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MN DENTAL JURISPRUDENCE STUDY GUIDE LATEST UPDATE 2023/2024 ALL ANSWERS CORRECT VERIFIED BEST GRADED A+ FOR SUCCESS Dental hygienists and licensed dental assistants shall not take impressions and bite registrations for _____________ of fixed and removable prostheses. - CORRECT ANSWERS 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. - CORRECT ANSWERS rotary instruments DH and DA with restorative functions can place, contour, and adjust amalgam, glass ionomers, and stainless steel crowns on class _______ (supragingival) - CORRECT ANSWERS 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 - CORRECT ANSWERS DH - general LDA - indirect Administer LA - CORRECT ANSWERS DH - general monitor a patient on nitrous - CORRECT ANSWERS 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. - CORRECT ANSWERS True Utilizing rotary instruments for the removal of bond material from teeth - CORRECT ANSWERS DH - direct LDA - direct Performing any or all restorative procedures limited to placing, contouring, & adjusting amalgam, glass ionomers, and Class I and V supra composite restorations - CORRECT ANSWERS DH - indirect LDA - indirect Maintain and remove IV line - CORRECT ANSWERS DH - indirect LDA - indirect MN DENTAL JURISPRUDENCE STUDY GUIDE LATEST UPDATE 2023/2024 ALL ANSWERS CORRECT VERIFIED BEST GRADED A+ FOR SUCCESS place an IV line - CORRECT ANSWERS DH - direct LDA - direct Application of topical medications or disensitzing agents - CORRECT ANSWERS DH - general LDA - indirect Perform preliminary charting including assessments and existing restoration, determine the perio status, and formulate the DH tx plan in coordination with DDS - CORRECT ANSWERS DH - general make referrals in consultation with DDS - CORRECT ANSWERS DH - general complete prophy with scaling, root planing, and polishing restorations - CORRECT ANSWERS DH - general dietary and nutritional counseling - CORRECT ANSWERS DH - general replacement, cementation and adjustment of INTACT temporary restorations - CORRECT ANSWERS DH - general remove overhangs - CORRECT ANSWERS DH - general Complete preliminary charting of oral cavity and surrounding structures w/ exception of perio probing and assessment of the perio structure - CORRECT ANSWERS LDA - general of course DH can do this too, with probing take photographs intra or extra orally - CORRECT ANSWERS DH - general LDA - general take vital signs - CORRECT ANSWERS DH - general LDA - general MN DENTAL JURISPRUDENCE STUDY GUIDE LATEST UPDATE 2023/2024 ALL ANSWERS CORRECT VERIFIED BEST GRADED A+ FOR SUCCESS LDA - indirect dry root canals with paper points - CORRECT ANSWERS DH - general LDA - indirect remove bond material with rotary instruments - CORRECT ANSWERS DH - direct LDA - direct place and remove matrix bands - CORRECT ANSWERS DH - direct LDA - direct fabricate, cement, and adjust temporary crowns - CORRECT ANSWERS DH - direct LDA - direct remove temporary restorations with hand instruments only - CORRECT ANSWERS DH - direct LDA - direct etch enamel surfaces before bonding of ortho by DDS - CORRECT ANSWERS DH - direct LDA - direct attach prefit and preadjusted ortho appliances - CORRECT ANSWERS DH - direct LDA - direct remove fixed ortho brackets - CORRECT ANSWERS DH - direct LDA - direct remove excess bond material from appliances - CORRECT ANSWERS DH - general LDA - direct administer nitrous oxide - CORRECT ANSWERS DH - general LDA - direct MN DENTAL JURISPRUDENCE STUDY GUIDE LATEST UPDATE 2023/2024 ALL ANSWERS CORRECT VERIFIED BEST GRADED A+ FOR SUCCESS general supervision - CORRECT ANSWERS The dentist has prior knowledge and has given consent for the procedures being performed. Dentist is not required to be present in the dental office or on the premises. indirect - CORRECT ANSWERS 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 - CORRECT ANSWERS 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 - CORRECT ANSWERS 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 - CORRECT ANSWERS 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? - CORRECT ANSWERS All allied professionals DH and DT under general LDA under indirect who can give local anesthesia after completing a course on local anesthesia from a school accredited by the Commission on Dental Accreditation - CORRECT ANSWERS DH and DT under general Not LDA T/F - ONLY a dentist can cement ortho bands and adjust ortho wires - CORRECT ANSWERS 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 MN DENTAL JURISPRUDENCE STUDY GUIDE LATEST UPDATE 2023/2024 ALL ANSWERS CORRECT VERIFIED BEST GRADED A+ FOR SUCCESS in treatment including the administration of medications into an existing intravenous line, an enteral agent, or emergency medications in an emergent situation. - CORRECT ANSWERS DH - personal LDA - personal Place nonsurgical retraction material for gingival displacement. - CORRECT ANSWERS DH - direct LDA - direct -Preliminary charting of the oral cavity, including nutritional counseling, and dietary analysis -Apply topical medications -Perform mechanical polishing - CORRECT ANSWERS 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. - CORRECT ANSWERS GENERAL (DT and ADT) -Administer local anesthesia. -Administer nitrous oxide inhalation analgesia -Application of desensitizing medication or resin -Tissue conditioning and soft reline. - CORRECT ANSWERS GENERAL (DT and ADT) -Atraumatic restorative therapy. -Tooth reimplantation. MN DENTAL JURISPRUDENCE STUDY GUIDE LATEST UPDATE 2023/2024 ALL ANSWERS CORRECT VERIFIED BEST GRADED A+ FOR SUCCESS - failure to pay for services - behavior mngmt issues Can a LDA scale and clean mandibular anteriors on a pediatric patient? - CORRECT ANSWERS 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 - CORRECT ANSWERS 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? - CORRECT ANSWERS 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 - CORRECT ANSWERS true What actions would cause an immediate suspension of a Dental Professional License? - CORRECT ANSWERS 1. Dependence on alcohol, drugs, or other substances 2. Writing unauthorized prescriptions How many CE credits does a LDA and DH need in a 2 year (biennial) period? How about a DT and DDS? - CORRECT ANSWERS 25 for LDA and DH 50 for DT and DDS What are fundamental credits and what the minimum required biennially? - CORRECT ANSWERS Activities directly related to the provision of clinical dental services. (i.e. lectures/symposium/seminars) MN DENTAL JURISPRUDENCE STUDY GUIDE LATEST UPDATE 2023/2024 ALL ANSWERS CORRECT VERIFIED BEST GRADED A+ FOR SUCCESS Core Subjects (fundamental credits) - CORRECT ANSWERS areas of knowledge that relate to public safety and professionalism what are core subjects?? - CORRECT ANSWERS -Record Keeping -Ethics -Infection Control -Patient Communication -Management of med. emergencies -Diagnosis and tx. CPR is a _________ credit - CORRECT ANSWERS Fundamental; must be updated every 2 yrs self assessment is a _____ credit - CORRECT ANSWERS Fundamental; printed from ADA website; usually updated every 2yrs. completed and put in professional portfolio; 1 credit What are elective credits? - CORRECT ANSWERS Activities directly related to, or supportive of the practice of dentistry. (i.e. Volunteering/Community Service, attending a convention, Self-study- scholarly articles) BOD will randomly select individuals for an audit; you will be notified by letter and have ____ days to submit COPIES of your CE record - CORRECT ANSWERS 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 - CORRECT ANSWERS past 2 year cycle all dental professionals must notify the board of dentistry within _________ of a name or address change - CORRECT ANSWERS 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. - CORRECT ANSWERS True (you cannot make copies yourself) All DHCP must renew their license every _____ on the date when they originally got their license - CORRECT ANSWERS 2 years MN DENTAL JURISPRUDENCE STUDY GUIDE LATEST UPDATE 2023/2024 ALL ANSWERS CORRECT VERIFIED BEST GRADED A+ FOR SUCCESS When is reading a professional article considered a fundamental credit and when is it an elective credit? - CORRECT ANSWERS A professional article w/ a post test is considered *fundamental* Reading a professional article for the information is considered *elective* continuing education waiver for a dental professional who is RETIRED from active practice and has limited the provision of dental care services - CORRECT ANSWERS -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? - CORRECT ANSWERS to ensure that all MN citizens receive quality dental health care from competent dental health care professionals MN Board of Dentistry has _______ members - CORRECT ANSWERS 9 total : - 5 DDS - 1 LDA - 1 DH - 2 public members who appoints the 9 members of the board? - CORRECT ANSWERS governor what qualifications must the DH, DA, & DDS have to become part of the board? - CORRECT ANSWERS lawfully in active practice in the state for *5 years* immediately preceding appointment into the board how long can members serve? - CORRECT ANSWERS 2 consecutive 4-year-terms (8 years total) DH - CORRECT ANSWERS 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 MN DENTAL JURISPRUDENCE STUDY GUIDE LATEST UPDATE 2023/2024 ALL ANSWERS CORRECT VERIFIED BEST GRADED A+ FOR SUCCESS *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 - CORRECT ANSWERS 10 days how long after an infection control report does the designated office have to meet with the board - CORRECT ANSWERS 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.... - CORRECT ANSWERS infection control it is unlawful for any person to.. - CORRECT ANSWERS -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 - CORRECT ANSWERS 20 days supervising dds requirements - CORRECT ANSWERS -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 MN DENTAL JURISPRUDENCE STUDY GUIDE LATEST UPDATE 2023/2024 ALL ANSWERS CORRECT VERIFIED BEST GRADED A+ FOR SUCCESS *DA without license can... - CORRECT ANSWERS -retract the cheeks! -perform all duties not directly related with performing dental treatment or services on patients -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 - CORRECT ANSWERS 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 - CORRECT ANSWERS 4 *A DT must enter into a __________ with a DDS - CORRECT ANSWERS 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. - CORRECT ANSWERS 50 A minimum of _ courses must be completed in _ of the core subject areas per biennial cycle - CORRECT ANSWERS 2, 2 *Core subjects - CORRECT ANSWERS Infection control, record keeping, ethics, management of med emergencies, pt communications, diagnosis and treatment planning. *Fundamental - CORRECT ANSWERS Activities directly related to the provision of *clinical dental services* *Elective - CORRECT ANSWERS Activities directly related to, or *supportive* of the practice of dentistry, dental hygiene, or dental assisting MN DENTAL JURISPRUDENCE STUDY GUIDE LATEST UPDATE 2023/2024 ALL ANSWERS CORRECT VERIFIED BEST GRADED A+ FOR SUCCESS clinical subject - CORRECT ANSWERS Subjects directly related to the provision of *dental care* and treatment to pts core subject - CORRECT ANSWERS ares of knowledge that relate to *public safety* and professionalism *acceptable documentation for CE hours - CORRECT ANSWERS 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: - CORRECT ANSWERS - endodontics - oral and maxillofacial - orthodontics - pediatric dentistry - periodontics - prosthodontics NOT COSMETIC DENTISTRY! A dental tech and DDS may practice in the same facility but may each have their own practice. - CORRECT ANSWERS 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? - CORRECT ANSWERS lab tech cannot do either *how many dental therapists can a dentist have? - CORRECT ANSWERS 5 *a dentist can have a collaborative agreement with no more than ______ DH's unless authorized by the Board - CORRECT ANSWERS 4 *what do you need in order to advertise for sales, construction, reproduction, or repair?? MN DENTAL JURISPRUDENCE STUDY GUIDE LATEST UPDATE 2023/2024 ALL ANSWERS CORRECT VERIFIED BEST GRADED A+ FOR SUCCESS disposal of liquid and human waste (blood) - CORRECT ANSWERS 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? - CORRECT ANSWERS 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 - CORRECT ANSWERS 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 - CORRECT ANSWERS *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 - CORRECT ANSWERS carpeting *hand pieces and intraoral instruments that can be removed from the air and waterlines of dental units are considered ___ - CORRECT ANSWERS *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 - CORRECT ANSWERS ≤500 colony forming units (CFU)/mL *DHCP should receive infection prevention training: - CORRECT ANSWERS 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 - CORRECT ANSWERS 2 MN DENTAL JURISPRUDENCE STUDY GUIDE LATEST UPDATE 2023/2024 ALL ANSWERS CORRECT VERIFIED BEST GRADED A+ FOR SUCCESS *training should include: - CORRECT ANSWERS -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 - CORRECT ANSWERS 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 - CORRECT ANSWERS 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? - CORRECT ANSWERS yes, it is no longer our responsibility once it is handed over *extracted teeth for educational purposes must be... - CORRECT ANSWERS -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 - CORRECT ANSWERS 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 MN DENTAL JURISPRUDENCE STUDY GUIDE LATEST UPDATE 2023/2024 ALL ANSWERS CORRECT VERIFIED BEST GRADED A+ FOR SUCCESS *OSHA (Occupational Safety and Health Act) requires - CORRECT ANSWERS 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? - CORRECT ANSWERS 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 - CORRECT ANSWERS True *Exposure training should include: - CORRECT ANSWERS 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: - CORRECT ANSWERS -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 - CORRECT ANSWERS gram negative organisms when should your eyewear be cleaned? - CORRECT ANSWERS 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 - CORRECT ANSWERS true *when should you change your mask? - CORRECT ANSWERS -when it becomes wet or visibly soiled -between patients -every 3 hours MN DENTAL JURISPRUDENCE STUDY GUIDE LATEST UPDATE 2023/2024 ALL ANSWERS CORRECT VERIFIED BEST GRADED A+ FOR SUCCESS - patient's reason for visit - dental and medical history - clinical exam - diagnosis and treatment plan - informed consent - progress note *informed consent consists of... - CORRECT ANSWERS giving options benefits risks cost patient's approval (signature) *correction of records - CORRECT ANSWERS 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 - CORRECT ANSWERS 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 - CORRECT ANSWERS True *when electronic records are kept, a dentist must keep either a _____________ or use an _____________ - CORRECT ANSWERS duplicate hard copy unalterable electronic record *adults records must be kept for _____ years beyond last time they were seen - CORRECT ANSWERS 7 *A minor (child) records must be kept for ____ years beyond the age of 18 - CORRECT ANSWERS 7 MN DENTAL JURISPRUDENCE STUDY GUIDE LATEST UPDATE 2023/2024 ALL ANSWERS CORRECT VERIFIED BEST GRADED A+ FOR SUCCESS *can the dentist charge a patient a fee for transferring records? - CORRECT ANSWERS yes. should original X-rays or forms be sent if requested?? - CORRECT ANSWERS No, NEVER. diagnostic duplicate X-rays and records must be copied and sent who decides the max. fee a DDS can charge? - CORRECT ANSWERS Minnesota Department of Health *each licensee must establish a portfolio for the purpose of: - CORRECT ANSWERS -record professional development activities -monitor CE -retain acceptable documentaion of professional activities -CPR certificate *Ethics* - CORRECT ANSWERS --- *if a dental therapist, dental hygienist,or a dental assistant performs a services not authorized by the dentist, that behavior is called - CORRECT ANSWERS conduct of unbecoming a licensee *failure to cooperate with the minnesota board dentistry is considered which of the following - CORRECT ANSWERS conduct unbecoming a licensee fraud upon a patient's or third party payers is called - CORRECT ANSWERS conduct unbecoming violation of any statues of the dental practice act shall be guilty of ______ ______ - CORRECT ANSWERS gross misdamenor *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 - CORRECT ANSWERS a. civil penalties MN DENTAL JURISPRUDENCE STUDY GUIDE LATEST UPDATE 2023/2024 ALL ANSWERS CORRECT VERIFIED BEST GRADED A+ FOR SUCCESS *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 - CORRECT ANSWERS get more education and training which of the following would be considered a fundamental professional development activity - CORRECT ANSWERS 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 - CORRECT ANSWERS dental laboratory To administer general anesthesia, a dentist must complete what? - CORRECT ANSWERS 1 year residency *T/F OSHA aims to protect the providers/clinicians and CDC aims to protect all patients - CORRECT ANSWERS true