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To amend sections 4715.22, 4715.23, 4715.39, and | 1 |
4715.64 and to enact sections 4715.221, 4715.222, | 2 |
4715.223, 4715.224, 4715.225, 4715.226, 4715.227, | 3 |
4715.228, 4715.229, and 4715.2210 of the Revised | 4 |
Code to permit dental hygienists to enter into | 5 |
collaboration agreements with dentists. | 6 |
Section 1. That sections 4715.22, 4715.23, 4715.39, and | 7 |
4715.64 be amended and sections 4715.221, 4715.222, 4715.223, | 8 |
4715.224, 4715.225, 4715.226, 4715.227, 4715.228, 4715.229, and | 9 |
4715.2210 of the Revised Code be enacted to read as follows: | 10 |
Sec. 4715.22. (A) | 11 |
licensed dental hygienist is not providing services under a | 12 |
collaboration agreement entered into under section 4715.222 of the | 13 |
Revised Code. | 14 |
As used in this section, "health care facility" means either | 15 |
of the following: | 16 |
(1) A hospital registered under section 3701.07 of the | 17 |
Revised Code; | 18 |
(2) A "home" as defined in section 3721.01 of the Revised | 19 |
Code. | 20 |
(B) A licensed dental hygienist shall practice under the | 21 |
supervision, order, control, and full responsibility of a dentist | 22 |
licensed under this chapter. A dental hygienist may practice in a | 23 |
dental office, public or private school, health care facility, | 24 |
dispensary, or public institution. Except as provided in division | 25 |
(C) or (D) of this section, a dental hygienist may not provide | 26 |
dental hygiene services to a patient when the supervising dentist | 27 |
is not physically present at the location where the dental | 28 |
hygienist is practicing. | 29 |
(C) A dental hygienist may provide, for not more than fifteen | 30 |
consecutive business days, dental hygiene services to a patient | 31 |
when the supervising dentist is not physically present at the | 32 |
location at which the services are provided if all of the | 33 |
following requirements are met: | 34 |
(1) The dental hygienist has at least two years and a minimum | 35 |
of three thousand hours of experience in the practice of dental | 36 |
hygiene. | 37 |
(2) The dental hygienist has successfully completed a course | 38 |
approved by the state dental board in the identification and | 39 |
prevention of potential medical emergencies. | 40 |
(3) The dental hygienist complies with written protocols for | 41 |
emergencies the supervising dentist establishes. | 42 |
(4) The dental hygienist does not perform, while the | 43 |
supervising dentist is absent from the location, procedures while | 44 |
the patient is anesthetized, definitive root planing, definitive | 45 |
subgingival curettage, or other procedures identified in rules the | 46 |
state dental board adopts. | 47 |
(5) The supervising dentist has evaluated the dental | 48 |
hygienist's skills. | 49 |
(6) The supervising dentist examined the patient not more | 50 |
than seven months prior to the date the dental hygienist provides | 51 |
the dental hygiene services to the patient. | 52 |
(7) The dental hygienist complies with written protocols or | 53 |
written standing orders that the supervising dentist establishes. | 54 |
(8) The supervising dentist completed and evaluated a medical | 55 |
and dental history of the patient not more than one year prior to | 56 |
the date the dental hygienist provides dental hygiene services to | 57 |
the patient and, except when the dental hygiene services are | 58 |
provided in a health care facility, the supervising dentist | 59 |
determines that the patient is in a medically stable condition. | 60 |
(9) If the dental hygiene services are provided in a health | 61 |
care facility, a doctor of medicine and surgery or osteopathic | 62 |
medicine and surgery who holds a current certificate issued under | 63 |
Chapter 4731. of the Revised Code or a registered nurse licensed | 64 |
under Chapter 4723. of the Revised Code is present in the health | 65 |
care facility when the services are provided. | 66 |
(10) In advance of the appointment for dental hygiene | 67 |
services, the patient is notified that the supervising dentist | 68 |
will be absent from the location and that the dental hygienist | 69 |
cannot diagnose the patient's dental health care status. | 70 |
(11) The dental hygienist is employed by, or under contract | 71 |
with, one of the following: | 72 |
(a) The supervising dentist; | 73 |
(b) A dentist licensed under this chapter who is one of the | 74 |
following: | 75 |
(i) The employer of the supervising dentist; | 76 |
(ii) A shareholder in a professional association formed under | 77 |
Chapter 1785. of the Revised Code of which the supervising dentist | 78 |
is a shareholder; | 79 |
(iii) A member or manager of a limited liability company | 80 |
formed under Chapter 1705. of the Revised Code of which the | 81 |
supervising dentist is a member or manager; | 82 |
(iv) A shareholder in a corporation formed under division (B) | 83 |
of section 1701.03 of the Revised Code of which the supervising | 84 |
dentist is a shareholder; | 85 |
(v) A partner or employee of a partnership or a limited | 86 |
liability partnership formed under Chapter 1775. of the Revised | 87 |
Code of which the supervising dentist is a partner or employee. | 88 |
(c) A government entity that employs the dental hygienist to | 89 |
provide dental hygiene services in a public school or in | 90 |
connection with other programs the government entity administers. | 91 |
(D) A dental hygienist may provide dental hygiene services to | 92 |
a patient when the supervising dentist is not physically present | 93 |
at the location at which the services are provided if the services | 94 |
are provided as part of a dental hygiene program that is approved | 95 |
by the state dental board and all of the following requirements | 96 |
are met: | 97 |
(1) The program is operated through a school district board | 98 |
of education or the governing board of an educational service | 99 |
center; the board of health of a city or general health district | 100 |
or the authority having the duties of a board of health under | 101 |
section 3709.05 of the Revised Code; a national, state, district, | 102 |
or local dental association; or any other public or private entity | 103 |
recognized by the state dental board. | 104 |
(2) The supervising dentist is employed by or a volunteer | 105 |
for, and the patients are referred by, the entity through which | 106 |
the program is operated. | 107 |
(3) The services are performed after examination and | 108 |
diagnosis by the dentist and in accordance with the dentist's | 109 |
written treatment plan. | 110 |
(E) No person shall do either of the following: | 111 |
(1) Practice dental hygiene in a manner that is separate or | 112 |
otherwise independent from the dental practice of a supervising | 113 |
dentist; | 114 |
(2) Establish or maintain an office or practice that is | 115 |
primarily devoted to the provision of dental hygiene services. | 116 |
(F) The state dental board shall adopt rules under division | 117 |
(C) of section 4715.03 of the Revised Code identifying procedures | 118 |
a dental hygienist may not perform when practicing in the absence | 119 |
of the supervising dentist pursuant to division (C) or (D) of this | 120 |
section. | 121 |
Sec. 4715.221. As used in this section and sections 4715.222 | 122 |
to 4715.2210 of the Revised Code: | 123 |
(A) "Collaboration agreement" means an agreement entered into | 124 |
by a dentist and a dental hygienist under section 4715.222 of the | 125 |
Revised Code. | 126 |
(B) "Dentist" means an individual licensed under this chapter | 127 |
to practice dentistry. | 128 |
(C) "Dental hygienist" means an individual licensed under | 129 |
this chapter to practice as a dental hygienist. | 130 |
(D) "Facility" means any of the following: | 131 |
(1) A dental office; | 132 |
(2) A "public school" or "nonpublic school" as defined in | 133 |
section 3701.93 of the Revised Code; | 134 |
(3) A "health care facility" as defined in section 4715.22 of | 135 |
the Revised Code; | 136 |
(4) A "home health agency" as defined in section 5101.61 of | 137 |
the Revised Code; | 138 |
(5) A dispensary; | 139 |
(6) A "state correctional institution" as defined in section | 140 |
2967.01 of the Revised Code; | 141 |
(7) A clinic or shelter financed with public or private | 142 |
funds; | 143 |
(8) A mobile dental unit; | 144 |
(9) A community health fair; | 145 |
(10) A comprehensive child development program that receives | 146 |
funds distributed under the "Head Start Act," 95 Stat. 499 (1981), | 147 |
42 U.S.C. 9831, as amended, and is licensed as a child day-care | 148 |
center; | 149 |
(11) A corporation, association, group, institution, society, | 150 |
or other organization that is exempt from federal taxation under | 151 |
section 501(c)(3) of the "Internal Revenue Code of 1986," 100 | 152 |
Stat. 2085, 26 U.S.C. 501(c)(3), as amended, and serves | 153 |
individuals who are uninsured or enrolled in the medicaid program | 154 |
established under Chapter 5111. of the Revised Code or the | 155 |
disability medical assistance program established under Chapter | 156 |
5115. of the Revised Code; | 157 |
(12) A special needs program; | 158 |
(13) A residential facility licensed under section 5123.19 of | 159 |
the Revised Code; | 160 |
(14) Any other location specified by the state dental board | 161 |
in rules adopted under section 4715.2210 of the Revised Code. | 162 |
(E) "Patient" means an individual who receives dental hygiene | 163 |
services at a facility, a student enrolled in the facility at | 164 |
which the services are provided, or a resident of a facility at | 165 |
which the services are provided. | 166 |
(F) "Special needs program" means a program operated by any | 167 |
of the following: | 168 |
(1) A school district board of education or the governing | 169 |
board of an educational service center; | 170 |
(2) The board of health of a city or general health district | 171 |
or the authority having the duties of a board of health under | 172 |
section 3709.05 of the Revised Code; | 173 |
(3) A national, state, district, or local dental association. | 174 |
Sec. 4715.222. (A) A dental hygienist who has provided the | 175 |
evidence required by section 4715.223 of the Revised Code may | 176 |
enter into a collaboration agreement with a dentist under which | 177 |
the dentist authorizes all of the following: | 178 |
(1) The dental hygienist to provide the services described in | 179 |
section 4715.224 of the Revised Code to patients at any facility | 180 |
without the dentist being physically present at the facility where | 181 |
the services are provided; | 182 |
(2) The dental hygienist to provide the services described in | 183 |
section 4715.224 of the Revised Code to patients without prior | 184 |
examination of the patients by the dentist or diagnosis or | 185 |
treatment plans approved by the dentist, unless otherwise | 186 |
specified in the collaboration agreement; | 187 |
(3) The dental hygienist to work with dental assistants | 188 |
certified by the dental assisting national board or the Ohio | 189 |
commission on dental assistant certification who may perform only | 190 |
the duties they are authorized to provide without the direct | 191 |
supervision of a dentist. | 192 |
(B) A collaboration agreement must meet the requirements of | 193 |
section 4715.225 of the Revised Code. | 194 |
Sec. 4715.223. Prior to entering into a collaboration | 195 |
agreement, a dental hygienist shall do both of the following: | 196 |
(A) Submit written evidence of all of the following to the | 197 |
dentist who is to be the collaborating dentist under the | 198 |
agreement: | 199 |
(1) The dental hygienist has at least two years and a minimum | 200 |
of three thousand hours of experience in the practice of dental | 201 |
hygiene. | 202 |
(2) The dental hygienist has successfully completed a course | 203 |
approved by the state dental board in the identification and | 204 |
prevention of potential medical emergencies and infection control. | 205 |
(3) The dental hygienist holds current certification to | 206 |
perform basic life-support procedures as required under section | 207 |
4715.251 of the Revised Code. | 208 |
(4) The dental hygienist holds professional liability | 209 |
insurance. | 210 |
(B) Permit the dentist who is to be the collaborating dentist | 211 |
under the agreement to personally observe the dental hygienist | 212 |
provide to patients the services described in section 4715.224 of | 213 |
the Revised Code. | 214 |
Sec. 4715.224. A dental hygienist may provide the following | 215 |
services to a patient under a collaboration agreement: | 216 |
(A) Oral health promotion and disease prevention education, | 217 |
including information gathering, screening, and assessment; | 218 |
(B) Removal of calcareous deposits or accretions from the | 219 |
crowns and roots of teeth; | 220 |
(C) Sulcular placement of prescribed materials; | 221 |
(D) Polishing of the clinical crowns of teeth, including | 222 |
restorations; | 223 |
(E) Standard diagnostic and radiological procedures for the | 224 |
purpose of contributing to the provision of dental services; | 225 |
(F) Fluoride applications; | 226 |
(G) Placement of sealants; | 227 |
(H) Any other basic remediable intraoral dental task or | 228 |
procedure designated by the state dental board in rules adopted | 229 |
under section 4715.2210 of the Revised Code. | 230 |
Sec. 4715.225. A collaboration agreement shall be in writing | 231 |
and do all of the following at a minimum: | 232 |
(A) Contain the following terms: | 233 |
(1) A procedure the dental hygienist must follow in securing | 234 |
the dentist's review of the patient's record and medical history | 235 |
if the dental hygienist believes the patient's condition is | 236 |
medically compromised; | 237 |
(2) A procedure the dental hygienist must follow if the | 238 |
dental hygienist believes the patient's condition presents an | 239 |
emergency dental condition; | 240 |
(3) Practice protocols for the dental hygienist to follow in | 241 |
providing services to patients who are different ages and who | 242 |
require different procedures, including recommended intervals for | 243 |
the performance of dental hygiene services and a period of time in | 244 |
which an examination by a dentist should occur; | 245 |
(4) Specific protocols for the placement of pit and fissure | 246 |
sealants and requirements for follow-up care to assure the | 247 |
efficacy of the sealants after application; | 248 |
(5) A procedure for creating and maintaining dental records | 249 |
for patients that are treated by the dental hygienist. The | 250 |
procedure must specify where the records are to be located. | 251 |
(6) Services specified under section 4715.224 of the Revised | 252 |
Code, if any, for which the dentist requires either or both of the | 253 |
following: | 254 |
(a) The patient be examined by the dentist prior to the | 255 |
dental hygienist providing the services; | 256 |
(b) The dentist to approve a patient-specific diagnosis or | 257 |
treatment plan. | 258 |
(7) The number of patient visits for dental hygiene services, | 259 |
if any, that the dentist requires the dental hygienist to provide, | 260 |
on an annual basis, to patients in special needs programs for a | 261 |
charge determined according to the sliding fee scale established | 262 |
by the state dental board in rules adopted under section 4715.2210 | 263 |
of the Revised Code. | 264 |
(8) A statement that the dentist and dental hygienist agree | 265 |
that the dental hygienist's provision of services under a | 266 |
collaboration agreement is neither of the following: | 267 |
(a) The practice of dental hygiene in a manner that is | 268 |
separate or otherwise independent from the dental practice of a | 269 |
collaborating dentist; | 270 |
(b) The establishment or maintenance of an office or practice | 271 |
that is primarily devoted to the provision of dental hygiene | 272 |
services. | 273 |
(B) Contain a blank copy of a consent to treatment form that | 274 |
the dental hygienist can use for purposes of complying with the | 275 |
requirement of section 4715.227 of the Revised Code; | 276 |
(C) Be signed and dated by both the dentist and dental | 277 |
hygienist. | 278 |
Sec. 4715.226. (A) A copy of a collaboration agreement must | 279 |
be maintained by the dentist and the dental hygienist who are | 280 |
parties to the agreement. The dental hygienist shall ensure that | 281 |
each facility where the dental hygienist provides services under a | 282 |
collaboration agreement has a copy of the agreement that the | 283 |
dental hygienist works under at that facility. | 284 |
(B) Except as provided under division (C) of this section, | 285 |
prior approval of a collaboration agreement by the state dental | 286 |
board is not required before a dental hygienist provides services | 287 |
under an agreement, but the dentist or dental hygienist who is a | 288 |
party to the agreement must provide the board with a copy of the | 289 |
agreement on the board's request. | 290 |
(C) A dentist shall not at any one time be a party to more | 291 |
than three collaboration agreements unless the state dental board | 292 |
determines that the dentist meets the criteria, established by the | 293 |
board in rules adopted under section 4715.2210 of the Revised | 294 |
Code, to be a party to more than three agreements. | 295 |
Sec. 4715.227. Before performing any services on a patient | 296 |
under a collaboration agreement, a dental hygienist must provide | 297 |
the patient or patient's representative with a consent to | 298 |
treatment form and secure the signature or mark of the patient or | 299 |
representative on it. The signature or mark may be provided | 300 |
through reasonable accommodation, including the use of assistive | 301 |
technology or augmentative devices. | 302 |
The form must include a statement advising the patient that | 303 |
the dental hygiene services provided are not a substitute for a | 304 |
dental examination by a dentist, that a dentist will not be | 305 |
present during the provision of dental hygiene services, and that | 306 |
the dental hygienist cannot diagnose the patient's dental health | 307 |
care status. | 308 |
Sec. 4715.228. Following the provision of services to a | 309 |
patient under a collaboration agreement, the dental hygienist | 310 |
shall refer the patient to the dentist who is the collaborating | 311 |
dentist under the agreement the dental hygienist is working under | 312 |
at the facility where the patient was treated. The dental | 313 |
hygienist shall give the patient or patient's representative a | 314 |
completed referral form that lists the name, office address, and | 315 |
office telephone of the collaborating dentist and the date the | 316 |
dental hygienist provided the services to the patient. The dental | 317 |
hygienist shall provide a copy of each completed referral form and | 318 |
the patient's record to the collaborating dentist. | 319 |
Sec. 4715.229. A collaboration agreement entered into under | 320 |
section 4715.222 of the Revised Code may be terminated by the | 321 |
dentist or dental hygienist who entered into the agreement. A | 322 |
dentist or dental hygienist who terminates a collaboration | 323 |
agreement shall provide written notice to the opposite party. The | 324 |
dental hygienist shall not provide services under the agreement | 325 |
once notice of the termination has been given or sent to the | 326 |
dentist. | 327 |
Sec. 4715.2210. The state dental board shall adopt rules to | 328 |
do all of the following: | 329 |
(A) For purposes of division (D)(14) of section 4715.221 of | 330 |
the Revised Code, specify the locations other than those listed in | 331 |
divisions (D)(1) to (13) of section 4715.221 of the Revised Code | 332 |
that are to be considered facilities under sections 4715.222 to | 333 |
4715.229 of the Revised Code. | 334 |
(B) For purposes of division (H) of section 4715.224 of the | 335 |
Revised Code, designate the basic remediable intraoral dental | 336 |
tasks or procedures, in addition to the services listed in | 337 |
divisions (A) to (G) of section 4715.224 of the Revised Code, that | 338 |
a dental hygienist may provide under a collaboration agreement. | 339 |
(C) For purposes of division (A)(7) of section 4715.225 of | 340 |
the Revised Code, establish a sliding fee scale that determines | 341 |
the fee a patient in a special needs program is charged for dental | 342 |
hygiene services provided by a dental hygienist under a | 343 |
collaboration agreement. | 344 |
(D) For purposes of division (C) of section 4715.226 of the | 345 |
Revised Code, establish the criteria the board must use in | 346 |
determining whether a dentist can be a party to more than three | 347 |
collaboration agreements at one time. | 348 |
Sec. 4715.23. Except when a dental hygienist is providing | 349 |
services under a collaboration agreement entered into under | 350 |
section 4715.222 of the Revised Code, all of the following apply | 351 |
with respect to the practice of a dental hygienist: | 352 |
(A) The practice of a dental hygienist shall consist of those | 353 |
prophylactic, preventive, and other procedures that licensed | 354 |
dentists are authorized by this chapter and rules of the dental | 355 |
board to assign only to licensed dental hygienists or to qualified | 356 |
personnel under section 4715.39 of the Revised Code. | 357 |
(B) Licensed dentists may assign to dental hygienists | 358 |
intraoral tasks that do not require the professional competence or | 359 |
skill of the licensed dentist and that are authorized by board | 360 |
rule. Such performance of intraoral tasks by dental hygienists | 361 |
shall be under supervision and full responsibility of the licensed | 362 |
dentist, and at no time shall more than three dental hygienists be | 363 |
practicing clinical hygiene under the supervision of the same | 364 |
dentist. The foregoing shall not be construed as authorizing the | 365 |
assignment of diagnosis, treatment planning and prescription | 366 |
(including prescriptions for drugs and medicaments or | 367 |
authorizations for restorative, prosthodontic, or orthodontic | 368 |
appliances); or, except when done in conjunction with the removal | 369 |
of calcarious deposits, dental cement, or accretions on the crowns | 370 |
and roots of teeth, surgical procedures on hard and soft tissues | 371 |
within the oral cavity or any other intraoral procedure that | 372 |
contributes to or results in an irremediable alteration of the | 373 |
oral anatomy; or the making of final impressions from which casts | 374 |
are made to construct any dental restoration. | 375 |
(C) The state dental board shall issue rules defining the | 376 |
procedures that may be performed by licensed dental hygienists | 377 |
engaged in school health activities or employed by public | 378 |
agencies. | 379 |
Sec. 4715.39. (A) The state dental board may define the | 380 |
duties that may be performed by dental assistants and other | 381 |
individuals designated by the board as qualified personnel. If | 382 |
defined, the duties shall be defined in rules adopted in | 383 |
accordance with Chapter 119. of the Revised Code. The rules may | 384 |
include training and practice standards for dental assistants and | 385 |
other qualified personnel. The standards may include examination | 386 |
and issuance of a certificate. If the board issues a certificate, | 387 |
the recipient shall display the certificate in a conspicuous | 388 |
location in any office in which the recipient is employed to | 389 |
perform the duties authorized by the certificate. | 390 |
(B) A dental assistant may polish the clinical crowns of | 391 |
teeth if all of the following requirements are met: | 392 |
(1) The dental assistant's polishing activities are limited | 393 |
to the use of a rubber cup attached to a slow-speed rotary dental | 394 |
hand piece to remove soft deposits that build up over time on the | 395 |
crowns of teeth. | 396 |
(2) The polishing is performed only after a dentist has | 397 |
evaluated the patient and any calculus detected on the teeth to be | 398 |
polished has been removed by a dentist or dental hygienist. | 399 |
(3) The dentist supervising the assistant supervises not more | 400 |
than two dental assistants engaging in polishing activities at any | 401 |
given time. | 402 |
(4) The dental assistant is certified by the dental assisting | 403 |
national board or the Ohio commission on dental assistant | 404 |
certification. | 405 |
(5) The dental assistant receives a certificate from the | 406 |
board authorizing the assistant to engage in the polishing | 407 |
activities. The board shall issue the certificate if the | 408 |
individual has successfully completed training in the polishing of | 409 |
clinical crowns through a program accredited by the American | 410 |
dental association commission on dental accreditation or | 411 |
equivalent training approved by the board. The training shall | 412 |
include courses in basic dental anatomy and infection control, | 413 |
followed by a course in coronal polishing that includes didactic, | 414 |
preclinical, and clinical training; any other training required by | 415 |
the board; and a skills assessment that includes successful | 416 |
completion of standardized testing. The board shall adopt rules | 417 |
pursuant to division (A) of this section establishing standards | 418 |
for approval of this training. | 419 |
(C) A dental assistant may apply pit and fissure sealants if | 420 |
all of the following requirements are met: | 421 |
(1) A dentist evaluates the patient and designates the teeth | 422 |
and surfaces that will benefit from the application of sealant on | 423 |
the day the application is to be performed. | 424 |
(2) The dental assistant is certified by the dental assisting | 425 |
national board or the Ohio commission on dental assistant | 426 |
certification. | 427 |
(3) The dental assistant has successfully completed a course | 428 |
in the application of sealants consisting of at least two hours of | 429 |
didactic instruction and six hours of clinical instruction through | 430 |
a program provided by an institution accredited by the American | 431 |
dental association commission on dental accreditation or a program | 432 |
provided by a sponsor of continuing education approved by the | 433 |
board. | 434 |
(4) The dentist supervising the assistant has observed the | 435 |
assistant successfully apply at least six sealants. | 436 |
(5) The dentist supervising the assistant checks and approves | 437 |
the application of all sealants placed by the assistant before the | 438 |
patient leaves the location where the sealant application | 439 |
procedure is performed. | 440 |
(D) Subject to this section and the applicable rules of the | 441 |
board, licensed dentists may assign to dental assistants and other | 442 |
qualified personnel dental procedures that do not require the | 443 |
professional competence or skill of the licensed dentist, a dental | 444 |
hygienist, or an expanded function dental auxiliary as this | 445 |
section or the board by rule authorizes dental assistants and | 446 |
other qualified personnel to perform. The performance of dental | 447 |
procedures by dental assistants and other qualified personnel | 448 |
shall be under direct supervision and full responsibility of the | 449 |
licensed dentist. | 450 |
(E) Nothing in this section shall be construed by rule of the | 451 |
state dental board or otherwise to do the following: | 452 |
(1) Authorize dental assistants or other qualified personnel | 453 |
to engage in the practice of dental hygiene as defined by sections | 454 |
4715.22 and 4715.23 of the Revised Code, to enter into a | 455 |
collaboration agreement under section 4715.222 of the Revised | 456 |
Code, or to perform the duties of a dental hygienist, including | 457 |
the removal of calcarious deposits, dental cement, or accretions | 458 |
on the crowns and roots of teeth other than as authorized pursuant | 459 |
to this section; | 460 |
(2) Authorize dental assistants or other qualified personnel | 461 |
to engage in the practice of an expanded function dental auxiliary | 462 |
as specified in section 4715.64 of the Revised Code or to perform | 463 |
the duties of an expanded function dental auxiliary other than as | 464 |
authorized pursuant to this section. | 465 |
(3) Authorize the assignment of any of the following: | 466 |
(a) Diagnosis; | 467 |
(b) Treatment planning and prescription, including | 468 |
prescription for drugs and medicaments or authorization for | 469 |
restorative, prosthodontic, or orthodontic appliances; | 470 |
(c) Surgical procedures on hard or soft tissue of the oral | 471 |
cavity, or any other intraoral procedure that contributes to or | 472 |
results in an irremediable alteration of the oral anatomy; | 473 |
(d) The making of final impressions from which casts are made | 474 |
to construct any dental restoration. | 475 |
(F) No dentist shall assign any dental assistant or other | 476 |
individual acting in the capacity of qualified personnel to | 477 |
perform any dental procedure that the assistant or other | 478 |
individual is not authorized by this section or by board rule to | 479 |
perform. No dental assistant or other individual acting in the | 480 |
capacity of qualified personnel shall perform any dental procedure | 481 |
other than in accordance with this section and any applicable | 482 |
board rule or any dental procedure that the assistant or other | 483 |
individual is not authorized by this section or by board rule to | 484 |
perform. | 485 |
Sec. 4715.64. (A) The practice of an expanded function dental | 486 |
auxiliary shall consist of the following: | 487 |
(1) The procedures involved in the placement of restorative | 488 |
materials limited to amalgam restorative materials and | 489 |
490 | |
direct-bonded restorative materials; | 491 |
(2) The procedures involved in the placement of sealants; | 492 |
(3) Any additional procedures authorized by the state dental | 493 |
board in rules adopted under section 4715.66 of the Revised Code. | 494 |
(B) An expanded function dental auxiliary shall practice | 495 |
under the direct supervision, order, control, and full | 496 |
responsibility of a dentist licensed under this chapter. At no | 497 |
time shall more than two expanded function dental auxiliaries be | 498 |
practicing as expanded function dental auxiliaries under the | 499 |
direct supervision of the same dentist. An expanded function | 500 |
dental auxiliary shall not practice as an expanded function dental | 501 |
auxiliary when the supervising dentist is not physically present | 502 |
at the location where the expanded function dental auxiliary is | 503 |
practicing. | 504 |
(C) Nothing in this section shall be construed by rule of the | 505 |
board or otherwise to authorize an expanded function dental | 506 |
auxiliary to engage in the practice of dental hygiene as defined | 507 |
by sections 4715.22 and 4715.23 of the Revised Code or to enter | 508 |
into a collaboration agreement under section 4715.222 of the | 509 |
Revised Code. | 510 |
Section 2. That existing sections 4715.22, 4715.23, 4715.39, | 511 |
and 4715.64 of the Revised Code are hereby repealed. | 512 |