§ 6605-b. Dental hygiene restricted local infiltration
anesthesia/nitrous oxide analgesia certificate. 1. A dental hygienist
shall not administer or monitor nitrous oxide analgesia or local
infiltration anesthesia in the practice of dental hygiene without a
dental hygiene restricted local infiltration anesthesia/nitrous oxide
analgesia certificate and except under the personal supervision of a
dentist and in accordance with regulations promulgated by the
commissioner. Personal supervision, for purposes of this section, means
that the supervising dentist remains in the dental office where the
local infiltration anesthesia or nitrous oxide analgesia services are
being performed, personally authorizes and prescribes the use of local
infiltration anesthesia or nitrous oxide analgesia for the patient and,
before dismissal of the patient, personally examines the condition of
the patient after the use of local infiltration anesthesia or nitrous
oxide analgesia is completed. It is professional misconduct for a
dentist to fail to provide the supervision required by this section, and
any dentist found guilty of such misconduct under the procedures
prescribed in section sixty-five hundred ten of this title shall be
subject to the penalties prescribed in section sixty-five hundred eleven
of this title.

2. The commissioner shall promulgate regulations establishing
standards and procedures for the issuance of such certificate. Such
standards shall require completion of an educational program and/or
course of training or experience sufficient to ensure that a dental
hygienist is specifically trained in the administration and monitoring
of nitrous oxide analgesia and local infiltration anesthesia, the
possible effects of such use, and in the recognition of and response to
possible emergency situations.

3. The fee for a dental hygiene restricted local infiltration
anesthesia/nitrous oxide analgesia certificate shall be twenty-five
dollars and shall be paid on a triennial basis upon renewal of such
certificate. A certificate may be suspended or revoked in the same
manner as a license to practice dental hygiene.