NEW jurisprudence Study guide

. List the dental specialties:

1. Endodontics, 2. orthodontics, 3. prosthodontics, 4. pediatric dentistry, 5. public health, 6. periodontics, 7. oral & maxillofacial surgery 8. oral and maxillofacial radiology. 9. oral & maxillofacial pathology

Retention of records -

7 yrs beyond the time the dentist last treated the patient. In case of minor patient, a dentist shall maintain a patient's dental records for at least seven years past the age of majority.(p.174)

What are the beginning and ending dates of the biennial cycles?

A biennial cycle begins the first day of the month following expiration. Expiration is on the birthday month of the person with the license. The expiration year is an odd numbered year if the birthday of the person being licensed is on an odd number year and similar for even number years.

Who should have copies of the written authorization and how long should they be kept?

A duplicate copy of each written authorization issued by the dentist shall be retained by the dentist for not less than 2 years. (3100.8800 subpart 3; p. 170) Not less than two years.

What is the difference between dental therapist/advanced dental therapist? What are the requirements for each

A general dental therapist shall practice under the supervision of a Minnesota-licensed dentist and have less of a scope of practice than advanced dental therapists. A general dental therapist must be a person of good moral character who has graduated with a baccalaureate degree or master's degree from a dental therapy education program that has been approved by the board or accredited by the Commission on Dental Accreditation. Advanced dental therapists must complete a dental therapy education program, pass an examination to demonstrate competency under the dental therapy scope of practice, be licensed as a dental therapist, complete 2,000 hours of dental therapy clinical practice under direct or indirect supervision, graduate from a master's advanced dental therapy education program pass a board-approved certification examination to demonstrate competency under the advanced scope of practice and submit an application and fee for certification as prescribed by the board. Dental Therapist: Graduates from a baccalaureate degree/master's degree from a dental therapy educational program that has been approved by the board or accredited by the commission on dental accreditation or by another board approved by the national accreditation organization that may be applicable for a licensure. Dental therapist also must pass a competency- based clinical exam, and pass the Minnesota laws and rules test (jurisprudence exam). Advanced Dental Therapist: The following requirements listed above for a dental therapist and also graduate from an undergraduate program and is an enrolled graduate to complete advanced dental education.

Explain the access and transferability of a patient's records.

A patient's dental records must be transferred according to Minnesota Statutes 144.291 to 144.298, irrespective of the status of the patient's account. Digital radiographs shall be transferred by compact or optical disc, electronic communications, or printing on high-quality photographic paper. All transferred film or digital radiographs must reveal images of diagnostic quality using proper exposure settings and processing procedures.

How long must a patient's records be retained?

A patient's record dental records must be maintained for at least seven years beyond the time the dentist last treated the patient. For a minor the records must be kept for 7 years plus their legal age.

If a dental professional moves, how long do they have to change their address with the BOD?

A written notice of a new address must be provided to the board either personally or by first class mail within 30 days after changing addresses

LDA Indirect Supervision

A. Apply topical medications including bleaching agents, and cavity varnishes as prescribed by a dentist. B. Place and remove dental dam C. Remove excess cement from inlays, crowns, bridges, and orthodontic appliances with hand instrument only D. Perform mechanical polishing to clinical crowns not including instrumentation. Removal of calculus by instrumentation must be done by a dentist or dental hygienist before mechanical polishing E. Preselect orthodontic bands F. Place and remove periodontal dressings G. Remove sutures H. Monitor a patient who has been induced by a dentist into nitrous oxide inhalation analgesia I. Place initial arch wires on orthodontic appliances. A dentist must select and, if necessary, adjust arch wires prior to placement J. Dry root canals with paper points K. Place cotton pellets and temporary restorative materials into endodontic access openings L. Etch appropriate enamel surfaces, apply and adjust pit fissure sealants. Before the application of pit and fissure sealants, a licensed dental assistant must have successfully completed a course in pit and fissure sealants at a dental, dental hygiene, of dental assisting school accredited by CODA M. Restorative procedures as permitted in Minnesota Statues, section 150A.10 N. Maintain and remove intravenous lines while under indirect supervision of a dentist who holds a valid general anesthesia or moderate sedation certificate. Before managing and removing intravenous lines, a licensed dental assistant must have successfully completed board-approved allied dental personnel courses comprised of intravenous access and general anesthesia and moderate sedation training O. Monitor a patient during preoperative, intraoperative, and postoperative phases of general anesthesia or moderate sedation using noninvasive instrumentation such as pulse oximeters,

LICENSED DENTAL ASSISTANT (3100.8500 p.164-167) General Supervision

A. Cut arch wires on orthodontic appliances B. Remove loose bands on orthodontic appliances C. Remove loose brackets on orthodontic appliances D. Re-cement intact temporary restorations E. Place temporary fillings, not including temporization of inlays, crowns, and bridges F. Take radiographs G. Take impressions and bite registration H. Delivered vacuum-formed orthodontic retainer I. Place and remove elastic orthodontic separators J. Complete preliminary charting of the oral cavity and surrounding with the exception of periodontal probing and assessment of the periodontal structure K. Take photographs extraorally and intraorally L. Take vital signs such as pulse rate and blood pressure as directed by a dentist M. Obtain informed consent for treatment authorized by the supervising dental pursuant to the licensed assistant's scope of practice. N. Remove and place ligature ties and remove and replace existing arch wires on orthodontic appliances O. Apply topical fluoride, including foam, gel, or varnish

DENTAL HYGIENISTS General Supervision

A. Preliminary charting of the oral cavity and surrounding structures to include case histories, perform initial and periodic examinations and assessments to determine periodontal status and formulate a dental hygiene treatment plan in coordination with the dentist's treatment plan B. Obtain informed consent, for treatments authorized by the supervising dentist C. Take photographs extraorally and intraorally D. Take vital signs such as pulse rate and blood pressure as directed by a dentist E. Make referrals to dentists, physicians, and other practitioners in consultation with a dentist F. Complete debridement, prophylaxis, and nonsurgical periodontal therapy G. Etch appropriate enamel surfaces, application and adjustment of pit and fissure sealants H. Removal of excess bond material from orthodontic appliances (this was moved to ortho section on p. 169) I. Administer local anesthesia. Before administering local anesthesia, a dental hygienist must have successfully completed a didactic and clinical program sponsored by a dental or dental hygiene school accredited by CODA, resulting in the dental hygienist becoming clinically competent in the administration of local anesthesia J. Take radiographs K. Apply topical medications, including topical fluoride, bleaching agents, cavity varnishes, and desensitizing agents. L. Place subgingival medicaments M. Take impressions and bite registration N. Fabrication and delivery of custom fitted trays O. Nutritional counseling P. Salivary analysis Q. Remove marginal overhangs R. Remove sutures S. Place and remove periodontal dressings T. Place and remove isolation devices U. Polish restorations V. Remove excess cement from inlays, crowns, bridges, or orthodontic appliances W. Fabrication, placement replacement, cementation, and adjustment of temporary crowns or restorations X. Remove

LDA Direct Supervision

A. Remove excess bond material from orthodontic appliances B. Remove bond material from teeth with rotary instrument after removal of orthodontic appliances. Before utilizing rotary instruments for the removal of bond material, a licensed dental assistant must have successfully completed a course in the use of rotary instruments for the express purpose of the removal of bond material from teeth. The course must be one that is presented by a dental, dental hygiene, or dental assisting school accredited by the CODA. C. Etch appropriate enamel surfaces before bonding of orthodontic appliances by a dentist D. Fabricate, cement, and adjust temporary restorations extraorally or intraorally E. Remove temporary restoration with hand instruments only F. Place and remove matrix bands G. Administer nitrous oxide inhalation analgesia according to part 3100.3600, suparts 4 & 5 H. Attach prefit and preadjusted orthodontic appliances I. Remove fixed orthodontic bands and brackets J. Initiate and place intravenous infusion line in preparation for intravenous medication and sedation while under direct supervision of a dentist who holds a valid general anesthesia or moderate sedation certificate. Before initiating and placing an intravenous line, a licensed dental assistant must have successfully completed board-approved allied dental personnel courses comprised of intravenous access and general anesthesia and moderate sedation training Place nonsurgical retraction material for gingival displacement.Before placing nonsurgical retraction material, a licensed dental assistant must have successfully completed a course in nonsurgical retraction material for gingival displacement at a dental, dental hygiene, or dental assisting school accredited by CODA

. What information must be included on a laboratory work authorization form?

A. The date and city where the authorization was issued B. The name of the laboratory or technician to whom the authorization was issued C. The name of the patient, or an identifying symbol D. A description of the work authorized E. The signature of the dentist in his or her actual handwriting F. The dentist's license number issued by the board

What is prohibited when advertising?

Advertisements shall not: A. Reveal a patient's identity or personally identifiable facts, data, or information obtained in a professional capacity without having first obtained a written waiver or patient confidentiality; or B. After one year, include the name of any dentists formerly practicing at or associated with any advertised location. (3100.7100, p.167)

When must a professional firm file an annual report?

Annually On or before January 1, with the board or boards having jurisdiction over the kind of professional service that corporation is authorized to render. The report must contain the following information: a. name & registered office of the professional firm b. address/addresses at which the firm is providing dental services c. name & address of each director, officer, shareholder & position title of each officer. d. Certification as to the licensure status of each director, officer, shareholder, employee & agent

What does "licensure by credentials mean"?

Any person who is already a licensed dentist or dental hygienist in another state or of Canadian province and wished to be licensed in MN - must comply w/all requirements in A-N under 3100.1400 p. 93-94 Can be licensed in the state of Minnesota without going through an accredited program by meeting the following requirement: 1. has passed all components of the National Board Dental Examinations 2. has been in active practice at least 2,000 hours within 36 months of the application date, or passed a board-approved reentry program within 36 months of the application date; 3. currently has a license in another state or Canadian province and is not subject to any pending or final disciplinary action, or if not currently licensed, previously had a license in another state or Canadian province in good standing that was not subject to any final or pending disciplinary action at the time of surrender; 4. is of good moral character and abides by professional ethical conduct requirements; 5. at board discretion, has passed a board-approved English proficiency test if English is not the applicant's primary language; and 6. meets other credentialing requirements specified in board rule

Describe the audit processes of portfolios

Audit is random - it's purpose is for compliant investigation or proceeding according to MN Statue 150A.08 The licensee will receive notification of being audited. If selected you must provide a portfolio within 60 days from the notification date. Must have appropriate documentation or the result will be disciplinary action.

1. Who makes up the State Board of Dentistry and what is its primary purpose?

Board consists of 9 members made up of: 2 public members, 5 qualified resident dentists, 1RDH, 1 LDA, all appointed by the governor for a 4-yr. term. The members must be active for 5 yrs prior to being appointed and can only be elected for 2 4yr. terms. Cannot serve more than 2 consecutive terms. (150A.02 p.2) BOD WEBSITE Purpose: To enforce the provisions of the law relating to dentistry, thereby protecting the public. To promote and protect public health and safety, and also ensure that every licensed dental professional practicing in the state meets the requirements for safe, competent and ethical practice. (Jurisprudence PPT, slide 8)

If a hygienist performs a duty not authorized by the Board of Dentistry, who will be prosecuted? Dentist, hygienist, or both?

Both The dentist because they are liable for everyone in the office.

Indirect supervision

DDS is in the office, authorizes the procedures & remains in the office while the procedures are performed by the auxiliary.

Direct supervision:

DDS is in the office, personally diagnoses the condition to be treated, authorizes the procedure, & evaluated the performance of auxiliary before dismissing the patient

General supervision:

DDS is not in the office but has authorized the procedure & given consent for the procedures being performed according to the treatment plan

Give examples of audit failure.

Deficiencies causing audit failure may include, but not limited to: a. lack of proof of documentation or participation b. credit hours earned outside of renewal period being audited c. excess of earned hours in a category having a maximum if a deficiency exists d. lack of earned hours in a category having a minimum if a deficiency exits e. failure to submit the portfolio f. unacceptable professional development sources g. fraudulently earned or reported hours (3100.5300 p.159)

DHCP -

Dental health care personnel or "DHCP" means individuals who work in a dental practice who may be exposed to body fluids such as blood or saliva.

Who can administer each of the following? Anxiolysis -

Dentist (pharmacological premed sedation) use of a pharmacological or nonpharmacological method to reduce patient anxiety including, but not limited to, behavior management, nitrous oxide, and oral anxiolytic or analgesic medications

Who can administer each of the following? a. General anesthesia

Dentist - must complete an ALCS course & maintain current ALCS certification. DDS must have completed a didactic & clinical program at an accredited dental school, hospital or graduate medical or dental program OR a 1 yr. residency in general anesthesia, AND have completed & maintained certification in advanced cardiac life support. Must be prepared to diagnose, resolve, & reasonably prevent any reaction or medical emergency that may develop.

Who can administer each of the following? Nitrous Oxide inhalation analgesia -

Dentist, dental therapist, dental hygienist, & licensed dental assistant. Beginning Jan. 1, 1993, any dentist not previously registered with the board may administer nitrous oxide only after satisfactorily completing a dental school or post dental school graduated education course on the administration of nitrous oxide from an accredited institution. The courses must be a min. of 12 hrs. didactic instructional personally administering & managing at least 3 cases & supervised clinical experience using fail safe anesthesia equipment capable of positive pressure respiration. All clinicians must maintain certification in CPR. They also need to submit original documentation from the institution of successful completion of the course

Who can administer each of the following? b. Conscious sedation -

Dentist. Maintain ACLS certification, DDS must have completed course with a minimum of 60 hours of didactic, and at least 10 individual cases of administration of conscious sedation, and maintain advanced cardiac life support certification. Must be prepared to diagnose, resolve, & reasonable prevent any reaction or medical emergency that may develop.

A dental hygienist can perform all duties that a licensed assistant can perform if the dentist is NOT in the office.

False

List the topics that are considered core or fundamental CE's p 156-157

Fundamental activities include, but not limited to, clinical subjects, core subjects, CPR, and self-assessment. Examples of Fundamental activities: · Clinical subjects - such as lectures relating to dental care and treatment to patients. Core Subjects: · Infection control- mandatory · CPR - mandatory · Ethics · Patient communications · Record Keeping · Management of medical emergencies · Diagnosis and treatment

What is the difference between fundamental (p116) and elective (p 115) professional development?

Fundamental electives are activities that directly relate to the provision of clinical dental services and treatment and elective CE's are activities directly related to, or supportive of the practice of dentistry, dental hygiene or dental assisting.

When you become licensed, what should you do with your certificate?

It should be conspicuously displayed in plain view of patients. If you are employed in more than one office, you should have a certificate displayed in each office. This holds true for dentist & hygienist as well. Near or on the entrance door to every office where dentistry is practiced the name of the dentist(s) practicing there should be displayed in plain sight

Each licensee must provide the board with evidence of participation in Professional Development. The minimum number of hours of approved professional development for a biennial (two year) cycle required are

Minimum Maximum Fundamental Elective Total Hours Activities % Activities % A. Dentist 50 60% (30 hrs.) 40% (20 hrs.) B. Dental Hygienist 25 60% (15 hrs.) 40% (10 hrs.) C. Licensed Dental Assistant 25 60% (15 hrs.) 40% (10 hrs.) D. Dental Therapist/Adv. Therapist 50 60% (30 hrs.) 40% (20 hrs.)

Can a hygienist administer conscious sedation? (NOT referring to nitrous)

No, only the dentist can administer conscious sedation.

. Can a dental lab technician make a denture for a patient who has walked into the lab? Why or why not?

No. A dental lab technician may construct, alter, repair, reline, reproduce, or duplicated a prosthetic device for a human mouth only under the written authorization of a licensed dentist

What should be done if another regulated person in your office failed to comply with accepted infection control procedures relating to the prevention of HIV, HBV, and HCV transmission?

P 84 (214.19 subd4, p.104; need to access MS2018 in statutes archives) A regulated person shall, within ten days, report to the appropriate board personal knowledge of a serious failure or a pattern of failure by another regulated person to comply with accepted and prevailing infection control procedures related to the prevention of HIV, HBV, and HCV transmission.

Dentists shall maintain dental records on each patient that they shall contain:

Patient's reason for visit Dental & medical history Clinical exams - to include: a. recording of existing oral health care status, b. any radiographs used, c. facsimiles or results of any other diagnostic aides used Diagnosis -Dental record must include a diagnosis. Treatment plan - agreed upon written & dated treatment plan except for routine care such as preventative services Informed consent - shall include a notation that: a. DDS discussed with the patient the treatment options & prognosis, benefits, and risk of each b. Patient has consented to treatment chosen Progress notes - Must be legible and include a chronology of the patient's progress throughout all treatment of postoperative visits. Shall include: A. treatment provided, B. medications used & materials placed C. provider identified by name or initials, D. when applicable, the identity of the collaborating dentist authorizing treatment by license # (3100.9600, p 173)

Dentists shall maintain dental records on each patient that they shall contain:

Personal date: a. patient's name, b. address, c. date of birth, d. if minor, the name of the parent or guardian, e. emergency contact's f. name & telephone number, g. insurance carrier & ID number if applicable

LDA Limited-license Permit

Take radiographs under general supervision

State the grounds for suspension, revocation, limitation, modifications or denial of license for all dental professionals

The board may refuse or suspend or revoke, limit or modify by imposing conditions it deems necessary, the license of a dentist, dental therapist, dental hygienist, or dental assistant upon: · Fraud or deception, · conviction of felony or gross misdemeanor related to dentistry, · habitual overindulgence of intoxicating liquors, · improper or unauthorizating prescription drug, · conduct unbecoming of role, · gross immorality, · any physical or emotional or disability which cannot perform services, · revocation or suspension of license · failure to maintain safety for dental office, · employing or assisting an unlicensed person to practice dentistry, · failure to attend or produce records as directed by Board of Dentistry · Violation of , or failure to comply with other provisions of section 150.A 01 to 150.A 12 · Knowingly providing false or misleading information · Aiding suicide or attempted suicide

Personal supervision:

The dentist is personally operating on a patient and authorizes the allied dental personal to aid in treatment by concurrently performing supportive procedures

. If you cut a patient's lip while removing excess cement from a crown using a U15, who is responsible?

The dentist is responsible for all acts or omission by personnel if these acts are performed within the normal scope of their employment

A patient has successfully recovered after sedation. Who can dismiss him/her?

The dentist or the person who administered the sedation.

Give examples of acceptable documentation of professional activities. How long must you retain this information

The documentation must be retained for 24 months after each biennial renewal period has ended for purpose of an audit by the appropriate board committee. a. completion of self-assessment exams provided by the board b. copy of front & back of completed CPR card c. confirming documentation from presenting organizations, including attendees name or license #, name of organization or presenter, course date, number of credit hours, subject matter & program title. d. personal log of published articles read including title of article, name of author, name of journal or periodical, date published

What must a dentist do in order to be able to administer various forms of sedation?

The need to go through more school and training.

Identify conduct unbecoming a licensee.

This is conduct done contrary to the best interests of the public they include: 1. Engaging in personal conduct that brings discredit to the profession of dentistry 2. Gross ignorance or incompetence in the practice of dentistry or repeated performance of dental treatment that falls below accepted standards 3. Making suggestive, lewd, lascivious, or improper advances to a patient 4. Dentists charging a patient an unconscionable fee or charging for services not rendered 5. Performing unnecessary services 6. Dental therapists, hygienists, or licensed dental assistants performing services not authorized by the dentist under this chapter 7. Accepting rebates, split fees or applicable to dentists only, commission from any source associated with the service rendered to a patient 8. Falsifying records relating to payment for services rendered, participation in a CDE course, or other records with respect to licensure, CDE, and the practice of dentistry 9. Perpetrating fraud upon patients, third-party payers, or others relating to the practice of dentistry 10. Failing to cooperate with the board, its agents, or those working on behalf of the board 11. Failing to maintain adequate safety and sanitary conditions for dental office 12. Failing to provide access to and transfer of medical and dental records prescribed by Minnesota Statues

A firm cannot provide dental treatment unless registered with the state and has paid fees.

True

Can a hygienist or assistant take a bite registration for fabrication of dentures?

YES

Does a dentist need to gather a complete medical and dental history before offering emergency treatment?

Yes

Can fees be advertised? Explain your answer

Yes. Set fees may be advertised. Related services, which may be required & for which additional fees will be charged, must be identified as such in the advertisement. Advertised fees must be honored for those seeking the advertised services during the entire time period stated in the advertisement, or not the services are actually rendered at that time.

How many dental professionals can a DDS have at any one time under a collaborative agreement? (p26-28)

a) ____ 4______DH's 1)__2______LDA's b)_____5______DT's/ADT's 1)__4_________LDA's

What are the requirements to become a licensed dental assistant in Minnesota?

a. good moral character b. graduate from an accredited program c. pass MN licensure exam d. receive further education & training if unsuccessful in completing board exam after 2 times e. exam must have been taken within 5 years of grad date (Unable to locate this in Laws & Rules book; may be on BOD website) f. pass DANB exam g. pass jurisprudence exam h. submit an application, fee & diploma to board of dentistry i. furnish a photograph (p 127) (150A. 06 p. 10-11,)

What are the requirements to become a licensed dentist in Minnesota?

a. good moral character b. graduate from and accredited program - CODA c. take clinic exam required by board prior to applying to board for license p.119 d. receive further education & training if unsuccessful in completing board exam after 2 times e. specialty dentist need to have completed a postdoctoral specialty program accredited by CODA p. 8 f. submit an application, fee & diploma to board of dentistry g. pass jurisprudence exam h. furnish a photograph p 119

What are the requirements to become a licensed dental hygienist in Minnesota?

a. good moral character b. graduate from and accredited program that is a minimum of 2 yrs. In length c. pass Nat'l board of Dental Hygiene exam and a board approved clinical exam d. receive further education & training if unsuccessful in completing board exam after 2 times e. pass jurisprudence exam f. submit an application, fee & diploma to board of dentistry g. furnish a photograph

When advertising, what would be considered a false, fraudulent, misleading or deceptive claim?

a. misrepresentation of fact b. makes only a partial disclosure of relevant facts c. is intended to create false expectation of favorable results d. appeals to an individual's anxiety in an excessive or unfair way e. claims superiority that cannot be substantiated f. misrepresents a DDS's credentials, training, experience, or ability g. contains other representation that will probably cause the ordinary person to be deceived

Duties for assistants without a license or permit:

a. perform all those duties not directly related with performing dental treatment or services on patients b. retract a patient's cheek, tongue, or other parts of tissue during a dental operation c. assist with the placement or removal of a rubber dam and accessories used for its placement and retention, as directed by an operating dentist during the course of a dental operation d. remove debris by the use of vacuum devices, compressed air, mouthwash, and water that is normally created or accumulated during the course of treatment rendered by a licensed dentist e. provide any assistance, including the placement of articles and topical medication in a patient's oral cavity, in response to a specific direction by a licensed dentist who is physically engaged in performing a dental operation as defined in the act and who is physically in a position to give personal supervision to the assistant f. aid dental hygienists and licensed dental assistances in the performance of their duties as defined below. g. apply fluoride varnish in a community setting under the authorization and direction of a licensed practitioner with prescribing authority such as a dentist or physician, as long as the licensed practitioner authorizing the service or the facility at which the fluoride varnish is administered maintains appropriate patient records of the treatment.

General anesthesia

induced state of unconsciousness produced by a pharmacological or non-pharmacological method or a combination & accompanied by a partial or complete loss of reflexes, including the inability to maintain and airway & responds purposefully to physical stimulation or verbal commands. Same as deep sedation

Nitrous oxide inhalation analgesia

inhalation of a combination of nitrous oxide & oxygen, producing an altered level of consciousness. Patient can independently & continuously maintain an airway & respond to physical stimulation or verbal command.

Corrections of records -

ink no white outs or erasures. if correction is needed must be crossed out w/single line and initialed by dental care worker.

Moderate Sedation

means a depressed level of consciousness produced by a pharmacological or nonpharmacological method or a combination thereof during which patients respond purposefully to verbal commands, either alone or accompanied by light tactical stimulation. Moderate sedation is characterized by unaffected cardiovascular functions, no need for intervention to maintain a patent airway for the patient, and adequate spontaneous ventilation

Conscious sedation

minimally depressed level of consciousness induced by administration of a pharmacological agent that allows the patient to maintain and airway & respond appropriately to physical stimulation of verbal command. Ex. Valium

Indirect Supervision DT

o Cavity preparation; and restoration of primary and permanent teeth p 30 (d) (4) o Pulpotomies on primary teeth; and indirect and direct pulp capping on primary and permanent teeth (d) (7) o Stabilization of reimplanted teeth (d) (9) o Remove sutures (d) (11) o Brush biopsies (d) (12) o Repair of defective prosthetic devices (d) (13) o Placement of temporary crowns; and preparation and placement of preformed crowns (d) (6) o Provide emergency palliative treatment of dental pain (d) (1) o Recement permanent crowns (d) (14) o Extractions of primary teeth (d) (10)

ADVANCED DENTAL THERAPIST General Supervision

o Perform preliminary charting of the oral cavity, oral health instruction and disease prevention, including nutritional counseling, dietary analysis o Apply topical medications such as, but not limited to, topical fluoride and cavity varnishes in appropriate dosages o Perform mechanical polish o Etch appropriate enamel surfaces, apply and adjust put and fissure sealants o Placement of temporary restorations o Fabrication of soft occlusal guards and athletic mudguards o Pulp vitality testing o Administer local anesthesia o Administer nitrous oxide inhalation analgesia o Take radiographs o Application of desensitizing medication or resin o Tissue conditioning of soft reline o Tooth reimplantation o Dressing changes o Dispense and administer analgesics, anti-inflammatory, and antibiotics as permitted by the collaborative management agreement. May provide, dispense and administer. o Extraction of periodontaly diseased permanent teeth with mobility of +3 to +4 as permitted by the collaborative management agreement. Not meant to include interrupted, impacted, fractured, or need to sectioning. o Oral evaluation and assessment of dental disease and the formation of an individualized treatment plan authorized by collaborating dentist. o Make appropriate referrals to dentists, physicians and other practitioners in consultation with the collaborating dentist. o Cavity preparation; and restoration of primary and permanent teeth o Pulpotomies on primary teeth; and indirect and direct pulp capping on primary and permanent teeth o Stabilization of reimplanted teeth o Remove sutures o Brush biopsies o Repair of defective prosthetic devices o Placement of temporary crowns; and preperation and placement of preformed crowns o Provide emergency palliative treatment of dental pain o Recement permanent crowns o Extractions of primary teeth

Indirect Supervision DH

o Restorative procedures permitted under Minnesota Statues details statutes 150A.10 o Maintain and remove intravenous lines while under indirect supervision of a dentist who holds a valid general anesthesia or moderate sedation certificate. NEED Training o Monitor a patient during preoperative, and postoperative phases of general anesthesia or moderate sedation using noninvasive instrumentation such as pulse oximeters, electrocardiograms, blood pressure monitors, and capnography while under indirect supervision of a dentist who holds a valid general anesthesia or moderate sedation certificate. NEED Training

What is DHCP's responsibility in the event of a patient exposure incident? Does it end with informing the patient?

p A regulated person with personal knowledge of an exposure incident must ensure that the exposed patient, and with the patient's permission, the patient's primary health care provider, are informed of the exposure incident and that the patient is offered assistance in securing follow-up care immediately or as soon as possible after the patient is regarding exposure incidents and the procedures require patient notification of the exposure incident and the offer of assistance to the patient in securing follow-up care, the regulated person meets the requirements of this part by notifying the official designated in the written procedures charged with the responsibility for carrying out the procedures. A regulated person must not disclose to a patient who is subjected to an exposure incident the identity of the source unless the source has explicitly given authorization for release of identity.

Can a dentist provide emergency services to a person who is not a patient of record?

p 71 Yes

DENTAL THERAPIST General Supervision

· Perform preliminary charting of the oral cavity, oral health instruction and disease prevention, including nutritional counseling, dietary analysis (2) · Apply topical medications such as, but not limited to, topical fluoride and cavity varnishes in appropriate dosages (5) · Perform mechanical polish (4) · Etch appropriate enamel surfaces, apply and adjust put and fissure sealants (5) · Placement of temporary restorations (9) · Fabrication of soft occlusal guards (10) and athletic mudguards (8) · Pulp vitality testing (6) · Administer local anesthesia (15) · Administer nitrous oxide inhalation analgesia (16) · Take radiographs (3) · Application of desensitizing medication or resin (7) · Tissue conditioning of soft reline (11) · Tooth reimplantation (14) · Dressing changes (13) · Dispense and administer analgesics, anti-inflammatory, and antibiotics as permitted by the collaborative management agreement. May provide, dispense and administer. p.30 subdivision 5 · Extraction of periodontaly diseased permanent teeth with mobility of +3 to +4 as permitted by the collaborative management agreement. Not meant to include interrupted, impacted, fractured, or need to sectioning. · Oral evaluation and assessment of dental disease and the formation of an individualized treatment plan authorized by collaborating dentist. · Make appropriate referrals to dentists, physicians and other practitioners in consultation with the collaborating dentist.