Administrative Rules of Montana
Department 24 - LABOR AND INDUSTRY
Chapter 24.138 - BOARD OF DENTISTRY
Subchapter 24.138.4 - General Provisions
Rule 24.138.419 - LIMITED PRESCRIPTIVE AUTHORITY - QUALIFICATIONS - ALLOWABLE PERCENTAGES OF TOPICAL AGENTS
Universal Citation: MT Admin Rules 24.138.419
Current through Register Vol. 6, March 22, 2024
(1) Education and competency for dental hygiene prescriptive authority will be accomplished by:
(a) meeting the requirements of ARM
24.138.407(1)(a)
and shall include a pharmacology course;
(b) maintaining three credit hours of
continuing education each three-year renewal cycle to include courses in:
(i) fluoride agents;
(ii) topical oral anesthetics; or
(iii) nonsystemic oral antimicrobials;
and
(c) meeting the
requirements of ARM
24.138.2104.
(2) The hygienist shall attest they meet the qualifications for limited prescriptive authority on the initial application for licensure and the continuing education requirement on the annual license renewal application.
(3) Allowable percentages of prescribed agents are:
(a) topical anti-caries treatments
(using sodium fluoride unless otherwise stated):
(i) toothpastes - 1.1 percent (or stannous
fluoride 0.4 percent);
(ii)
topical gels - 1.1 percent (or stannous fluoride 0.4 percent);
(iii) oral rinses - 0.05 percent, 0.2
percent, 0.44 percent, or 0.5 percent, or oral rinse concentrate at 0.63
percent stannous fluoride;
(iv)
fluoride varnish - 5 percent;
(v)
prophy paste - 1.25 percent;
(vi)
fluoride paste - 5 percent; and
(vii) silver diamine fluoride - 38
percent.
(b) topical
oral anesthetic agents:
(i) up to 20 percent
benzocaine;
(ii) up to 2 percent
viscous lidocaine; and
(iii)
cetacaine to include 14 percent benzocaine, 2 percent butamben, and 2 percent
tetracaine hydrochloride; and
(c) nonsystemic oral antimicrobials:
(i) chlorhexidine gluconate rinses - 0.12
percent.
AUTH: 37-1-131, 37-4-205, 37-4-401, MCA; IMP: 37-1-131, 37-4-401, 37-4-405, MCA
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