Final answer:
Courses of instruction for direct supervision duties added to the scope of practice of dental hygiene must be submitted for approval by the dental board.
Step-by-step explanation:
The question is referring to the scope of practice of dental hygiene. Courses of instruction for direct supervision duties added to the scope of practice after July 1, 2009, need to be submitted by the committee for approval. This means that any new courses related to direct supervision in dental hygiene must be reviewed and approved by the dental board.
An example of a direct supervision duty that may have been added to the scope of practice could be administering local anesthesia. If a course of instruction for administering local anesthesia was added to the scope of practice after July 1, 2009, it would need to go through the approval process described in the question.