Current through September 24, 2024
(1) Recognized
Specialties - The Board recognizes and will issue specialty certification in
the following branches of dentistry:
(a)
Dental Anesthesiology;
(b) Dental
Public Health;
(c)
Endodontics;
(d) Oral and
Maxillofacial Radiology;
(e) Oral
and Maxillofacial Surgery;
(f) Oral
and Maxillofacial Pathology;
(g)
Oral Medicine;
(h) Orofacial
Pain;
(i) Orthodontics and
Dentofacial Orthopedics;
(j)
Pediatric Dentistry (Pedodontics);
(k) Periodontics;
(l) Prosthodontics.
(2) Certification - To become certified as a
specialist in a particular branch of dentistry an applicant must be licensed as
a dentist in Tennessee except those persons eligible for licensure pursuant to
Rule 0460-02-.02, and comply with the
following:
(a) An applicant shall obtain a
specialty application form from the Board Administrative Office, respond
truthfully and completely to every question or request for information
contained in the form and submit it along with all documentation and fees
required by the form or this rule to the Board Administrative Office.
(b) An applicant shall submit the specialty
certification application fee as provided in Rule
0460-01-.02(1).
(c) An applicant shall submit verification of
one of the following:
1. Successful completion
of the specialty training as provided in the section of this rule for the
specific specialty that the applicant is applying for; or
2. Certification as a specialist by the
American Board of the particular specialty for which application is made. A
letter must be sent directly from the secretary of the American Board of the
particular specialty to the Board Administrative Office which indicates that
the applicant is certified by the American Board in that specialty and that the
applicant is in good standing. All such certificates approved by the Board may
be accepted as sufficient for specialty certification in lieu of submitting
proof of successful completion of a residency program in a specialty.
Acceptance of such certificates is discretionary with the Board.
(d) An applicant shall submit any
other documentation required by the Board after review of the
application.
(e) An applicant who
is certified as a specialist in another state shall have that state's licensing
board send proof to the Board Administrative Office which indicates that the
applicant is certified in that specialty and that the applicant is in good
standing.
(f) Application review
and decisions required by this rule are governed by Rule
0460-01-.04.
(3) Examination - All specialty
applicants shall submit to an oral examination even if certification from an
American Board in a specialty is accepted in lieu of submitting proof of
successful completion of a residency program in a specialty.
(4) Dental Anesthesiology - An applicant must
submit certification of successful completion of at least two (2) years of
postgraduate training in Dental Anesthesiology at the university level in a
program approved by the Council on Dental Education of the American Dental
Association and the Board. Such evidence shall include either a transcript
which indicates completion of the postgraduate training in Dental
Anesthesiology or a certificate of completion letter from the director of the
program on letterhead submitted directly from the school to the Board
Administrative Office.
(5) Dental
Public Health - The requirements for certification in this specialty shall be
those required by the American Dental Association as regards its regulation of
this specialty branch of dentistry.
(6) Endodontics - An applicant must submit
certification of successful completion of at least two (2) years of
postgraduate training in Endodontics at the university level in a program
approved by the Council on Dental Education of the American Dental Association
and the Board. Such evidence shall include either a transcript which indicates
completion of the postgraduate training in Endodontics or a certificate of
completion letter from the director of the program on letterhead submitted
directly from the school to the Board Administrative Office.
(7) Oral and Maxillofacial Pathology - An
applicant must submit certification of successful completion of two (2) years
of postgraduate training in Oral Pathology or Oral and Maxillofacial Pathology
at the university level in a program approved by the Council on Dental
Education of the American Dental Association and the Board. Such evidence shall
include either a transcript which indicates completion of the postgraduate
training in Oral Pathology or Oral and Maxillofacial Pathology or a certificate
of completion letter from the director of the program on letterhead submitted
directly from the school to the Board Administrative Office.
(8) Oral and Maxillofacial Radiology - An
applicant must submit certification of successful completion of graduate study
in Oral and Maxillofacial Radiology of at least two (2) years in a school
approved or provisionally approved by the Commission on Dental Accreditation of
the American Dental Association. Such evidence shall include either a
transcript which indicates completion of the postgraduate training in Oral and
Maxillofacial Radiology or a certificate of completion letter from the director
of the program submitted directly from the school to the Board Administrative
Office.
(9) Oral and Maxillofacial
Surgery.
(a) An applicant must provide to the
Board Administrative Office certification of successful completion of advanced
study in Oral and Maxillofacial Surgery of four (4) years or more in a graduate
school or hospital accredited by the Commission on Dental Accreditation (CODA)
or the American Dental Association and the Board. Such evidence shall include
either a transcript which indicates completion of the postgraduate training in
Oral and Maxillofacial Surgery or a certificate of completion letter from the
director of the program submitted directly from the school to the Board
Administrative Office.
(b) Oral and
Maxillofacial Surgery is the specialty area of the treatment of the oral cavity
and maxillofacial area or adjacent or associated structures and their impact on
the human body that includes the performance of the following areas of Oral and
Maxillofacial Surgery, as described in the most recent version of the
Parameters and Pathways: Clinical Practice Guidelines for Oral and
Maxillofacial Surgery of the American Association of Oral and Maxillofacial
Surgeons:
1. Patient assessment;
2. Anesthesia in outpatient facilities, as
provided in T.C.A. §§
63-5-105(6) and
63-5-108(g);
3. Dentoalveolar surgery;
4. Oral and craniomaxillofacial implant
surgery;
5. Surgical correction of
maxillofacial skeletal deformities;
6. Cleft and craniofacial surgery;
7. Trauma surgery;
8. Temporomandibular joint surgery;
9. Diagnosis and management of pathologic
conditions;
10. Reconstructive
surgery including the harvesting of extra oral/distal tissues for grafting to
the oral and maxillofacial region; and
11. Cosmetic maxillofacial surgery.
(c) The Tennessee Board of
Dentistry determines that the dental practice of Oral and Maxillofacial Surgery
includes the following procedures which the Board finds are included in the
curricula of dental schools accredited by the American Dental Association,
Commission on Dental Accreditation, post-graduate training programs or
continuing education courses:
1.
Rhinoplasty;
2.
Blepharoplasty;
3.
Rytidectomy;
4. Submental
liposuction;
5. Laser
resurfacing;
6. Browlift, either
open or endoscopic technique;
7.
Platysmal muscle plication;
8.
Dermabrasion;
9.
Otoplasty;
10. Lip augmentation;
and
11. Botox injections or future
FDA approved neurotoxins.
(d) Any licensee who lacks the following
qualifications and nevertheless performs the procedures and surgery identified
in subparagraph (c) shall be subject to discipline by the Board under T.C.A.
§
63-5-124, including provisions
regarding malpractice, negligence, incompetence or unprofessional conduct:
1. Has successfully completed a residency in
Oral and Maxillofacial Surgery accredited by the American Dental Association,
Commission on Dental Accreditation (CODA); and
2. Has successfully completed a clinical
fellowship, of at least one (1) continuous year in duration, in esthetic
(cosmetic) surgery accredited by the American Association of Oral and
Maxillofacial Surgeons or by the American Dental Association Commission on
Dental Accreditation; or
3. Holds
privileges issued by a credentialing committee of a hospital accredited by the
Joint Commission on Accreditation of Healthcare Organizations (JCAHO) to
perform these procedures.
(e) The Board, pursuant to its authority
under T.C.A. §
63-5-124, determines that
performance of the surgery and procedures identified in subparagraph (c)
without the qualifications set out above shall be considered unprofessional
conduct and subject to discipline by the Board as such.
(10) Oral Medicine - An applicant must submit
certification of successful completion of graduate study in Oral Medicine of at
least two (2) years in a school approved or provisionally approved by the
Commission on Dental Accreditation of the American Dental Association. Such
evidence shall include either a transcript which indicates completion of the
postgraduate training in Oral Medicine or a certificate of completion letter
from the director of the program on letterhead submitted directly from the
school to the Board Administrative Office.
(11) Orofacial Pain - An applicant must
submit certification of successful completion of graduate study in Orofacial
Pain of at least two (2) years in a school approved or provisionally approved
by the Commission on Dental Accreditation of the American Dental Association.
Such evidence shall include either a transcript which indicates completion of
the postgraduate training in Orofacial Pain or a certificate of completion
letter from the director of the program on letterhead submitted directly from
the school to the Board Administrative Office.
(12) Orthodontics and Dentofacial Orthopedics
- An applicant must submit, with the application form, documentation of
successful completion of one (1) of the following:
(a) Certification of successful completion of
two (2) academic years of training in Orthodontics and Dentofacial Orthopedics
in an approved Postgraduate Department of an accredited dental school, college
or university. Such evidence shall include either a transcript which indicates
completion of the postgraduate training in Orthodontics and Dentofacial
Orthopedics or a certificate of completion letter from the director of the
program on letterhead submitted directly from the school to the Board
Administrative Office.
(b)
Certification of successful completion of an organized preceptorship training
program in Orthodontics and Dentofacial Orthopedics approved by the Council on
Dental Education of the American Dental Association and the Board. Such
evidence shall include, but not be dispositive of this requirement, a notarized
certificate of completion furnished by the Board and issued by the director of
the preceptorship training program, to be submitted directly from the school to
the Board Administrative Office.
(13) Pediatric Dentistry (Pedodontics) - An
applicant must submit to the Board Administrative Office certification of
successful completion of at least two (2) years of graduate or post graduate
study in Pediatric Dentistry according to the following:
(a) If such study is completed in whole or in
part at a dental school, college or university, the graduate or postgraduate
program must be approved by the Council on Dental Education of the American
Dental Association.
(b) The
graduate or postgraduate program need not lead to an advanced degree.
(c) The program of study may be pursued in
hospitals or clinics or other similar institutions.
(d) One (1) academic year of graduate or
postgraduate study will be considered as equivalent to one (1) calendar
year.
(e) Such evidence shall
include either a transcript which indicates completion of the postgraduate
training in Pediatric Dentistry (Pedodontics) or a certificate of completion
letter from the director of the program on letterhead submitted directly from
the school to the Board Administrative Office.
(14) Periodontics - An applicant must submit
certification of successful completion of at least two (2) years of
postgraduate training in Periodontics at the university level in a program
approved by the Commission on Dental Education of the American Dental
Association and by the Board. Such evidence shall include either a transcript
which indicates completion of the postgraduate training in Periodontics or a
certificate of completion letter from the director of the program on letterhead
submitted directly from the school to the Board Administrative
Office.
(15) Prosthodontics - An
applicant must submit certification of successful completion of at least two
(2) years of a postdoctoral education in prosthodontics in a program approved
by the Commission on Dental Accreditation of the American Dental Association
and the Board. Such evidence shall include either a transcript which indicates
completion of the postgraduate training in prosthodontics or a certificate of
completion letter from the director of the program on letterhead submitted
directly from the school to the Board Administrative Office.
(16) General Rules Governing Specialty
Practice
(a) Scope of Practice - Dentists
certified in a specialty branch of dentistry must devote and confine a majority
of their practice to the certified specialty only. Any specialty certified
dentists who do not so confine their practice or who return to general practice
must retire specialty certification on forms obtained from and submitted to the
Board Administrative Office.
(b) A
current and active dental license issued by the Board is a prerequisite to the
continued practice under any specialty certification.
Authority: T.C.A. §§
4-5-202,
4-5-204,
63-5-105,
63-5-107,
63-5-108,
63-5-110,
63-5-112,
63-5-113, and
63-5-122.
