SB89,16,73 15. Nonsurgical extraction of periodontally diseased permanent teeth with
4tooth mobility of +3 to +4 to the extent authorized in the dental therapist's
5collaborative management agreement, except that “dental therapy” does not include
6the extraction of a tooth that is unerupted, impacted, or fractured or that needs to
7be sectioned for removal.
SB89,16,98 16. Emergency palliative treatment of dental pain limited to the procedures in
9this paragraph.
SB89,16,1110 17. Preparation and placement of direct restoration in primary and permanent
11teeth.
SB89,16,1212 18. Fabrication and placement of single-tooth temporary crowns.
SB89,16,1313 19. Preparation and placement of preformed crowns on primary teeth.
SB89,16,1414 20. Indirect and direct pulp capping on permanent teeth.
SB89,16,1515 21. Indirect pulp capping on primary teeth.
SB89,16,1616 22. Intraoral suture placement and removal.
SB89,16,1717 23. Minor adjustment and repair of removable prostheses.
SB89,16,1818 24. Placement and removal of space maintainers.
SB89,16,1919 25. Pulpotomy on primary teeth.
SB89,16,2020 26. Tooth reimplantation and stabilization.
SB89,16,2121 27. Recementing of a permanent crown.
SB89,16,2322 28. Any additional services, treatments, or procedures specified in the rules
23promulgated under s. 447.02 (1) (g).
SB89,17,824 (c) 1. A dental therapist licensed under this chapter may provide dental
25therapy services only under the general supervision of a qualifying dentist with

1whom the dental therapist has entered into a collaborative management agreement.
2For purposes of this subdivision, general supervision of a dental therapist by a
3dentist requires that a task or procedure be performed by a dental therapist with the
4prior knowledge and consent of the dentist, but does not require the presence of the
5dentist in the office or on the premises at the time a task or procedure is being
6performed by the dental therapist and does not require prior examination or
7diagnosis of a patient by the dentist before the dental therapist provides dental
8therapy services to the patient.
SB89,17,159 2. A supervising dentist shall accept responsibility for all services performed
10by a dental therapist pursuant to a collaborative management agreement. If services
11needed by a patient are beyond the dental therapist's scope of practice or
12authorization under the collaborative management agreement, the dental therapist
13shall, to the extent required under the collaborative management agreement,
14consult with the supervising dentist as needed to arrange for those services to be
15provided by a dentist or another qualified health care professional.
SB89,17,1916 (d) 1. Prior to providing any dental therapy services, a dental therapist shall
17enter into a written collaborative management agreement with a qualifying dentist
18who will serve as a supervising dentist under par. (c). The agreement must be signed
19by the dental therapist and the qualifying dentist and address all of the following:
SB89,17,2120 a. The practice settings where services may be provided and the patient
21populations that may be served.
SB89,17,2422 b. Any conditions or limitations on the services that may be provided by the
23dental therapist, the level of supervision required, and any circumstances requiring
24consultation prior to performing services.
SB89,17,2525 c. Age-specific and procedure-specific practice protocols.
SB89,18,1
1d. Dental record-keeping procedures.
SB89,18,22 e. Plans for managing dental or medical emergencies.
SB89,18,43 f. A quality assurance plan for monitoring care provided by the dental
4therapist.
SB89,18,55 g. Protocols for administering and dispensing medications.
SB89,18,76 h. Criteria or protocols relating to the provision of care to patients with specific
7medical conditions, treatments, or medications.
SB89,18,88 i. Policies relating to supervision of dental hygienists and other staff.
SB89,18,119 j. A plan for the referral of patients to other dental or health care professionals
10or clinics when services needed are beyond the scope of practice or authorization of
11the dental therapist.
SB89,18,1312 k. Whether and to what extent the dental therapist may perform services
13described in par. (b) 15.
SB89,18,1514 2. a. A collaborative management agreement shall be limited to covering one
15qualifying dentist and one dental therapist.