Chapter DE 7

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; EmR2410: emerg. cr. (1) to (4), eff. 7-26-24.

DE 7.07 DE 7.07 Dental therapist delegation to a dental hygienist the administration of local anesthetic.

DE 7.07(1) (1) In this section, “supervising dentist” has the meaning given in s. DE 17.01 (6).

DE 7.07(2) (2) Pursuant to the requirements under ss. 447.06 (2) (e) and 447.065 (2), Stats., a dental therapist may delegate to a dental hygienist the administration of local anesthetic only if all of the following conditions are met:

DE 7.07(2)(a) (a) The administration is performed pursuant to a treatment plan for the patient approved by a dentist.

DE 7.07(2)(b) (b) The dentist remains on the premises in which the administration is performed and is available to the patient throughout the completion of the appointment.

DE 7.07(2)(c) (c) The dental therapist has the authority to perform the activity personally, pursuant to the requirements under s. 447.06 (3) (bm) 1. and 2., Stats.

DE 7.07(2)(d) (d) The dental therapist remains under the supervision of the supervising dentist for the duration of the procedure. The dental therapist’s level of supervision shall be the level agreed upon for the procedure, as specified in the dental therapist’s collaborative management agreement described in s. DE 17.03 (5).

DE 7.07(2)(e) (e) The supervising dentist has allowed the dental therapist to administer local anesthetic within the dental therapist’s collaborative management agreement, pursuant to the requirements under s. 447.06 (3) (d) 1., Stats.

DE 7.07(2)(f) (f) The supervising dentist has expressly allowed the dental therapist to delegate the administration of local anesthetic within the dental therapist’s collaborative management agreement, pursuant to the requirements under s. 447.06 (3) (d) 1., Stats.

DE 7.07(3) (3) In sub. (2), the dentist who approves the treatment plan and remains available to the patient may be a different dentist than the supervising dentist for the dental therapist.

DE 7.07(4) (4) The dental therapist, the dental therapist’s supervising dentist, and the dentist who approves the treatment plan shall be responsible for any services, treatments, or procedures delegated and performed under sub. (2).

DE 7.07 History History: CR 24-094: cr. Register July 2025 No.835, eff. 8-1-25.