AB68,1478,22 14. Simple extraction of erupted primary teeth.

AB68,1479,2 15. Nonsurgical extraction of periodontally diseased permanent teeth with tooth mobility of +3 to +4 to the extent authorized in the dental therapist's collaborative management agreement, except that the scope of practice of a dental therapist does not include the extraction of a tooth that is unerupted, impacted, or fractured or that needs to be sectioned for removal.

AB68,1479,4 16. Emergency palliative treatment of dental pain limited to the procedures in this paragraph.

AB68,1479,6 17. Preparation and placement of direct restoration in primary and permanent teeth.

AB68,1479,7 18. Fabrication and placement of single-tooth temporary crowns.

AB68,1479,8 19. Preparation and placement of preformed crowns on primary teeth.

AB68,1479,9 20. Indirect and direct pulp capping on permanent teeth.

AB68,1479,10 21. Indirect pulp capping on primary teeth.

AB68,1479,11 22. Intraoral suture placement and removal.

AB68,1479,12 23. Minor adjustment and repair of removable prostheses.

AB68,1479,13 24. Placement and removal of space maintainers.

AB68,1479,14 25. Pulpotomy on primary teeth.

AB68,1479,15 26. Tooth reimplantation and stabilization.

AB68,1479,16 27. Recementing of a permanent crown.

AB68,1479,18 28. Any additional services, treatments, or procedures specified in the rules promulgated under s. 447.02 (1) (g).

AB68,1480,3 (d) 1. A dental therapist licensed under this chapter may provide dental therapy services only under the general supervision of a qualifying dentist with whom the dental therapist has entered into a collaborative management agreement. For purposes of this subdivision, general supervision of a dental therapist by a qualifying dentist requires that a task or procedure be performed by a dental therapist with the prior knowledge and consent of the qualifying dentist but does not require the presence of the qualifying dentist in the office or on the premises at the time a task or procedure is being performed by the dental therapist and does not require prior examination or diagnosis of a patient by the qualifying dentist before the dental therapist provides dental therapy services to the patient.

AB68,1480,11 2. A supervising dentist under subd. 1. shall accept responsibility for all services performed by a dental therapist pursuant to a collaborative management agreement. If services needed by a patient are beyond the dental therapist's scope of practice or authorization under the collaborative management agreement, the dental therapist shall, to the extent required under the collaborative management agreement, consult with the supervising dentist under subd. 1. as needed to arrange for those services to be provided by a qualifying dentist or another qualified health care professional.

AB68,1480,15 (e) 1. Prior to providing any dental therapy services, a dental therapist shall enter into a written collaborative management agreement with a qualifying dentist who will serve as a supervising dentist under par. (d). The agreement must be signed by the dental therapist and the qualifying dentist and address all of the following:

AB68,1480,17 a. The practice settings in which services may be provided and the patient populations that may be served.

AB68,1480,20 b. Any conditions or limitations on the services that may be provided by the dental therapist, the level of supervision required, and any circumstances requiring consultation prior to performing services.

AB68,1480,21 c. Age-specific and procedure-specific practice protocols.

AB68,1480,22 d. Dental record-keeping procedures.

AB68,1480,23 e. Plans for managing dental or medical emergencies.

AB68,1480,25 f. A quality assurance plan for monitoring care provided by the dental therapist.

AB68,1481,1 g. Protocols for administering and dispensing medications.

AB68,1481,3 h. Criteria or protocols relating to the provision of care to patients with specific medical conditions, treatments, or medications.

AB68,1481,4 i. Policies relating to supervision of dental hygienists and other staff.

AB68,1481,7 j. A plan for the referral of patients to other dental or health care professionals or clinics when services needed are beyond the scope of practice or authorization of the dental therapist.

AB68,1481,9 k. Whether and to what extent the dental therapist may perform services described in par. (c) 15.