466.001- Legislative Purpose and Intent (Purpose of the law) - CORRECT ANSWER-Ensure that every dentist or dental hygienist practicing in this state meets minimum requirements for safe practice without undue clinical interference by persons not licensed.

466.001- Legislative Purpose and Intent (Purpose of the law) - CORRECT ANSWER-Ensure that every dentist or dental hygienist practicing in this state meets minimum requirements for safe practice without undue clinical interference by persons not licensed. Dentistry - CORRECT ANSWER-_______ is the healing art which is concerned with the exam, diagnosis, treatment planning and care of conditions within the human oral cavity and adjacent tissues and structures. Dental Hygiene - CORRECT ANSWER-______ is the rendering of educational, preventive and therapeutic dental services and any related extra oral procedure required in the performance of services. Board of Dentistry members include: - CORRECT ANSWER-11 members total: 7 dentists actively practicing 2 hygienists actively practicing 2 lay persons non dental related How many years experience must dentists/hygienists have on BOD - CORRECT ANSWER-At least 5 years clinical preceding the appointment on BOD. Must remain in clinical practice while on BOD How many term years do dental hygiene board members serve? - CORRECT ANSWER-4 What is the maximum number of years a board member may serve? - CORRECT ANSWER-10 Who appoints the BOD members? - CORRECT ANSWER-Governor of Florida One board member of the board must be at least ____ years old. - CORRECT ANSWER-60 466.024 Delegation of Duties; Expanded functions - CORRECT ANSWER--Dentists may not delegate irremediable tasks except as provided by law -Remediable tasks may be delegated if they pose no risk -May only delegate remediable tasks defined by law or rule -Dentists delegate NON-dentists Authorization for irremediable tasks under general supervision is - CORRECT ANSWER-13 months Who designates remediable and delegable tasks? - CORRECT ANSWER-BOD Intraoral treatment tasks which are irreversible and create unalterable changes within the oral cavity or structures? - CORRECT ANSWER-Irremediable (anesthetic) Intraoral treatment tasks which are reversible and do not create unalterable changes within the oral cavity or structures and do not cause an increased risk to the patient? - CORRECT ANSWER-Remediable tasks (rubber dam, matrix band, polish amalgam) Applying topical with jet spray is what type of task? - CORRECT ANSWER-Irremediable A Dental Hygienist who applies bleaching solution, activates light source, monitors and removes in-office bleaching materials is performing a ______ task. - CORRECT ANSWER-Remediable The practicing dentist is out of the country and a patient comes into the office with an emergency. Which remediable task is the hygienist/assistant able to perform? - CORRECT ANSWER-Recementing temporary crown with temporary cement. The use of laser or a laser type device is considered to be what type of task? - CORRECT ANSWER-Irremediable Who may perform emergency remediable tasks under conditions specified in the laws? - CORRECT ANSWER-both DH and DA Continuing Education - CORRECT ANSWER--A hygienist can be excused from CE requirements due to hardship. -You have the option to be placed on inactive status if you pay the inactive status fee. How many CE hours are required for dental hygienists? - CORRECT ANSWER-24 credits biennially How many CE hours are required for dentists? - CORRECT ANSWER-30 credits biennially How many minutes are equivalent to one hour of CE? - CORRECT ANSWER-50 Minutes *One half hour or one hour of CE credit shall be awarded for each 25 or 50 minutes of actual classroom or clinical instruction, respectively. No CE credit shall be awarded for participation of less than 25 minutes. Extra CE credits - CORRECT ANSWER--Up to 11 CE Hrs for being expert witness -Up to 3 CE Hrs for each semester teaching -Up to 4 CE Hrs for attending BOD discipline meeting Pro Bono CE Credit - CORRECT ANSWER-1 CE for every 1 Hr of Pro Bono Work. Max 7Hrs Biennium In a percentage, what is the highest amount that can be completed from probono work? - CORRECT ANSWER-25% What is not an appropriate topic for CE - CORRECT ANSWER-Chemotherapeutic Agents Which is an appropriate educational activity or topic for CE? - CORRECT ANSWER-Board approved individual study Which of the following is an example of a CE a dental hygienist would take? - CORRECT ANSWER-Patient Stress Management When are licensees excused from CE? - CORRECT ANSWER-In the 1st biennium of licensure How long should you keep receipts, vouchers or certificates as necessary document completion of CE courses? - CORRECT ANSWER-4 years Who of the following are required to take CE credits? - CORRECT ANSWER-Practicing hygienist and dentist A DDS or DH takes a 10 hr. course on HIV/AIDS. The remaining 9 hrs. could count toward their 24/ 30 hrs. required for license renewal ? - CORRECT ANSWER-True If 40 hrs of CE are taken in 1 biennium, the remaining hours taken can count towards the renewal requirement for the next biennium? - CORRECT ANSWER-False Prescriptions - CORRECT ANSWER--Dentists can prescribe drugs and administer anesthesia and sedation subject to limitations (scope of training) -The board will define rules on training certification, limits of use, and mechanism to assure compliance - Dentist MUST have CPR training every 2 years and resuscitation equipment in good working order. Can a dental hygienist prescribe fluoride or chlorhexidine to a pt of record? - CORRECT ANSWER--Hygienists can only recommend fl and chlorhexidine, not prescribe it. -Some pts will not buy chlorhexidine or fl at a dental office (typically due to cost). The dentist may write a prescription for the pharmacy to dispense it for the pt. What needs to be included on an Rx? - CORRECT ANSWER--Patient name and address DDS name, address, and license# -Name, business address, license# of DH -Statement of specific services authorized -Statement of frequency -ORIGINAL Rx is given to Patient. Copy goes in their chart Which of the following is legal of a DDS writing Rx? - CORRECT ANSWER-Writing within the scope of dentistry How long is a Dental Hygiene Rx good for? - CORRECT ANSWER-2 years (24 months) What must be included on a Rx for a prescription strength fluoride gel? - CORRECT ANSWER-DDS license number Analgesia - CORRECT ANSWER-Absence of pain without loss of consciousness Anesthesia - CORRECT ANSWER-the loss of feeling or sensation, especially loss of the sensation of pain. Local Anesthesia - CORRECT ANSWER-the loss of sensation of pain in a specific area of the body, generally produced by a topically applied agent or injected agent without causing the loss of consciousness General Anesthesia - CORRECT ANSWER-a controlled state of unconsciousness, produced by a pharmacological agent, accompanied by a partial or complete loss of protective reflexes, including the ability to independently maintain an airway and respond purposefully to physical stimulation or verbal command. This modality includes administration of meds via parenteral routes (oral, rectal or transmucosal) Deep Sedation - CORRECT ANSWER-a controlled state of depressed consciousness accompanied by partial loss of protective reflexes, including either or both the inability to continually maintain airway or respond to stimulation. In order to administer Anesthesia in any form, the DDS or DH must possess an active CPR certification - CORRECT ANSWER-True Anesthesia permit - CORRECT ANSWER-$35 application fee Certified copy of transcripts from school Diploma Copy of CPR card If the DDS uses anesthesia in the office, the staff must be trained in anticonvulsants? - CORRECT ANSWER-True What is a dental hygienist allowed to do in regards to NO - CORRECT ANSWER-DH are NOT allowed to turn it on, but can monitor/adjust and turn off Nitrous Oxide: DA works under ________ supervision. DH works under _________ supervision. - CORRECT ANSWER-Direct; Indirect Conscious and General Sedation requirements - CORRECT ANSWER--60 didactic hours -2 people must be present in order for DDS to perform conscious sedation -3 people must be present in order for DDS to perform general sedation Nitrous Oxide - CORRECT ANSWER--Only agents allowed for inhalation in the dental office are nitrous and oxygen -Nitrous may be used with a single dose enternal sedative Who grants sedation permits? - CORRECT ANSWER-BOD Any DDS practicing in FL must notify the BOD in writing by registered mail, postmarked within ______ hrs of any mortality or other incident occurring in the outpatient facilities - CORRECT ANSWER-48 A complete written report shall be filed with the BOD within ______ days of the mortality or other incident. - CORRECT ANSWER-30 days A DH under the ________ supervision of a DDS may administered local anesthesia, including block anesthesia, infiltration anesthesia. If the patient is 15 years of age? - CORRECT ANSWER-None! The patient must be 18 years old in order for the DH to administer local anesthesia. Nitrous Oxide produces an - CORRECT ANSWER-altered state of consciousness With conscious sedation: a) the patient must be slightly awake b) the patient must be under 100lbs c) must not effect physical ability - CORRECT ANSWER-c) must not effect physical ability What is the minimum oxygen level required when administering nitrous oxide? - CORRECT ANSWER-25% Any CRDH administering local anesthesia must notify the BOD in writing by registered mail within ____ of any adverse occurrence that was related to or the result of the administering of local anesthesia. A complete written report shall be filed with the BOD within _____ of the mortality or other adverse occurrence. - CORRECT ANSWER-24 hours; 30 days What equipment should be present in ER/recovery rooms when using sedation? - CORRECT ANSWER-O2 tank EKG machine Defibrillator Thermometer BP cuff A bronchodilator is needed in the recovery room when performing sedation in the dental office? - CORRECT ANSWER-True Oral antibiotics are needed in the recovery room when performing sedation in the dental office? - CORRECT ANSWER-False A patient who has received xrays, exam from DDS and Tx plan is considered _______ - CORRECT ANSWER-Pt of record Pt records - CORRECT ANSWER--Dentist of record shall be primarily responsible regardless of who provides tx -Tx rendered by someone else in office must be noted by name or initials Records may be transferred with the written consent of the patient - CORRECT ANSWER-True Original dentist must retain written statement signed by the owner dentist, the person that received the records, and two witnesses that list the date of transfer and persons to whom records were transferred to - CORRECT ANSWER-True Dentist of record may be relieved of responsibility to maintain records if he/she leaves practice where tx was rendered and transfers custody of records to owner of practice (must retain written statement) - CORRECT ANSWER-True What is the minimum a patient record must contain? - CORRECT ANSWER--Appropriate medical history -Written dental records should include patient history, exam results, test results, which justify course of treatment (tx plan) Transfer Records - CORRECT ANSWER--Within 90 days of a dentists death, the dentists estate or agent must transfer all patient records to another Florida licensed dentist and must be accessible by each patient for at least 4 years -If a dentist relocates he must place patient records in the care of a Florid licensed dentist for at least 4 years from the date of the patient was last examined. -In all cases, records need to be in same county as the practice was located Dental Laboratories (pt record) - CORRECT ANSWER-Dental laboratories must keep pt records for 4 years following the date the prescription was issued. How long must patient records remain in the office? - CORRECT ANSWER-4 years from the date of the pts last appt. If there are multiple dentists seeing a pt ad there is no dentist of record on file who is the dentist of record? - CORRECT ANSWER-The dentist who owns the practice. If a new pt comes in to see a hygienist but is not a pt of record, and the dentist has to leave due to an emergency, how do you proceed? - CORRECT ANSWER-Reschedule the patient with the dentist first before any tx is provided by the hygienist. Who owns the pts record or chart? - CORRECT ANSWER-The dentist In the event that a dentist dies, where do all the "pt of record" files go? - CORRECT ANSWER-To another Florida licensed dentist Advertising - CORRECT ANSWER--Means any statements ORAL or WRITTEN disseminated to the public for the purpose of selling professional services or inducing the public to enter into any obligation relating to such professional services -Must identify FL licensed dentist who assumes total responsibility for advertisement (license number, commonly used name, current address and phone number) How long is the advertisement good for if there is no expiration date on it? - CORRECT ANSWER-It is good for 90 days. Purpose of advertising - CORRECT ANSWER-To allow public access to information which provides a sufficient basis to make an informed selection In person and telephone solicitation is - CORRECT ANSWER-Prohibited Dentists can apply to advertise through a referral service, but will be responsible for such advertisement content - CORRECT ANSWER-It must state in reasonable size print and say that referral is for dentists who pay or have been selected for membership No dentist shall disseminate advertising that is: - CORRECT ANSWER--False, deceptive, or misleading -Contains laudatory statements -Is intended to create false expectations -Relates to the quality of dental services as compared to others -Contains representations that would deceive an ordinarily prudent person -Is intended to appeal to layperson's fears Advertising of HIV/AIDS Status - CORRECT ANSWER--Public fear regarding the possibility of HIV transmission from health care workers to patients, although scientifically unfounded, has resulted in concerns regarding the safety of dental care. No dental health care licensee may represent that he or she is HIV neg or free from AIDS. Any such advertisement or notice must clearly state: - CORRECT ANSWER-THIS NEGATIVE HIV TEST CANNOT GUARANTEE THAT I AM CURRENTLY FREE OF HIV When advertising HIV status you MUST - CORRECT ANSWER-Inform the pt that current status guarantees nothing Sterilization - CORRECT ANSWER-Process by which ALL forms of life within an environment are totally destroyed How often are sterilizers monitored? - CORRECT ANSWER-Every 40 hours (2400 minutes) or at least once every 30 days, whichever comes first. Disinfection - CORRECT ANSWER-The destruction of inhibition of most pathogenic bacteria while they are in their active growth phase and the inactivation of some viruses How long should heat sensitive instruments soak (how long are instruments left in cold sterile)? - CORRECT ANSWER-At least 10 hours Before sterilization - CORRECT ANSWER-Instruments must be cleaned to remove debris. Ex: scrubbing with soap or a detergent and water, ultrasonic cleaner At least one of the following procedures must be used in order to provide proper sterilization: - CORRECT ANSWER--Steam under pressure (autoclave) -Dry-heat -Chemical Vapor -Ethylene oxide -Disinfectant/sterilant EPA or FDA approved **Note: Ethylene glycol is NOT a form of sterilization Sterilization by disinfectant- - CORRECT ANSWER-If none of the other sterilization techniques can be used -Registered by the EPA -CDC only recommends usage **Note: Isopropyl alcohol is NOT a form of disinfectant How should impressions be treated that are sent to the lab? - CORRECT ANSWER-Labeled: treat as infectious material and sealed in an impervious container. Extracted teeth - CORRECT ANSWER--May be rendered non-biohazardous by disinfection -Need to be scrubbed and sterilized if using for scientific, educational or testing purposes -Should be cleaned of adherent patient material by scrubbing or an ultrasonic cleaner When handling soiled which is NOT appropriate a. carry instruments in a closed container b. use regular examination gloves c. wear mask and eye wear d. use ultrasonic cleaner (if available) - CORRECT ANSWER-use regular examination gloves Who would be the enforcement of making guidelines and rules for contaminants pertaining to blood, saliva, and other bodily fluids? a. dept of health (DOH) b. Environmental Protection Agency (EPA) c. centers for disease control (CDC) d. board of dentistry (BOD) - CORRECT ANSWER-CDC Which PPE is NOT required a. gloves b. mask c. eye protection d. All the above are required - CORRECT ANSWER-Eye protection **Note: eye protection is recommended, but not mandatory Grounds for disciplinary action - CORRECT ANSWER--Failure to report other healthcare specialists known to have violated the law -Failing to report in writing within 30 days any actions against ones license elsewhere -MINOR VIOLATION- failure to notify within 10 days of change of address Can a dentist/hygienist accept fees during a suspension period? - CORRECT ANSWER--NO, when a license is suspended you may not accept fees from anyone. -This includes your employer, 3rd party or insurance. -Fines may range from $500- $10,000 Change of address - CORRECT ANSWER--Must be submitted to BOD w/in 10 days -Penalty: $250 fine Dental lab should notify the BOD with any change in address within _____ days - CORRECT ANSWER-30 DA Radiographer Requirements - CORRECT ANSWER--DA must complete 3 months OTJ training -Have 12 months to complete an accredited course to be certified by the ADA -$35 fee Using the name RDH or "Dental Hygienist" if not licensed is a - CORRECT ANSWER-Misdemeanor, not a felony How recent must an applicant for licensure have taken the Dental Hygiene National Board? - CORRECT ANSWER-At any date. -Previously you had to have taken the board within 10 years of your application, however it was changed to allow applicants who have taken the exam at any point. If the primary dentist is out of town who can diagnose and tx plan a pt - CORRECT ANSWER-another dentist Can a dental hygienist repair an x-ray machine? - CORRECT ANSWER-No An x-ray machine has to be repaired by a licensed technician who has radiology credentials Permitting of nonprofit corporations - CORRECT ANSWER-Permits may be issued to non-profit corporations for the following purposes: -training dental assistants in public schools -promoting research and training among licensed dentists -providing dental care for indigents -issued for period of 1 year- renewable Permitting of NPC - CORRECT ANSWER-may apply for approval for hiring an unlicensed dentist for care of indigent pts must show justification for need to hire dentists not licensed in this state certified copy of the NP's charter and proof of non-profit status must be filed with the Board Proprietorship by non-dentists - CORRECT ANSWER-licensed dentists may enter into agreement with non-dentists for "Practice Management Services" only Includes consultation regarding office space, staffing, productivity, inventory information systems, marketing, site selection and financial services Proprietorship by non-dentists must not direct control or interfere with the dentists clinical judgement Office Safety Requirement - CORRECT ANSWER-As part of the minimum standard of care, every dental office location shall be required to have an automatic external defibrillator by Feb 28, 2006 A dentist practicing after Feb 28, 2006, without an automatic external defibrillator on site shall be considered to be practicing below the minimum standard of care License to be displayed - CORRECT ANSWER-The dentist is responsible to ensure the license is being displayed, not the hygienist. Should a DH keep their license displayed at the main office they work in, the part time office, or both? - CORRECT ANSWER-Every office! Penalties - CORRECT ANSWER--Use another's license-misdemeanor in 1st degree -Expired/suspended license- felony in the 3rd degree -Unlicensed dentistry/practice outside scope of practice- felony 3rd degree -Lab not keeping original Rx- misdemeanor in 2nd dgree -Operate as a lab- misdemeanor in the 2nd degree Fines - CORRECT ANSWER--DDS practicing 2-6 months w/o license- $1000 fine and 4 hrs risk management -Hygienist practicing 2-6 months w/o license- $250 fine -DDS fee per CE hour not completed- $100, $150 for not doing CPR -Hygienist- $25/hr CE not completed, and $50 for not doing CPR Fines Continued - CORRECT ANSWER--Pre-sign lab forms- $500 fine -Failure to give pt documents- $1000 fine -Fraud- $10,000 per offense -Malpractice or practicing beyond the scope of dentistry- $500- $10,000 fine and probation for the 1st offense If a dentist is terminated how long does he/she have to notify their patients? - CORRECT ANSWER-30 days If a dentist is suspended, how long does he/she have to notify their patients? - CORRECT ANSWER-30 days A person holding a dental hygiene license in the State of Florida has been ruled by a court of law that they are delinquent on their child support. The BOD has the right to? - CORRECT ANSWER-Hold or deny their license When can a licensee choose to become inactive? - CORRECT ANSWER-Anytime Inactive status fee - CORRECT ANSWER-Inactive licenses must be renewed biennially and the licensee is responsible for paying applicable fees. Can a DA or DH perform in-office bleaching? - CORRECT ANSWER-In-office bleaching is not a delegable duty for DA; however the rule was recently amended to allow DH to apply bleaching solution, activate light source, and monitor the remove in-office bleaching materials under the direct supervision of a FL licensed dentist. How often can a person renew their inactive status? - CORRECT ANSWER-Biennually (once every 2 years) Licensees infected w/ Hep B - CORRECT ANSWER-The BOD is charged with the responsibility of protecting the public from dentists or DH who present a danger to the public The board finds that licensees who are infected with Hep B present a grave danger to the public by virtue of the communicability of this infectious disease in a clinical setting Licensees infected w/ Hep B - CORRECT ANSWER-Licensees bear the ultimate responsibility for the safety of their patients when the licensee or personnel employed by the licensee represent a health risk through direct or indirect contact with patients This rule assures the ability of infected licensees to practice so long as adequate safeguards are maintained. Licensees infected w/ Hep B - CORRECT ANSWER-Any FL licensed dentist or DH practicing in this state who is infected with the Hep B virus is required to notify the board of such in writing no later than 14 days after learning of his/her infection with the Hep B virus The board shall by rule establish procedures for reporting carrier status and shall establish practice requirements which will protect the public from transmission of the Hep B virus in a dental practice setting or during dental procedure Licensees infected w/ Hep B - CORRECT ANSWER-Any report of Hep B carrier status filed by a licensee or applicant in compliance with the requirements established by the board shall be confidential and exempt from provisions, except for the purpose of the investigation or prosecution of alleged violations of this chapter by the department. Requirement of Hep B carriers - CORRECT ANSWER-Licensees infected must successfully complete an educational program (6 clock hours) approved by the board which will aid in a better understanding of the disease w/in 6 months after receiving acknowledgment. Monitoring of licensees infected with Hep B - CORRECT ANSWER-Infected licensees will be monitored on a random basis at least once a year by board approved consultants for the purpose of verifying compliance with sterilization, disinfection and barrier techniques The random monitoring will be performed in addition to any checks conducted by any county health department. The monitor's report shall be forwarded to the Board's Executive Director w/in 14 days of the monitor's visit. Infected licensees (Hep B) shall notify - CORRECT ANSWER-The pt, bards executive director and local county health dept. at any time a barrier technique has been or may have been broken. *Pt must be notified immediately Notifications of Hep B - CORRECT ANSWER-Telephonic notification must be accomplished with in 24 hours and must be followed up by written notification no later than 72 hours after the barrier technique has been broken. Notification by the infected licensees shall include, at a minimum - CORRECT ANSWER--What barrier technique was broken -Steps undertaken to notify affected pt -Steps undertaken to overcome the break in technique A break in barrier technique includes but is not limed to: - CORRECT ANSWER-any puncture, tear or cut in the gloves at any time during which contact w/ the pt is made or at any time a break, abrasion or cut of the skin occurs which could expose the pt to risk of infection Monitors will perform their duties by making random, on-site visit at least once a year for a _____ year period and at least _____ thereafter - CORRECT ANSWER-three (3); tri-annually Inspection and evaluation of compliance shall include the following procedures, the results of which must be reported to the Board's Executive Director w/in 14 days of the monitor's visit - CORRECT ANSWER-1. Personal interviews w/ each member of the office staff regarding procedures which are followed in the clinical setting 2. Review the dentist's appt book to documents the number of days the dentist has practiced since notifications of being infected or last eval, and # of pts seen since that date 3. The # of boxes of examination and surgical protective gloves on hand and the # purchased since notification of infection or the last eval 4. The # and type of masks on hand and the # and type purchased since notification of infection or the last eval 5. A determination of whether all personnel since notification of infection or any new personnel since the last eval have been checked for surface antigens and surface antibodies and whether all personnel have been specifically educated regarding appropriate sterilization, disinfection and barrier technique necessary to prevent communication of the Hep B virus 6. Identification and description of training provided and procedures and protocols utilized 7. A determination of whether all office personnel are familiar w/ procedures and reporting requirements which are necessary if a break in barrier techniques occurs 8. A determination of whether heat sterilization is routinely used and whether the heat sterilization is monitored monthly 9. A determination of the type of cold disinfectant used, its spectrum, brand name and chemical composition 10. A list of instruments and materials which are routinely cold sterilized and a determination of the efficacy of the procedures 11. Identification and documentation of any incidents of a break in barrier technique or potential breaks which were averted 12. Documentation of the monitor's conclusions regarding compliance which addresses the results of each of the procedures outlined above Should a monitor determine that unreported breaks in barrier techniques have occurred, or should the monitor determine that appropriate sterilization, disinfection and barrier techniques have not been followed adequately to protect the public, the monitor shall so notify the Board's Executive Director by telephone w/in ______ of the on-site inspection and provide written confirmation with in ______. - CORRECT ANSWER-24 hours; 72 hours Supervision levels - CORRECT ANSWER-The board may limit the number of DH or DA to be supervised by a dentist if they perform expanded duties requiring direct or indirect supervision The purpose is to protect the health and safety of patients and ensure procedures which require more than general supervision be adequately supervised RDH Indirect: Authorize present - CORRECT ANSWER-Placing/removing dental dam* Placing/removing matrix band* Apply cavity liners/varnish/base* Impressions- study casts/bleach trays/opposing casts, sports guards Marginate restorations Removal of in-office bleaching Local delivery placement: Adjunct perio therapy placement (Atrisox, Arestin, Perio chip, etc.) Cementing temp crowns w/ temp cement Root planing* Marginate amalagams Monitor Nitrous oxide/ turn off (Oxygen)* Secure/unsecure archwires Remove excess cement- Ortho* CDA Indirect: Authorize present - CORRECT ANSWER-Placing/removing dental dam Placing/removing matrix band Apply cavity liners/varnish/base Impressions- study casts/bleach trays/opposing casts, sports guards Applying topical fl Sealants Suture removal Take radiographs (w/ formal training) Place/remove perio/surgical dressing Place/remove pre-treatment separators Secure/unsecure archwires Retracting lips, cheeks, and tongue Placing/removing cotton rolls RDH Direct: Authorize present check - CORRECT ANSWER-Fabricate temp crowns/bridges intraorally Selecting ortho bands and wires/ extra-oral appliance Packing/removing retraction cord (w/ out vasoconstrictor) Dry socket dressing (placement/removal) Remove and re-cement loose bands In-office bleaching placement Changing bleach pellets Condition tooth for ortho Monitor nitrous oxide (Analgesia)* Gingival curettage* Administer local anesthesia when appropriately certified by Board CDA Direct: Authorize present check - CORRECT ANSWER-Fabricate temp crowns/bridges intraorally Selecting ortho bands and wires/ extra-oral appliance Packing/removing retraction cord (w/ out vasoconstrictor) Dry socket dressing (placement/removal) Impression for/deliver bleach tray/sports guard Polishing restorations and clinical crowns Remove excess cement-restorations Condition tooth for ortho Monitor nitrous/ turn off at completeion Cement temp crowns w/ temp cement Place/remove temp restorations Charting restorations, missing teeth, and existing oral conditions Applying topical anesthetics RDH General: Authorize - CORRECT ANSWER-Polish clinical crowns and restorations Applying topical fl/ anesthetic* Fabricate temp crowns/bridges- Lab Suture removal Place/remove temp restorations Amalgam polishing Excess cement removal- Restorations Place/remove perio dressing* Pt education* (no supervision) Sealants* Obtain plaque specimens Take radiographs Calculus/stain removal Chart findings Place/remove pre-treatment separators CDA General: Authorize - CORRECT ANSWER-Oral hygiene care (OJT) Education programs (OJT) Fabricate temp corn/bridge in lab (OJY) In an emergency when the dentist is not able to examine the pt and the dentist CAN see the pt w/in 3 days a DH or CA (CPR certified) can perform: - CORRECT ANSWER--Removing/re-cementing properly contoured and fitting loose bands that are not permanently attached to any appliance -Securing/un-securing arch wire by attaching/removing fastening device -Inserting/removing dressing from alveolar socket -Placing/removing periodontal dressings -Cementing temp crowns and bridges using temp cement -Placing temp medicinal restorative material A dentist diagnoses the condition to be treated, authorizes the procedure to be performed, remains on the premises while the procedures are performed and approves the work performed before dismissal is what kind of supervision? - CORRECT ANSWER-Direct supervision A dentist examines pt, diagnoses, authorizes the procedure and remains on premises while the procedures are performed. What kind of supervision is this? - CORRECT ANSWER-Indirect supervision A dentist authorizes the procedures which are being carried out but need not be present when the authorized procedures are being performed is what supervision? - CORRECT ANSWER-General supervision Who defines the levels of supervision? - CORRECT ANSWER-BOD If the dentist is out of the country and calls his office to instruct his staff to do a procedure on a pt, what supervision is this? - CORRECT ANSWER-General supervision What is the supervision level for making bleaching trays for dental hygienists? - CORRECT ANSWER-Indirect supervision A dental hygienist may polish clinical crowns with _______ supervision. - CORRECT ANSWER-General A DA may polish clinical crowns with ________ supervision - CORRECT ANSWER-Direct A DH may apply topical anesthetic with ______ supervision - CORRECT ANSWER-General A DA may apply topical anesthetic with _____ supervision - CORRECT ANSWER-Direct If a hygienist is in a non-health access setting and a pt is in need of sealants, the hygienist must perform sealants under which supervision? - CORRECT ANSWER-General A DH may place subgingival chlorhexidine with ____ supervision. - CORRECT ANSWER-Indirect A DH may marginate restorations with _______ supervision. - CORRECT ANSWER-Indirect Emergency remediable tasks may be performed when the pt will be seen by the dentist w/in _____ day(s) - CORRECT ANSWER-3 A pt returns to the community after living in another area. The pt wants to return for a prophy. How long does the pt have until he/she is due for a new examination by the doctor? - CORRECT ANSWER-13 months When does the dentist see the patient? - CORRECT ANSWER-After x-rays How long does cold sterile take to be sterilized? - CORRECT ANSWER-10 hours If a pt is referred to a specialist for tx who is responsible for the pt? - CORRECT ANSWER-Dentist of record shall be primarily responsible regardless of who provides tx If the dentist is out of town and the pt has a problem but is NO