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Examination-based applicants must pass all parts—written and clinical—of the American Board of Dental Examiners (ADEX) clinical examination, including specified OSCE and clinical portions, while endorsement applicants may qualify via ADEX or substantially equivalent board-approved exams. The document also governs authorization to perform specific procedures, dental hygienist education accreditation standards, delegation and direct supervision rules for administering certain anesthesia, training hour minima, board examination timing, and cardiac life support certification.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/michigan-licensure-initial-licensure-examination-requirements-and-general-licensure-requirements/317272/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/michigan-licensure-initial-licensure-examination-requirements-and-general-licensure-requirements/317272.png","ImageObject",300,407,{"name":92,"@type":93},"\tJames","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-22","2026-09-20",true,{"@type":102,"interactionType":103,"userInteractionCount":39},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"What examinations must be passed for initial licensure by examination in Michigan?","Question",{"text":112,"@type":113},"Applicants must pass all parts, written and clinical, of the American Board of Dental Examiners (ADEX) clinical examination offered by the CDCA-WREB-CITA, including the DSE OSCE, endodontic, fixed prosthodontic, and periodontic/scaling and restorative portions with live patient or manikin options.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"Do endorsement applicants have alternate ways to meet the ADEX examination requirement?",{"text":117,"@type":113},"Yes. Endorsement applicants must pass all parts of the ADEX clinical examination offered by the CDCA-WREB-CITA, or pass an examination deemed substantially equivalent to the ADEX examination by the Board of Dentistry.",{"name":119,"@type":110,"acceptedAnswer":120},"Under Michigan law, what limits the scope of practice for dentistry-related work?",{"text":121,"@type":113},"Individuals must be licensed or otherwise authorized under the article to practice dentistry, dental hygiene, or dental assisting. Certain procedures like deep scaling, root planing, and removal of calcareous deposits may only be performed by individuals authorized as a dental hygienist or dentist.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},317272,1790440383,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":39,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":56,"language":139,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":67,"update_tm":143,"read_time":144},2336474466412,"https://ap-avatar.wpscdn.com/davatar_155a257f0dc6eb9ab79c44ca47cae57d","| Initial Licensure Examination Requirements | American Board of Dental Examiners (ADEX, CDCA-WREB-CITA), CRDTS+SRTA\u003Cbr>Pursuant to the Dentistry Administrative Rules, applicants by examination must pass all parts, written and clinical, of the American Board of Dental Examiners, Inc (ADEX) clinical examination offered by the CDCA-WREBCITA. Applicants by endorsement must pass all parts, written and clinical, of the American Board of Dental Examiners, Inc (ADEX) clinical examination offered by the CDCA-WREB-CITA, OR an examination that is deemed substantially equivalent to the ADEX examination by the Board of Dentistry. The examination must include the following parts:\u003Cbr>• Computer-based diagnostic skills examination objective structured clinical examination (DSE OSCE)\u003Cbr>• Endodontic portion\u003Cbr>• Fixed prosthodontic portion\u003Cbr>• Periodontic/scaling – live patient OR manikin\u003Cbr>• Restorative (operative) posterior AND anterior portion – live patient OR manikin\u003Cbr>Note: If a dentist applicant has been licensed in another state for at least 5 years that required passage of a regional or state exam, the applicant must show completion of that exam and does not need to meet the requirements described above. Examples of acceptable exams in this situation, in addition to the exams described above, include CRDTS, SRTA, WREB or a state clinical examination.\u003Cbr>Source: Acceptable Regional Clinical Licensing Exams for Dentistry on the Michigan Board of Dentistry web site |\n| --- | --- |\n| General Licensure Requirements | Michigan Code of Laws, Part 166, 33.16611 Dentist, dental hygienist, or dental assistant; license or authorization required\u003Cbr>Sec. 16611. (1) An individual shall not engage in the practice of dentistry, the practice as a dental hygienist, or the practice as a dental assistant unless he or she is licensed or otherwise authorized by this article.\u003Cbr>(2) Deep scaling, root planing, and the removal of calcareous deposits may only be performed by an individual licensed or otherwise authorized by this article as a dental hygienist or a dentist.\u003Cbr>(3) The department shall not issue a dental hygienist's license to an individual unless the individual has graduated from a school or college for dental hygienists whose dental hygiene program is accredite0d by the commission on dental accreditation of the American dental association and approved by the department. The school or college must be accredited by a regional accrediting agency for colleges, universities, or institutions of higher education that is recognized by the United States department of education and approved by the department and must conduct a curriculum consisting of not less than 2 academic years for dental hygiene graduation with courses at the appropriate level to enable matriculation into a more advanced academic degree program.\u003Cbr>(4) Upon delegation by a dentist under section 16215 and under the direct supervision of a dentist, a dental hygienist may administer intraoral block and infiltration anesthesia or nitrous oxide analgesia, or both, to a patient 18 years of age or older, if the following criteria are met:\u003Cbr>(a) The dental hygienist has successfully completed a course in the administration of local anesthesia or nitrous oxide analgesia, or both, as applicable, offered by a dental or dental hygiene program accredited by the commission on dental accreditation of the American dental association and approved by the department. A course described in this subdivision involving |\n\n\n|  | local anesthesia administration must contain a minimum of 15 hours didactic instruction and 14 hours of clinical experience. A course described in this subdivision involving nitrous oxide analgesia administration must contain a minimum of 4 hours of didactic instruction and 4 hours of clinical experience. The courses of instruction shall include content in all of the following:\u003Cbr>(i) In the case of local anesthesia, the following:\u003Cbr>(A) Theory of pain control.\u003Cbr>(B) Select","cbCaiiNjh3zSTUR5","https://ap.wps.com/l/cbCaiiNjh3zSTUR5","pdf",240089,"English","# Initial Licensure Examination Requirements\n# General Licensure Requirements\n## Michigan Code of Laws, Part 166, Sec. 16611\n## Dental hygienist authorization and anesthesia delegation criteria","[{\"question\":\"What examinations must be passed for initial licensure by examination in Michigan?\",\"answer\":\"Applicants must pass all parts, written and clinical, of the American Board of Dental Examiners (ADEX) clinical examination offered by the CDCA-WREB-CITA, including the DSE OSCE, endodontic, fixed prosthodontic, and periodontic/scaling and restorative portions with live patient or manikin options.\"},{\"question\":\"Do endorsement applicants have alternate ways to meet the ADEX examination requirement?\",\"answer\":\"Yes. Endorsement applicants must pass all parts of the ADEX clinical examination offered by the CDCA-WREB-CITA, or pass an examination deemed substantially equivalent to the ADEX examination by the Board of Dentistry.\"},{\"question\":\"Under Michigan law, what limits the scope of practice for dentistry-related work?\",\"answer\":\"Individuals must be licensed or otherwise authorized under the article to practice dentistry, dental hygiene, or dental assisting. Certain procedures like deep scaling, root planing, and removal of calcareous deposits may only be performed by individuals authorized as a dental hygienist or dentist.\"}]","Michigan Licensure - Initial Licensure Examination Requirements and General Licensure Requirements | PDF",1789931128,48]