hours of didactic instruction and 4 hours of clinical experience. The courses of instruction shall include content in all of the following:
(i) In the case of local anesthesia, the following:
(A) Theory of pain control.
(B) Selection of pain control modalities.
(E) Pharmacology of local anesthetics.
(F) Pharmacology of vasoconstrictors.
(G) Psychological aspects of pain control.
(H) Systemic complications.
(I) Techniques of maxillary anesthesia.
(J) Techniques of mandibular anesthesia.
(K) Infection control.
(L) Local anesthesia medical emergencies.
(ii) In the case of nitrous oxide analgesia, the following:
(A) Nitrous oxide analgesia medical emergency techniques.
(B) Pharmacology of nitrous oxide.
(C) Nitrous oxide techniques.
(D) If such a course is available, selection of pain control modalities.
(b) The dental hygienist has successfully completed a state or regional board-administered written examination on either or both of the following within 18 months of completion of the course work required under subdivision (a):
(i) Local anesthesia.
(ii) Nitrous oxide analgesia, if such an examination is available and approved by the department.
(c) The dental hygienist maintains and can show evidence of current certification in basic or advanced cardiac life support in compliance with R 338.11701 of the Michigan administrative code.”