MN Dental Jurisprudence Exam Study Guide 2024

*general supervision - The dentist has prior knowledge and has given consent for the procedures being performed during which the dentist is not required to be present in the dental office or on the premises. *indirect - The dentist is in the office, authorizes the procedures, and remains in the office while the procedures are being performed by the allied dental personnel. direct - The dentist is in the dental office, personally diagnoses the condition to be treated, personally authorizes the procedure, and before dismissal of the patient, evaluates the performance of the allied dental personnel. personal - The dentist is personally operating on a patient and authorizes the allied dental personnel to aid in treatment by concurrently performing supportive procedures. DH, DT or DA must do these before administering nitrous - take a course with a minimum of *12 hours* total comprised of didactic instruction, personally administering and managing at least *3* individual supervised cases who can place sealants after completing a course by a school accredited by the commission on dental accreditation? - DH, DT, DA *WHO can give local anesthesia after completing a course on local anesthesia from a school accredited by the Commission on Dental Accreditation - DH and DT (not DA) *Dental hygienists and licensed dental assistants shall not take impressions and bite registrations for of fixed and removable prostheses. - Final construction T/F - ONLY a dentist can cement ortho bands and adjust ortho wires - true *Rules, regulations, and CE requirements* - *can a dentist accept money for making a referral (renumeration = $) to another dentist? - nope *the patient can be terminated for: - - pt failure to comply with treatment or professional advice (ex: advanced perio) - consistent tardiness or failed appts - failure to pay for services rendered - behavior mngmt issues *Can a LDA scale and clean mandibular anteriors on a pediatric patient? - NO The LDA and DDS would both be held accountable *Who could be in trouble by the Board of Dentistry if a DH/LDA practices beyond their scope of practice, even when the DDS did NOT request them to and the DH/LDA acted on their own - both the DDS and DH/LDA Ad: "Our practice specialized in cosmetic dentistry, *promising* *superior* *results* in the quest to achieve your perfect smile" What is wrong w/ the above ad? - DDS cannot say they are SUPERIOR and cannot PROMISE the results of a tx. They are creating a false/unjustified expectation. *Also, cosmetic dentistry is not recognized as a 'specialty' by the ADA* In advertising a dental office, the DDS cannot use terms such as "top" or "best". They cannot make a claim that a survey, ballot, or poll constitutes a ranking for who they are or what they do; ex) "the top 15%" or "voted best.." T/F - true 5 components of CPR training - -AED -Barrier mask or bag for ventilation -Foreign body airway obstruction -Two person rescuer -Adult, child, and infant CPR Good Samaritan Law - a person at the scene of an emergency who knows that another person is exposed to or has suffer harm shall give *reasonable assistance* to the exposed person Criminal law - law that deals with crime and the legal punishment of criminal offenses (crime against society) Civil law - deal with disputes between individuals, organizations, or between the two, in which compensation is awarded to the victim What actions would cause an immediate suspension of a Dental Professional License? - 1. Dependence on alcohol, drugs, or other substances 2. Writing unauthorized prescriptions *How many CE credits does a LDA, DDS, DT and DH need to have in a 2 year period? - 25 for LDA and DH 50 for DDS and DT's fundamental credits - directly related to clinical practice of dentistry *minimum of 15 credits for LDA and DH; 30 for DDS and dental therapists Core Subjects (fundamental credits) - areas of knowledge that relate to public *safety* and professionalism *minimum of 2 different core subjects needed in 2 yrs *what are core subjects?? - -Record Keeping -Ethics -Infection Control -Patient Communication -Management of med. emergencies -Diagnosis and tx. planning (optional for DH/LDA) CPR is a credit - Fundamental; must be updated every 2 yrs *self assessment is a credit - Fundamental; printed from ADA website; usually updated every 2yrs. completed and put in professional portfolio; 1 credit Can all of your credits be earned in the fundamental category? - yes, but they cannot all be in the elective category *elective credits - activities directly related to, or *supportive* of the practice of dentistry; Max. of 10 credits for DH/LDA; 20 for DDS and dental therapists ex) Self-study-scholarly articles Scholarly activities- presentations Volunteering/Community Service General Attendance- 3 credits for a state or national dental convention BOD will randomly select individuals for an audit; you will be notified by letter and have days to submit COPIES of your CE record - 60 days (never send an original) *Each dental professional is required to keep documentation of their CE for the current 2 year cycle AND the previous year cycle - past 2 year cycle *all dental professionals must notify the board of dentistry within of a name or address change - 30 days ****T/F : must display annual renewal certificate w/ license in plain sight for pts to see. When renewing license, copies can be *requested* if one is employed at multiple practices. (One must carry a wallet copy if they float to variety of offices) - True (you cannot make copies yourself) *All DHCP must renew their license every on the date when they originally got their license - 2 years When is reading a professional article considered a fundamental credit and when is it an elective credit? - A professional article w/ a post test is considered *fundamental* Reading a professional article for the information is considered *elective* the board can grant a GUEST LICENSE for a DA, DDS, DH if the following conditions are met - 1. must be currently licensed 2. is currently engaged in practice 3. is approved by the board 4. was established by a non profit organization that is tax exempt 5. provides dental care to patients who have difficulty accessing to care 6. must agree to treat "indigent" patients 7. has to pay a non refundable free no more than $75 8. guest license must be *renewed anually* and expires on Dec. 31 9. the care must be provided without compensation 10. board requires proof of application 11. must be subject to all state rules and regulations continuing education waiver for a dental professional who is RETIRED from active practice and has limited the provision of dental care services - -board may require written documentation that they are retired -- *proof* they are not working as a full time dental professional (maybe working a few times a month) -must complete and document at least *5 hours* of approved courses on infection control, medical emergencies, etc. -provide documentation of current *CPR certificate* what is the boards mission? - to ensure that all MN citizens receive quality dental health care from competent dental health care professionals MN Board of Dentistry has members - 9 total : - 5 DDS - 1 LDA - 1 DH - 2 public members who appoints the 9 members of the board? - governor what qualifications must the DH, DA, & DDS have to become part of the board? - lawfully in active practice in the state for *5 years* immediately preceding appointment into the board how long can members serve? - 2 consecutive 4-year-terms (8 years total) practicing dental hygienists may provide what services? - 1-provides care that is educational, preventative, and therapeutic through observation, assessment, eval, counseling, and therapeutic services to establish and maintain oral health 2- evaluates pt heath status through review of med and dental histories, assesses and plans dh care needs, performs a prophy including complete removal of calc, accretions and stains by scaling, polishing, and performs root planing and debridement 3- administers local and nitrous 4- provides other related services as permitted by rules of the board DH - A person of *GOOD MORAL CHARACTER*, who has graduated from a DH PROGRAM accredited by the *commission on Dental Accreditation* and established in an institution accredited by an agency recognized by the US department of education to offer college-level programs, may apply for licensure DH program - min of 2 academic years of dental hygiene education The services provided by a dental hygienist shall *not* include what? - final diagnosis all dental hygiene services must be provided under supervision of a licensed dentist. T or F - True a DH may be employed by a nonprofit organization to preform DH services *without* the pt first being examined by a licensed DDS if the Dental hygienist.... - - has been engaged in active practice of clinical dh for no less than *2400 hours in past 18 mo* or a career total of *3,000 hours* -has entered into a *collaborative agreement* with a licensed DDS that designates authorization for the services provided by dental hygienist -has documented participation in courses in *infection control and med emergencies* within each continuing education cycle - maintains *CPR certificate* from AHA or American red cross dental hygiene services authorized to be performed are: - 1- oral health promotion 2- removal of deposit and stain from surface of teeth 3- application of topical preventive or prophy agents, including fluoride varnish and pit and fissure sealants 4- polishing and smoothing restorations 5- removal of marginal overhangs 6- performance of preliminary charting 7- taking radiographs 8- performance of SRP (all under general supervision) does the dentist need to examine the pt or be present during injection of local anesthesia or nitrous once delegated in collaborative agreement with licensed dds and dh? - no DH collaborative agreement must include.. - 1- consideration for med comp pt and med conditions for which dental eval and treatment plan must occur *prior* to provision of dh services 2- age and procedure specific standard collaborative practice *protocols*, including recommended intervals for the performance of dh services and a period of time in which an exam by dds should occur 3- copies of *consent to treatment form* provide to patient by dental hygienist 4- specific protocols for the placement of *pit and fissure sealants* and requirements for *follow up care* to assure efficacy of sealants after applications 5- procedure for creating and *maintaining dental records* for the patients that are treated collaborative management agreement between a DDS and a DT must include: - 1. settings where the DT can serve 2. any practice limitations (DT vrs. ADT) with the level of supervision 3. procedure specific protocalls 4. procedure to maintain dental records 5. a plan to manage medical emergencies 6. quality assurance plan (referral, chart review, follow up care) 7. protocalls for administering and dispensing meds 8. supervision criteria for DAs dental hygiene consent to treatment must include statement stating that - dh services provided are not a substitute for dental exam by licensed dds A DT is limited to practicing in settings that serve - low income, uninsured, and underserved patients referal form - for all referrals to pt for further procedures, dh must fill out and *provide a copy* for collaborating dds health care facility or nonprofit organizations are limited to: (for collaborative agreement) - hospital, nursing home, home health agency, group home serving elderly, disabled, or juveniles; state-operated facility licensed by commissioner of human services or commissioner of corrections; and federal, state, or local public health facility, community clinic, tribal clinic, schools what must be on every complete upper and lower denture and removable dental prosthesis? - patients name and social security number if ssn and pt name on prosthesis is not practicable id should be presented as follows: - - ssn of pt may be omitted if name of pt is shown -initials of pt must be shown alone if use of pt name is impracticable - identification marks may be omitted in entirety if none of the forms of id are practicable or clinically safe do you ID mark older prosthesis without this info? - yes applicant must submit new background check if more than has Relapsed since the applicants last submitted background check to the board - 1 year no license issued to any applicant who refuses to consent to a criminal background check or fails to submit fingerprints within after submission of application for licensure - 90 days how long does a person have to challenge accuracy of a report of background check - 30 days after they get their report back how long does the board give the applicant to challenge the accuracy or completeness of the report - 180 days when temp license is suspended, the regulated person shall be provided with at least notice of any hearing held pursuant to this section - 10 days if the board has not completed its investigation and final order within days the temp suspension shall be lifted unless the regulated person requests a delay in disciplinary preceedings for any reason - 30 days self-reporting: when should a regulated person who is diagnosed as infected with HIV, HBV, or HCVreport the info to the commissioner - no more than 30 days after learning of the diagnosis or 30 days after becoming licensed or registered by the state 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 prevention of hiv hbv and hcv transmission - 10 days how long after an infection control report does the designated office have to meet with the board - 30 days of receiving report without hearing, the board may temporarily suspend the right to practice of a regulated person if they find they have refused to submit or comply with monitoring.... - infection control it is unlawful for any person to.. - -enable a unlicensed person to practice dentistry -practice without a license -not go by his or her own name (and degree) regulated person shall be provided with at least notice of a hearing under temp suspension infection control - 20 days supervising dds requirements - -board-approved MN licensed dds for at least 5 consecutive years -license shall not be subject to, or pending, corrective or disciplinary action within the previous five years according to NN statutes - acceptable written agreement between limited licensed dds and supervising dds- may only supervise 1 for duration of agreement- written agreement shall include info acknowledgment that limited dds agrees to practice clinical dentistry at least 1,100 hours annual for a period of 3 consecutive years -no more than 2 limited licensed dds are allowed to practice gen dentistry under supervision in one facility -modifications to written agreement must be submitted in writing to board within 7 business days -supervising dds must inform the board in writing about the termination of a written agreement with a limited dds within 7 business day of termination -must inform board in writing about any known disciplinary or malpractice proceedings involving the limited dds w/I 7 business days of proceeding -submit performance eval no earlier than 90 days before completion of limited dds practice period -disciplinary actions *infection control reporting- a regulated person shall, within , 3 years *applicant for dental assisting and DH requires. .. - -application -copy of diploma or certificate -submit evidence of satisfactory passing boards *state and national* boards -picture -backround check******* *DA without license can... - -perform all duties not directly related with performing dental treatment or services on patients -retract -assist with the placement or removal of rubber dam and accessories used for its placement and retention as directed by operating dds -remove debris with suction devices, air, mouthwash, water -aid dh and licensed da in their duties -apply fluoride varnish in community setting under licensed dds *what is biennial term - properly renewed license or permit issued by board valid from first day of month following expiration for 24 months until renewed or terminated according to procedures in this part *a DT can supervise no more than licensed or non-licensed DAs in any one practice setting - 4 *A DT must enter into a with a DDS - collaborative management agreement (all agreements but be reviewed, signed. updated and submitted to the board EVERY YEAR) Amount of credit hours each biennial a dentist, specialty, guest full faculty or DT needs. - 50 minimum of credit hours for dentists and DT's of fundamental CE's - 30 maximum of credit hours of elective CEs for DT and DDS - 20 _ credit hours each biennial cycle for a hygienist and dental assistant; minimum of of fundamental and maximum of elective - 25, 15, 10 annually, for a period of __________ consecutive years - 1,100 limited license dds agrees to practice clinical dentistry for at least hours A minimum of _ courses must be completed in _ of the core subject areas per biennial cycle - 2, 2 Core subjects - Infection control, record keeping, ethics, management of med emergencies, pt communications, diagnosis and treatment planning. Fundamental - Activities directly related to the provision of *clinical dental services* elective - Activities directly related to, or *supportive* of the practice of dentistry, dental hygiene, or dental assisting clinical subject - Subjects directly related to the provision of *dental care* and treatment to pts core subject - ares of knowledge that relate to *public safety* and professionalism acceptable documentation for CE hours - Every form should include: name and location of organization/presenter, contact information and credentials or training that qualifies presenter to teach course, course title, date, hours and subject matter. *specialty dental practices: - - dental public health - endodontics - oral and maxillofacial radiology & pathology - oral surgery - ortho - pediatric dentistry - periodontics - prosthodontics A dental tech and DDS may practice in the same facility but may each have their own practice. - True; * the DDS is not responsible for the dental tech unless the tech is EMPLOYED by the DDS *what if a patient stops by and asks the tech for a denture adjustment?? what about for it to be cleaned? - lab tech cannot do either *how many dental therapists can a dentist have? - 5 *a dentist can have a collaborative agreement with no more than DH's unless authorized by the Board - 4 what do you need in order to advertise for sales, construction, reproduction, or repair?? (dental prosthetic appliances) - a written work order from a DDS (good for 2 years) *non licensed dental assistants: - can be trained ON THE JOB, on site with dentist duties: retract the cheek, suction, transfer instruments, mix cements, help in sterilization, turn rooms around, set up/tear down, set pts, and walk pts out. (general???)