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88 Cards in this Set
- Front
- Back
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Who is exempt from following CH. 466? |
1. MD/surgeons 2. qualified anesthetist 3. dentist in the armed forces 4. out of state/country licensed dentists at mtgs of dental organizations 5. dental/DH students 6. dental (DDS/DMD) instructors |
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Direct supervision |
a dentist: 1. examines the pt 2. Dx a condition to be tx 3. authorizes the procedure 4. remains on premises while performed 5. approves the work before dismissing pt |
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Indirect supervision |
a dentist: 1. examines the pt 2. dx a condition to be tx 3. authorizes the procedure 4. on premises while it's performed |
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General supervision |
a dentist: 1. examines the pt 2. Dx a condition to be tx 3. authorizes the procedure ** does NOT have to be present while it's performed, nor does it have to be performed at the dentist's office** |
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Irremediable tasks |
- intraoral tx that is irreversible & creates unalterable changes w/in the oral cavity; or cause an INC risk to the pt - Ex: administering anesthesia (except topical) |
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Remediable tasks |
- intraoral tx that are reversible & don't create irreversible changes in the mouth; do not cause an INC risk to the pt |
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The Board of Dentistry consists of how many members & what type? |
11 members total (appointed by Gov.): - 7 dentists (practicing at least 5 yrs) - 2 DHs - 2 laypersons who have nothing to do w/ dentistry * at least 1 member must be > 60 yo |
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How long is a term when serving on the B of D? |
4 yrs |
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What is the max # of yrs you can serve on the B of D? |
10 yrs |
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How long is an expert witness certificate good for? What can you do w/ it? |
- 2 yrs - a. provide written medical expert opinion - b. provide expert testimony (on present std of care) - does NOT authorize you to practice dentistry |
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What constitutes "full-time practice"? |
1200 hrs per yr |
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What is a health access dental license? |
A license granted to an out-of-state dentist in order to practice in underserved health access settings |
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How many hrs of CE credits are dentists responsible for?
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30 hrs every biennium (in dental subjects) |
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How many hrs of CE credits are DH responsible for?
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min 24 hrs, max 36 hrs every biennium |
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Where do you keep a license in your dental office? |
Conspicuously displayed in plain sight of the practitioner's patients |
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Can a DH give local anesthesia? |
- yes, if: - under direct supervision - non sedated pt - pt is >18 yo. - certified (30 hrs didactic training, 30 hrs clinical) |
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What is a dentist of record? |
- primarily responsible for all dental tx on that pt - IDed in the pt record - if not IDed in the pt record, presumed to be the owner-dentist - if >1 dentist, it's the 1 who places the final restoration, etc |
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What is a new dentist of record required to do?
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- take/rvw med hx & dental records - examine the pt - develop a new tx plan or continue the old one |
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How long do you have to maintain a pt's records? |
- 4 yrs from the date of the pt's last appt |
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Rvw advertising by dentists: |
- no false / fraudulent / misleading / deceptive statements or claims - no laudatory statements about yourself - cannot create false expectations - cannot appeal to fears - cannot contain fee info w/o a disclaimer that it's a min. fee only - ETC |
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What does a lab Rx need to include? |
- dated & signed by dentist w/ license # - pt's name / # - specification of materials --- - copy kept by dentist for 4 yrs, original kept by lab for 4 yrs (if not, 2nd degree misdemeanor) |
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Scope & area of practice of DH: |
- removing calculus, accretions, stains from exposed surfaces of teeth & gingival sulcus - root planing & curettage - x-rays - apply topical preventive/prophy agents |
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What can a DH do w/o any supervision: |
- provide educational programs, faculty/staff training programs - F rinse programs - apply topical F & sealants - provide OHI for a pt / supervise OH of a pt - dental charting - record BP, PR,RR, temp, & case Hx - remove calculus / stains (but need med clearance) - must NOT involve Dx or Tx of dental conditions |
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T / F. Medical clearance by a physician or dentist is required before a perio probe may be used on a person who receives a dental charting. |
True. |
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A DH cannot perform another prophy after __ months has elapsed if the pt has not had a clinical exam with a dentist. |
13 months |
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Examples of 3rd degree felony: |
- practicing w/o a license (suspended / revoked) - giving false info / evidence to the board - etc |
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Examples of 1st degree misdemeanors: |
- using DMD/DDS if you don't have a license (same for RDH) - presenting someone else's license as your own - etc |
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"Dental lab" excludes: |
- any dental lab tech who works in the office of a licensed dentist for that dentist only & under their supervision |
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- What does dental lab registration entail?
- How many CE credits are required? |
- applying for a registration certificate every 2 yrs (if you don't register -> 2nd degree misdemeanor) - 18 hrs of CEs every biennium (owner or an employee) |
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Are dental labs allowed to advertise? |
- NO, not to the general public |
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If you advertise a certain fee, what are required to do? |
- it has to have a disclaimer that it is a minimum fee only
- state a specified period during which it's effective *OR* - after the final ad airs the fee remains for 90 d. - you must describe the service being offered |
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How can a DA get certified to take x-rays? |
- apply for certification - 3 mos on-the-job training under direct supervision - complete a board-approved course |
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When can you reactivate an inactive license? |
- at any time - pay reactivation fee - must keep up w/ CEs - if inactive for > 2 consecutive biennial cycles / not practice for 2 of 4 previous yrs in another jurisdiction -> must appear before the board to est. ability to practice |
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How do you reactivate a retired status license? |
- at any time - pay the reactivation fee - keep up w/ CEs - if retired > 5 yrs -> appear before Credentials Committee |
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What CE courses are required and when for licensed dentists? |
- 2 hrs on DV every 3rd biennial (6 yrs) - CPR every 2 yrs - HIV/AIDS course by 1st renewal - 2 hrs on prevention of medical errors |
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What CE courses are required for licensed DH? |
- 2 hrs on DV every 3rd biennial (6 yrs) - CPR - HIV/AIDS course |
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If you participate in exam standardization exercises, how many CE credits can you get? |
- 6 per biennium for DH exercises (both D & DHs) - 8 per biennium for dental clinical exercise (for dentists) - 11 max for doing both as a dentist |
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If you participate in substantial pro bono service to the indigent / underserved pop's, how many CE credits can you get? |
- 7 CEs per biennium - amt calculated by Board based on time worked |
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If you serve as an expert witness, how many CE credits can you get? |
- max 11 CE hrs for completing 5 disciplinary cases each biennium - max 4 CE hrs for completing 2 disciplinary cases - max 11 per biennium |
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If you serving as adjunct, part-time faculty (at a D/DH school), how many CE credits can you get? |
- 3 CEs per semester/quarter |
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How many CEs can you get for attending a meeting of the Board of Dentistry where disciplinary cases are considered? |
- up to 4 CEs per biennium |
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If you participate as an anesthesia inspection consultant, how many CE credits can you get? |
- 2 CEs per biennium |
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How long do you have to keep records of completing your CEs? |
4 years |
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Who is not responsible for CE credits? |
- if you're enrolled FT in post-grad specialty training / residency program - FT faculty member at D/DH/DA school |
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If you are an approved provider of CE courses, how many max hrs can you teach?
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- no more than 12 hrs (unless it's CPR to staff / employees) every biennium |
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You can get self-study CEs via: |
- 1st time you present material at a professional conference/mtg (2 CEs per 50 min segment of presentation) - publishing an article/book (amt determined by Board) - presenting a lecture (at D/DH/DA school) (2 CEs p. 50 min lecture - Max 15 CE hrs per biennium |
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Who is on the probable cause panel? How long do they serve? |
- 3 members, 2 must be active dentists - 1 yr terms |
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- What kind of violations can be taken care of w/ just a citation? - What is the penalty for a violation? |
- those that don't pose a substantial threat to the public health, safety, & welfare - 1st offense = $250 fine. - 2nd offense = $1000 fine + 4 CE hrs in ethics |
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How long do you have to give a pt their records? |
- 30 days from written authorization |
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GA |
- controlled unconsciousness - partial / complete loss of protective reflexes (inability to maintain airway) |
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Dp Sedation |
- controlled depressed consciousness - partial loss of protective reflexes (can't maintain airway) |
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CS |
- depressed level of consciousness - pt retains ability to maintain airway on their own - margin of safety wide enough so that pt doesn't lose consciousness unintentionally |
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Pediatric CS |
- depressed l.o.c. - retains ability to maintain airway - margin of safety... " " - "child" = < 18yo or person w/ special needs |
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N2O / O2 inhalation analgesia |
- altered level of consciousness - pt retains ability to maintain airway |
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LA |
- loss of sensation of pain in a specific area of the body - no loss of consciousness |
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Analgesia |
- absence of sensing pain - no l.o.c. |
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Minimal Sedation
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- (anxiolysis) - perioperative use of meds to relieve anxiety - no depressed level of consciousness - 1 enteral sedative or 1 narcotic analgesic - permit not req. |
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What drugs can be used w/ a GA permit? |
- propofol - methohexital - thiopental - etomidate - ketamine |
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Who is eligible to get a GA permit? |
- completed min. 1 yr residency in dental anesthesiology *or* OMFS residency - diplomate of the Amer Board of OMFS - eligible for exam by the ABOMFS - member of the Amer Assoc of OMFS |
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How many ppl must be present when admin GA? |
- 3 ppl: operating dentist, person to monitor the pt, & assistant to the dentist |
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CS certification req. what type of formal training / certification? (same for Pedo CS) |
- min 60 hrs didactic hrs (4 hrs airway mgt) - clinical training that includes you personally admin for > 20 pts (3 hrs dedicated to hands-on airway mgt) - pedo CS permit holders have to have graduated from a post-doc pedo residency |
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How many ppl have to be around to admin CS / pedo CS? |
- 2 ppl: dentist & auxiliary trained in basic CPR |
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N2O / O2 permit requirements: |
- 2 day course / training - CPR - ACLS / PALS |
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If a RDH has a permit to admin LA, what are the stipulations? |
- pt must be > 18yo - under direct supervision - pt must not be sedated |
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If you hold an active sedation permit, what CEs must you take? |
- 4 hrs in airway mgt (2 hrs didactic in compromised airways, 2 hrs hands on) - 4 hrs in medical emergencies - every 4 yrs from the last time you took the course |
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What is an "adverse occurrence"? |
- any mortality as a result of a dental procedure *or* - an incident that results in the temp or perm physical or mental injury that req. hospitalization or ER tx that occurred as a result of any type of sedation |
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How long do you have to report an adverse occurrence? |
- 48 hrs by registered mail to the Board - 30 days for complete written report |
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DH under direction supervision can perform: |
- gingival curettage |
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DH under indirect supervision can perform: |
- root planing - removal of excess cement / bond A w/ slow spd |
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DH under general supervision can: |
- remove calculus deposits, accretions, stains from exposed surfaces of teeth & in gingival sulcus (prophy!) - take x-rays |
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DH can perform these w/ NO supervision: |
- educational programs - F rinse programs - apply F varnish - give OHI - as long as Dx/Tx doesn't happen |
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If there's an emerg & the dentist isn't there (but will be w/in 3 d), DH/DAs can do the following: |
1. remove / re-cement loose bands 2. secure an archwire 3. insert / remove dressings from alveolar sockets 4. place / remove perio dressings 5. cement temp crowns 6. place temp medicinal restorative material |
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If a licensee changes their address, when do they have to notify the Board? |
- w/in 10d in writing |
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What must a pt's written record contain at minimum? |
- Med Hx - results of clinical exam / tests conducted (oral path) - x-rays - tx plan proposed - tx plan rendered |
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Split-fee arrangements ___ |
(when referring clients to another health care practice) is prohibited. |
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What type of emergency care are dentists responsible for?
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- to provide either personally, thru another dentist, or thru an agreement w/ another agency: reasonable 24hr emerge services for all puts under their continuing care |
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What is the min. malpractice insurance a dentist must possess? |
- $100,000 per claim w/ a min, annual aggregate of $300,000 - must cover liability of any DH supervised by the dentist |
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What's up w/ "Sargenti Material"? |
- was used as an endo filling material / cement - contains paraformaldehyde, which can cause severe & irreversible damage to pts - does NOT meet min. stds of performance - DO NOT USE IT |
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- Removal of amalgam fillings for the purpose of curing / preventing systemic illness __ - If you do it, you must inform your pt of: |
- constitutes alternative / complementary health care - benefits/risks of tx, dentist's education about it, make a note of how these reqs were met |
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What piece of equip is every dental office req to have? |
- AED (automatic external defibrillator) |
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What are the 5 acceptable methods a dental office can use to sterilize instruments? |
1. Steam under pressure (autoclave) 2. Dry heat 3. Chemical vapor 4. Ethylene oxide 5. Disinfectant/sterilant |
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How long must a heat sensitive instrument sit in a liquid chemical agent in order to sterilize/disinfect it? |
- up to 10 hrs |
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How often to autoclaves & chemical vapor sterilization need to be verified? |
- every 40 hrs (2400 min) or 30d (whichever comes 1st) |
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How often do you have to check the efficacy of dry heat and ethylene sterilization? |
- every 120 hrs or 30d (whichever comes 1st) |
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Can you practice w/ Hep B? |
YES. There are just lots of rules to follow: - notify the board in writing w/in 14d - take 6 hrs of class w/ a written exam - office is randomly monitored 1x/yr - must notify the Board if barrier technique is broken w/in 24hr (notify pt immed) |
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Are extracted teeth biohazardous? |
- Yes. - but they can be disinfected & no longer considered thus by: 1st scrub w/ detergent & water or put in ultrasonic, then store teeth in bleach w/ water (1:10) |
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How do you discard extracted teeth & tissue fragments? |
- as biohazards waste *or* - as a sharp |
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How must contaminated items be shipped to a lab?
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- sealed in an impervious container & labeled "tx as infectious material" |
