Dental Profession Regulations in Minnesota, Exams of Dentistry

Download Dental Profession Regulations in Minnesota and more Exams Dentistry in PDF only on Docsity! Highflier Scoremore MN DENTAL JURISPUDENCE EXAM 2024 (QUESTIONS WITH CORRECT ANSWERS) GUARANTEED PASS who can place sealants after completing a course by a school accredited by the commission on dental accreditation? DH, DT, DA 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 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) *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 Highflier Scoremore 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. *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 Highflier Scoremore *replacement, cementation and adjustment of INTACT temporary restorations DH - general LDA - general *remove overhangs DH - general Complete preliminary charting of oral cavity and surrounding structures w/ exception of perio probing and assessment of the perio structure LDA - general of course DH can do this too, with probing take photographs intra or extra orally DH - general LDA - general take vital signs DH - general LDA - general place temporary fillings DH - general Highflier Scoremore LDA - general *cut arch wires, remove loose bands or brackets DH - general LDA - general *take X-rays DH - general LDA - general *take impressions for casts and bite registrations DH - general LDA - general *place and remove ortho separators DH - general LDA - general *deliver vacuum-formed ortho retainers DH - general DA - general *etch enamel surfaces; apply and adjust sealants Highflier Scoremore 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 Highflier Scoremore 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 Highflier Scoremore 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 LDA - personal (apply meds) *Place nonsurgical retraction material for gingival displacement. 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 GENERAL (DT and ADT) Highflier Scoremore -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. GENERAL (DT and ADT) -Administer local anesthesia. -Administer nitrous oxide inhalation analgesia *****Application of desensitizing medication or resin -Tissue conditioning and soft reline. 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) general ADT and DT Highflier Scoremore 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 Highflier Scoremore 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 Highflier Scoremore law that deals with crime and the legal punishment of criminal offenses (crime against society) Civil law 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? 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? 25 for LDA and DH 50 for DDS and DT's fundamental credits 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) areas of knowledge that relate to public safety and professionalism *minimum of 2 different core subjects needed in 2 yrs Highflier Scoremore 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? Highflier Scoremore 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 Highflier Scoremore 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 Highflier Scoremore hospital, nursing home, home health agency, group home serving elderly, disabled, or juveniles; state- operated facility licensed by commissioner of human services or commissioner of corrections; and federal, state, or local public health facility, community clinic, tribal clinic, schools what must be on every complete upper and lower denture and removable dental prosthesis? patients name and social security number We have an expert-written solution to this problem! if ssn and pt name on prosthesis is not practicable id should be presented as follows: - ssn of pt may be omitted if name of pt is shown -initials of pt must be shown alone if use of pt name is impracticable - identification marks may be omitted in entirety if none of the forms of id are practicable or clinically safe do you ID mark older prosthesis without this info? yes applicant must submit new background check if more than ____________ has Relapsed since the applicants last submitted background check to the board 1 year no license issued to any applicant who refuses to consent to a criminal background check or fails to submit fingerprints within __________ after submission of application for licensure 90 days Highflier Scoremore how long does a person have to challenge accuracy of a report of background check 30 days after they get their report back 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 Highflier Scoremore 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 Highflier Scoremore _ credit hours each biennial cycle for a hygienist and dental assistant; minimum of __ of fundamental and maximum of __ elective 25, 15, 10 A minimum of _ courses must be completed in _ of the core subject areas per biennial cycle 2, 2 Core subjects Infection control, record keeping, ethics, management of med emergencies, pt communications, diagnosis and treatment planning. Fundamental Activities directly related to the provision of clinical dental services elective Activities directly related to, or supportive of the practice of dentistry, dental hygiene, or dental assisting clinical subject Subjects directly related to the provision of dental care and treatment to pts core subject ares of knowledge that relate to public safety and professionalism Highflier Scoremore acceptable documentation for CE hours 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: - 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. 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? lab tech cannot do either *how many dental therapists can a dentist have? 5 *a dentist can have a collaborative agreement with no more than ______ DH's unless authorized by the Board 4 Highflier Scoremore what do you need in order to advertise for sales, construction, reproduction, or repair?? (dental prosthetic appliances) a written work order from a DDS (good for 2 years) *non licensed dental assistants: 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 ... - completing a CPR course and maintaining certificate -compliance with most current infection control guidelines *limited licensed dental assistants non licensed but have taken a course in taking RADIOGRAPHS Sedation 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") Highflier Scoremore 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). Highflier Scoremore 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 Highflier Scoremore 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 2 *training should include: -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 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 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? yes, it is no longer our responsibility once it is handed over Highflier Scoremore *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 Highflier Scoremore 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) Highflier Scoremore *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 Highflier Scoremore 7 *can the dentist charge a patient a fee for transferring records? yes. should original X-rays or forms be sent if requested?? No, NEVER. diagnostic duplicate X-rays and records must be copied and sent who decides the max. fee a DDS can charge? Minnesota Department of Health the provider can charge for copies of records no more than 75 cents per page AND $10 charge for time spent When a pt requests a copy of the pt's record for purposes of reviewing current medical care the provider must not charge a fee means an accumulation of written documentation of professional development activites portfolio each licensee must establish a portfolio for the purpose of: -record professional development activities Highflier Scoremore -monitor CE -retain acceptable documentaion of professional activities -CPR certificate Ethics --- if a dental therapist, dental hygienist,or a dental assistant performs a services not authorized by the dentist, that behavior is called conduct of unbecoming a licensee 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 Highflier Scoremore 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