Okla. Stat. tit. 59, § 59-328.25

A. Any person applying for an oral maxillofacial surgery

expanded duty permit shall complete the requirements of this section

for submission and approval before the Board.

B. The application shall be made to the Board in writing and

shall be accompanied by the fee established by the Board, together

with the satisfactory proof that the applicant:

1. Passes a background check with criteria established by the

Board; and

2. Has completed all of the training requirements for the oral

maxillofacial surgery expanded duty permit as established by the

Board.

Oklahoma Statutes - Title 59. Professions and Occupations Page 232

C. An oral maxillofacial surgery expanded duty permit shall be

considered a temporary training permit until all of the training

requirements, as established by the Board for the oral maxillofacial

surgery expanded duty permit, have been completed and approved by

the Board.

D. A temporary training permit for the oral maxillofacial

surgery expanded duty shall not be extended beyond two (2) years.

E. When performing the expanded duty of oral maxillofacial

surgery, dental assistants shall be under direct supervision or

direct visual supervision at all times by a licensed oral

maxillofacial surgeon, dentist, or pediatric dentist who holds a

parenteral or general anesthesia permit; provided, only the oral

maxillofacial surgeon, dentist, or pediatric dentist, or an

anesthesiologist or a Certified Registered Nurse Anesthetist, may

administer anesthesia and assess the patient’s level of sedation and

only the oral maxillofacial surgeon, dentist, or pediatric dentist

may perform surgery.

F. An applicant for an oral maxillofacial surgery expanded duty

permit shall provide satisfactory proof of:

1. Successful completion of the Dental Anesthesia Assistant

National Certification Examination (DAANCE) provided by the American

Association of Oral Maxillofacial Surgeons (AAOMS) or another

program or examination as approved by the Board;

2. A valid BLS certification;

3. Employment and completion of a minimum of six (6) months of

training under the direct supervision of a licensed oral

maxillofacial surgeon prior to starting DAANCE or another program or

examination as approved by the Board;

4. Completion of a standardized course approved by the Board

including a minimum of four (4) hours of didactic training that must

include anatomy, intravenous access or phlebotomy, technique, risks

and complications, and hands-on experience starting and maintaining

intravenous lines on a human or simulator/manikin, and pharmacology;

and

5. Completion of an infection-control course as approved by the

Board.

G. A dental assistant with an oral maxillofacial surgery

expanded duty permit shall complete eight (8) hours of continuing

education every two (2) years in classes approved by AAOMS that are

certified by the American Dental Association CERP program or another

program approved by the Board. The continuing education requirement

shall include at least one (1) hour on infection control.

H. The Anesthesia Committee provided pursuant to Section 328.17

of this title may make a recommendation to the Board for a dental

assistant with an oral maxillofacial surgery expanded duty permit

holding a temporary training permit to substitute training received

from another state university, dental school or technical training

Oklahoma Statutes - Title 59. Professions and Occupations Page 233

institute or training acquired in a surgery center or hospital while

working under the authority of a licensed physician, to qualify as a

partial substitute for the requirements to attain an oral

maxillofacial surgery expanded duty permit.

I. A dental assistant with an oral maxillofacial surgery

expanded duty permit may only accept delegation from an oral and

maxillofacial surgeon, dentist, or pediatric dentist with a valid

general or parenteral anesthesia permit:

1. Under direct supervision:
censed physician, to qualify as a

partial substitute for the requirements to attain an oral

maxillofacial surgery expanded duty permit.

I. A dental assistant with an oral maxillofacial surgery

expanded duty permit may only accept delegation from an oral and

maxillofacial surgeon, dentist, or pediatric dentist with a valid

general or parenteral anesthesia permit:

1. Under direct supervision:

a. initiate and discontinue an intravenous line for a

patient being prepared to receive intravenous

medications, sedation or general anesthesia, or

b. draw up and prepare medications; and

2. Under direct visual supervision:

a. follow instructions of the oral surgeon while acting

as an accessory hand on behalf of the oral surgeon

that is administering the medication and actively

treating the patient. For the purposes of this

section, “administer” means to have the sole

responsibility for anesthesia care including

determining medicines to be used and the dosage,

timing, route of delivery and administration of

medication and the assessment of the level of

anesthesia and monitoring the physiological results of

such care; provided, only an oral surgeon or dentist

possessing a current general anesthesia permit may

administer or assess the level of sedation or general

anesthesia and monitor the results of such care,

b. follow instructions of the oral surgeon to adjust the

rate of intravenous fluids to maintain or keep the

line patent or open and adjust an electronic device to

provide medications such as an infusion pump, and

c. assist the oral surgeon by reading, recording vital

signs of a patient receiving deep sedation or general

anesthesia; provided, only an oral surgeon may assess

the level of sedation.

J. Only an oral surgeon shall be responsible to diagnose,

treat, monitor, determine and administer the selection of the drug,

dosage, and timing of all anesthetic medications, and care of the

patient through the perioperative period shall rest solely with the

supervising oral and maxillofacial surgeon.

K. Nothing in the State Dental Act shall be construed as to

allow a dental assistant with an oral maxillofacial expanded duty

permit to administer anesthesia care to a patient.