MN Dental Jurisprudence Exam 2026 Questions and Answers Actual Test with complete solution/100% Verified. A+!!!

MN Dental Jurisprudence Exam 2026 Questions and Answers Actual Test with complete solution/100% Verified. A+!!! 1. *general supervision - ANSWER 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. 2. *indirect - ANSWER 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. 3. direct - ANSWER 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. 4. personal - ANSWER The dentist is personally operating on a patient and authorizes the allied dental personnel to aid in treatment by concurrently performing supportive procedures. 5. DH, DT or DA must do these before administering nitrous - ANSWER take a course with a minimum of *12 hours* total comprised of didactic instruction, personally administering and managing at least *3* individual supervised cases 6. who can place sealants after completing a course by a school accredited by the commission on dental accreditation? - ANSWER DH, DT, DA 7. *WHO can give local anesthesia after completing a course on local anesthesia from a school accredited by the Commission on Dental Accreditation - ANSWER DH and DT (not DA) 8. *Dental hygienists and licensed dental assistants shall not take impressions and bite registrations for _____________ of fixed and removable prostheses. - ANSWER Final construction 9. *Before removal of bond material, a dental hygienist or licensed dental assistant must successfully complete a course in the use of ____________ for the express purpose of the removal of bond material from teeth. - ANSWER rotary instruments 10. T/F a complete medical & dental history does NOT need to be completed for emergency treatment - ANSWER false; if its a regular patient, can just update their history but new patients/infrequent patients must complete both 11. T/F DHCP only has to sign their initials in patient notes when they're in a group practice - ANSWER false; patient notes must ALWAYS be signed by a DHCP 12. The board may obtain medical data & health records of a licensee or applicant w/o consent if the information is requested by the board as part of a - ANSWER Physical or chemical dependency assessment 13. Removable dental prostheses owner identification - ANSWER Every complete upper & lower denture & removable prosthesis fabricated by a dentist or by a dentists or DT work order must be marked w/the patients social security number (must be permanent, legible, & cosmetically acceptable) 14. Which of the following statements is NOT true regarding professional development? - ANSWER A self-assessment test must be sent to the board to verify completion 15. Which of the following orthodontic function is performed by the LDA and hygienist under direct supervision? - ANSWER Remove fixed ortho bands and brackets 16. A limited registration dental assistant may perform which of the following expanded functions? - ANSWER Take Radiographs 17. Which of the following is true if a correction needs to be done in a patient record? - ANSWER Place a single line through the mistake 18. Which of the following functions can be performed by a dental hygienist when the dentist is out of the office? A. Administer local anesthesia B. Monitor a patient induced into nitrous oxide relative analgesia C. Take radiographs D. All of the above - ANSWER D. All of the above 19. A dental technician can fabricate a partial denture for a patient if the technician has received which of the following? A. A written request from the dentist B. A verbal request from the dentist C. C. A request from the patient D. D. All of the above - ANSWER A. A written request from the dentist Which of the following is/are true regarding waste disposal? A. Disposable needles placed intact in puncture proof containers B. Disposed of according to state and local guidelines C. Contaminated solid waste should be placed in sturdy impervious bags D. All of the above - ANSWER All of the above A dentist may administer nitrous oxide relative analgesia in Minnesota if the dentist __________________. A. has been licensed in Texas and completed the requirements of that state B. has completed a 12 hour course accredited by the Commission on Dental Accreditation C. has an auxiliary assisting that is CPR certified D. had previously registered with the board prior to January 1, 1993 E. B and D - ANSWER E. B and D Which of the following are considered minimum number of hours for professional development for a biennial cycle? A. Dentist - 50 B. Hygienist - 30 C. Licensed Dental Assistant - 25 D. A and C E. A, B, and C - ANSWER D. A and C Which of the following is true if a correction needs to be done in a patient record? A. erase the mistake B. use white out to remove the mistake C. write in pencil D. place a single line through the mistake - ANSWER D. place a single line through the mistake If you have a change of address, how much time do you have to notify the board?a. 7 daysb. 14 daysc. 30 daysd. 90 days - ANSWER 30 days A person with knowledge that a dental professional has HIV, HBV or HCV shall do what? a. Keep it to themselves b. File a report with the commissioner of health c. Write a letter to the dental professional d. Discuss this information with their medical doctor - ANSWER File a report with the commissioner of health Which of the following would NOT be a reason that the Board of Dentistry could suspend your license? a. To ensure that the licensee does not violate statutes again b. To ensure the licensee does not benefit from the violation financially c. The Board of Dentistry must generate a certain amount of revenue each year d. All of the above are reasons to suspend a license - ANSWER The Board of Dentistry must generate a certain amount of revenue each year A registered dental hygienist can perform all of the duties that a licensed dental assistant can perform even when the dentist is NOT in the office.a. Trueb. False - ANSWER False Biological indicator tests will have a strip of paper turn a different color to determine if instruments are sterilized.a. Trueb. False - ANSWER False Who in the dental office needs to be certified in CPR?a. All allied dental health professionalsb. At least one dental professionalc. The dentistd. All DHCP's (dental health care providers) - ANSWER All DHCP's (dental health care providers) Which of the following is NOT a core subject? a. Office management b. Patient communication c. Medical emergencies d. Ethics - ANSWER a. Office management If a patient is exposed to a communicable disease during dental treatment, it is the DHCP's responsibility to inform the patient of the exposure. a. True b. False - ANSWER True Sterilization of reusable air/water syringe tips, ultrasonic inserts, and handpieces is best done with a. Dry heat b. Chemical vapor c. Steam under pressured. All of the above - ANSWER All of the above Which of the following is true regarding what must be included in a patient's chart or record? a. Start and end time of treatment b. All treatment must be recorded except for preventive treatment c. Medication that is prescribed after hours d. All of the above - ANSWER Medication that is prescribed after hours It would be acceptable for a dentist to treat an emergency patient who is not their regular patient and who regularly saw a different dentist.a. Trueb. False - ANSWER True A DHCP only has to sign their initials in patient notes when they are in a group practice.a. Trueb. False - ANSWER False A complete medical and dental history does NOT need to be completed for emergency treatmenta. Trueb. False - ANSWER False If the dental hygienist violates a statute, who might be reprimanded by the Board? a. Dentist b. Hygienist c. Dentists and/or hygienist d. None of the above - ANSWER Dentists and/or hygienist Is it acceptable for a dentist to send out a flier to a community about the dental practice that has some of his/her educational credentials on it?a. Yesb. No - ANSWER Yes Is it acceptable behavior to write a patient a letter dismissing them from the practice? a. c b. No - ANSWER Yes Is it acceptable behavior for a dentist to leave a group practice and open up his own practice in the same community? a. Yes b. No - ANSWER Yes Which of the following orthodontic duties can a registered DA not perform? a. Removal of bond material b. Recement orthodonti c bandsc. Preselect orthodontic bands d. Etch enamel surfaces before bonding of orthodontic appliance by dentist - ANSWER Recement orthodonti DH and DA with restorative functions can place, contour, and adjust amalgam, glass ionomers, and stainless steel crowns on class _______ (supragingival) - ANSWER Class I, II, V - a dental hygienist or dental assistant must successfully complete a board approved course on these specific restorative procedures. application of pit and fissure sealants - ANSWER DH - general LDA - indirect *Administer LA - ANSWER DH - general *monitor a patient on nitrous - ANSWER DH - General LDA - Indirect T/F -- DH or LDA shall NOT take impressions and bite registrations for the FINAL construction of fixed and removable prostheses. - ANSWER True *Utilizing rotary instruments for the removal of bond material from teeth - ANSWER DH - indirect LDA - indirect Performing any or all restorative procedures limited to placing, contouring, & adjusting amalgam, glass ionomers, and Class I and V supra composite restorations - ANSWER DH - indirect LDA - indirect *managing and removing IV lines - ANSWER DH - indirect LDA - indirect *placing an IV line - ANSWER DH - direct LDA - direct administering any medications or agents - ANSWER Personal DH and RDA *Perform preliminary charting including assessments and existing restoration, determine the perio status, and formulate the DH tx plan in coordination with DDS - ANSWER DH - general *make referrals in consultation with DDS - ANSWER DH - general *complete prophy with scaling, root planing, and polishing restorations - ANSWER DH - general dietary and nutritional counseling - ANSWER DH - general *replacement, cementation and adjustment of INTACT temporary restorations - ANSWER DH - general LDA - general *remove overhangs - ANSWER DH - general Complete preliminary charting of oral cavity and surrounding structures w/ exception of perio probing and assessment of the perio structure - ANSWER LDA - general of course DH can do this too, with probing take photographs intra or extra orally - ANSWER DH - general LDA - general take vital signs - ANSWER DH - general LDA - general place temporary fillings - ANSWER DH - general LDA - general *cut arch wires, remove loose bands or brackets - ANSWER DH - general LDA - general *take X-rays - ANSWER DH - general LDA - general *take impressions for casts and bite registrations - ANSWER DH - general LDA - general *place and remove ortho separators - ANSWER DH - general LDA - general *deliver vacuum-formed ortho retainers - ANSWER DH - general DA - general *etch enamel surfaces; apply and adjust sealants - ANSWER DH - general LDA - indirect *monitor a patient on nitrous oxide - ANSWER DH - general LDA - indirect *mechanical polishing clinical crowns (calculus must be removed by DDS or DH before polishing) - ANSWER DH - general LDA - indirect *remove excess cement from inlays, crowns, bridges, ortho appliances with HAND INSTRUMENTS - ANSWER DH - general LDA - indirect apply topical fluoride and bleaching agents prescribed by DDS - ANSWER DH - general LDA - indirect *can a LDA or DH place a cavity liner or endo filler - ANSWER no place topical gel before injection - ANSWER DH - general LDA - indirect *place and remove rubber dam - ANSWER DH - general LDA - indirect *Preselect ortho bands - ANSWER DH - general LDA - indirect can a LDA give local anesthesia? - ANSWER No *remove and replace ligature ties and arch wires - ANSWER DH - general LDA - indirect *remove sutures - ANSWER DH - general LDA - indirect Perform restorative procedures limited to: placing, contouring, and adjusting amalgam restorations and glass ionomers; adapting and cementing stainless steel crowns; and placing, contouring, and adjusting class I, II, & V supragingival composite restorations on primary and permanent teeth. - ANSWER DH - Indirect LDA - indirect *place and remove periodontal packs - ANSWER DH - General LDA - indirect *dry root canals with paper points - ANSWER DH - general LDA - indirect *remove bond material with rotary instruments after removal of ortho - ANSWER DH - direct LDA - direct *place and remove matrix bands - ANSWER DH - direct LDA - direct fabricate, cement, and adjust temporary crowns - ANSWER DH - direct LDA - direct *remove temporary RESTORATIONS with hand instruments only - ANSWER DH - direct LDA - direct *etch enamel surfaces before bonding of ortho by DDS - ANSWER DH - direct LDA - direct *attach prefit and preadjusted ortho appliances - ANSWER DH - direct LDA - direct *remove fixed ortho brackets - ANSWER DH - direct LDA - direct remove excess bond material from appliances - ANSWER DH - general LDA - direct *administer N2O2 - ANSWER DH - general LDA - direct T/F - ONLY a dentist can cement ortho bands and adjust ortho wires - ANSWER true Concurrently perform supportive services if the dentist holds a valid general anesthesia or moderate sedation certificate, is personally treating a patient, and authorizes the allied dental personnel to aid in treatment including the administration of medications into an existing intravenous line, an enteral agent, or emergency medications in an emergent situation. - ANSWER DH - personal LDA - personal (apply meds) *Place nonsurgical retraction material for gingival displacement. - ANSWER DH - direct LDA - direct -Perform preliminary charting of the oral cavity, oral health instruction and disease prevention, including nutritional counseling, dietary analysis. -Apply topical medications such as, but not limited to, topical fluoride and cavity varnishes in appropriate dosages. *****-Perform mechanical polishing - ANSWER GENERAL (DT and ADT) -Etch appropriate enamel surfaces, apply and adjust pit and fissure sealants. -Placement of temporary restorations. -Fabrication of soft occlusal guards and athletic mouthguards. -Pulp vitality testing. - ANSWER GENERAL (DT and ADT) -Administer local anesthesia. -Administer nitrous oxide inhalation analgesia *****Application of desensitizing medication or resin -Tissue conditioning and soft reline. - ANSWER DT - general ADT - general -Atraumatic restorative therapy. *Tooth reimplantation. -Dressing changes. -Dispense and administer analgesics, anti-inflammatories, and antibiotics as (permitted by the collaborative management agreement) - ANSWER general ADT and DT -Cavity preparation; and restoration of primary and permanent teeth -Pulpotomies on primary teeth -pulp capping on primary and permanent teeth. -Stabilization of reimplanted teeth. -Remove sutures. -Brush biopsies. - ANSWER DT - indirect ADT - general -Extraction of periodontaly diseased permanent teeth with mobility of +3 to +4 as permitted by the collaborative management agreement. (Not including unerupted, impacted, fractured) -Oral evaluation and assessment of dental disease and the formation of an individualized treatment plan authorized by a collaborating dentist -Make appropriate referrals to dentists, physicians, and other practitioners in consultation with the collaborating dentist. - ANSWER ADT - GENERAL ---DT cannot do these -Repair of defective prosthetic devices -Placement of temporary crowns: and preparation and placement of preformed crowns *Provide emergency palliative treatment of dental pain -Extractions of baby teeth - ANSWER DT - indirect ADT - general LDA General Supervision (all) - ANSWER -cut arch wires on ortho appliance -remove loose bands on ortho appliance -remove loose brackets on ortho appliances -re-cement intact temp restorations -place temp fillings, not including temporization of Inlays, onlays, crowns, and bridges -take radiographs -impressions for casts and appropriate bite registration, not to include impressions and bite registrations for final construction of fixed and removable prostheses -deliver vacuum-formed ortho retainers -place and remove elastic ortho separators -complete prelim charting -take photographs extra and intraorally -vital signs - pulse, bp as directed by dds -obtain informed consent for treatments authorized by the supervising dentist pursuant to the licensed da scope DH Direct supervision (all) - ANSWER Etch for ortho, remove CRs, fabricate temp restorations, place/remove matrix bands, remove ortho cement with rotary instruments, attach ortho appliances, remove fixed ortho bands/brackets, initiate and place IV lines, place nonsurgical retraction material for gingival displacement. DH personal supervision - ANSWER Help DDS with sedation if completed extra education. *Rules, regulations, and CE requirements* - ANSWER ____ *can a dentist accept money for making a referral (renumeration = $) to another dentist? - ANSWER nope *the patient can be terminated for: - ANSWER - 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? - ANSWER 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 - ANSWER 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? - ANSWER 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 - ANSWER true 5 components of CPR training - ANSWER -AED -Barrier mask or bag for ventilation -Foreign body airway obstruction -Two person rescuer -Adult, child, and infant CPR Good Samaritan Law - ANSWER 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 - ANSWER law that deals with crime and the legal punishment of criminal offenses (crime against society) Civil law - ANSWER 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? - ANSWER 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? - ANSWER 25 for LDA and DH 50 for DDS and DT's fundamental credits - ANSWER 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) - ANSWER areas of knowledge that relate to public *safety* and professionalism *minimum of 2 different core subjects needed in 2 yrs *what are core subjects?? - ANSWER -Record Keeping -Ethics -Infection Control -Patient Communication -Management of med. emergencies -Diagnosis and tx. planning (optional for DH/LDA) CPR is a _________ credit - ANSWER Fundamental; must be updated every 2 yrs *self assessment is a _____ credit - ANSWER 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? - ANSWER yes, but they cannot all be in the elective category *elective credits - ANSWER 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 - ANSWER 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 - ANSWER past 2 year cycle *all dental professionals must notify the board of dentistry within _________ of a name or address change - ANSWER 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) - ANSWER True (you cannot make copies yourself) *All DHCP must renew their license every _____ on the date when they originally got their license - ANSWER 2 years When is reading a professional article considered a fundamental credit and when is it an elective credit? - ANSWER 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 - ANSWER 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 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 - ANSWER -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* supervising dds requirements - ANSWER -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 limited license dds agrees to practice clinical dentistry for at least _________ hours annually, for a period of __________ consecutive years - ANSWER 1,100 3 years *applicant for dental assisting and DH requires. .. - ANSWER -application -copy of diploma or certificate -submit evidence of satisfactory passing boards *state and national* boards -picture -backround check******* *DA without license can... - ANSWER -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 - ANSWER 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 - ANSWER 4 *A DT must enter into a __________ with a DDS - ANSWER 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. - ANSWER 50 minimum of _____ credit hours for dentists and DT's of fundamental CE's - ANSWER 30 maximum of ___credit hours of elective CEs for DT and DDS - ANSWER 20 _ credit hours each biennial cycle for a hygienist and dental assistant; minimum of __ of fundamental and maximum of __ elective - ANSWER 25, 15, 10 A minimum of _ courses must be completed in _ of the core subject areas per biennial cycle - ANSWER 2, 2 Core subjects - ANSWER Infection control, record keeping, ethics, management of med emergencies, pt communications, diagnosis and treatment planning. Fundamental - ANSWER Activities directly related to the provision of *clinical dental services* elective - ANSWER Activities directly related to, or *supportive* of the practice of dentistry, dental hygiene, or dental assisting clinical subject - ANSWER Subjects directly related to the provision of *dental care* and treatment to pts core subject - ANSWER ares of knowledge that relate to *public safety* and professionalism acceptable documentation for CE hours - ANSWER 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: - ANSWER - 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. - ANSWER 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? - ANSWER lab tech cannot do either *how many dental therapists can a dentist have? - ANSWER 5 *a dentist can have a collaborative agreement with no more than ______ DH's unless authorized by the Board - ANSWER 4 what do you need in order to advertise for sales, construction, reproduction, or repair?? (dental prosthetic appliances) - ANSWER a written work order from a DDS (good for 2 years) *non licensed dental assistants: - ANSWER 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???) a DDS is responsible for ensuring that any DA complies with ... - ANSWER - completing a *CPR* course and maintaining certificate -compliance with most current *infection control* guidelines *limited licensed dental assistants - ANSWER non licensed but have taken a course in taking RADIOGRAPHS *Sedation* - ANSWER ____ Minimal Sedation (Conscious sedation) - ANSWER -to reduce anxiety -- Anxiolysis -lightest form of sedation -ex: N2O2, oral meds, or IV sedation (need 12 hours of a course with 3 different "practice cases") characterized by moderate impairment to the patient's cognitive function and coordination, but leaves unaffected the patient's ventilator and cardiovascular - ANSWER minimal sedation Moderate Sedation (still conscious) - ANSWER relaxed, awake and can still respond ex: N2O2, oral meds, IV sedation (need 60 hours during an extra course with practice) Deep sedation (unconscious) - ANSWER can only be performed by an anesthesiologist or an oral surgeon (need extra schooling) *means a depressed level of consciousness produced by a pharmacological agent during which the patient cannot be easily aroused but responds purposefully following repeated or painful stimulation - ANSWER deep sedation *general anesthesia (unconscious) - ANSWER for extreme cases of dental care *oral and maxillofacial surgeons *Infection Control* - ANSWER ------ high level disinfection - ANSWER Elimination of all microorganisms except bacterial spores decontamination - ANSWER Removal, inactivation, or destruction of HBV and HIV on a surface or item to the point where HBV and/or HIV are *no longer capable of causing infection* and the surface or item is rendered safe for barehanded touching, use or disposal. Disinfection - ANSWER destroys *most* pathogenic and other microorganisms by physical or chemical means -does not ensure the degree of safety associated with sterilization processes (ex: sanitary wipes used to wipe down the cubicle) sterilization - ANSWER destroys *all* microorganisms, including substantial numbers of resistant bacterial spores, by heat (steam autoclave, dry heat, and unsaturated chemical vapor) or liquid chemical sterilants *Use surface barriers on ______ to protect, particularly for surfaces that are hard to clean - ANSWER light switches, radiographic equipment, drawer handles, computers (change barriers between patients) ----still need to use EPA approved wipes to clean after barriers are removed The _______________ regulates *low- and intermediate-level* disinfectants that are used on surfaces - ANSWER Environmental Protection Agency The ____________ regulates liquid *chemical sterilants/high-level* disinfectants - ANSWER Food and Drug Administration Any disinfectant used in a dental setting should be registered by the ____________ and be approved for use in health care settings - ANSWER Environmental Protection Agency (EPA) can you use disinfectant wipes from the grocery store? - ANSWER no, the are not EPA registered *what does PPE include? - ANSWER gloves, masks, gowns, and eye protection disposal of liquid and human waste (blood) - ANSWER all liquid and human waste, including floor wash water, must be disposed of through *trap drains into a public sanitary sewer system* *what type of gloves should you use? - ANSWER chemical and puncture resistant gloves -even for "household cleaning" of the dentist office use barrier protective coverings as appropriate for noncritical equipment surfaces that are - ANSWER 1) touched frequently with gloved hands during patient care 2) likely to become contaminated with blood or body substances 3) hard to clean (e.g., computer keyboards). Digital radiography sensors are considered - ANSWER *semicritical* (they go inside of patients' mouths but don't puncture mucous membranes) -use a barrier then cleaned with high level disinfectant wipes between patients what types of FLOORS are NOT recommended - ANSWER carpeting *hand pieces and intraoral instruments that can be removed from the air and waterlines of dental units are considered ___ - ANSWER *semi-critical* -should be heat sterilized between patients -do not just wipe them down!! examples: high-speed, low-speed, electric, endodontic, and surgical handpieces Dental health care personnel should use water that meets environmental protection agency regulatory standards for drinking water - ANSWER ≤500 colony forming units (CFU)/mL Can contaminated dental unit waterlines transmit disease? - ANSWER yes *DHCP should receive infection prevention training: - ANSWER 1. When they are hired 2. When new procedures affect their occupational exposure 3. Annually 4. According to state or federal requirements *dental techs must have a work order from the DDS and will keep their work order on infection control for ____ years - ANSWER 2 *training should include: - ANSWER -A description of their exposure risks -Review of prevention strategies and infection prevention policies and procedures -Discussion of how to manage work-related illness and injuries -Review of work restrictions for the exposure or infection *The infection prevention coordinator - ANSWER will be responsible for developing and maintaining a written *infection prevention program*; monitoring/evaluating the program; and implementing quality improvement measures as needed. *extracted teeth are infectious and should be disposed in - ANSWER medical waste containers (but not if it has amalgam in it) -- find out local regulations regarding disposal of amalgam *can we give patients their teeth after extractions? - ANSWER yes, it is no longer our responsibility once it is handed over extracted teeth for educational purposes must be... - ANSWER -Cleaned so there is no visible blood or debris. -Kept moist in a simple solution such as water or saline *placed in a container with a secure lid to prevent leaking during transport or storage, and labeled with the biohazard symbol until sterilization* -*Heat-sterilized* to allow for safe handling. if you get poked by a needle, instrument or were exposed by blood.. you should - ANSWER 1. Wash the site of the needlestick or cut with soap and water. 2. Flush splashes to the nose, mouth, or skin with water. 3. Irrigate eyes with clean water, saline, or sterile irrigants. 4. Report the incident to your supervisor or the person in your practice responsible for managing exposures. 5. Immediately seek medical evaluation from a qualified health care professional1 because, in some cases, postexposure treatment may be recommended and should be started as soon as possible. 6. fill out incident form and submit to board *OSHA (Occupational Safety and Health Act) requires - ANSWER employers make hep B vaccine available to all employees who have potential contact w/ blood or OPIM (other potentially infectious materials) *What employees need Hep B vaccination? - ANSWER any employee that has potential for contact with blood Every dental office needs to have a written exposure plan; written policies and procedures for prompt reporting, evaluation, counsel, tx. and follow-up to occupational exposures. T/F - ANSWER True *Exposure training should include: - ANSWER 1) Description of their exposure risks 2) Review of prevention strategies & infection control policies/procedures 3) Discussion regarding how to manage work related illnesses and injuries 4) Review of work restrictions for the exposure/infection *When to wash hands: - ANSWER -before treating a patient -before gloves are put on -right after gloves are taken off -after treating a patient Fingernails should be kept SHORT; Artificial nails carry greater ______ and are implicated in fungal and bacterial infections - ANSWER gram negative organisms when should your eyewear be cleaned? - ANSWER between every patient and after your last patient at the end of the day *A surgical mask that covers both the nose and mouth and protective eye wear w/ solid side shields (or a face shield) should be worn by DHCP T/F - ANSWER true when should you change your mask? - ANSWER -when it becomes wet or visibly soiled -between patients -every 3 hours *destruction of most bacteria, some viruses, and fungi( but not mycrobaterium tuberculosis or bacterial spores) -through the exposure to a chemical registered with EPA as hospital disinfectant but with ----no label claim for tuberculdcidal - ANSWER low level disinfection *destruction of mycobacterium tuberculosis, vegetative bacteria, most viruses and fungi (not bacterial spores) through exposure to a chemical registered with EPA hospital disinfectant WITH label claim for tubercluocidal activity - ANSWER intermediate level disinfection means the destruction of all forms of microbial life except high numbers of bacterial spores through exposure to a chemical registered with enviormental protection agency "sterilant" - ANSWER high level disinfection T/F: Change protective clothing when it becomes visibly soiled as soon as feasible if penetrated by blood or saliva - ANSWER true *When should you change gloves? - ANSWER between patients, and when they become torn or punctured critical items - ANSWER penetrate soft tissue or bone; GREATEST risk of transmitting infection and needs to be sterilized by HEAT (hand instruments, ultrasonic) Semi critical items - ANSWER contact mucous membranes but don't penetrate **high level disinfectant required **sterilization by heat still recommended (dental mirror, impression trays) non-critical items - ANSWER pose least risk for transmission of infection -contacts skin only **disinfection with EPA registered wipes (blood pressure cuff, dental chair, etc.) *chemical indicators - ANSWER indicator tape: does NOT prove sterile (ex: brown colored tag after heat sterilization on outside of instrument case) *biological indicators - ANSWER *spore testing* assess by killing highly resistant microbes -best way to tell if sterilizing equipment is working properly -MUST be performed WEEKLY dirty uniforms and lab coats should be _____ at the location where they were used - ANSWER bagged --must be handled as little as possible --must not be sorted or rinsed if spore test comes back positive.... - ANSWER indicated that the sterilizer is not working properly and items are NOT sterile -needs to be corrected and temporarily be out of service T/F a tooth with an amalgam filling in it is considered hazardous waste only - ANSWER false: hazardous and infectious autoclaving = - ANSWER sterilizing -destroy all microbes what testing should be available to all DHCW for those concerned that they may be infected by HIV - ANSWER serologic testing how should the amalgam scrap be stored and handled - ANSWER stored in a closed unbreakable container labled " hazardous "contains mercury" and should be recycled website for more info on infection control - ANSWER *Record Keeping* - ANSWER ---- *Dental records must include - ANSWER - pt's name, address, DOB - if minor, need parent's name - name and telephone number of contact person - name of insurance and ID number if applicable - patient's reason for visit - dental and medical history - clinical exam - diagnosis and treatment plan - informed consent - progress note *informed consent consists of... - ANSWER giving options benefits risks cost patient's approval (signature) *correction of records - ANSWER notations must be legible, written in ink, no erasures or white outs -if incorrect info is on paper, must cross out with one line and initialed *transfer of records - ANSWER digital Xrays must be transfered by compact or optical disc, electric communication, or printed on high quality photographic paper -need diagnostic quality using proper exposure settings * T/F: as a request of patient, records must be transferred, even if their bill hasn't been paid - ANSWER True *when electronic records are kept, a dentist must keep either a _____________ or use an _____________ - ANSWER duplicate hard copy unalterable electronic record *adults records must be kept for _____ years beyond last time they were seen - ANSWER 7 A minor (child) records must be kept for ____ years beyond the age of 18 - ANSWER 7 *can the dentist charge a patient a fee for transferring records? - ANSWER yes. T/F a regulated person can transfer contaminated disposable sharps or potentially infected material from one container to another - ANSWER false infection controls for disposable & reusable contaminated sharps - ANSWER ~immediately or as soon as possible after use & until the sharps are disposed of, store disposable contaminated sharps in a container (typically red w/ a biohazard label) that is puncture resistant, leakproof on sides & bottom & closable ~do not store in a manner that allows a person to reach by hand into the containers where the sharps are placed ~containers for sharps must be placed where they're easily accessible to healthcare workers & as close as possible to the immediate area where sharps are used & can reasonably be expected to be found ~place containers for sharps where the contents do not impose undue risk of exposure incident at a clinical practice location ~must maintain containers for disposable contaminated sharps upright through/o use ~must replace container for sharps before it becomes full general infection controls for PPE - ANSWER ~must wear appropriate PPE in situations where its reasonably anticipated that the person may have skin, eye, mucous membrane, or parenteral contact w/ potentially infectious material ~appropriate PPE must be worn in situations where potentially infectious materials may be splashed, sprayed, spattered, or otherwise generated ~contaminated disposable PPE must not be used in the care of more than 1 patient ~PPE must be replaced as necessary to protect oneself & patients from transmission of HBV or HIV ~PPE must be discarded after tis ability to function as a barrier is compromised ~contaminated PPE must be stored to not pose undue risk of an exposure incident gloves must be worn when - ANSWER ~it can be reasonably anticipated that contact w/potentially infectious material, mucous membranes, or non intact skin may occur ~vascular access procedures are performed ~contaminated surfaces or items are touched sterile gloves must be worn for & during - ANSWER surgery requiring sterile technique what type of gloves are worn for cleaning, disinfecting, or sterilizing? - ANSWER utility gloves T/F its acceptable to use sterile non-latex gloves for surgical procedures - ANSWER true infection controls for gloves - ANSWER ~must replace gloves for every new patient ~disregard & change gloves (examination, sterile, & utility) when they become worn or punctured or after their ability to function as a barrier is otherwise compromised infection controls regarding masks, face shields, & eyewear - ANSWER ~must change your mask for each new patient ~change your mask every 3 hrs ~change mask if it becomes contaminated ~face shields, reusable masks, &/or protective eyewear must be disinfected between patients & decontaminated as necessary ~PATIENTS MUST ALWAYS WEAR PROTECTIVE EYEWEAR DURING TREATMENT T/F surfaces must be decontaminated immediately or as soon as possible after potentially infectious materials are spilled - ANSWER true contaminated linen/laundry - ANSWER ~must be handled as little as possible w/minimum agitation ~must be placed in bags that prevent leakage at the location where its used ~must not be stored or rinsed in patient care areas OSHA (Occupational Safety and Health Act) requires - ANSWER employers make hep B vaccine available to all employees who have potential contact w/ blood or OPIM (other potentially infectious materials) What employees need Hep B vaccination? - ANSWER any employee that has potential for contact with blood T/F Every dental office needs to have a written exposure plan; written policies and procedures for prompt reporting, evaluation, counsel, treatment, & follow-up to occupational exposures - ANSWER true Exposure training should include - ANSWER 1) Description of their exposure risks 2) Review of prevention strategies & infection control policies/procedures 3)Discussion regarding how to manage work related illnesses and injuries 4) Review of work restrictions for the exposure/infection Fingernails should be kept SHORT; Artificial nails carry greater ______ and are implicated in fungal and bacterial infections - ANSWER gram (-) organisms T/F chemical indicators prove that items are sterile - ANSWER false biological indicators - ANSWER SPORE TESTING assesses sterilizing equipment by killing highly resistant microbe ~best way to tell if sterilizing equipment is working properly ~MUST be performed WEEKLY if a spore test comes back (+) - ANSWER ~indicates that the sterilizer is not working properly and items are NOT sterile ~needs to be corrected and temporarily be out of service T/F autoclaving is a form of sterilization & kills all microbes - ANSWER true what testing should be available to all DHCW for those concerned that they may be infected by HIV - ANSWER serologic testing T/F OSHA aims to protect the providers/clinicians and CDC aims to protect all patients - ANSWER true single use items - ANSWER items that are only used once on one patient EXAMPLES patient napkins, surface barriers, syringe needles, plastic orthodontic brackets, and sterilization pouches sterilant - ANSWER Destroys all microorganisms including high numbers of bacterial spores high level disinfectant - ANSWER Destroys all microorganisms but not necessarily high numbers of bacterial spores intermediate level disinfectant - ANSWER Destroys vegetative bacteria, most fungi and most viruses, inactivates mycobacterium tuberculosis var. bovis (is tuberculocidal) low level disinfectant - ANSWER Destroys vegetative bacteria, some fungi and some viruses, doesn't inactivate M. Tuberculosis var. bois (isn't tuberculocidal) What is required of licensees who have the authority to prescribe opioids and other controlled substances? - ANSWER licensees must obtain at least 2 hrs of continuing education credit during each renewal period on best practices in prescribing opioids & controlled substances including nonpharmalogical & implamentable device alternatives for treatment of pain & ongoing pain management T/F A DT, DH, or LDA can administer general anesthesia, deep sedation, moderate sedation, or minimal sedation - ANSWER false general anesthesia or deep sedation educational training requirements - ANSWER 1) a didactic & clinical program at a board accredited dental school, hospital, or graduate medical or dental program resulting in the dentist becoming clinically competent in the administration of general anesthesia (program must be equivalent to a program for advanced specialty education in oral & maxillofacial surgery) OR a 1 yr residency in general anesthesia at an institution certified by the American society of anesthesiology, the American medical association, or the joint commission on hospital accreditation resulting in the dentist becoming clinically competent in the administration of general anesthesia (residency must include a minimum of 390 hrs of didactic study, 1,040 hrs of clinical anesthesiology, & 260 cases of administration of anesthesia to an ambulatory outpatient) 2) ACLS or PALS course w/ continued certification 3) CPR certification w/continued certification what must a dentist who administers general anesthesia/deep sedation or moderate sedation be prepared & competent to do? - ANSWER diagnose, resolve, & reasonably prevent any untoward reaction or medical emergency that may develop any time after the administration. Dentist shall apply current standard of care to continuously monitor & evaluate a patients bp, pulse, respiratory function (requires the monitoring of tissue oxygenation or the use of a superior method of monitoring), & cardiac activity How should a dentist administer general anesthesia/deep sedation or moderate sedation? - ANSWER only by the application of the appropriate systems & drugs for the delivery of general anesthesia/deep sedation T/F Prior to the discharge of a patient under general anesthesia/deep sedation or moderate sedation, a dentist must assess the patient to ensure the patient is no longer at risk for cardiorespiratory depression - ANSWER true T/F A patient who was given general anesthesia/deep sedation or moderate sedation is able to take care of themselves after discharge - ANSWER false; a patient must be discharged into the care of a responsible adult moderate sedation educational training requirements - ANSWER 1) a course resulting in the dentist becoming clinically competent to administer moderate sedation & documentation from the instructor on successful completion to be submitted to the board ***must include a minimum of 60 hrs of didactic education in bother enteral & parenteral administration; personally administering & managing at least 10 individual supervised cases of parenteral moderate sedation (max of 5 cases can be performed on a patient simulated manikin) 2) ACLS or PALS course w/continued certification 3) CPR certification w/continued certification What is required of dentists, DT, DH, & LDA to administer nitrous oxide inhalation analgesia? - ANSWER ~CPR certification & continued certification ~must only use fail-safe anesthesia equipment capable of (+) pressure respiration ~satisfactory completion of a course on the administration of nitrous oxide inhalation analgesia from a board accredited institution & submit original documentation to the board ***must be a minimum of 12 hrs of didactic instruction; personally administering & managing at least 3 individual supervised cases of analgesia; supervised clinical experience using fail safe anesthesia equipment capable of (+) pressure respiration What is required of DT, DH, & LDA to administer nitrous oxide inhalation analgesia - ANSWER ~must be under the appropriate level of supervision by a dentist who is currently licensed & can administer nitrous oxide inhalation analgesia Does a dentist who is administrating general anesthesia/deep sedation, moderate sedation, or nitrous oxide inhalation analgesia need to inform the board? - ANSWER yes Can DH & LDA graduates prior to Sept. 2, 2004 administer nitrous oxide inhalation analgesia? - ANSWER yes but they must inform the board & provide the board w/ the name, address, & phone number of the accredited dental school/program in which they graduated; current CPR certification w/continued certification Can DT graduates prior to Aug. 1, 2013 administer nitrous oxide inhalation analgesia? - ANSWER yes but they must inform the board & provide the board w/ the name, address, & phone number of the accredited dental school/program in which they graduated; current CPR certification w/continued certification who can administer analgesia - ANSWER a dentist who is currently licensed to practice dentistry in MN who can administer minimal sedation - ANSWER a dentist who is currently licensed to practice dentistry in MN When must a dentist, DT, DH, or LDA report to the board of any incident that arises from the administration of nitrous oxide inhalation analgesia, general sedation/deep sedation, moderate sedation, local anesthesia, analgesia, or minimal sedation? - ANSWER ~a serious or unusual outcome that produces a temporary or permanent physiological injury, harm, or other detrimental effect to 1 or more of a patients body systems ~minimal sedation unintentionally becoming moderate sedation or deep sedation/general anesthesia when the licensee doesn't have a certificate for administering general anesthesia or moderate sedation how long does a dentist, DT, DH, or LDA have to report to the board of any incident that arises from the administration of nitrous oxide inhalation analgesia, general sedation/deep sedation, moderate sedation, local anesthesia, analgesia, or minimal sedation? - ANSWER with/in 10 business days of the incident T/F a dentist can not administer general anesthesia/deep sedation or moderate sedation unless the dentist possess a general anesthesia or moderate sedation certificate from the board - ANSWER true general anesthesia certificate from the board - ANSWER authorizes a dentists to administer general anesthesia/deep sedation, moderate sedation, or to provide dental services to patients under general anesthesia/deep sedation or moderate sedation when a dentist employs or contracts another licensed health care professional w/ the qualified training & legal qualification to administer moderate sedation moderate sedation certificate from the board - ANSWER authorizes a dentists to administer moderate sedation, or to provide dental services to patients under moderate sedation when a dentist employs or contracts another licensed health care professional w/ the qualified training & legal qualification to administer moderate sedation Application requirements for an initial general anesthesia or moderate sedation certificate - ANSWER ~application & fee ~info on office facilities ~support staff training ~emergency protocols ~monitoring equipment ~record keeping procedures T/F a dentist is not required to possess an additional certificate for deep or moderate sedation if they have a valid certificate for general anesthesi - ANSWER true T/F a dentist does not need to undergo an inspection as part of the general anesthesia or moderate sedation certificate application - ANSWER false T/F a dentist can administer general anesthesia, deep sedation, or moderate sedation after their certificate expires - ANSWER false How long does a dentist have to renew their general anesthesia or moderate sedation certificate before it's terminated by the board - ANSWER 60 days T/F a certificate issued by the board must be conspicuously displayed in plain site of patients in every office in which the dentist administers general anesthesia, deep sedation, or moderate sedation - ANSWER true T/F a dentist shall not provide dental services to a patient who is under general anesthesia, deep sedation, or moderate at any location other than a hospital unless the dentist possesses the applicable contracted sedation provider certificate issued by the board - ANSWER true specialty areas in dentistry include - ANSWER 1) dental public health 2) endodontics (endodontist) 3) oral & maxillofacial pathology (oral pathologist) 4) oral & maxillofacial radiology (oral radiologist) 5) oral & maxillofacial surgery (oral surgeon/oral maxillofacial surgeon) 6) orthodontics & dent-facial orthopedics (orthodontist) 7) pediatric dentistry (pediatric dentist/pedodontist) 8) periodontics (periodontist) 9) prosthodontics (prosthodontist) T/F in order for a licensed dentist to advertise a speciality area, they must have completed an accredited postdoctoral course of study in the specialty area in which they advertise - ANSWER true unlicensed dental assistant duties (all) - ANSWER ~perform all duties not directly related w/performing dental treatment or services on patients ~retract during a dental operation ~assist w/placement or removal of a rubber dam & accessories as directed by an operating dentist ~remove debris by the use of vacuum devices, compressed air, mouthwash, & water that's normally accumulated during the course of treatment rendered by the licensed dentist ~provide any assistance including the placement of articles & topical medication in a patients oral cavort in response to a specific direction bu a licensed dentist who is able to provide PERSONAL supervision ~aid LDA & DH in their duties ~apply fluoride varnish in a community setting under the authorization & direction of a licensed practitioner as long as the community setting maintains appropriate patient records of treatment LDA delegated duties (all) - ANSWER GENERAL SUPERVISION ~cut arch wires on ortho appliances ~remove loose bands on ortho appliances ~remove loose brackets on ortho appliances ~recement intact temporary restorations ~place temporary fillings (NOT including inlays, inlays, crowns, or bridges) ~take radiographs ~take impressions & bite registrations ~deliver vacuum formed ortho retainers ~place & remove elastic ortho separators ~complete preliminary charting of the oral cavity & surrounding structures NOT periodontal probing & assessment of periodontal structures ~take extraoral & intraoral photos ~take vital signs as directed by a dentist ~obtain informed consent ~remove & place ligature ties & remove & replace existing arch wires on ortho appliances ~Apply topical fluoride, including foam, gel, or varnish INDIRECT SUPERVISION ~apply topical medications including bleaching agents & cavity varnishes ~place & remove rubber dam ~remove excess cement from inlays, crowns, bridges, & ortho appliances w HAND INSTRUMENTS ONLY ~perform mechanical polishing to clinical crowns NOT INCLUDING INSTRUMENTATION (removal of calculus by instrumentation must be done by a dentist or DH prior to polishing) ~preselect ortho bands ~place & remove periodontal dressings ~remove sutures ~monitor a patient who has been induced by a dentist into nitrous oxide inhalation analgesia ~place initial arch wires on ortho appliances ~dry root canals w/paper points ~place cotton pellets & temporary restorative materials into endodontic access openings ~etch appropriate enamel surfaces; apply & adjust pit & fissure sealants (must have completed a course on pit & fissure sealants from an accredited school) ~restorative procedures if completed a board approved course on specific procedure includes: -place, contour, & adjust amalgam restorations -place, contour, & adjust glass ionomer -adapt & c limited license dental assistant permit delegated duty - ANSWER can take dental radiographs under general supervision if completed a board approved course & passing exam in radiographs DH delegated duties (all) - ANSWER ****for a DH to perform ortho duties, must either have graduated a DH program prior to Sept. 1, 2019 or if graduated after Sept. 1, 2019 DH program must also have included training in Ortho procedures & received a Ortho procedure certificate from school or successfully completed a board approved course in ortho procedures & received certificate from course sponsor! GENERAL SUPERVISION ~complete preliminary charting of the oral cavity & surrounding structures including case histories, initial & periodic exams & assessments to determine periodontal status; creation of a DH treatment plan in coordination w/dentists treatment plan ~take extraoral & intraoral photos ~take vital signs as directed by a dentist ~obtain informed consent ~make referrals to dentists, physicians, & other practitioners in consultation w/ the dentist ~complete debridement, prophylaxis, & nonsurgical periodontal therapy ~etch appropriate enamel surfaces; apply & adjust pit & fissure sealants ~administer local anesthesia (must have completed a didactic & clinical program sponsored by an accredited dental or DH school & results in the DH becoming clinically competent) ~administer nitrous oxide inhalation analgesia ~take radiographs ~apply topical medications including topical fluoride, bleaching agents, cavity varnishes, & desensitizing agents ~place sub gingival medicaments ~fabrication & delivery of custom fitted trays ~nutritional counseling ~salivary analysis ~remove marginal overhangs ~remove sutures ~place & remove periodontal dressings ~place & remove isolation devices or materials for restorative purposes ~polish restorations ~remove excess cement from inlays, onlays, crowns, bridges, or ortho appliances ~fabrication, placement, replacement, cementation, & adjustment of temporary crowns or restorations ~remove temporary crowns or restorations T/F for a DH to perform ortho duties, must either have graduated a DH program prior to Sept. 1, 2019 or if graduated after Sept. 1, 2019 DH program must also have included training in Ortho procedures & received a Ortho procedure certificate from school or successfully completed a board approved course in ortho procedures & received certificate from course sponsor! - ANSWER true cut arch wires on ortho appliances - ANSWER LDA-general DH-general T/F it would be acceptable for an LDA to place temporary fillings to provide palliative treatment under general supervision - ANSWER true T/F it would be acceptable for a hygienist to administer nitrous oxide under indirect supervision - ANSWER true; a DH can do this under general supervision T/F it would be acceptable for an LDA to scale supragingivally under direct supervision - ANSWER false; an LDA can not perform anything supragingivally & scaling must be done by a dentist or DH T/F it would be acceptable for an LDA to remove excess bonding material on an Ortho appliance under indirect supervision - ANSWER remove loose bands on ortho appliances - ANSWER LDA-general DH-general remove loose brackets on ortho appliances - ANSWER LDA-general DH-general take radiographs - ANSWER LDA-general DH-general DT-general ADT-general take impressions & bite registrations - ANSWER LDA-general DH-general deliver vacuum formed ortho retainers - ANSWER LDA-general DH-general place & remove elastic ortho separators - ANSWER LDA-general DH-general DT-general Complete preliminary charting of oral cavity and surrounding structures w/ exception of perio probing and assessment of the perio structure - ANSWER LDA-general preliminary charting of the oral cavity & surrounding structure - ANSWER LDA-general (CANNOT PROBE OR ASSESS PERIODONTAL STRUCTURE) DH-general DT-general ADT-general take extraoral & intraoral photos - ANSWER LDA-general DH-general take vital signs as directed by dentist - ANSWER LDA-general DH-general obtain informed consent - ANSWER LDA-general DH-general Remove and replace ligature ties and arch wires on orthodontic appliances - ANSWER LDA-general DH-general Apply topical fluoride including foam, gel, or varnish - ANSWER LDA-general DH-general DT-general ADT-general apply topical medications including bleaching agents & cavity varnishes as prescribed by the dentist - ANSWER LDA-indirect DH-general DT-general ADT-general place & remove rubber dam - ANSWER LDA-indirect DH-general remove excess cement from inlays, crowns, bridges, & north appliances w/ HAND INSTRUMENTS ONLY - ANSWER LDA-indirect DH-general perform mechanical polishing to clinical crowns NOT including instrumentation - ANSWER LDA-indirect DH-general perform mechanical polishing including instrumentation - ANSWER DT-general ADT-general preselect ortho bands - ANSWER LDA-indirect DH-general place and remove periodontal dressings - ANSWER LDA-indirect DT-general DH-indirect ADT-general remove sutures - ANSWER LDA-indirect DT-indirect DH-general ADT-general place initial arch wires on ortho appliances - ANSWER LDA-indirect DH-indirect etch appropriate enamel surfaces - ANSWER LDA-indirect DH-general DT-general ADT-general apply pit & fissure sealants - ANSWER LDA-indirect DH-general DT-general ADT-general adjust pit & fissure sealants - ANSWER LDA-indirect DH-general DT-general ADT-general restorative procedures if completed a board approved course on specific procedure includes: - ANSWER -place, contour, & adjust amalgam restorations -place, contour, & adjust glass ionomer -adapt & cement stainless steel crowns -place, contour, & adjust class I, II, & V supragingival composite restorations on primary & permanent teeth LDA-indirect DH-indirect maintain & remove intravenous lines (must have completed a board approved course comprised of intravenous access & general anesthesia & moderate sedation training)