Chapter DE 7

DE 7.05(1) (1) The course in the administration of local anesthesia shall be provided by an accredited dental or dental hygiene school.

DE 7.05(2) (2) To participate in a course in the administration of local anesthesia, a person shall do all of the following:

DE 7.05(2)(a) (a) Show evidence of current qualification in cardiopulmonary resuscitation from a course provider approved by the Wisconsin department of health services.

DE 7.05(2)(b) (b) Provide proof of possessing a license to practice as a dental hygienist in this state, or having graduated from an accredited dental hygiene program, or of being enrolled in an accredited dental hygiene program.

DE 7.05(3) (3) The local anesthesia course shall have the following components and provide a minimum of 21 hours of instruction:

DE 7.05(3)(a) (a) Didactic instruction. Minimum of 10 hours, including but not limited to the following topics:

DE 7.05(3)(a)1. 1. Provide proof of possessing a license to practice as a dental hygienist in this state, or having graduated from an accredited dental hygiene program, or of being enrolled in an accredited dental hygiene program.

DE 7.05(3)(a)2. 2. Basic pharmacology and drug interactions.

DE 7.05(3)(a)3. 3. Chemistry, pharmacology and clinical properties of local anesthesia, vasoconstrictors, and topical anesthesia.

DE 7.05(3)(a)4. 4. Anatomical considerations for the administration of anesthesia.

DE 7.05(3)(a)5. 5. Patient assessment for the administration of anesthesia.

DE 7.05(3)(a)6. 6. Selection and preparation of armamentarium.

DE 7.05(3)(a)7. 7. Recognition, management and emergency response to local complications.

DE 7.05(3)(a)8. 8. Recognition, management and emergency response to systemic complications.

DE 7.05(3)(a)9. 9. Ethical and legal considerations.

DE 7.05(3)(a)10. 10. Techniques for regional anesthesia.

DE 7.05(3)(b) (b) Experience in the clinical administration of local anesthesia. Minimum of 11 hours in the following techniques:

DE 7.05(3)(b)1. 1. Maxillary.

DE 7.05(3)(b)1.a. a. Posterior superior alveolar.

DE 7.05(3)(b)1.b. b. Middle superior alveolar.

DE 7.05(3)(b)1.c. c. Anterior superior alveolar.

DE 7.05(3)(b)1.d. d. Greater/lesser palatine.

DE 7.05(3)(b)1.e. e. Nasopalatine.

DE 7.05(3)(b)1.f. f. Supraperiosteal (infiltration) injection.

DE 7.05(3)(b)2. 2. Mandibular.

DE 7.05(3)(b)2.a. a. Inferior alveolar/lingual.

DE 7.05(3)(b)2.b. b. Mental/incisive nerve block.

DE 7.05(3)(b)2.c. c. Buccal nerve.

DE 7.05(3)(b)2.d. d. Periodontal ligament injection.

DE 7.05(3)(b)2.e. e. Intraseptal injection.

DE 7.05(3)(c) (c) Students performing injections as part of the clinical coursework shall successfully perform all local anesthesia injections on their classmates as well as perform at least one successful inferior alveolar injection on a non-classmate patient. For those licensed dental hygienists who are completing this course in the continuing education environment, the injection on a non-classmate patient may be performed in the office where the dental hygienist is employed, as long as the employer-dentist agrees to supervise and submit verification of the successful completion of the injection.

DE 7.05(3)(d) (d) A dentist licensed under ch. 447, Stats., shall be present in the facility and available to both the patients and to the students of the class.

DE 7.05 History History: Cr. Register, October, 1999, No. 526, eff. 11-1-99; CR 11-035: am. (2) (a) Register July 2012 No. 679, eff. 8-1-12.

DE 7.06 DE 7.06 Dentist responsibility for the administration of local anesthetic. The dentist is ultimately responsible for all decisions regarding the administration of local anesthetic, particularly in determining the pharmacological and physiological considerations of each individual treatment plan.

DE 7.06 History History: Cr. Register, October, 1999, No. 526, eff. 11-1-99.