Iowa Administrative Code 650 authorizes a dental hygienist to administer local anesthesia provided the following requirements are met:
- The dental hygienist holds both an active dental hygiene license and local anesthesia permit issued by the Iowa Dental Board.
- The local anesthesia is prescribed by a licensed dentist.
- The local anesthesia is administered under the direct supervision of the dentist. Direct supervision requires the supervising dentist to be present in the treatment facility, but it is not required that the dentist be physically present in the treatment room.
If you wish to administer local anesthesia in Iowa, you must make application for a local anesthesia permit, meet the requirements stated above. Obtaining your dental hygiene license does not automatically qualify you to administer local anesthesia. The application for a local anesthesia permit requires the following:
- A completed application form including the application fee.
- Evidence that formal training in the administration of local anesthesia has been completed within 12 months of the date of application. The formal training must be conducted by a school accredited by the American Dental Association Commission on Dental Accreditation; or
- If you currently practice local anesthesia out of state, you must submit evidence of completion of formal training in the administration of local anesthesia conducted by a school accredited by the American Dental Association Commission on Dental Accreditation and submit documented evidence of ongoing practice in the administration of local anesthesia.
Local anesthesia permits expire on August 31 of every odd-numbered year (at the same time of the hygiene license). Renewal of the permit requires a completed renewal form and payment of the renewal fee.