§447-3.5 Educational requirements for intra-oral block anesthesia. (a) The applicant for certification to administer intra-oral block anesthesia shall show proof that the applicant successfully completed a course of study that shall include the following categories of intra-oral infiltration local anesthesia and intra-oral block anesthesia:

(1) Maxillary mandibular infiltration anesthesia;

(2) Long buccal nerve block anesthesia;

(3) Mental nerve block;

(4) Inferior alveolar/lingual nerve block;

(5) Incisive nerve block;

(6) Posterior superior alveolar nerve block;

(7) Middle superior alveolar nerve block;

(8) Anterior superior alveolar nerve block;

(9) Nasopalatine (incisive canal) nerve block; and

(10) Greater (anterior) palatine nerve block.

(b) A course of study shall also include didactic studies and clinical experience, and for intra-oral block anesthesia categories in subsection (a)(1) to (10), at least thirty-nine hours, and a minimum of fifty successful injections of which ten shall be in intra-oral block in subsection (a)(4) and five in intra-oral block in subsection (a)(6).

(c) The curriculum of the course of study shall include as follows:

(1) Cardiopulmonary resuscitation certification;

(2) Medical history evaluation procedures;

(3) Physical evaluation procedures;

(4) Anatomy of head, neck, and oral cavity as it relates to administering local anesthetic agents;

(5) Pharmacology of local anesthetics and vasoconstrictors;

(6) Indications and contraindications for administration of local anesthetics;

(7) Prevention, diagnosis, and management of medical emergency;

(8) Recognition and management of post-injection complications and management of reactions to injections;

(9) Medical and legal management complications;

(10) Selection and preparation of the armamenteria and recordkeeping for administering various local anesthetics;

(11) Methods of administering local anesthetics with emphasis on technique, which includes aspiration and slow injection, in addition to minimum effective dosage; and

(12) Proper infection control techniques with regard to local anesthesia and the proper disposal of sharps.

(d) As part of the course of study, the applicant or licensed dental hygienist shall be required to pass an examination to determine if the applicant or licensed dental hygienist has acquired the necessary knowledge and clinical proficiency to administer intra-oral block anesthesia.

(e) The board of dentistry may adopt rules pursuant to chapter 91, relating to the education and certification of dental hygienists to administer intra-oral block anesthesia. [L 1999, c 97, §1; am L 2018, c 203, §4]