Pennsylvania Code & Bulletin
COMMONWEALTH OF PENNSYLVANIA

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The Pennsylvania Code website reflects the Pennsylvania Code changes effective through 54 Pa.B. 5598 (August 31, 2024).

49 Pa. Code § 33.115. Local anesthesia permit.

§ 33.115. Local anesthesia permit.

 (a)  Permit required. A dental hygienist shall possess a current permit issued by the Board under this section before administering local anesthesia to a patient in a dental office. For purposes of this section, the term ‘‘local anesthesia’’ includes local infiltration anesthesia and intraoral nerve block anesthesia limited to the 2nd (maxillary) and 3rd (mandibular) divisions of the trigeminal nerve.

 (b)  Application. A dental hygienist who desires to obtain a permit to administer local anesthesia shall submit an application on a form provided by the Board, pay the permit fee prescribed in §  33.3 (relating to fees) and meet the qualifications for the permit as prescribed in this section.

 (c)  Qualifications. To obtain a local anesthesia permit, a dental hygienist shall:

   (1)  Hold a current license in good standing to practice as a dental hygienist in this Commonwealth.

   (2)  Hold current certification in Basic Life Support (BLS).

   (3)  Provide to the Board one of the following:

     (i)   Certification of education by the dental hygiene program on a form provided by the Board verifying that the dental hygienist graduated, within the 5 years immediately preceding the filing of the application for local anesthesia permit, from a dental hygiene program that meets the following criteria:

       (A)   The dental hygiene program is accredited by the American Dental Association’s Commission on Dental Accreditation (CODA).

       (B)   The dental hygiene program included the successful completion of a didactic and clinical course in the administration of local anesthesia.

     (ii)   Certification of education by the dental or dental hygiene program on a form provided by the board verifying that the dental hygienist successfully completed, within the 5 years immediately preceding the filing of the application for local anesthesia permit, a course consisting of a minimum of 30 hours of didactic and clinical instruction in the administration of local anesthesia sponsored by a dental or dental hygiene education program accredited by CODA.

     (iii)   A certificate or letter of good standing from the proper licensing authority of another state, territory or district of the United States, or of a province or territory of Canada, verifying that the dental hygienist possesses a current license or permit issued by the proper licensing authority of another state, territory or district of the United States, or by the proper licensing authority of a province or territory of Canada, where the dental hygienist is authorized under the laws of that jurisdiction to administer local anesthesia, provided that the following additional conditions are met:

       (A)   The jurisdiction where the dental hygienist is so licensed or permitted requires completion of a course in the administration of local anesthesia accredited by CODA or by the Commission on Dental Accreditation of Canada (CDAC) prior to obtaining certification, endorsement or other such authority.

       (B)   The dental hygienist signs a certification statement on the application for a local anesthesia permit verifying that the dental hygienist actively engaged in the administration of local anesthesia under a current license or permit within the 5 years immediately preceding the filing of the application for a local anesthesia permit.

       (C)   The dental hygienist signs a certification statement on the application for a local anesthesia permit verifying that, at all times prior to filing the application for local anesthesia permit, the dental hygienist administered local anesthesia in accordance with all applicable laws and regulations of the jurisdiction where the dental hygienist is so licensed or permitted.

       (D)   The jurisdiction where the dental hygienist is so licensed or permitted verifies that there has been no disciplinary action taken against the dental hygienist relating to the administration of local anesthesia.

 (d)  Expiration and biennial renewal. A local anesthesia permit issued by the Board under this section will expire at the same time as the permitholder’s dental hygiene license but may be renewed biennially at the same time the dental hygiene license is renewed. A dental hygienist who desires to renew a local anesthesia permit shall submit the following:

   (1)  A renewal application on a form provided by the Board.

   (2)  The permit renewal fee set forth in §  33.3.

   (3)  Proof of current certification in BLS.

Authority

   The provisions of this §  33.115 issued under sections 3(d), (j.2) and (o) of The Dental Law (63 P. S. §  122(d), (j.2) and (o)).

Source

   The provisions of this §  33.115 adopted December 11, 2009, effective December 12, 2009, 39 Pa.B. 6982.

Cross References

   This section cited in 49 Pa. Code §  33.205 (relating to practice as a dental hygienist).



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