MI Dental Jurisprudence flashcards

32 cards. Read the term and the definition here. The deck at the top of this page is optional.

Practice of dentistry definition

Under MCL 333.16601, the diagnosis, treatment, operation, or prescription for any disease, pain, injury, or condition of the human oral cavity and associated structures, including fitting dental appliances and extracting teeth.

Michigan Board of Dentistry

A board created under Part 161 of the Public Health Code, composed of dentist, dental hygienist, and public members appointed by the Governor, which proposes rules and recommends discipline to the Department.

Grounds for discipline

MCL 333.16221 lists grounds including negligence, incompetence, lack of good moral character, substance abuse, fraud, practicing outside scope, and failure to report required information.

Available sanctions

Under MCL 333.16226, the Department may impose reprimand, probation, limitation, suspension, revocation, fines, restitution, and community service for violations of the Code or rules.

Mandatory reporting duty

MCL 333.16243 requires a licensee with knowledge that another licensee violated the Code or rules to report to the Department; failure to report is itself a disciplinary ground.

Unlicensed practice prohibition

A person must hold a Michigan license or registration to practice dentistry, dental hygiene, or dental assisting; aiding unlicensed practice subjects the licensee to discipline.

Summary suspension authority

The Department may summarily suspend a license when public health, safety, or welfare requires emergency action, provided the licensee receives a prompt administrative hearing afterward.

Dentistry General Rules citation

The Michigan Administrative Code dental rules appear at R 338.11001 et seq., promulgated by the Board of Dentistry under the Public Health Code's rulemaking authority.

Direct supervision defined

A level of supervision in which the licensed dentist is physically present in the office and available to examine the patient and evaluate the delegated procedure.

General supervision defined

A level of supervision in which the dentist has authorized the procedure in advance but need not be physically present in the office when the service is performed.

Indirect supervision defined

A level of supervision in which the dentist is on the premises but not necessarily in the treatment room while the delegated service is performed.

Delegation limits

A dentist may delegate only procedures the rules assign to auxiliary personnel at the specified supervision level; delegating beyond the rules is a violation.

RDA expanded functions

A registered dental assistant may perform listed expanded functions only after completing Board-approved education and holding RDA status; unregistered assistants are limited to basic supportive functions.

Hygienist services

Dental hygienists may perform prophylaxis, scaling, fluoride application, and sealants under general supervision, with additional services requiring direct supervision as set by rule.

Patient record contents

The dental record must document diagnosis, treatment plan, informed consent, treatment rendered, and prescriptions, be legible and dated, and remain available for inspection.

Infection control compliance

The rules require infection-control practices consistent with CDC recommendations and Michigan OSHA standards, including sterilization, barrier use, sharps handling, and monitoring.

Dentist licensure requirements

Graduation from a CODA-accredited dental school or equivalent foreign training, passage of the INBDE, and passage of a Board-approved clinical examination such as ADEX.

Hygienist licensure requirements

Graduation from an accredited dental hygiene program, passage of the National Board Dental Hygiene Examination, and passage of a Board-approved clinical examination.

RDA registration pathway

Completion of a Board-approved dental assisting education program or equivalent training and passage of an approved examination, with application submitted to LARA's Bureau of Professional Licensing.

Licensure by credentials

A pathway allowing licensees from other jurisdictions to obtain Michigan licensure based on an active unencumbered license, verified examination scores, and a specified practice period.

Renewal cycle and CE

Dentist and hygienist licenses renew on a three-year cycle requiring a specified number of continuing education hours, including mandated infection control and ethics hours.

CE documentation

Licensees must obtain continuing education from Board-approved providers and retain certificates of completion for audit; falsifying CE documentation is a disciplinary offense.

Lapsed license

A license not renewed by the expiration date becomes lapsed; practicing on a lapsed license is unlicensed practice subject to discipline and criminal penalties.

Background check requirement

Initial licensure requires criminal history background checks and fingerprinting; disqualifying convictions are evaluated under the Code's good-moral-character provisions.

Controlled substance license

A Michigan controlled-substance license issued by LARA, required in addition to the professional license and a separate DEA registration to prescribe or dispense controlled substances.

Schedule II limits

Schedule II prescriptions must be written or electronically transmitted, are limited to a 90-day supply, and may not be refilled.

Schedule III–V refills

Schedule III through V prescriptions may be refilled up to five times within six months of the issue date unless the prescriber specifies a shorter period.

MAPS purpose

The Michigan Automated Prescription System is the state prescription drug monitoring program; prescribers must query it before prescribing controlled substances and report dispensing data as required.

Opioid informed consent

Michigan law requires prescribers to inform patients of opioid risks and document informed consent before prescribing opioids, consistent with the state's opioid-prescribing statutes.

Patient abandonment

Terminating the dentist-patient relationship without written notice, a reasonable chance to obtain alternative care, and provision of records on request constitutes abandonment and a violation.

Confidentiality rules

HIPAA and Michigan's medical records statute govern confidentiality; disclosure without patient authorization is permitted only for treatment, payment, operations, or as required by law.

Informed consent standard

Consent must be documented for procedures with material risks and for off-label or experimental treatment; consent obtained under duress is invalid.