DENTISTRY RULES - GENERAL RULES
(By authority conferred on the director of the department of community health by sections 16145(3) and 16601 of 1978 PA 368, MCL 333.16145(3) and 333.16601 et seq. and Executive Reorganization Order Nos. 1996-1, 1996-2 and 2003-1, MCL 330.3101, 445.2001 and 445.2011)
PART 5. SPECIALTIES
R 338.11501 Specialties; recognition by the board.
Rule 1501. The board recognizes all of the following branches of dentistry as specialties:
(a) Oral and maxillofacial surgery.
(b) Orthodontics.
(c) Prosthodontics.
(d) Periodontics.
(e) Pediatric dentistry.
(f) Endodontics.
(g) Oral pathology.
History: 1984 MR 7, Eff. July 19, 1984; 1994 MR 1, Eff. Jan. 21, 1994.
R 338.11503 Eligibility to qualify for state board specialty examination; exception.
Rule 1503. (1) To be eligible to take the state board specialty examination, an applicant shall comply with all of the following requirements:
(a) Possess a current license to practice dentistry in Michigan.
(b) Fulfill the requirements set forth in these rules for that specialty.
(c) Submit evidence of completion from the dean or hospital administrator of a graduate program of dentistry that is approved by the board pursuant to the provisions of R 338.11301.
(d) Submit a completed application on a form provided by the department, together with the requisite fee not less than 30 days before the examination.
(2) An applicant for certification in oral pathology is not required to take a state board specialty examination.
History: 1984 MR 7, Eff. July 19, 1984; 1994 MR 1, Eff. Jan. 21, 1994.
R 338.11505 Specialty certificate; general requirements.
Rule 1505. An applicant for a specialty certificate shall comply with all of the following requirements:
(a) Submit a final official transcript of dental postgraduate training from a graduate program of dentistry approved by the board pursuant to the provisions of R 338.11301 or, in the case of a hospital program that does not issue transcripts, certification by the hospital administrator or other official of the satisfactory completion of the program.
(b) Except as provided in R 338.11503(2), secure a minimum converted score of 75 in the state board written and clinical examination in the specific specialty pursuant to these rules. Submission of verification that an applicant for specialty certification has successfully passed the American board written examination is satisfactory compliance with the requirement for the written portion of the state board examination for certification in Michigan for the applicant's specialty.
(c) The provisions of subdivision (b) of this rule are waived if the applicant has provided satisfactory evidence of the successful completion of the American board specialty written and clinical examinations. Other substantially equivalent specialty examinations approved by the board may be considered.
History: 1984 MR 7, Eff. July 19, 1984; 1989 MR 5, Eff. May 23, 1989; 1994
MR 1, Eff. Jan. 21, 1994.
R 338.11507 Examination failure; candidate for certification as specialist.
Rule 1507. (1) An applicant who has failed a specialty certification examination may apply for reexamination.
(2) An applicant who fails to pass the examination upon his or her first attempt shall be given credit for the subjects passed and may take the examination a second time. Credits given for subjects passed shall apply to the second attempt only provided it is taken within 18 months of the date of notification.
(3) If the applicant fails to pass his or her examination on the second attempt, the applicant shall be required, on any subsequent attempt, to take the entire examination.
(4) If the applicant is unsuccessful on his or her second attempt and it appears to the board that the applicant requires further education, the board shall require the applicant to attend a school approved by the board to study subjects as provided within these rules. The applicant shall have a program approved by the board before commencing the program. The dean, or his or her appointee, of the school attended by the applicant shall certify that the applicant has successfully completed the program and is ready for re-examination before the applicant may be reexamined.
(5) If the applicant is unsuccessful on his or her third attempt, he or she may not retake the examination for 1 year.
History: 1984 MR 7, Eff. July 19, 1984.
R 338.11509 Dental specialty certification candidate who fails examination twice; requirements before reexamination.
Rule 1509. Before being permitted to retake the examination, a candidate for certification as a dental specialist who sustains 2 successive failures in the examination shall present evidence of additional education in the area in which the failure occurred. The additional education shall consist of a minimum of 40 hours of board-approved clinical instructions, which shall be both didactic and practical, shall be in a dental program or hospital approved by the board, and shall be completed subsequent to the date of the last examination failed. The additional education shall be satisfactorily completed as evidenced by certification by the dean or his or her appointee.
History: 1984 MR 7, Eff. July 19, 1984.
R 338.11511 Dental specialty certification candidate who fails examination 3 times; requirements before reexamination.
Rule 1511. Before being permitted to retake the examination, a dental specialty certification candidate who fails the examination 3 times shall be required by the board to return to an accredited program for 1 academic year. The program shall be satisfactorily completed as evidenced by certification by the dean or his or her appointee.
History: 1984 MR 7, Eff. July 19, 1984.
R 338.11512 Oral pathology; certification requirements.
Rule 1512. An applicant for certification as an oral pathologist shall meet all of the following requirements:
(a) Hold a current license to practice dentistry in Michigan.
(b) Have graduated from a program of oral pathology approved by the board pursuant to the provisions of R 338.11301.
(c) Pass the examination which is conducted and scored by the American board of oral pathologists.
History: 1994 MR 1, Eff. Jan. 21, 1994.
R 338.11513 Oral (maxillofacial) surgery explained; certification requirements; examination content.
Rule 1513. (1) The practice of oral (maxillofacial) surgery includes the diagnosis and surgical and adjunctive treatment of the diseases, injuries, and deformities of the human mouth, jaws, and associated maxillofacial structures.
(2) The specialty of oral (maxillofacial) surgery shall include all of the following:
(a) The preliminary performance of a history and physical examination for the purpose of assessing medical, dental, and anesthetic risks for contemplated oral and maxillofacial surgery.
(b) The appropriate radiological and laboratory diagnosis.
(c) The anesthetic, surgical, and adjunctive management for diseases, injuries, and deformities of the human mouth, jaws, and associated maxillofacial structures.
(3) A dentist who desires certification as an oral (maxillofacial) surgeon shall comply with both of the following requirements:
(a) Hold a current license to practice dentistry in Michigan.
(b) Have completed not less than 3 years of hospital training in an accredited oral (maxillofacial) surgery training program approved by the board pursuant to R 338.11301.
(4) Examination for certification as an oral (maxillofacial) surgeon shall be both written and clinical and shall include but not be limited to, all of the following:
(a) Anatomy.
(b) Radiology.
(c) Pathology.
(d) Local anesthesia.
(e) General anesthesia.
(f) Major surgical procedures.
(g) History and physical evaluation.
(h) Management of hospitalized patient.
(i) Intra-oral surgery including infections.
(j) Completion and submission of 4 case histories documented by the hospital administrator and the respective chief of oral (maxillofacial) surgery. These case histories shall be representative of major oral and maxillofacial surgery.
(5) A dentist who desires certification as an oral (maxillofacial) surgeon shall comply with R 338.11505.
History: 1984 MR 7, Eff. July 19, 1984.
R 338.11515 Orthodontics explained; certification requirements; examination content.
Rule 1515. (1) The practice of orthodontics includes the supervision, guidance, and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces or the stimulation and redirection of functions forces within the craniofacial complex.
(2) The specialty of orthodontics shall include all of the following:
(a) The diagnosis, prevention, interception, and comprehensive treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures.
(b) The design, application, and control of functional and corrective appliances.
(c) The guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.
(3) A dentist who desires certification as an orthodontist shall comply with both of the following requirements:
(a) Hold a current license to practice dentistry in Michigan.
(b) Have graduated from a program of orthodontics approved by the board pursuant to R 338.11301.
(4) Examination for certification as an orthodontist shall be both written and clinical and shall include, but not be limited to, all of the following:
(a) Facial growth.
(b) Human genetics.
(c) Occlusal development.
(d) Histology and physiology.
(e) Radiographic cephalometry.
(f) Dental material in orthodontics.
(g) Completion and submission of 5 case histories, including photographs, radiographs, and models. These case histories shall be completed cased solely diagnosed, treatment planned, treated, and retained by the candidate. Recent graduates may, instead of 2 of the completed cases, submit records of 2 patients in treatment for each completed case which is not available. A recent graduate candidate shall present a letter from the chairman of the department of orthodontics certifying that the candidate solely treated each patient whose record is presented.
(h) The orthodontics specialty examination shall consist of any or all of the following:
(i) Written examination consisting of essay, short answer, true-false, multiple choice, or fill-in-the-blank questions.
(ii) Diagnosis and treatment planning of patients with complete diagnostic records as recommended by the American board of orthodontists and which are provided by the examiner.
(iii) Clinical examination, which includes diagnosis, treatment planning, and appliance construction procedures for an actual patient.
(iv) Presentation of the complete records as indicated in subdivision (g) of this subrule.
(v) Oral examination by not less that 2 of the examiners concurrently.
(5) A dentist who desires certification as an orthodontist shall comply with R 338.11505.
History: 1984 MR 7, Eff. July 19, 1984.
R 338.11517 Prosthodontics explained; certification requirements; examination content.
Rule 1517. (1) The practice of prosthodontics includes the restoration and maintenance of oral function by the replacement of missing teeth and maxillofacial tissue with artificial devices.
(2) The specialty of prosthodontics shall include the providing of suitable substitutes for the coronal portions of or for 1 or more lost or missing natural teeth and their associated parts or for the loss of maxillofacial tissue in order to restore the impaired functions, appearance, comfort, and health of the patient.
(3) A dentist who desires certification as a prosthodontist shall comply with both of the following requirements:
(a) Hold a current license to practice dentistry in Michigan.
(b) Have graduated from a program of prosthodontics approved by the board under R 338.11301.
(4) Examination for certification as a prosthodontist shall be both written and clinical and shall include, but not be limited to, all of the following:
(a) Pharmacology.
(b) Denture theory.
(c) Dental materials.
(d) Crown and bridge.
(e) Occlusal adjustment.
(f) Periodontal therapy.
(g) Pathology and histology.
(h) Maxillofacial prosthetics.
(i) Oral pathology and diagnosis.
(j) Complete denture prosthodontics.
(k) Esthetic restorative procedures.
(1) Dental materials in prosthodontics.
(m) Principles of restorative dentistry.
(n) Clinical evaluation in restorative dentistry.
(o) Mandibular movement and functional occlusion.
(p) Completion and submission of 5 patient histories with appropriate preoperative and postoperative radiographs and photographs. The histories shall represent the major areas of prosthodontics, which include all of the following:
(i) Immediate denture.
(ii) Single complete denture.
(iii) Fixed partial denture opposing fixed partial denture.
(iv) Combination complete denture and fixed partial denture.
(v) Combination complete denture and removable partial denture.
(vi) Combination removable partial denture and fixed partial denture.
(vii) Opposing maxillary complete denture and mandibular complete denture.
(viii) Removable partial denture and intracoronal and extracoronal retainers.
(ix) Maxillofacial prosthesis, which shall include, but not be limited to, an intra-oral prosthesis that may include both fixed and removable portions.
(q) A comprehensive oral examination that shall be administered by not less than 2 examiners covering the broad field of prosthodontics and related arts and sciences or other case presentations as required, or both.
(5) A dentist who desires certification as a prosthodontist shall comply with R 338.11505.
History: 1984 MR 7, Eff. July 19, 1984; 1999 MR 9, Eff: Sept. 28, 1999.
R 338.11519 Periodontics explained; certification requirements; examination content.
Rule 1519. (1) The practice of periodontics includes the diagnosis and treatment of disease of the supporting and surrounding structures of the teeth and management of occlusion and temporomandibular joint dysfunction problems.
(2) A dentist who desires certification as a periodontist shall comply with both of the following requirements:
(a) Hold a current license to practice dentistry in Michigan.
(b) Have graduated from a program of periodontics approved by the board pursuant to R 338.11301.
(3) Examination for certification as a periodontist shall be written and clinical and shall include, but not be limited to, all of the following:
(a) Histology.
(b) Pathology.
(c) Cell biology.
(d) Pharmacology.
(e) Oral physiology.
(f) Oral bacteriology.
(g) Physiology of occlusion.
(h) Surgical anatomy of the head and neck.
(i) Dental materials in restorative dentistry.
(j) Pathology and radiology of periodontal disease.
(k) Pathology of caries, pulp, periapical diseases.
(1) Completion and submission of 5 patients of treatment of periodontal disease, 3 of which shall be moderate to severe periodontitis and 2 of which shall be selected from the following areas:
(i) Mucogingival problems.
(ii) Juvenile periodontitis.
(iii) Hyperplastic gingivitis.
(iv) Periodontal maintenance therapy.
(v) Temporomandibular joint dysfunction.
(vi) Necrotizing ulcerative gingivitis (NUG).
(4) A dentist who desires certification as a periodontist shall comply with R 338.11505.
History: 1984 MR 7, Eff. July 19, 1984.
R 338.11521 Pedodontics explained; certification requirements; examination content.
Rule 1521. (1) The practice of pedodontics includes the practice and teaching of comprehensive and therapeutic oral health and the care of children fro birth to adolescence. This also includes the dental care of patients beyond the age of adolescence who demonstrate mental, physical, or emotional problems. The term "pediatric dentistry" shall mean the same as the term "pedodontics."
(2) A dentist who desires certification as a pedodontist shall comply with both of the following requirements:
(a) Hold a current license to practice dentistry in Michigan.
(b) Have graduated from a program of pedodontics approved by the board pursuant to R 338.11301.
(3) Examination for licensure as a pedodontist shall be both written and clinical and shall include, but not be limited to, all of the following:
(a) Bacteriology.
(b) Facial growth.
(c) Oral pathology.
(d) Occlusal development.
(e) Pedodontic orthodontics.
(f) Physical growth of children.
(g) Psychology of child development.
(h) Dental materials in pedodontics.
(i) General anesthesia for infants and children.
(j) Mental hygiene of childhood and adolescence.
(k) Completion and submission of 10 completed patient history and treatment records which shall include all of the following:
(i) One case of dental anomaly.
(ii) Two cases of oral trauma to a child.
(iii) Two cases of interceptive or preventive orthodontics.
(iv) Two cases of pulpal therapy for a primary tooth and a young permanent tooth.
(v) Two comprehensive restorative patients, 1 of whom shall be a preschool patient.
(vi) One case of treatment for a handicapped child as an office or hospital procedure.
(4) A dentist who desires certification as a pedodontist shall comply with
R 338.11505.
History: 1984 MR 7, Eff. July 19, 1984.
R 338.11523 Endodontics explained; certification requirements; examination content.
Rule 1523. (1) The practice of endodontics includes the morphology, physiology, and pathology of the human dental pulp and periapical tissues.
Its study encompasses related basic and clinical sciences, including the biology of the normal pulp and the etiology, diagnosis, prevention, and treatment of diseases and injuries of the pulp and periradicular tissues.
(2) The specialty of endodontics shall include all of the following:
(a) Pulpotomy.
(b) Pulp capping.
(c) Hemisections.
(d) Pulp extirpation.
(e) Root amputations.
(f) Endodontic implants.
(g) Treatment of the pulp canals.
(h) Bleaching of discolored teeth.
(i) Obturation of canals of the teeth.
(j) Replantation and intentional replantation.
(k) Periapical and lateral pathosis of pulpal origin.
(1) Selective surgical removal of lesions of endodontic origin.
(m) Differential diagnosis and control of pain of pulpal origin.
(3) A dentist who desires certification as an endodontist shall comply with both of the following requirements:
(a) Hold a current license to practice dentistry in Michigan.
(b) Have graduated from a program of endodontics approved by the board pursuant to R 338.11301.
(4) Examination for licensure as an endodontist shall be both written and clinical and shall include, but not be limited to, all of the following:
(a) Radiology.
(b) Cell biology.
(c) Pharmacology.
(d) Oral pathology.
(e) Human genetics.
(f) Local anesthesia.
(g) Surgical anatomy.
(h) General anesthesia.
(i) Endodontic surgery.
(j) Surgical anatomy of the neck.
(k) Oral and maxillofacial surgery.
(1) Dental materials in endodontics.
(m) Oral physiology, histology, and physiology.
(n) Completion and presentation of 16 case histories with complete radiographs before and after completion of the cases which shall include all of the following:
(i) Eight molars.
(ii) Two premolars.
(iii) Two atypical treatment cases.
(iv) Three surgical cases, 1 of these cases shall be a posterior case.
(v) One apexification. A completed case with endodontic filling is preferable; however, if a partially completed case or no case is available, an outline of treatment should be presented.
(5) A dentist who desires certification as an endodontist shall comply with R 338.11505.
History: 1984 MR 7, Eff. July 19, 1984.
R 338.11525 Specialists; holding self out to public.
Rule 1525. (1) A dentist who is not certified as a specialist by the board shall not announce or hold himself or herself out to the public as limiting his or her practice to, as being specially qualified in, or as giving special attention to, a branch of dentistry. A dentist is holding himself or herself out as a specialist in either of the following situations:
(a) When, in any way, he or she gives public emphasis to the practice of some particular specialty of dentistry without disclosing that he or she is a dentist who is not certified as a specialist.
(b) When he or she identifies himself or herself with a specialty, whether or not he or she claims special attention to, or a practice limited to, the specialty or employs the use of signs, professional cards, letterheads, other listings, or letters to the public or the profession which, in any way, imply special knowledge or ability in a specialty. This subdivision does not apply to specialists who are advertising in the specialty for which they are certified. For purposes of this subrule, a specialist who advertises services in an area other than his or her specialty is considered a general dentist and shall comply with the provisions of subdivision (a) of this subrule.
(2) Association, as a employer, employee, or partner, with an individual who is duly certified as a specialist by the board constitutes announcement to the public of qualifications for specialization, unless the individual so associating himself or herself publicly states, by signs, cards, or announcements, that he or she is engaged in the practice of general dentistry or the practice of some other specialty of dentistry in which he or she is duly certified.
History: 1984 MR 7, Eff. July 19, 1984.; 1994 MR 5, Eff. June 3, 1994.
R 338.11527 Dental license suspension or revocation; automatic suspension or revocation of specialty certification.
Rule 1527. The suspension or revocation of the dental license of a dentist shall automatically cause the suspension or revocation of a specialty certification issued to that dentist pursuant to the act and these rules.
History: 1984 MR 7, Eff. July 19, 1984.
DENTISTRY RULES - GENERAL RULES
(By authority conferred on the director of the department of community health by sections 16145(3) and 16601 of 1978 PA 368, MCL 333.16145(3) and 333.16601 et seq. and Executive Reorganization Order Nos. 1996-1, 1996-2 and 2003-1, MCL 330.3101, 445.2001 and 445.2011)
PART 5. SPECIALTIES
R 338.11501 Specialties; recognition by the board.
Rule 1501. The board recognizes all of the following branches of dentistry as specialties:
(a) Oral and maxillofacial surgery.
(b) Orthodontics.
(c) Prosthodontics.
(d) Periodontics.
(e) Pediatric dentistry.
(f) Endodontics.
(g) Oral pathology.
History: 1984 MR 7, Eff. July 19, 1984; 1994 MR 1, Eff. Jan. 21, 1994.
R 338.11503 Eligibility to qualify for state board specialty examination; exception.
Rule 1503. (1) To be eligible to take the state board specialty examination, an applicant shall comply with all of the following requirements:
(a) Possess a current license to practice dentistry in Michigan.
(b) Fulfill the requirements set forth in these rules for that specialty.
(c) Submit evidence of completion from the dean or hospital administrator of a graduate program of dentistry that is approved by the board pursuant to the provisions of R 338.11301.
(d) Submit a completed application on a form provided by the department, together with the requisite fee not less than 30 days before the examination.
(2) An applicant for certification in oral pathology is not required to take a state board specialty examination.
History: 1984 MR 7, Eff. July 19, 1984; 1994 MR 1, Eff. Jan. 21, 1994.
R 338.11505 Specialty certificate; general requirements.
Rule 1505. An applicant for a specialty certificate shall comply with all of the following requirements:
(a) Submit a final official transcript of dental postgraduate training from a graduate program of dentistry approved by the board pursuant to the provisions of R 338.11301 or, in the case of a hospital program that does not issue transcripts, certification by the hospital administrator or other official of the satisfactory completion of the program.
(b) Except as provided in R 338.11503(2), secure a minimum converted score of 75 in the state board written and clinical examination in the specific specialty pursuant to these rules. Submission of verification that an applicant for specialty certification has successfully passed the American board written examination is satisfactory compliance with the requirement for the written portion of the state board examination for certification in Michigan for the applicant's specialty.
(c) The provisions of subdivision (b) of this rule are waived if the applicant has provided satisfactory evidence of the successful completion of the American board specialty written and clinical examinations. Other substantially equivalent specialty examinations approved by the board may be considered.
History: 1984 MR 7, Eff. July 19, 1984; 1989 MR 5, Eff. May 23, 1989; 1994
MR 1, Eff. Jan. 21, 1994.
R 338.11507 Examination failure; candidate for certification as specialist.
Rule 1507. (1) An applicant who has failed a specialty certification examination may apply for reexamination.
(2) An applicant who fails to pass the examination upon his or her first attempt shall be given credit for the subjects passed and may take the examination a second time. Credits given for subjects passed shall apply to the second attempt only provided it is taken within 18 months of the date of notification.
(3) If the applicant fails to pass his or her examination on the second attempt, the applicant shall be required, on any subsequent attempt, to take the entire examination.
(4) If the applicant is unsuccessful on his or her second attempt and it appears to the board that the applicant requires further education, the board shall require the applicant to attend a school approved by the board to study subjects as provided within these rules. The applicant shall have a program approved by the board before commencing the program. The dean, or his or her appointee, of the school attended by the applicant shall certify that the applicant has successfully completed the program and is ready for re-examination before the applicant may be reexamined.
(5) If the applicant is unsuccessful on his or her third attempt, he or she may not retake the examination for 1 year.
History: 1984 MR 7, Eff. July 19, 1984.
R 338.11509 Dental specialty certification candidate who fails examination twice; requirements before reexamination.
Rule 1509. Before being permitted to retake the examination, a candidate for certification as a dental specialist who sustains 2 successive failures in the examination shall present evidence of additional education in the area in which the failure occurred. The additional education shall consist of a minimum of 40 hours of board-approved clinical instructions, which shall be both didactic and practical, shall be in a dental program or hospital approved by the board, and shall be completed subsequent to the date of the last examination failed. The additional education shall be satisfactorily completed as evidenced by certification by the dean or his or her appointee.
History: 1984 MR 7, Eff. July 19, 1984.
R 338.11511 Dental specialty certification candidate who fails examination 3 times; requirements before reexamination.
Rule 1511. Before being permitted to retake the examination, a dental specialty certification candidate who fails the examination 3 times shall be required by the board to return to an accredited program for 1 academic year. The program shall be satisfactorily completed as evidenced by certification by the dean or his or her appointee.
History: 1984 MR 7, Eff. July 19, 1984.
R 338.11512 Oral pathology; certification requirements.
Rule 1512. An applicant for certification as an oral pathologist shall meet all of the following requirements:
(a) Hold a current license to practice dentistry in Michigan.
(b) Have graduated from a program of oral pathology approved by the board pursuant to the provisions of R 338.11301.
(c) Pass the examination which is conducted and scored by the American board of oral pathologists.
History: 1994 MR 1, Eff. Jan. 21, 1994.
R 338.11513 Oral (maxillofacial) surgery explained; certification requirements; examination content.
Rule 1513. (1) The practice of oral (maxillofacial) surgery includes the diagnosis and surgical and adjunctive treatment of the diseases, injuries, and deformities of the human mouth, jaws, and associated maxillofacial structures.
(2) The specialty of oral (maxillofacial) surgery shall include all of the following:
(a) The preliminary performance of a history and physical examination for the purpose of assessing medical, dental, and anesthetic risks for contemplated oral and maxillofacial surgery.
(b) The appropriate radiological and laboratory diagnosis.
(c) The anesthetic, surgical, and adjunctive management for diseases, injuries, and deformities of the human mouth, jaws, and associated maxillofacial structures.
(3) A dentist who desires certification as an oral (maxillofacial) surgeon shall comply with both of the following requirements:
(a) Hold a current license to practice dentistry in Michigan.
(b) Have completed not less than 3 years of hospital training in an accredited oral (maxillofacial) surgery training program approved by the board pursuant to R 338.11301.
(4) Examination for certification as an oral (maxillofacial) surgeon shall be both written and clinical and shall include but not be limited to, all of the following:
(a) Anatomy.
(b) Radiology.
(c) Pathology.
(d) Local anesthesia.
(e) General anesthesia.
(f) Major surgical procedures.
(g) History and physical evaluation.
(h) Management of hospitalized patient.
(i) Intra-oral surgery including infections.
(j) Completion and submission of 4 case histories documented by the hospital administrator and the respective chief of oral (maxillofacial) surgery. These case histories shall be representative of major oral and maxillofacial surgery.
(5) A dentist who desires certification as an oral (maxillofacial) surgeon shall comply with R 338.11505.
History: 1984 MR 7, Eff. July 19, 1984.
R 338.11515 Orthodontics explained; certification requirements; examination content.
Rule 1515. (1) The practice of orthodontics includes the supervision, guidance, and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces or the stimulation and redirection of functions forces within the craniofacial complex.
(2) The specialty of orthodontics shall include all of the following:
(a) The diagnosis, prevention, interception, and comprehensive treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures.
(b) The design, application, and control of functional and corrective appliances.
(c) The guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.
(3) A dentist who desires certification as an orthodontist shall comply with both of the following requirements:
(a) Hold a current license to practice dentistry in Michigan.
(b) Have graduated from a program of orthodontics approved by the board pursuant to R 338.11301.
(4) Examination for certification as an orthodontist shall be both written and clinical and shall include, but not be limited to, all of the following:
(a) Facial growth.
(b) Human genetics.
(c) Occlusal development.
(d) Histology and physiology.
(e) Radiographic cephalometry.
(f) Dental material in orthodontics.
(g) Completion and submission of 5 case histories, including photographs, radiographs, and models. These case histories shall be completed cased solely diagnosed, treatment planned, treated, and retained by the candidate. Recent graduates may, instead of 2 of the completed cases, submit records of 2 patients in treatment for each completed case which is not available. A recent graduate candidate shall present a letter from the chairman of the department of orthodontics certifying that the candidate solely treated each patient whose record is presented.
(h) The orthodontics specialty examination shall consist of any or all of the following:
(i) Written examination consisting of essay, short answer, true-false, multiple choice, or fill-in-the-blank questions.
(ii) Diagnosis and treatment planning of patients with complete diagnostic records as recommended by the American board of orthodontists and which are provided by the examiner.
(iii) Clinical examination, which includes diagnosis, treatment planning, and appliance construction procedures for an actual patient.
(iv) Presentation of the complete records as indicated in subdivision (g) of this subrule.
(v) Oral examination by not less that 2 of the examiners concurrently.
(5) A dentist who desires certification as an orthodontist shall comply with R 338.11505.
History: 1984 MR 7, Eff. July 19, 1984.
R 338.11517 Prosthodontics explained; certification requirements; examination content.
Rule 1517. (1) The practice of prosthodontics includes the restoration and maintenance of oral function by the replacement of missing teeth and maxillofacial tissue with artificial devices.
(2) The specialty of prosthodontics shall include the providing of suitable substitutes for the coronal portions of or for 1 or more lost or missing natural teeth and their associated parts or for the loss of maxillofacial tissue in order to restore the impaired functions, appearance, comfort, and health of the patient.
(3) A dentist who desires certification as a prosthodontist shall comply with both of the following requirements:
(a) Hold a current license to practice dentistry in Michigan.
(b) Have graduated from a program of prosthodontics approved by the board under R 338.11301.
(4) Examination for certification as a prosthodontist shall be both written and clinical and shall include, but not be limited to, all of the following:
(a) Pharmacology.
(b) Denture theory.
(c) Dental materials.
(d) Crown and bridge.
(e) Occlusal adjustment.
(f) Periodontal therapy.
(g) Pathology and histology.
(h) Maxillofacial prosthetics.
(i) Oral pathology and diagnosis.
(j) Complete denture prosthodontics.
(k) Esthetic restorative procedures.
(1) Dental materials in prosthodontics.
(m) Principles of restorative dentistry.
(n) Clinical evaluation in restorative dentistry.
(o) Mandibular movement and functional occlusion.
(p) Completion and submission of 5 patient histories with appropriate preoperative and postoperative radiographs and photographs. The histories shall represent the major areas of prosthodontics, which include all of the following:
(i) Immediate denture.
(ii) Single complete denture.
(iii) Fixed partial denture opposing fixed partial denture.
(iv) Combination complete denture and fixed partial denture.
(v) Combination complete denture and removable partial denture.
(vi) Combination removable partial denture and fixed partial denture.
(vii) Opposing maxillary complete denture and mandibular complete denture.
(viii) Removable partial denture and intracoronal and extracoronal retainers.
(ix) Maxillofacial prosthesis, which shall include, but not be limited to, an intra-oral prosthesis that may include both fixed and removable portions.
(q) A comprehensive oral examination that shall be administered by not less than 2 examiners covering the broad field of prosthodontics and related arts and sciences or other case presentations as required, or both.
(5) A dentist who desires certification as a prosthodontist shall comply with R 338.11505.
History: 1984 MR 7, Eff. July 19, 1984; 1999 MR 9, Eff: Sept. 28, 1999.
R 338.11519 Periodontics explained; certification requirements; examination content.
Rule 1519. (1) The practice of periodontics includes the diagnosis and treatment of disease of the supporting and surrounding structures of the teeth and management of occlusion and temporomandibular joint dysfunction problems.
(2) A dentist who desires certification as a periodontist shall comply with both of the following requirements:
(a) Hold a current license to practice dentistry in Michigan.
(b) Have graduated from a program of periodontics approved by the board pursuant to R 338.11301.
(3) Examination for certification as a periodontist shall be written and clinical and shall include, but not be limited to, all of the following:
(a) Histology.
(b) Pathology.
(c) Cell biology.
(d) Pharmacology.
(e) Oral physiology.
(f) Oral bacteriology.
(g) Physiology of occlusion.
(h) Surgical anatomy of the head and neck.
(i) Dental materials in restorative dentistry.
(j) Pathology and radiology of periodontal disease.
(k) Pathology of caries, pulp, periapical diseases.
(1) Completion and submission of 5 patients of treatment of periodontal disease, 3 of which shall be moderate to severe periodontitis and 2 of which shall be selected from the following areas:
(i) Mucogingival problems.
(ii) Juvenile periodontitis.
(iii) Hyperplastic gingivitis.
(iv) Periodontal maintenance therapy.
(v) Temporomandibular joint dysfunction.
(vi) Necrotizing ulcerative gingivitis (NUG).
(4) A dentist who desires certification as a periodontist shall comply with R 338.11505.
History: 1984 MR 7, Eff. July 19, 1984.
R 338.11521 Pedodontics explained; certification requirements; examination content.
Rule 1521. (1) The practice of pedodontics includes the practice and teaching of comprehensive and therapeutic oral health and the care of children fro birth to adolescence. This also includes the dental care of patients beyond the age of adolescence who demonstrate mental, physical, or emotional problems. The term "pediatric dentistry" shall mean the same as the term "pedodontics."
(2) A dentist who desires certification as a pedodontist shall comply with both of the following requirements:
(a) Hold a current license to practice dentistry in Michigan.
(b) Have graduated from a program of pedodontics approved by the board pursuant to R 338.11301.
(3) Examination for licensure as a pedodontist shall be both written and clinical and shall include, but not be limited to, all of the following:
(a) Bacteriology.
(b) Facial growth.
(c) Oral pathology.
(d) Occlusal development.
(e) Pedodontic orthodontics.
(f) Physical growth of children.
(g) Psychology of child development.
(h) Dental materials in pedodontics.
(i) General anesthesia for infants and children.
(j) Mental hygiene of childhood and adolescence.
(k) Completion and submission of 10 completed patient history and treatment records which shall include all of the following:
(i) One case of dental anomaly.
(ii) Two cases of oral trauma to a child.
(iii) Two cases of interceptive or preventive orthodontics.
(iv) Two cases of pulpal therapy for a primary tooth and a young permanent tooth.
(v) Two comprehensive restorative patients, 1 of whom shall be a preschool patient.
(vi) One case of treatment for a handicapped child as an office or hospital procedure.
(4) A dentist who desires certification as a pedodontist shall comply with
R 338.11505.
History: 1984 MR 7, Eff. July 19, 1984.
R 338.11523 Endodontics explained; certification requirements; examination content.
Rule 1523. (1) The practice of endodontics includes the morphology, physiology, and pathology of the human dental pulp and periapical tissues.
Its study encompasses related basic and clinical sciences, including the biology of the normal pulp and the etiology, diagnosis, prevention, and treatment of diseases and injuries of the pulp and periradicular tissues.
(2) The specialty of endodontics shall include all of the following:
(a) Pulpotomy.
(b) Pulp capping.
(c) Hemisections.
(d) Pulp extirpation.
(e) Root amputations.
(f) Endodontic implants.
(g) Treatment of the pulp canals.
(h) Bleaching of discolored teeth.
(i) Obturation of canals of the teeth.
(j) Replantation and intentional replantation.
(k) Periapical and lateral pathosis of pulpal origin.
(1) Selective surgical removal of lesions of endodontic origin.
(m) Differential diagnosis and control of pain of pulpal origin.
(3) A dentist who desires certification as an endodontist shall comply with both of the following requirements:
(a) Hold a current license to practice dentistry in Michigan.
(b) Have graduated from a program of endodontics approved by the board pursuant to R 338.11301.
(4) Examination for licensure as an endodontist shall be both written and clinical and shall include, but not be limited to, all of the following:
(a) Radiology.
(b) Cell biology.
(c) Pharmacology.
(d) Oral pathology.
(e) Human genetics.
(f) Local anesthesia.
(g) Surgical anatomy.
(h) General anesthesia.
(i) Endodontic surgery.
(j) Surgical anatomy of the neck.
(k) Oral and maxillofacial surgery.
(1) Dental materials in endodontics.
(m) Oral physiology, histology, and physiology.
(n) Completion and presentation of 16 case histories with complete radiographs before and after completion of the cases which shall include all of the following:
(i) Eight molars.
(ii) Two premolars.
(iii) Two atypical treatment cases.
(iv) Three surgical cases, 1 of these cases shall be a posterior case.
(v) One apexification. A completed case with endodontic filling is preferable; however, if a partially completed case or no case is available, an outline of treatment should be presented.
(5) A dentist who desires certification as an endodontist shall comply with R 338.11505.
History: 1984 MR 7, Eff. July 19, 1984.
R 338.11525 Specialists; holding self out to public.
Rule 1525. (1) A dentist who is not certified as a specialist by the board shall not announce or hold himself or herself out to the public as limiting his or her practice to, as being specially qualified in, or as giving special attention to, a branch of dentistry. A dentist is holding himself or herself out as a specialist in either of the following situations:
(a) When, in any way, he or she gives public emphasis to the practice of some particular specialty of dentistry without disclosing that he or she is a dentist who is not certified as a specialist.
(b) When he or she identifies himself or herself with a specialty, whether or not he or she claims special attention to, or a practice limited to, the specialty or employs the use of signs, professional cards, letterheads, other listings, or letters to the public or the profession which, in any way, imply special knowledge or ability in a specialty. This subdivision does not apply to specialists who are advertising in the specialty for which they are certified. For purposes of this subrule, a specialist who advertises services in an area other than his or her specialty is considered a general dentist and shall comply with the provisions of subdivision (a) of this subrule.
(2) Association, as a employer, employee, or partner, with an individual who is duly certified as a specialist by the board constitutes announcement to the public of qualifications for specialization, unless the individual so associating himself or herself publicly states, by signs, cards, or announcements, that he or she is engaged in the practice of general dentistry or the practice of some other specialty of dentistry in which he or she is duly certified.
History: 1984 MR 7, Eff. July 19, 1984.; 1994 MR 5, Eff. June 3, 1994.
R 338.11527 Dental license suspension or revocation; automatic suspension or revocation of specialty certification.
Rule 1527. The suspension or revocation of the dental license of a dentist shall automatically cause the suspension or revocation of a specialty certification issued to that dentist pursuant to the act and these rules.
History: 1984 MR 7, Eff. July 19, 1984.