Administration of Local Anesthesia Only
Effective Nov 21, 2011Published Nov 11, 2011Mass. Register #1195MGL c. 112, §§ 43 through 53 MGL c. 112, § 61Board of Registration in Dentistry
(1) Scope of Practice.
- (a) A dentist licensed to practice dentistry may administer local anesthesia under the authority of his or her dental license. The administering dentist shall be currently certified in Basic Life Support (BLS).
- (b) The Board may issue qualified dental hygienists, licensed pursuant to M.G.L. c. 112, § 51, a Permit L which authorizes the holder to administer local anesthesia under the direct supervision of a licensed dentist.
(2) Equipment and Supplies Required. The following equipment and drugs are required where local anesthesia is administered:
- (a) Alternative light source for use during power failure;
- (b) Automated External Defribillator (AED);
- (c) Disposable CPR masks (pediatric and adult);
- (d) Disposable syringes, assorted sizes;
- (e) Disposable pediatric and adult face masks or positive pressure ventilation with supplemental oxygen;
- (f) Oxygen (portable Cylinder E tank) pediatric and adult masks capable of giving positive pressure ventilation (including bag-valve-mask system);
- (g) Sphygmomanometer and stethoscope for pediatric and adult patients;
- (h) Suction; and
- (i) And any other equipment as may be required by the Board.
(3) Drugs Required. The following drugs and/or categories of drugs shall be provided and maintained in accordance with the AHA/ACLS Guidelines (234 CMR 6.02) or as determined by the Board for emergency use. All drugs shall be current and not expired
- (a) Acetylsalicylic acid (readily absorbable form);
- (b) Ammonia inhalants;
- (c) Antihistamine;
- (d) Antihypoglycemic agent;
- (e) Bronchodilator;
- (f) Epinephrine preloaded syringes (pediatric and adult);
- (g) Two epinephrine ampules;
- (h) Oxygen;
- (i) Vasodilator; and
- (j) Any other drugs or categories of drugs as may be required by the Board.