Maryland Code § HO-4-206.3

Section HO-4-206.3
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(a) Subject to the requirements of subsection (b) of this section, a dental
hygienist may administer local anesthesia by inferior alveolar nerve block to facilitate
the practice of dental hygiene by a dental hygienist or the practice of dentistry by a
dentist, but not as a medical specialty, provided the administration of the local
anesthesia is under the supervision of a dentist who:
(1) Is physically present on the premises; and
(2) Prescribes the administration of local anesthesia by the dental
hygienist.
(b) (1) Before a dental hygienist may administer local anesthesia under
subsection (a) of this section, the dental hygienist shall successfully complete the
following:

(i) Any educational requirements established by the Board;
and
(ii) A written and clinical examination as required by the
Board.
(2) A dental hygienist shall obtain the education required under
paragraph (1) of this subsection from an accredited dental hygiene program.
(3) A dental hygienist who successfully completed the education
requirements and examination required under paragraph (1) of this subsection before
October 1, 2011, shall take and successfully complete a refresher course and a clinical
examination from an accredited dental hygiene program.

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