§59-328.25. Oral maxillofacial surgery assistant permits.
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A. Any person applying for an oral maxillofacial surgery expanded duty permit shall complete the requirements of this section for submission and approval before the Board.
B. The application shall be made to the Board in writing and shall be accompanied by the fee established by the Board, together with the satisfactory proof that the applicant:
1. Passes a background check with criteria established by the Board; and
2. Has completed all of the training requirements for the oral maxillofacial surgery expanded duty permit as established by the Board.
C. An oral maxillofacial surgery expanded duty permit shall be considered a temporary training permit until all of the training requirements, as established by the Board for the oral maxillofacial surgery expanded duty permit, have been completed and approved by the Board.
D. A temporary training permit for the oral maxillofacial surgery expanded duty shall not be extended beyond two
(2)years.
E. When performing the expanded duty of oral maxillofacial surgery, dental assistants shall be under direct supervision or direct visual supervision at all times by a licensed oral maxillofacial surgeon, dentist, or pediatric dentist who holds a parenteral or general anesthesia permit; provided, only the oral maxillofacial surgeon, dentist, or pediatric dentist, or an anesthesiologist or a Certified Registered Nurse Anesthetist, may administer anesthesia and assess the patient’s level of sedation and only the oral maxillofacial surgeon, dentist, or pediatric dentist may perform surgery.
F. An applicant for an oral maxillofacial surgery expanded duty permit shall provide satisfactory proof of:
1. Successful completion of the Dental Anesthesia Assistant National Certification Examination (DAANCE) provided by the American Association of Oral Maxillofacial Surgeons (AAOMS) or another program or examination as approved by the Board;
2. A valid BLS certification;
3. Employment and completion of a minimum of six
(6)months of training under the direct supervision of a licensed oral maxillofacial surgeon prior to starting DAANCE or another program or examination as approved by the Board;
4. Completion of a standardized course approved by the Board including a minimum of four
(4)hours of didactic training that must include anatomy, intravenous access or phlebotomy, technique, risks and complications, and hands-on experience starting and maintaining intravenous lines on a human or simulator/manikin, and pharmacology; and
5. Completion of an infection-control course as approved by the Board.
G. A dental assistant with an oral maxillofacial surgery expanded duty permit shall complete eight
(8)hours of continuing education every two
(2)years in classes approved by AAOMS that are certified by the American Dental Association CERP program or another program approved by the Board. The continuing education requirement shall include at least one
(1)hour on infection control.
H. The Anesthesia Committee provided pursuant to Section 328.17 of this title may make a recommendation to the Board for a dental assistant with an oral maxillofacial surgery expanded duty permit holding a temporary training permit to substitute training received from another state university, dental school or technical training
institute or training acquired in a surgery center or hospital while working under the authority of a licensed physician, to qualify as a partial substitute for the requirements to attain an oral maxillofacial surgery expanded duty permit.
I. A dental assistant with an oral maxillofacial surgery expanded duty permit may only accept delegation from an oral and maxillofacial surgeon, dentist, or pediatric dentist with a valid general or parenteral anesthesia permit:
1. Under direct supervision:
a. initiate and discontinue an intravenous line for a
patient being prepared to receive intravenous
medications, sedation or general anesthesia, or
b. draw up and prepare medications; and
2. Under direct visual supervision:
a. follow instructions of the oral surgeon while acting
as an accessory hand on behalf of the oral surgeon
that is administering the medication and actively
treating the patient. For the purposes of this
section, “administer” means to have the sole
responsibility for anesthesia care including
determining medicines to be used and the dosage,
timing, route of delivery and administration of
medication and the assessment of the level of
anesthesia and monitoring the physiological results of
such care; provided, only an oral surgeon or dentist
possessing a current general anesthesia permit may
administer or assess the level of sedation or general
anesthesia and monitor the results of such care,
b. follow instructions of the oral surgeon to adjust the
rate of intravenous fluids to maintain or keep the
line patent or open and adjust an electronic device to
provide medications such as an infusion pump, and
c. assist the oral surgeon by reading, recording vital
signs of a patient receiving deep sedation or general
anesthesia; provided, only an oral surgeon may assess
the level of sedation.
J. Only an oral surgeon shall be responsible to diagnose, treat, monitor, determine and administer the selection of the drug, dosage, and timing of all anesthetic medications, and care of the patient through the perioperative period shall rest solely with the supervising oral and maxillofacial surgeon.
K. Nothing in the State Dental Act shall be construed as to allow a dental assistant with an oral maxillofacial expanded duty permit to administer anesthesia care to a patient. Added by Laws 1970, c. 173, § 25, eff. July 1, 1970. Amended by Laws 2000, c. 283, § 5, eff. Nov. 1, 2000; Laws 2015, c. 229, § 13, eff. July 1, 2015; Laws 2018, c. 151, § 7, eff. Nov. 1, 2018; Laws
2019, c. 363, § 11, eff. Nov. 1, 2019; Laws 2021, c. 566, § 6, emerg. eff. May 28, 2021; Laws 2025, c. 273, § 7, eff. Nov. 1, 2025.