KRS 313.060: Administrative regulations governing minimal requirements for

documentation, oath for disease control compliance, sedation of patients, and

compliance with federal statutes and regulations -- Death or incapacity of

dentist -- Telehealth -- Continuing education.

(1) The board shall promulgate administrative regulations in accordance with KRS

Chapter 13A relating to dental practices which shall include minimal requirements

for documentation, Centers for Disease Control compliance, sedation of patien ts,

compliance with federal controlled substances regulations, and any applicable

federal statute or regulation.

(2) Any person practicing or offering to practice dentistry or dental surgery shall

practice under his or her own name or the name of a decease d or incapacitated

dentist for whom the person practicing dentistry has contracted to perform

continuing operations.

(3) A person shall not conduct a dental office in his or her name or advertise his or her

name in connection with any dental office unless he or she personally performs

services as a dentist or dental surgeon in the office or personally supervises the

services as are performed in the office during a portion of the time the office is

operated by him or her only, and shall not use his or her na me in connection with

that of any other dentist, except as provided for deceased or incapacitated dentists in

subsection (4) of this section.

(4) The executor or administrator of a deceased dentist's estate, or the legal guardian or

authorized representative of a dentist who has become incapacitated, may contract

with another dentist or dentists to continue the operations of the deceased or

incapacitated dentist's practice if the practice of the deceased or incapacitated

dentist is a:

(a) Sole proprietorship;

(b) Corporation in which the deceased or incapacitated dentist is the sole

shareholder; or

(c) Limited liability company in which the deceased or incapacitated dentist is the

sole member.

(5) Contracts to continue the operations of a deceased or incapacitated dentist's practice

may extend until the practice is sold.

(6) Prior to contracting with another dentist or dentists to continue operations of a

deceased or incapacitated dentist's practice, the executor, administrator, guardian, or

authorized repres entative shall file a notification of intent to contract for

continuation of practice with the board on a form prescribed by the board. The

notification shall include the following information:

(a) The name and license number of the deceased or incapacitated dentist;

(b) The name and address of the dental practice;

(c) The name, address, and tax identification number of the estate;

(d) The name and license number of each dentist who will provide services in the

dental practice;

(e) An affirmation, under penalty of perjury, that the information provided is true

and correct and that the executor, administrator, guardian, or authorized

representative understands that any interference by the executor,

administrator, guardian, or authorized representative, or any agent or assignee

of the executor, administrator, guardian, or authorized representative, with the

contracting dentist's or dentists ' practice of dentistry or professional judgment

or any other violation of this chapter is grounds for an immediate termination

of the operations of the dental practice; and

(f) Any other information the board deems necessary for the administration of

this chapter.

(7) Within thirty (30) days after the death or incapacitation of a dentist, the executor,

administrator, guardian, or authorized representative shall send notification of the

death or incapacitation by mail to the last known address of each patie nt of record

that has received treatment by the deceased or incapacitated dentist within the

previous twelve (12) months, with an explanation of how copies of the practitioner's

records may be obtained. This notice may also contain any other relevant

information concerning the continuation of dental practice.

(8) A treating dentist who provides or facilitates the use of telehealth shall ensure:

(a) That the informed consent of the patient or legal representative is obtained

before services are provided through telehealth; and

(b) That the confidentiality of the patient's medical information is maintained as

required by this chapter and other applicable law. At a minimum,

confidentiality shall be maintained through appropriate processes, practices,

and techno logy as designated by the board and that conform to applicable

federal law.

(9) The board shall promulgate administrative regulations in accordance with KRS

Chapter 13A to implement this section and as necessary to:

(a) Prevent abuse and fraud through the use of telehealth services;

(b) Prevent fee-splitting through the use of telehealth services; and

(c) Utilize telehealth in the provision of dental services and in the provision of

continuing education.

(10) A licensed dentist may delegate to a licensed de ntal hygienist the administration of

block and infiltration anesthesia and nitrous oxide analgesia under the direct

supervision of a dentist if the dental hygienist completes the following requirements

and receives a certificate of verification from the board:

(a) Formal training from a dental or dental hygiene school accredited by the

Commission on Dental Accreditation;

(b) A minimum of thirty -two (32) hours covering all of the following topics,

including but not limited to anatomical considerations, basic injunction

technique, basic placement technique, nitrous oxide administration,

recordkeeping, armamentarium exercise, local anesthesia and nitrous oxide,

techniques of maxillary anesthesia, techniques of mandibular injections,

partner injections and partn er administration of nitrous oxide,

neurophysiology, pharmacology of local anesthetics and nitrous oxide,

pharmacology of vasoconstrictors, physical and psychological evaluation,

local and systemic complications, and contraindications;

(c) A minimum of two (2) hours of clinical education for nitrous oxide

administration with successful completion of administration, monitoring, and

removal of nitrous oxide on at least two (2) patients;

(d) A minimum of twelve (12) hours demonstrating mastery of local anesthe sia

applications and successful completion of at least three (3) injections each of

all maxillary and mandibular injection sites; and

(e) A score that exceeds seventy -four percent (74%) on a written examination

administered after coursework and clinical training.

(11) The board shall approve all continuing education courses and require them for

individuals holding anesthesia registration for over one (1) year without practical

application. The courses shall be developed and implemented by dental education

institutions accredited by the Commission on Dental Accreditation.