{"data":{"id":"us-ak/as-08.32.125","jurisdiction":"us-ak","citation":"AS 08.32.125","heading":"Advanced practice permits.","body":"(a) The board may issue an advanced practice permit to a licensed dental hygienist with a minimum of 4,000 documented hours of clinical experience. A licensed dental hygienist holding an advanced practice permit may\n(1) promote oral health and provide disease prevention education and oral systemic health education;\n(2) remove calcareous deposits, accretions, and stains from the surfaces of the teeth beginning at the epithelial attachment by scaling and polishing techniques;\n(3) apply topical preventive or prophylactic agents, including silver diamine fluoride, fluoride varnishes, and pit and fissure sealants;\n(4) remove marginal overhangs;\n(5) perform preliminary charting and triage to formulate a dental hygiene assessment and dental hygiene treatment plan;\n(6) expose and develop radiographs;\n(7) use local periodontal therapeutic agents;\n(8) perform nonsurgical periodontal therapy;\n(9) screen for oral cancer;\n(10) if certified by the board, administer local anesthetic agents;\n(11) prescribe\n(A) fluoride that is applied or provided to a patient; and\n(B) chlorhexidine or a similar antibacterial rinse; and\n(12) delegate dental operations and services to a dental assistant as provided in AS 08.36.346.\n(b) A licensed dental hygienist holding an advanced practice permit may provide the services described in (a) of this section to a patient who is unable to access dental treatment because of age, infirmity, or disability and is\n(1) a resident in a senior center, including a hospital, long-term care facility, adult foster home, residential care facility, or adult congregate living facility;\n(2) a resident in a health care facility, including a mental health residential program or facility for individuals with developmental or other disabilities;\n(3) held in a local correctional facility for juveniles or adults;\n(4) enrolled in a nursery school, day care program, vocational training facility, primary school, secondary school, private school, or public charter school;\n(5) entitled to benefits under 42 U.S.C. 1786 (Special Supplemental Nutrition Program for Women, Infants, and Children);\n(6) homebound; or\n(7) a resident of a dental health professional shortage area designated under 42 U.S.C. 254e.\n(c) A licensed dental hygienist holding an advanced practice permit may provide the services described in (a) of this section to a patient described in (b) of this section without\n(1) the physical presence, authorization, or supervision of a licensed dentist;\n(2) a licensed dentist's examination of the patient.\n(d) A licensed dental hygienist who provides services under an advanced practice permit shall maintain professional liability insurance and provide the patient, or the parent or legal guardian of the patient, with\n(1) a written notice that the treatment provided will be limited to services permitted under (a) of this section;\n(2) a written recommendation that the patient be examined by a licensed dentist for comprehensive oral health care services; and\n(3) assistance in obtaining a referral to a licensed dentist for further dental planning and treatment, including a written description of methods for obtaining a referral and a list of licensed dentists in the patient's community or other resources for finding a licensed dentist.\n(e) An advanced practice permit is valid until the expiration of the dental hygienist's license to practice. A licensed dental hygienist may renew an advanced practice permit at the time of license renewal under AS 08.32.071.","path":["Title 8. Business and Professions.","Chapter 32. Dental Hygienists and Assistants.","Article 2. Regulation of Dental Hygienists."],"source_url":"https://www.akleg.gov/basis/statutes.asp#08.32.125","current_through":"Alaska Statutes 2025 (34th Legislature, 2025-2026)","vintage":"","retrieved_at":"2026-09-02T06:16:30Z","sha256":"e95d65fb149cca01f9f3bf3aa5ae1df50b2fcf79d4ee5b034f61703b4bd5b68d","source_id":"us-ak","stale":false,"prev":"us-ak/as-08.32.120","next":"us-ak/as-08.32.130"},"notice":"GroundRules: Original legal text. Not legal advice."}