Chapter 4715-5 Dentists

4715-5-01 Criteria for admission to dental licensing examination.

The Ohio state dental board will admit to examination only those persons who have graduated from a dental college which was accredited at the time of graduation, or who has received certification from the dean of the accredited dental college stating the applicant will be graduating from the dental college and who have met the requirements set forth in section 4715.10 of the Revised Code.

R.C. 119.032 review dates: 11/12/2013 and 11/01/2018
Promulgated Under: 119.03
Statutory Authority: 4715.03
Rule Amplifies: 4715.10 , 4715.11
Prior Effective Dates: 08/01/74, 04/27/98, 05/15/03

4715-5-01.1 Requirements for initial licensure for dentists.

(A) Applicants for licensure to practice dentistry as provided in sections 4715.10 , 4715.11 and 4715.12 of the Revised Code, shall furnish satisfactory proof of the following on a form prescribed and provided by the state dental board:

(1) He is at least eighteen years of age; and

(2) He is of good moral character; and

(3) He is a graduate of an accredited dental college, or a graduate of an unaccredited dental college located outside the United States and meets the requirements set forth in rule 4715-18-01 of the Administrative Code; and

(4) He has successfully passed all parts of the examination given by the joint commission on national dental examinations; and

(5) He provides evidence of successfully passing all components based on a conjunctive scoring method of one of the following regional board examinations: the North east regional board of dental examiners, inc. (NERB), the Central regional dental testing service, inc. (CRDTS), the Southern regional testing agency, inc. (SRTA), or the Western regional examining board (WREB); or

(6) He possesses a license in good standing from another state for five years and has actively engaged in the legal and reputable practice of dentistry in another state or in the armed forces of the United States, the United States public health service, or the United States department of veterans' affairs for five years immediately preceding application.

(B) Each applicant shall successfully pass a written jurisprudence examination approved by the state dental board on the statute and rules governing the practice of dentistry in the state of Ohio.

Effective: 05/22/2009
R.C. 119.032 review dates: 03/04/2009 and 03/01/2014
Promulgated Under: 119.03
Statutory Authority: 4715.03
Rule Amplifies: 4715.10
Prior Effective Dates: 5-15-03, 6-7-04

4715-5-02 Written work authorization.

(A) The Ohio state dental board hereby prescribes that the written work authorization required in division (B) of section 4715.09 of the Revised Code shall be on printed forms for both original and copy and shall contain the following:

(1) The name and address of the entity or person to whom the written work authorization is directed, hereinafter referred to as "primary contractor".

(2) The patient's name and/or identifying number. In the event such identifying number is used, the name of the patient shall be written upon a copy of such written work authorization retained by the dentist.

(3) A description of the work to be done, with diagrams if applicable.

(4) A description of the type of the materials to be used.

(5) The actual date on which the authorization was written.

(6) The signature in ink by the dentist issuing the said written work authorization, his state dental license number and his office address.

(7) A section to be completed by the primary contractor and returned to the issuing dentist that shall disclose all of the following information and certify that the information is accurate by including the signature of a responsible party of the primary contractor:

(a) A list of all materials in the composition of the final appliance;

(b) The location where the appliance was fabricated, including the name, address, phone number and FDA registration number, if applicable, of the person or entity performing the work;

(c) The location, including name, address, phone number and FDA registration number, if applicable, of any sub-contractors utilized to perform some or all of the services relative to the fabrication of the appliance;

(d) A description of all disinfection methods used in the fabrication of the appliance.

(B) Upon request, the dentist shall provide each patient or authorized patient representative with a duplicate copy of the section of the form described in paragraph (A)(7) of this rule.

(C) The dentist shall retain a copy of the written work authorization for two years from its date as a part of the patient record.

(D) The primary contractor shall retain the original work authorization for two years from its date. Copies of work authorization forms shall be open for inspection by the Ohio state dental board and its investigators.

(E) If the primary contractor receiving a written work authorization from a licensed dentist engages another unlicensed person, partnership, association, or corporation (herein referred to as "sub-contractor") to perform some of the services relative to such work authorization, as provided for in division (C) of section 4715.09 of the Revised Code, he or it shall notify the issuing dentist in advance of the fabrication of the appliance of the name and location of the subcontractor and shall furnish a written sub-work authorization with respect thereto on forms prescribed by the state dental board.

The sub-contractor shall retain the sub-work authorization and the primary contractor shall retain a duplicate copy, attached to the work authorization received from the licensed dentist, for inspection by the state dental board or its duly authorized agents, for a period of two years. Copies of work authorization forms shall be open for inspection by the Ohio state dental board and its investigators.

(F) The foregoing does not prohibit the inclusion of additional information on the written work authorization when the same is necessary or desirable.

(G) "Unlicensed person, partnership, association or corporation" as used in this rule, includes, but is not limited to, dental laboratory or dental laboratory technician.

(H) "Appliance" as used in this rule, includes, but is not limited to, any denture, plate, bridge, splint, crown, veneer, or orthodontic or prosthetic dental device.

R.C. 119.032 review dates: 12/29/2009 and 12/28/2014
Promulgated Under: 119.03
Statutory Authority: 4715.03
Rule Amplifies: 4715.09
Prior Effective Dates: 9-30-70; 4-27-98; 5-15-03; 10-1-08

4715-5-03 Examination for dentists.

(A) In order to fulfill the requirements of paragraph (D)(1) of Ohio Revised Code 4715.10 and paragraph (A)(5) of agency level rule 4715-5-01.1 , each applicant for licensure to practice dentistry in the state of Ohio must provide evidence of a passing score on each component of the regional examination as established by the agency for the component.

(B) In cases wherein the regional examining agency has not established passing scores for each component of the examination the board requires that each component must be passed by a minimum seventy-five percent.

Eff 5-15-03; Rescinded and reenacted eff. 6-7-04
Rule promulgated under: RC 119.03
Rule authorized by: RC 4715.11
Rule amplifies: RC 4715.11
R.C. 119.032 review dates: 03/05/2009 and 03/01/2014

4715-5-04 Specialty designation.

(A) A licensed dentist is recognized as a specialist in Ohio if the dentist meets the standards set forth in paragraph (B) of this rule. Any licensed dentist who does not meet the standards set forth in paragraph (B) of this rule is a general dentist. A general dentist is permitted to render specialty services in Ohio but may not formally limit his practice to any specific area(s) of practice.

(B) A licensed dentist must comply with the following requirements before being recognized as a specialist in Ohio:

(1) The indicated specialty(s) of dentistry must be those for which there are certifying boards recognized by the American dental association; and

(2) The practice of the licensed dentist seeking specialty recognition must be limited exclusively to the indicated specialty area(s); and

(3) The licensed dentist seeking specialty recognition must have successfully completed a post-doctoral education program for each specialty, which post-doctoral education program, at the time of completion, was accredited or held "preliminary provisional approval" or "accreditation eligible status" by the American dental association commission on dental accreditation; or

(4) The licensed dentist seeking specialty recognition must be a diplomate of the national certifying board of a specialty recognized by the American dental association.

(5) The requirements of paragraphs (B)(3) and (B)(4) of this rule shall not apply to otherwise qualified specialists who have announced their specialty or designation prior to August 1, 1974.

(C) The use of the terms "specialist", "specializes" or "practice limited to" or the terms "orthodontist", "oral and maxillofacial surgeon", "oral and maxillofacial radiologist", "periodontist", "pediatric dentist", "prosthodontist", "endodontist", "oral pathologist", or "public health dentist" or other similar terms which imply that the dentist is a specialist may only be used by licensed dentists meeting the requirements of paragraph (B) of this rule.

(D) All licensed dentists who advertise services must comport with rules 4715-13-01 through 4715-13-05 of the Administrative Code.

(E) Rules regarding the advertising of specialty services are specifically set forth in rule 4715-13-05 of the Administrative Code.

R.C. 119.032 review dates: 11/12/2013 and 11/01/2018
Promulgated Under: 119.03
Statutory Authority: 4715.03
Rule Amplifies: 4715.10
Prior Effective Dates: 08/01/74, 10/01/88, 02/05/93, 10/23/95 (Emer.), 01/27/96, 04/28/98, 05/15/03, 07/06/06

4715-5-05 Use of general anesthesia and deep sedation.

(A) No dentist shall administer general anesthesia or deep sedation in the state of Ohio unless such dentist possesses a permit of authorization issued by the Ohio state dental board or has made application for such permit and, based on a credentials review, is notified that a formal evaluation as outlined in paragraph (C) of this rule is pending. The dentist holding such permit shall be subject to review and such permit must be renewed biennially.

(B) In order to receive such permit, the dentist must apply on a prescribed application form to the Ohio state dental board, submit the application fee, and produce evidence showing that he or she:

(1) Has completed an approved, accredited post-doctoral training program which affords appropriate training necessary to administer deep sedation and general anesthesia; and/or

(2) Has completed an approved Accreditation council for graduate medical education (ACGME) accredited post-doctoral training program in anesthesiology which affords appropriate training necessary to administer deep sedation and general anesthesia: and/or

(3) Has completed a minimum of two year advanced clinical training in anesthesiology from an American dental association commission on dental accreditation accredited institution that meets the objectives set forth in the "Guidelines for Teaching Pain Control and Sedation to Dentists and Dental Students" as adopted by the October 2007 American dental association house of delegates; and

(4) Has a properly equipped facility(s), whether fixed, mobile, or portable, for the administration of general anesthesia or deep sedation in which the permit holder agrees to have available and utilize adequate monitoring, personnel, emergency equipment and drugs as recommended in the "Guidelines for the Use of Sedation and General Anesthesia by Dentists" as adopted by the October 2007 American dental association house of delegates and/or the American association of oral and maxillofacial surgeon's "Office Anesthesia Evaluation Manual", 8th edition; and

(5) At the time of application maintains successful completion of an advanced cardiac life support course, or its age appropriate equivalent; and

(6) Maintains a permanent address within the state of Ohio in which he or she conducts business pursuant to his or her Ohio dental license.

(C) Prior to the issuance of such permit, the Ohio state dental board shall require an on-site evaluation of the facility(s), equipment, personnel, anesthetic techniques, and related document(s) to determine if the aforementioned requirements have been met. This evaluation shall be conducted by a qualified consultant appointed by the Ohio state dental board and will follow the "Guidelines for the Use of Sedation and General Anesthesia by Dentists" as adopted by the October 2007 American dental association house of delegates and/or the American association of oral and maxillofacial surgeon's "Office Anesthesia Evaluation Manual", 8th edition. In the case of a mobile or portable facility, one inspection of that facility shall be conducted in the office of an Ohio licensed dentist where deep sedation or general anesthesia is administered. A written list of all monitors, emergency equipment, and other materials which the mobile anesthesia provider agrees to have available at all times while administering conscious sedation, deep sedation, and general anesthesia in multiple locations shall be provided to the Ohio state dental board. The applicant shall be responsible for the cost of this evaluation not to exceed four hundred dollars.

(D) In the event the Ohio state dental board deems the application or evaluation unsatisfactory, a written explanation documenting deficiencies and suggested remedies shall be forwarded to the applicant within fourteen days. The board may issue a permit based on documentation that deficiencies have been corrected; or the board may require a formal re-evaluation; or the applicant may request an appearance before the board to address the documented deficiencies.

(E) The board shall without charge renew the general anesthesia permit biennially at the time of dental licensure renewal, provided the permit holder attests to the Ohio state dental board that he or she has maintained successful completion of a basic life support course, and maintains successful completion of a course in advanced cardiac life support or its age appropriate equivalent, or a minimum of six hours of board approved continuing education devoted specifically to the management and/or prevention of emergencies associated with general anesthesia/deep sedation. The board shall renew the permit unless the permit holder is informed in writing that a reevaluation, as described in paragraph (C) of this rule, of his or her facility(s) and/or methods, is to be required. In determining whether such reevaluation is necessary, the board shall consider such factors as it deems pertinent including, but not limited to, patient complaints, reports of adverse occurrences, and random quality assurance audits. Such quality assurance audit(s), may include, but are not limited to, a review of documentation of pre-anesthetic evaluation(s), anesthetic and recovery records, and documentation of appropriateness for discharge. The permit holder shall be responsible for any costs incurred in a formal reevaluation, not to exceed four hundred dollars.

(F) A dentist holding a general anesthesia permit may supervise a certified registered nurse anesthetist for any anesthetic procedure for which the dentist is qualified.

(G) All permit holders shall provide written notification within ten days to the Ohio state dental board if anesthesia services are provided at any new facility(s) other than those already listed with the Ohio state dental board.

(H) No dentist, without personally obtaining a general anesthesia permit, may employ or work in conjunction with a general anesthesia/deep sedation provider in an out-patient dental facility unless that anesthesia provider is a dentist holding a valid general anesthesia permit under rule 4715-5-05 of the Administrative Code or an Ohio licensed physician who has successfully completed graduate medical education, as defined in section 4731.091 of the Revised Code, in the field of anesthesiology, provided that such physician maintains successful completion of advanced cardiac life support whenever general anesthesia or deep sedation is provided in a dental facility. The general anesthesia/deep sedation provider, whether a dentist or physician, must remain on the premises of the dental facility until any patient given a general anesthetic or deep sedation regains consciousness and has adequately recovered. The operating dentist shall provide advanced written notice to the Ohio state dental board that general anesthesia/deep sedation services are provided at his or her facility by a physician anesthesiologist. Failure to comply with paragraph (H) of this rule when the general anesthesia/deep sedation provider is a physician may result in disciplinary action against the operating dentist.

(I) Reference materials for paragraphs (B)(3), (B)(4), and (C) of this rule may be found at the following addresses:

(1) American dental association: 211 E. Chicago Avenue, Chicago, Illinois, 60611-2678; telephone - 312-440-2500; facsimile - 312-440-2800; internet website address - www.ada.org.

(2) American association of oral and maxillofacial surgeons: 9700 West Bryn Mawr Avenue, Rosemont, Illinois, 60018-5701; telephone - 847-678-6200 or 800-822-6637; facsimile - 847-678-6286; internet website address - www.aaoms.org.

Effective: 05/05/2014
R.C. 119.032 review dates: 02/14/2014 and 04/01/2019
Promulgated Under: 119.03
Statutory Authority: 4715.03
Rule Amplifies: 4715.13
Prior Effective Dates: 8-1-74, 10-1-88, 3-3-95, 4-27-98, 5-15-03, 4-7-05, 4-2-10

4715-5-06 Reports of adverse occurrences.

(A) All licensees engaged in the practice of dentistry in the state of Ohio must notify the Ohio state dental board within seventy-two hours, and submit a complete written report within thirty days of any untoward event requiring hospital admission or any mortality which occurred as a direct result of treatment in an out-patient dental facility.

(B) Failure to comply with this rule when said mortality or untoward event is related to the use of conscious sedation, deep sedation, or general anesthesia may result in the restriction, suspension, or revocation of such permits as described in rules 4715-5-05 and 4715-5-07 of the Administrative Code and/or other disciplinary action.

R.C. 119.032 review dates: 11/12/2013 and 11/01/2018
Promulgated Under: 119.03
Statutory Authority: 4715.03
Rule Amplifies: 4715.03 , 4715.30
Prior Effective Dates: 08/01/74, 10/01/88, 05/15/03

4715-5-07 Use of conscious sedation.

(A) With the exception of nitrous oxide/oxygen inhalation conscious sedation for patients of any age and/or oral conscious sedation or anxiolysis of patients age thirteen or older, no dentist shall administer conscious sedation in the state of Ohio, in accordance with the definition of "conscious sedation," as defined in rule 4715-3-01 of the Administrative Code, unless such dentist possesses a permit of authorization or has made application for such permit and, based on a credentials review, is notified that a formal evaluation as outlined in paragraph (C) of this rule is pending. The dentist holding such permit shall be subject to review and such permit must be renewed biennially.

(B) In order to receive such permit, the dentist must apply on a prescribed application to the Ohio state dental board, submit the fee as established by division (E) of section 4715.13 of the Revised Code, and produce evidence showing that he or she:

(1) Has satisfactorily completed comprehensive pre-doctoral or continuing education conscious sedation training in an accredited educational institution or program, which included a minimum of sixty hours of didactic instruction and twenty cases of clinical experience commensurate with each intended route(s) of administration, whether;

(a) Oral for children twelve years or younger; or

(b) Non-intravenous parenteral; or

(c) Intravenous.

Training in intravenous conscious sedation qualifies the permit holder to administer any route of conscious sedation. Didactic and clinical training shall conform to the principles in the "Guidelines for Teaching Pain Control and Sedation to Dentists and Dental Students" as adopted by the October 2007 American dental association house of delegates, with clinical experience commensurate with the intended route of administration; or

(2) Has satisfactorily completed an accredited post-doctoral training program which included conscious sedation training equivalent to paragraph (B)(1) of this rule; or

(3) Has satisfactorily completed the qualifications governing the use of general anesthesia in rule 4715-5-05 of the Administrative Code; and

(4) Has a properly equipped facility(s), whether fixed, mobile, or portable, in which the permit holder agrees to have available and utilize adequate monitoring, personnel, emergency equipment and drugs as recommended in the "Guidelines for the Use of Sedation and General Anesthesia by Dentists" as adopted by the October 2007 American dental association house of delegates; and

(5) At the time of application maintains successful completion of an advanced cardiac life support course, or its age appropriate equivalent; and

(6) Maintains a permanent address within the state of Ohio where he or she conducts business pursuant to his or her Ohio state dental license.

(C) Prior to the issuance of such permit, the Ohio state dental board shall require an on-site evaluation of the facility(s), equipment, personnel, conscious sedation techniques and related document(s) to determine if the aforementioned requirements have been met. This evaluation shall be conducted by a qualified consultant appointed by the Ohio state dental board, and will follow the "Guidelines for the Use of Sedation and General Anesthesia by Dentists" as adopted by the October 2007 American dental association house of delegates. In the case of a mobile or portable facility, one inspection of that facility shall be conducted in the office of an Ohio licensed dentist where conscious sedation is administered. A written list of all monitors, emergency equipment and other materials which the mobile conscious sedation provider agrees to have available at all times while administering conscious sedation in multiple locations shall be provided to the Ohio state dental board. The applicant shall be responsible for the cost of this evaluation, which will be an amount not to exceed two hundred dollars.

(D) In the event the Ohio state dental board deems the application or evaluation unsatisfactory, a written explanation documenting deficiencies and suggested remedies shall be forwarded to the applicant within fourteen days. The board may issue a permit based on documentation that deficiencies have been corrected; or the board may require a formal re-evaluation; or the applicant may request an appearance before the board to address the documented deficiencies.

(E) The board shall without charge renew the conscious sedation permit biennially at the time of dental licensure renewal, provided the permit holder attests to the Ohio state dental board that he or she has maintained successful completion of a basic life support course, and maintains successful completion of a course in advanced cardiac life support or its age appropriate equivalent, or a minimum of six hours of board approved continuing education devoted specifically to the management and/or prevention of emergencies which may result from the use of conscious sedation. The board shall renew the permit unless the conscious sedation permit holder is informed in writing that a reevaluation as outlined in paragraph (C) of this rule, of his or her facility(s) and/or methods, is to be required. In determining whether such reevaluation is necessary, the board shall consider such factors as it deems pertinent including, but not limited to, patient complaints, reports of adverse occurrences, and random quality assurance audits. Such quality assurance audit(s), may include, but are not limited to, a review of documentation of pre-sedation evaluations, sedation and recovery records, and documentation of appropriateness for discharge. The permit holder shall be responsible for any costs incurred in a formal reevaluation, not to exceed two hundred dollars.

(F) The Ohio state dental board may grant a permit authorizing the administration of conscious sedation to those Ohio licensed dentists who do not meet the qualifications outlined in paragraphs (B)(1) and (B)(2) of this rule, but who have provided conscious sedation in a safe, competent, ethical and effective manner, and who have moved to Ohio within the six months preceding his or her application, provided such dentist meets the requirements of paragraphs (B)(4), (B)(5) and (B)(6) of this rule.

(G) A dentist holding a general anesthesia permit under rule 4715-5-05 of the Administrative Code may administer conscious sedation without a conscious sedation permit.

(H) No dentist shall administer or employ any agent(s) which has a narrow margin for maintaining consciousness including, but not limited to, ultra-short acting barbiturates, propofol, parenteral ketamine, and similarly acting drugs, or quantity of agent(s), or technique(s), or any combination thereof that would likely render a patient deeply sedated, generally anesthetized or otherwise not meeting the conditions of the definition of conscious sedation as stated in paragraph (B)(5) of rule 4715-3-01 of the Administrative Code, unless he or she holds a valid general anesthesia permit issued by the Ohio state dental board.

(I) A dentist holding a valid conscious sedation permit may supervise a certified registered nurse anesthetist only for conscious sedation procedures for which the dentist is qualified.

(J) All conscious sedation permit holders shall provide written notification within ten days to the Ohio state dental board if conscious sedation services are to be provided at any new facility(s) other than those already listed with the Ohio state dental board.

(K) No dentist, without personally obtaining a conscious sedation permit, may employ or work in conjunction with a conscious sedation provider in an out-patient dental facility unless that conscious sedation provider is a dentist holding a valid general anesthesia or conscious sedation permit under rule(s) 4715-5-05 and/or 4715-5-07 of the Administrative Code or an Ohio licensed physician, who has successfully completed graduate medical education, as defined in section 4731.091 of the Revised Code, in the field of anesthesiology, provided that such physician maintains successful completion of a course in advanced cardiac life support whenever conscious sedation is provided in a dental facility. The conscious sedation provider, whether a dentist or physician, must remain on the premises of the dental facility until any patient given conscious sedation has adequately recovered. The operating dentist shall provide advanced written notification to the Ohio state dental board that conscious sedation services are provided at his or her facility by a physician anesthesiologist. Failure to comply with paragraph (K) of this rule when the conscious sedation provider is a physician may result in disciplinary action against the operating dentist.

(L) Reference materials for paragraphs (B)(1)(c), (B)(4), and (C) of this rule may be found at the following address:

American dental association: 211 E. Chicago Avenue, Chicago, Illinois, 60611-2678; telephone - 312-440-2500; facsimile - 312-440-2800; internet website address - www.ada.org.

Effective: 05/05/2014
R.C. 119.032 review dates: 02/14/2014 and 04/01/2019
Promulgated Under: 119.03
Statutory Authority: 4715.03
Rule Amplifies: 4715.03
Prior Effective Dates: 10-1-88, 6-8-98, 5-15-03, 4-2-10

4715-5-08 Denture identification.

Each licensed dentist shall ensure that every removable prosthesis is identified.

(A) After the effective date of this rule, every removable prosthesis fabricated by a dentist, or fabricated pursuant to his or her work authorization form, shall be marked with the name and/or social security number of the patient for whom the denture is intended. The markings shall be made prior to final seating and shall be permanent, legible and cosmetically acceptable. The exact location of the markings and the methods used to apply or implant them shall be determined by the dentist, entity or person fabricating the prosthesis.

(B) Any removable prosthesis which has not been marked in accordance with paragraph (A) of this rule at the time of fabrication, shall be so marked at the time of any subsequent rebasing or duplication.

Effective: 05/05/2008
R.C. 119.032 review dates: 01/25/2008 and 05/05/2013
Promulgated Under: 119.03
Statutory Authority: 4715.03
Rule Amplifies: 4715.09
Prior Effective Dates: 9-27-93; 4-28-98; 5-15-03