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Amendments to the Dental Practice Act SPEAKER: Petra von Heimburg, D.D.S., J.D. CE-Prof - Seminars Polish American Medical Society Dental Study Club March

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Polish-American Medical Society Dental Study Club

Amendments to the Dental Practice Act

SPEAKER: Petra von Heimburg, D.D.S., J.D. CE-Prof - SeminarsPolish American Medical Society Dental Study ClubMarch 26, 20101HOW TO CONTACT ME:Petra von Heimburg, D.D.S., J.D.

Phone: (847) 382-2832FAX: (847) 382-2924E-mail: [email protected] site: www.PetravonHeimburgDDSJD.com2

2Important Changes to the Act:SectionTitleEffective7.5Emerging Scientific Technology and ApplicationsAug. 24, 20098.1Permit for the Administration of Anesthesia and SedationAug. 11, 20099Qualification of Applicants for Dental LicensesJune 19, 200913Qualification of Applicants for Dental HygienistsAug. 24, 200917Acts Constituting the Practice of DentistryAug. 24, 200944.5Emergency Medical Plan; AEDJan. 1, 201049Identification of DenturesAug. 24, 20093

Sec. 7.5 - Emerging Scientific Technology and ApplicationsFor the first time, the Act addresses fast changing dental technology as a catch-all;Gives the Board the powers to recommend the adoption of rules regarding use and training of personnel.

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Applies to dentists, hygienists and assistants;Establishes that any new technology, if permitted to be performed by auxiliaries shall be performed by them under direct supervision;Examples are laser treatments, Botox and Dermal Fillers.

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Sec. 8.1 - Permit for the Administration of Anesthesia and SedationTermStateDescription

AnxiolysisAltered state of consciousnessWakefulness with decreased anxietyConscious SedationDepressed state of consciousnessIndependent airway maintenance; appropriate response to stimuliDeep SedationControlled state of depressed consciousnessPartial loss of protective reflexes; inability to respond purposefully to commandsGeneral AnesthesiaControlled state of unconsciousnessPartial or complete loss of reflexes; inability to maintain airway; inability to respond to commands or stimuli6TermPermitMinimum Monitoring Equipment NeededRecordsAnxiolysisNoneNone; clinical observationUsualConscious SedationASphygmomanometer, stethoscope; O2 delivery system with mask; emergency kit; suction equipment; back-up lighting system, pulse oximeterConsent, med. history; pre-, intra- and post-operative monitoring of B.P., pulse, respiration, O2 saturationDeep Sedation and General AnesthesiaBAs above; plus: laryngoscope, endotracheal tubes, tonsillar and pharyngeal suction, nasal and oral airways, temperature monitors, electrocardioscope and defibrillator, IV equipment, resuscitation facility, recovery area.As above; plus: EKG monitoring; dosages of drugs used, times given and name of person administering7

Sec. 9 and 13 - Qualifications for LicensesBefore, only the results of CRDTS, SRTA, WREB and NERB were accepted;Now, Illinois recognizes the results of all U.S. and Canadian testing agencies;This means: A dentist or hygienist wanting to practice in Illinois does not have to rely on reciprocity;Other states have not permitted the same flexibility;IDFPR may invalidate a test result if the test is found to be deficient in testing clinical competency.8

Sec. 17 - Acts Constituting the Practice of DentistrySpecifically includes the performance of in-office whitening procedures in the definition of practicing dentistry; this applies to: - the taking of impressions for whitening trays; - the application or assisting with the application of whitening materials;Specifically excludes: - the discussion of whitening materials with a patient; - information about instructions; - providing of equipment for the patient to self-application. 9

Sec. 44.5 -Emergency Medical Plan; AEDEach dental office must have the following in place:A written medical emergency plan, which shall include staff responsibilities and office protocols for emergency procedures;If the office administers sedation or anesthesia, the office must have an automated external defibrillator (AED);The dentist bears sole responsibility for the above.10

Sec. 49 - Identification of Dentures

Before, a removable prosthesis could be indentified with the patient's name or social security number or both;Now, the patients social security number can no longer be used as an identifier.11

BE CAREFUL OUT THERE!12