DENTAL LAW EXAM QUESTIONS WITH CORRECT ANSWERS GRADED TO PASS

irremediable task define when can it be delegated - irreversible when allowed by law remediable task * define synonym - reversible expanded duties or functions what is emergency remediable * define requirements - When the dentist is unable to prexamine the pt must be a patient of record dentist must see the pt w/in 3 days ot tx auxillary must have current CPR certificate and AED training Direct supervision * what is it? - the dentist must: examine the pt Dx conditions authorize procedures be on premise approve work prior to pt leaving Indirect supervision What is it? - The dentist must: examine the pt Dx conditions authorize procedures On premise BUT DOES NOT HAVE TO APPROVE WORK UPON COMPLETION General supervision What is it? - The dentist must: examine the pt Dx conditions authorize procedures BUT DOES NOT HAVE TO BE ON PREMISE NOR APPROVE WORK UPON COMPLETION By virtue of licensure - Remediable tasks the dental hygienist is authorized to perform without additional training On the job training define - Remediable tasks the auxillary is allowed to perform after receiving training in pre-liscensure education or on the job training in said procedures Applying sealants Necessary training and supervision DA and RDH - DA: Formal and Indirect RDH: Formal and Gen Fabricating Temps w/ no occlusal adjustment to temp or dent. Necessary training and supervision DA and RDH - DA: Formal and Direct RHD: Formal and Direct Monitoring, adjusting and turning off NO ( NOT INDUCING ADMINISTRATION) Necessary training and supervision DA and RDH - DA: Formal and Direct RDH: Formal and IND ONLY THE DOCTOR CAN INDUCE Packing and removing cord w/out vasoactive chemicals Necessary training and supervision DA and RDH - DA: Formal and Direct RDH: Formal and Direct W/ vasoactive chem --> dentist must do??? Selecting or pre-sizing ortho bands and archwires Necessary training and supervision DA and RDH - DA: Formal and direct RDH: Direct and Formal The dentists must make all final adjustments to bands True to flase - TRUE Selecting prescribed extra-oral appliances by pre-selection or pre-measure (NOT INCLUDING FINAL ADJUSTMENTS) Necessary training and supervision DA and RDH - DA: F and D RHD: F and D Securing or unsecuring an archwire by attaching or removing fastening devices Necessary training and supervision DA and RDH - DA: F and IND RHD: F and IND and ET Removing or recementing properly contoured and fitting loose bands that are not permanently attached to any appliance Necessary training and supervision DA and RDH **** - DA: F and D RDH: F and D and ET Placing or removing prescribed pre-tx separators Necessary training and supervision DA and RDH - DA: F and IND RDH: F and Gen Taking impressions for study cast fabrication of ortho retainers Necessary training and supervision DA and RDH - DA: F and D RDH: F and D Placing subG, resorbable, CHX, doxyclcine hyclate, and monocycline hydrochloride Necessary training and supervision DA and RDH - DA: NO! RDH: F and IND Removing excess cement from ortho appliances Necessary training and supervision DA and RDH - DA: OJT and IND RDH: BVL and IND Removing excess cement from ortho appliances Type of instruments that can be used by DA vs RDH - DA: Non-mechanical hand instruments RDH: slow speed rotary instruments, hand instruments, ultrasonics Preparing tooth surfaces for ortho appliance by conditioning or placing sealant materials (NOT BRACKETS) Necessary training and supervision DA and RDH *** - DA: F AND D RDH: F AND D Making impressions for study models not for fabrication of IO appliances, restorations, or ortho appliacnes and making impressions to be used for creating opposing models or fabircation of bleaching and surgical stents to be used for palatal coverage Necessary training and supervision DA and RDH - DA: F and IND RDH: F and IND Taking impressions for at home bleaching trays and delivery of them Necessary training and supervision DA and RDH - DA: F and D RDH: F and IND Removing sutures Necessary training and supervision DA and RDH - DA: F and IND RDH: F and Gen Placing or removing temps w/ NON MECHANICAL INSTRUMENTS ONLY Necessary training and supervision DA and RDH - DA: F and D RDH: OJT/GEN/ET Polishing dental restorations on teeth without the purpose of changing existing contour of teeth. Necessary training and supervision DA and RDH - DA: F and D RDH: F and GEN Appropriate agents to polish dental restorations for DA and RDH - Burnishers, slow speed, rubber cups and bristle brushes NOT FLAME BURS Marginating restorations without changing existing contour of teeth Necessary training and supervision DA and RDH - DA: NO! RDH: F and IND Marginating restorations without changing existing contour of teeth Appropriate agents - Finishing burs slow speed burlew wheels green stones NOT FLAME BURS BABY!!! Polishing clinical crowns w/out changing existing contour Necessary training and supervision DA and RDH - DA: F and D RDH: F and Gen DA can use air abrasive polishers to polish crowns true or false - FALSE!!! Removing excess cement on dental restorations or appliances - DA: F and D RDH: F and GEN Remove excess cement DA can use: RDH can use: - DA = non-mechanical hand instruments RDH = non-mechanical hand instruments or ultrasonics Cementing temporary FPD w/ Temp cement Necessary training and supervision DA and RDH - DA: F and D RDH: F and IND ad ET Using appropriate implements for preliminary charting of Existing restorations Missing teeth Visual assessment of existing oral condition Necessary training and supervision DA and RDH **** - DA: F and D RDH: F and GEN Gingival curettage Necessary training and supervision DA and RDH - DA: NO! RDH: BVL and D Inserting or removing dressings from alveolar sockets in post-op osteitis when patient is UNCOMFORTABLE due to loss of dressing Necessary training and supervision DA and RDH - DA: F and D RDH: F and D and ET Placing or removing rubber dams Necessary training and supervision DA and RDH - DA: F and IND RDH: F and IND Placing or removing matrices Necessary training and supervision DA and RDH - DA: F and IND RDH: F and IND Placing cavity lines, varnishes or bases Necessary training and supervision DA and RDH - DA: F and IND RDH: F and IND Placing and removing periodontal dressings Necessary training and supervision DA and RDH - DA: F and IND RDH: F and GEN and ET Applying topical fluorides and varnishes which must be approved by the ADA or FDA Necessary training and supervision DA and RDH - DA: F and IND RDH: F and GEN Positioning and exposing radiographs Necessary training and supervision DA and RDH - DA: F and IND RDH: BVL and GEN Root planning Necessary training and supervision DA and RDH - DA: NO RDH: BVL and IND Fabricating temp crowns in lab Necessary training and supervision DA and RDH - DA: OJT and GEN RDH: OJT and GEN Applying topical anesthetic and anti-lannin AGENTS NO APPLIED BY AEROSOL OR JET SPRAY - DA: OJT and DIR RDH: OJT AND GEN Taking and recording BP, pulse, respiration, case history, and oral temp Necessary training and supervision DA and RDH **** - DA: OJT and IND RDH: OJT and GEN Rertracting lips, cheeks and tongue Necessary training and supervision DA and RDH - DA: OJT and IND RDH: OJT and GEN Irrigation and evacuation of debris not including endodontic irrigation Necessary training and supervision DA and RDH - DA: OJT and IND RDH: OJT and GEN Placing and removing cotton rolls Necessary training and supervision DA and RDH - DA: OJT and IND RDH: OJT and GEN Obtaining bacteriological cytological specimens not involving cutting of tissue to be examined under a microscope for education purposes DOES NOT INVOLVING CUTTING OF TISSUE Necessary training and supervision DA and RDH - DA: NO! RDH: OJT AND GEN Provide educational programs, staff/faculty programs, other educational services which do not involve diagnosis or treatment of dental conditions Necessary training and supervision DA and RDH *** - DA: OJT and GEN RDH: BVL and NO SUPERVISION Removing calculus deposits, accretions, stains from exposed surfaces of teeth or tooth surface w/in gingival sulcus Necessary training and supervision DA and RDH - DA: NO RDH: BVL and GEN OHI Necessary training and supervision DA and RDH - DA: OJT and GEN RDH: BVL and no supervision Changing of bleach pellets in internal bleaching process of non-vital, endodontically treated teeth, after placement of rubber dam w/out making initial access preparations Necessary training and supervision DA and RDH - DA: OJT and D RDH: OJT and D Making impressions for study casts which are being made for the purpose of fabricating ortho retainers Necessary training and supervision DA and RDH - DA: F and D Taking impressions for passive appliance, occlusal guards, space maintainers and protective mouth guards Necessary training and supervision DA and RDH - DA: F and D RDH: F and IND Emergency remediable tasks Only permitted if: 1) 2) 3) **** - 1) Dentist of record is unable to be physically present to pre-examine the patient and if the patient is a patient of record 2) patient will be seen in 3 days by the dentist 3) the auxillary holds CPR certification. 64B5-16.008 Emergency Remediable Tasks. In an emergency in which a dentist of record is unable to be physically present to pre-examine the patient, and the patient will be seen by a dentist within 3 days, the following remediable tasks may be performed by both dental assistants and dental hygienists who hold current CPR certification from the American Red Cross, the American Heart Association or an equivalent CPR training agency and who are trained pursuant to Rule 64B5-16.002, F.A.C., without pre-examination by a dentist: - (1) Removing and re-cementing properly contoured and fitting loose bands that are not permanently attached to any appliance; (2) Securing or unsecuring an archwire by attaching or removing the fastening device; (3) Inserting or removing dressings from alveolar sockets in post-operative osteitis when the patient is UNCOMFORTABLE due to the loss of a dressing from an alveolar socket in diagnosed cases of post-operative osteitis; (4) Placing or removing periodontal dressings when the patient is UNCOMFORTABLE due to the loss of a periodontal pack during the prescribed period of treatment; (5) Cementing temporary crowns or bridges using temporary cement when the patient is UNCOMFORTABLE due to the loss of a temporary crown or bridge; and (6) Placing temporary medicinal restorative material when the patient is UNCOMFORTABLE due to the loss of a temporary medicinal restoration MNEMONIC FOR EMERGENCY REMEDIABLE TASK TOPDA - TEMPS ORTHO PLACING REST DRESSING ALVEOLAR TRUE TO FALSE Dentist are responsible to provide reasonable 24 hr emergency care for all patients by him/herself or another dentist - TRUE GENERAL TRENDS - assistants usually have a supervision level on higher than the hygienists most of the hygienists indirect supervision tasks have to do w/ restorative other than bleaching trays, sealants and placement of subG CHX 466.017 : Admin of local anesthetic Florida licensed dental hygienist certified by the board and having received a certificate from the Florida Department of Health can administer local what type of supervision is needed pt must be how old what types of local injections - Direct 18 or older IO blocks and local infiltrations Statute 466.017 A dental hygienist under the direct supervision of a dentist may administer local, including IO blocks and/or local infiltrations, to a NON-SEDATED PATIENT WHO IS 18 OR OLDER, if the following criteria are met: 1) 2) 3) - 1) successful completion local anesthesia course accredited by the CDCA of the ADA or approved by the Board. The course must be a min of 30 hours of clinical experience and instruction in = pain control, selection of control, anatomy, neurophys, pharm, systemic complications, techniques, infection control, med emx) 2) evidence of current BLS or ACLS 3) possess valid certificate (paid fee and board cert., does not have to renew, must be displayed in area where anesthesia is delivered) 64B5-16.0075 Dental Charting by Hygienist Abilities and restrictions - RDH may perform w/out supervision and w/in law, dental charting of hard and soft tissues in public and private ed insitutions of state and Fed Gov, nursing homes, assisted living facilities, community health centers, county healthy department, mobile dental or health units and epidemiological surveys for public health Also as a volunteer basis at health fairs Formal and Direct Tasks for DA and RDH 1-8 - 1) fab temp IO 2) Pack cord(no vaso) 3) inserting/removing dressings for uncomfortable sockets 4) Ortho: selecting and pre-sizing ortho bands and archwires 5) selecting prescribed EO appliances 6) preparing tooth surfaces w/ conditioning agents for ortho appliances 7) Taking impressions for fabrication of ortho retainers 8) bands/remove/recementing Forma and Direct Tasks for assistants only 1-8 - 1) Placing and removing temps w/ non-mechanical instruments 2) Remove temp cement w/ non-mehcanical instruments 3) Cementing temps w/ temporary cement 4) Impressions for passive appliances such as bite gaurds, nite gaurds, and space maintainers 5) Impressions for at home bleaching tray and delivery of them 6) polishing restorations