Board of Dental Examiners Dental Specialty Licenses Required Starting July 23, 2023 Effective July 23, 2023, dentists cannot use the term “specialist”, the name of a specialty, or a phrase that would suggest to the public that the dentist is a qualified specialist in a branch of dentistry unless they have a specialist license in that branch. A dentist can only represent themselves as a specialist in a branch of dentistry that’s recognized by the board (listed below). To obtain a specialist license, please submit a Dental Specialty License application along with the required documents. We highly encourage anyone wanting to continue providing dental specialty services after July 23rd to submit your applications right away to allow for prompt processing and to have the specialty license approved and ready to issue on that date or shortly thereafter. The specialties recognized by the board are: Endodontics Oral and maxillofacial surgery Oral and maxillofacial radiology Oral and maxillofacial pathology Orthodontics and dentofacial orthopedics Pediatric dentistry Periodontics Prosthodontics Dental public health Dental anesthesiology Oral medicine Orofacial pain Changes to Application Process: PBIS Closure Due to the closure of Professional Background Information Services (PBIS) as of November 16, 2020, all items that would normally be submitted through PBIS must now be submitted directly to the division. Please see the appropriate checklist for the application which you are submitting. Please contact the licensing examiner with any questions: BoardOfDentalExaminers@Alaska.Gov INITIAL Applications Dental Applications Dental License Application #08-4159, Revised 02/13/2025 Dental Specialty License Application #08-4863, Revised 09/28/2023 Permit to Administer Moderate or Minimal Sedation Application #08-4172, Revised 03/03/2025 Permit to Administer Deep Sedation or General Anesthesia Application #08-4618, Revised 03/03/2025 Dentist or Dental Hygienist Courtesy License Application #08-0005, Revised 11/13/2023 Notification of Sedation Agreement #08-4749, Revised 03/03/2025 Temporary Dental Permit Application #08-4789, Revised 11/13/2023 Request for Extension of Temporary Dental Permit #08-4858, Revised 11/13/2023 Hygienist Applications Dental Hygiene License Application #08-0075, Revised 02/13/2025 Dental Hygienist Advanced Practice Permit Application #08-4860, Revised 02/13/2025 Certificate to Administer Local Anesthetic Agent Application #08-0073, Revised 04/04/2023 Dental Hygiene Restorative Function Endorsement Application #08-4567, Revised 04/04/2023 Dental Hygiene Collaborative Agreement Application #08-4542, Revised 04/04/2023 Dentist or Dental Hygienist Courtesy License Application #08-0005, Revised 11/13/2023 Dental Hygiene Nitrous Oxide Certificate Application #08-4748, Revised 04/04/2023 Dental Assistant Applications Certification to Perform Coronal Polishing #08-4561, Revised 04/04/2023 Certification to Perform Restorative Functions #08-4577, Revised 04/04/2023 RENEWAL Applications Dental License Renewal #08-4132, Revised 12/23/2024 Dental Hygiene License Renewal #08-4063, Revised 12/23/2024 Dental Hygiene Restorative Function Endorsement Renewal #08-4609, Revised 02/05/2025 Dental Assistant Coronal Polishing Certification Renewal #08-4610, Revised 12/23/2024 Dental Assistant Restorative Function Certification Renewal #08-4784, Revised 12/23/2024 Moderate or Minimal Sedation Permit Renewal #08-4780, Revised 01/08/2025 Deep Sedation or General Anesthesia Permit Renewal #08-4781, Revised 01/08/2025 Dental Hygienist Advanced Practice Permit Renewal #08-4963, Revised 02/05/2025 Miscellaneous Forms Sedation Checklist for the Dental Office#08-4775, Revised 03/03/2025 Continuing Education Course Approval Application #08-4241, Revised 03/03/2025 Coronal Polishing Course Approval Application#08-4762, Revised 03/03/2025 Nitrous Oxide Course Approval Application#08-4774, Revised 03/03/2025 Restorative Function Course Approval Application#08-4936, New 09/27/2024 Dental or Dental Hygiene Clinical Program Approval Application#08-4608, Revised 03/03/2025 Division forms may be found in the CBPL Quick links, located in the sidebar to the right.