Dental Hygiene and Dental Assistant Regulations in Minnesota, Exams of Dentistry

Download Dental Hygiene and Dental Assistant Regulations in Minnesota and more Exams Dentistry in PDF only on Docsity! MN Dental Jurisprudence Exam questions and answers 2024 *general supervision - >>>>The dentist has prior knowledge and has given consent for the procedures being performed during which the dentist is not required to be present in the dental office or on the premises. *indirect - >>>>The dentist is in the office, authorizes the procedures, and remains in the office while the procedures are being performed by the allied dental personnel. direct - >>>>The dentist is in the dental office, personally diagnoses the condition to be treated, personally authorizes the procedure, and before dismissal of the patient, evaluates the performance of the allied dental personnel. personal - >>>>The dentist is personally operating on a patient and authorizes the allied dental personnel to aid in treatment by concurrently performing supportive procedures. DH, DT or DA must do these before administering nitrous - >>>>take a course with a minimum of *12 hours* total comprised of didactic instruction, personally administering and managing at least *3* individual supervised cases who can place sealants after completing a course by a school accredited by the commission on dental accreditation? - >>>>DH, DT, DA *WHO can give local anesthesia after completing a course on local anesthesia from a school accredited by the Commission on Dental Accreditation - >>>>DH and DT (not DA) *Dental hygienists and licensed dental assistants shall not take impressions and bite registrations for _____________ of fixed and removable prostheses. - >>>>Final construction *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. - >>>>rotary instruments *Scope of Practice* - >>>>--- DH and DA with restorative functions can place, contour, and adjust amalgam, glass ionomers, and stainless steel crowns on class _______ (supragingival) - >>>>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 - >>>>DH - general LDA - indirect *Administer LA - >>>>DH - general *monitor a patient on nitrous - >>>>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. - >>>>True *Utilizing rotary instruments for the removal of bond material from teeth - >>>>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 - >>>>DH - indirect *etch enamel surfaces; apply and adjust sealants - >>>>DH - general LDA - indirect *monitor a patient on nitrous oxide - >>>>DH - general LDA - indirect *mechanical polishing clinical crowns (calculus must be removed by DDS or DH before polishing) - >>>>DH - general LDA - indirect *remove excess cement from inlays, crowns, bridges, ortho appliances with HAND INSTRUMENTS - >>>>DH - general LDA - indirect apply topical fluoride and bleaching agents prescribed by DDS - >>>>DH - general LDA - indirect *can a LDA or DH place a cavity liner or endo filler - >>>>no place topical gel before injection - >>>>DH - general LDA - indirect *place and remove rubber dam - >>>>DH - general LDA - indirect *Preselect ortho bands - >>>>DH - general LDA - indirect can a LDA give local anesthesia? - >>>>No *remove and replace ligature ties and arch wires - >>>>DH - general LDA - indirect *remove sutures - >>>>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. - >>>>DH - Indirect LDA - indirect *place and remove periodontal packs - >>>>DH - General LDA - indirect *dry root canals with paper points - >>>>DH - general LDA - indirect *remove bond material with rotary instruments after removal of ortho - >>>>DH - direct LDA - direct *place and remove matrix bands - >>>>DH - direct LDA - direct fabricate, cement, and adjust temporary crowns - >>>>DH - direct LDA - direct *remove temporary RESTORATIONS with hand instruments only - >>>>DH - direct LDA - direct *etch enamel surfaces before bonding of ortho by DDS - >>>>DH - direct LDA - direct *attach prefit and preadjusted ortho appliances - >>>>DH - direct LDA - direct *remove fixed ortho brackets - >>>>DH - direct LDA - direct remove excess bond material from appliances - >>>>DH - general LDA - direct *administer N2O2 - >>>>DH - general LDA - direct T/F - ONLY a dentist can cement ortho bands and adjust ortho wires - >>>>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. - >>>>DH - personal -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. - >>>>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 - >>>>DT - indirect ADT - general LDA General Supervision (all) - >>>>-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) - >>>>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 - >>>>Help DDS with sedation if completed extra education. *Rules, regulations, and CE requirements* - >>>>____ *can a dentist accept money for making a referral (renumeration = $) to another dentist? - >>>>nope *the patient can be terminated for: - >>>>- pt failure to comply with treatment or professional advice (ex: advanced perio) - consistent tardiness or failed appts - failure to pay for services rendered - behavior mngmt issues *Can a LDA scale and clean mandibular anteriors on a pediatric patient? - >>>>NO The LDA and DDS would both be held accountable *Who could be in trouble by the Board of Dentistry if a DH/LDA practices beyond their scope of practice, even when the DDS did NOT request them to and the DH/LDA acted on their own - >>>>both the DDS and DH/LDA Ad: "Our practice specialized in cosmetic dentistry, *promising* *superior* *results* in the quest to achieve your perfect smile" What is wrong w/ the above ad? - >>>>DDS cannot say they are SUPERIOR and cannot PROMISE the results of a tx. They are creating a false/unjustified expectation. *Also, cosmetic dentistry is not recognized as a 'specialty' by the ADA* In advertising a dental office, the DDS cannot use terms such as "top" or "best". They cannot make a claim that a survey, ballot, or poll constitutes a ranking for who they are or what they do; ex) "the top 15%" or "voted best.." T/F - >>>>true 5 components of CPR training - >>>>-AED -Barrier mask or bag for ventilation -Foreign body airway obstruction -Two person rescuer -Adult, child, and infant CPR Good Samaritan Law - >>>>a person at the scene of an emergency who knows that another person is exposed to or has suffer harm shall give *reasonable assistance* to the exposed person Criminal law - >>>>law that deals with crime and the legal punishment of criminal offenses (crime against society) (One must carry a wallet copy if they float to variety of offices) - >>>>True (you cannot make copies yourself) *All DHCP must renew their license every _____ on the date when they originally got their license - >>>>2 years When is reading a professional article considered a fundamental credit and when is it an elective credit? - >>>>A professional article w/ a post test is considered *fundamental* Reading a professional article for the information is considered *elective* the board can grant a GUEST LICENSE for a DA, DDS, DH if the following conditions are met - >>>>1. must be currently licensed 2. is currently engaged in practice 3. is approved by the board 4. was established by a non profit organization that is tax exempt 5. provides dental care to patients who have difficulty accessing to care 6. must agree to treat "indigent" patients 7. has to pay a non refundable free no more than $75 8. guest license must be *renewed anually* and expires on Dec. 31 9. the care must be provided without compensation 10. board requires proof of application 11.must be subject to all state rules and regulations continuing education waiver for a dental professional who is RETIRED from active practice and has limited the provision of dental care services - >>>>-board may require written documentation that they are retired -- *proof* they are not working as a full time dental professional (maybe working a few times a month) -must complete and document at least *5 hours* of approved courses on infection control, medical emergencies, etc. -provide documentation of current *CPR certificate* what is the boards mission? - >>>>to ensure that all MN citizens receive quality dental health care from competent dental health care professionals MN Board of Dentistry has _______ members - >>>>9 total : - 5 DDS - 1 LDA - 1 DH - 2 public members who appoints the 9 members of the board? - >>>>governor what qualifications must the DH, DA, & DDS have to become part of the board? - >>>>lawfully in active practice in the state for *5 years* immediately preceding appointment into the board how long can members serve? - >>>>2 consecutive 4-year-terms (8 years total) practicing dental hygienists may provide what services? - >>>>1-provides care that is educational, preventative, and therapeutic through observation, assessment, eval, counseling, and therapeutic services to establish and maintain oral health 2-evaluates pt heath status through review of med and dental histories, assesses and plans dh care needs, performs a prophy including complete removal of calc, accretions and stains by scaling, polishing, and performs root planing and debridement 3- administers local and nitrous 4- provides other related services as permitted by rules of the board DH - >>>>A person of *GOOD MORAL CHARACTER*, who has graduated from a DH PROGRAM accredited by the *commission on Dental Accreditation* and established in an institution accredited by an agency recognized by the US department of education to offer college- level programs, may apply for licensure DH program - >>>>min of 2 academic years of dental hygiene education The services provided by a dental hygienist shall *not* include what? - >>>>final diagnosis all dental hygiene services must be provided under supervision of a licensed dentist. T or F - >>>>True a DH may be employed by a nonprofit organization to preform DH services *without* the pt first being examined by a licensed DDS if the Dental hygienist.... - >>>>- has been engaged in active practice of clinical dh for no less than *2400 hours in past 18 mo* or a career total of *3,000 hours* -has entered into a *collaborative agreement* with a licensed DDS that designates authorization for the services provided by dental hygienist -has documented participation in courses in *infection control and med emergencies* within each continuing education cycle - maintains *CPR certificate* from AHA or American red cross dental hygiene services authorized to be performed are: - >>>>1- oral health promotion 2- removal of deposit and stain from surface of teeth 3- application of topical preventive or prophy agents, including fluoride varnish and pit and fissure sealants 4- polishing and smoothing restorations 5- removal of marginal overhangs 6- performance of preliminary charting how long does the board give the applicant to challenge the accuracy or completeness of the report - >>>>180 days when temp license is suspended, the regulated person shall be provided with at least _______________ notice of any hearing held pursuant to this section - >>>>10 days if the board has not completed its investigation and final order within _________________ days the temp suspension shall be lifted unless the regulated person requests a delay in disciplinary preceedings for any reason - >>>>30 days self-reporting: when should a regulated person who is diagnosed as infected with HIV, HBV, or HCVreport the info to the commissioner - >>>>no more than 30 days after learning of the diagnosis or 30 days after becoming licensed or registered by the state *infection control reporting- a regulated person shall, within _____________, report to the appropriate board personal knowledge of a serious failure or a pattern of failure by another regulated person to comply with accepted and prevailing infection control procedures related to prevention of hiv hbv and hcv transmission - >>>>10 days how long after an infection control report does the designated office have to meet with the board - >>>>30 days of receiving report without hearing, the board may temporarily suspend the right to practice of a regulated person if they find they have refused to submit or comply with monitoring.... - >>>>infection control it is unlawful for any person to.. - >>>>-enable a unlicensed person to practice dentistry -practice without a license -not go by his or her own name (and degree) regulated person shall be provided with at least ________notice of a hearing under temp suspension infection control - >>>>20 days supervising dds requirements - >>>>-board-approved MN licensed dds for at least 5 consecutive years -license shall not be subject to, or pending, corrective or disciplinary action within the previous five years according to NN statutes - acceptable written agreement between limited licensed dds and supervising dds- may only supervise 1 for duration of agreement- written agreement shall include info acknowledgment that limited dds agrees to practice clinical dentistry at least 1,100 hours annual for a period of 3 consecutive years -no more than 2 limited licensed dds are allowed to practice gen dentistry under supervision in one facility -modifications to written agreement must be submitted in writing to board within 7 business days -supervising dds must inform the board in writing about the termination of a written agreement with a limited dds within 7 business day of termination -must inform board in writing about any known disciplinary or malpractice proceedings involving the limited dds w/I 7 business days of proceeding -submit performance eval no earlier than 90 days before completion of limited dds practice period -disciplinary actions limited license dds agrees to practice clinical dentistry for at least _________ hours annually, for a period of __________ consecutive years - >>>>1,100 3 years *applicant for dental assisting and DH requires. .. - >>>>-application -copy of diploma or certificate -submit evidence of satisfactory passing boards *state and national* boards -picture -backround check******* *DA without license can... - >>>>-perform all duties not directly related with performing dental treatment or services on patients -retract -assist with the placement or removal of rubber dam and accessories used for its placement and retention as directed by operating dds -remove debris with suction devices, air, mouthwash, water -aid dh and licensed da in their duties -apply fluoride varnish in community setting under licensed dds *what is biennial term - >>>>properly renewed license or permit issued by board valid from first day of month following expiration for 24 months until renewed or terminated according to procedures in this part *a DT can supervise no more than ____ licensed or non-licensed DAs in any one practice setting - >>>>4 *A DT must enter into a __________ with a DDS - >>>>collaborative management agreement (all agreements but be reviewed, signed. updated and submitted to the board EVERY YEAR) Amount of credit hours each biennial a dentist, specialty, guest full faculty or DT needs. - >>>>50 minimum of _____ credit hours for dentists and DT's of fundamental CE's - >>>>30 maximum of ___credit hours of elective CEs for DT and DDS - >>>>20 _ credit hours each biennial cycle for a hygienist and dental assistant; minimum of __ of fundamental and maximum of __ elective - >>>>25, 15, 10 Minimal Sedation (Conscious sedation) - >>>>-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 - >>>>minimal sedation Moderate Sedation (still conscious) - >>>>relaxed, awake and can still respond ex: N2O2, oral meds, IV sedation (need 60 hours during an extra course with practice) Deep sedation (unconscious) - >>>>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 - >>>>deep sedation *general anesthesia (unconscious) - >>>>for extreme cases of dental care *oral and maxillofacial surgeons *Infection Control* - >>>>------ high level disinfection - >>>>Elimination of all microorganisms except bacterial spores decontamination - >>>>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 - >>>>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 - >>>>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 - >>>>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 - >>>>Environmental Protection Agency The ____________ regulates liquid *chemical sterilants/high-level* disinfectants - >>>>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 - >>>>Environmental Protection Agency (EPA) can you use disinfectant wipes from the grocery store? - >>>>no, the are not EPA registered *what does PPE include? - >>>>gloves, masks, gowns, and eye protection disposal of liquid and human waste (blood) - >>>>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? - >>>>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 - >>>>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 - >>>>*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 - >>>>carpeting *hand pieces and intraoral instruments that can be removed from the air and waterlines of dental units are considered ___ - >>>>*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 - >>>>≤500 colony forming units (CFU)/mL Can contaminated dental unit waterlines transmit disease? - >>>>yes *DHCP should receive infection prevention training: - >>>>1. When they are hired 2. When new procedures affect their occupational exposure 3. Annually 4. According to state or federal requirements Fingernails should be kept SHORT; Artificial nails carry greater ______ and are implicated in fungal and bacterial infections - >>>>gram negative organisms when should your eyewear be cleaned? - >>>>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 - >>>>true when should you change your mask? - >>>>-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 - >>>>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 - >>>>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" - >>>>high level disinfection T/F: Change protective clothing when it becomes visibly soiled as soon as feasible if penetrated by blood or saliva - >>>>true *When should you change gloves? - >>>>between patients, and when they become torn or punctured critical items - >>>>penetrate soft tissue or bone; GREATEST risk of transmitting infection and needs to be sterilized by HEAT (hand instruments, ultrasonic) Semi critical items - >>>>contact mucous membranes but don't penetrate **high level disinfectant required **sterilization by heat still recommended (dental mirror, impression trays) non-critical items - >>>>pose least risk for transmission of infection -contacts skin only **disinfection with EPA registered wipes (blood pressure cuff, dental chair, etc.) *chemical indicators - >>>>indicator tape: does NOT prove sterile (ex: brown colored tag after heat sterilization on outside of instrument case) *biological indicators - >>>>*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 - >>>>bagged --must be handled as little as possible --must not be sorted or rinsed if spore test comes back positive.... - >>>>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 - >>>>false: hazardous and infectious autoclaving = - >>>>sterilizing -destroy all microbes what testing should be available to all DHCW for those concerned that they may be infected by HIV - >>>>serologic testing how should the amalgam scrap be stored and handled - >>>>stored in a closed unbreakable container labled " hazardous "contains mercury" and should be recycled website for more info on infection control - >>>>https://www.cdc.gov/oralhealth/infectioncontrol/questions/ *Record Keeping* - >>>>---- *Dental records must include - >>>>- 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 failure to cooperate with the minnesota board dentistry is considered which of the following - >>>>conduct unbecoming a licensee fraud upon a patient's or third party payers is called - >>>>conduct unbecoming violation of any statues of the dental practice act shall be guilty of ______ ______ - >>>>gross misdamenor what is the common tort liability in dentistry - >>>>negligence what concept is demonstrated in the philosophy that all patients should recieve the same quality of dental care? - >>>>justice what is the term for voluntary standards for behavior established by a professor - >>>>code of ethics what does DHCP stand for - >>>>dental health care personal which of the following is elected position on the minnesota board of dentistry? -public board member -executive director -secretary -dentist - >>>>secretary if a licnesed dental professional fails to report the habitual use of drugs and alcohol by their employing dentist, the licnesed dental professions shall be subject to which of the following? a. civil penalties b. censure c. tort liability d. discrimination - >>>>a. civil penalties for a dental therapist to become an advanced dental therpist, the dental therapist must complete how many hours of dental therapy clinical practice? - >>>>2000 hours *a professional firm must submit a _________ to the board of dentistry? - >>>>annual report *________ would be considered an elective professional development activity? - >>>>dental management practice course * a course in treatment planning and diagnosis all applicants for licensure in mn must do which of the following if they fail the clinical examination or the licensure exam twice as specified by board rule - >>>>get more education and training *which of the following would be considered a fundamental professional development activity - >>>>a course in treatment planning and diagnosis _________ means a corporation, partnership, sole proprietor, or business enity engaged in the manufacturer or repair of dental prosthetic appliances - >>>>dental laboratory *To administer general anesthesia, a dentist must complete what? - >>>>1 year residency *T/F OSHA aims to protect the providers/clinicians and CDC aims to protect all patients - >>>>true