Dental Therapists: a Global Perspective
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Dentistry Work Group
STATE OF MICHIGAN GRETCHEN WHITMER DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS ORLENE HAWKS GOVERNOR DIRECTOR LANSING MICHIGAN BOARD OF DENTISTRY RULES COMMITTEE WORK GROUP MEETING MINUTES JUNE 13, 2019 The Michigan Board of Dentistry Rules Committee Work Group, met on June 13, 2019, at 611 West Ottawa Street, Upper Level Conference Room 4, Lansing, Michigan 48933. CALL TO ORDER Mark Johnston, DDS, Chairperson, called the meeting to order at 8:16 a.m. ATTENDANCE Members Present: Mark Johnston, DDS, Chairperson Lori Barnhart, RDA Cheryl Bentley, RDH Joshua Goodrich, Public Member Kathleen Inman, RDA, RDH, BS Vaijanthi Oza, DDS Kathleen Weber, CDA, RDA, BAS Members Absent: Daniel Briskie, DDS Grace Curcuru, DDS Staff Present: Andria Ditschman, Analyst, Boards and Committees Section Stephanie Wysack, Board Support, Boards and Committees Section Public Present: Christine Farrell – Michigan Department of Health & Human Services, Oral Health Program Margaret Gingrich, DDS – Michigan Dental Association Sarah Hubbard – Michigan Dental Hygienists’ Association Josh Kluzak – Michigan Dental Association Ann Lynch – American Dental Hygienists’ Association Debra Peters, DDS – Michigan Dental Association Theresa A. Raglin – Ferris State University, Dental Hygiene Erin Suddeth, RDH, BS, MPA – Michigan Department of Health & Human Services, Oral Health BUREAU OF PROFESSIONAL LICENSING 611 W. OTTAWA • P.O. BOX 30670 • LANSING, MICHIGAN 48909 www.michigan.gov/bpl • 517-241-0199 LARA is an equal opportunity employer/program Michigan Board of Dentistry Rules Committee Work Group Meeting Minutes June 13, 2019 Page 2 of 7 Bill Sullivan – Michigan Dental Association Stefanie VanDuine – University of Michigan Amy Zaagman – Michigan Council for Maternal & Child Health WELCOME Ditschman explained the plan for the meeting, covering the Dental Therapy Rules and Dentistry – General Rules. -
Alternative Workforce Models
Alternative Workforce Models State Alternative Workforce Model Type Brief Description Alabama N/A The training sites for the DHAT Educational Program are located in Anchorage and Bethel, Alaska. The DHAT program is 2 years (certificate upon graduation). Collaborative Dental Hygienists may provide Dental Health Aide Therapists (DHAT). Also services according to terms of the collaborative agreement. A dentist’s presence, diagnosis or treatment state allows Collaborative Dental Hygiene plan is not required unless specified by agreement. Care under the agreement can be provided in Alaska Practice. settings outside of a dentists “usual place of practice”. Training was provided at the Rio Salado College (Arizona) and A.T. Still University Arizona School of Dentistry and Oral Health (ASDOH) in Mesa, Arizona. The ADA’s CDHC pilot project, as of 2013, resulted in the deployment of 34 CDHCs providing care in remote rural communities, inner cities and American Indian lands across 7 states. Currently, the ADA is reviewing the pilot project and looking to increase funding for future cohorts of CDHCs. A dental hygienist with a written affiliated practice Community Dental Health Coordinator (CDHC) agreement may perform dental hygiene services on patients who meet certain financial criteria and are education and training program. Also state enrolled in a federal, state, county or local healthcare program. Hygienists must refer patients for Arizona allows Affiliated Dental Hygiene Practice. additional treatment by a dentist within 12 months of first treatment. The Collaborative Dental Hygiene Program requires a written plan that identifies a dentist licensed by the Arkansas State Board of Dental Examiners who agrees to collaborate with a dental hygienist licensed by the Arkansas State Board of Dental Examiners in the joint provision of dental hygiene services to patients and outlines procedures for consultation with or referral to the collaborating dentist or other dentists as indicated by a patient's dental care needs. -
Dental Therapy Start up Guide for Tribal Leaders
Dental Therapy Start Up Guide for Tribal Leaders DEVELOPED BY The National Indian Health Board’s Tribal Oral Health Initiative Acknowledgements The National Indian Health Board would like to thank all those that contributed to the creation of this guide, including Alaska Native Tribal Health Consortium Northwest Portland Area Indian Health Board W. K. Kellogg Foundation Community Catalyst _______________________ NIHB would also like to thank the communities and individuals who shared their stories for the benefit of the Tribes. _______________________ This publication was prepared by the National Indian Health Board, 910 Pennsylvania Ave., SE, Washington, DC 20003 and supported by grant number P0131269, funded by the W.K. Kellogg Foundation. Its contents are solely the responsibility of the authors and do not necessarily represent the official views of the W.K. Kellogg Foundation. For more information about this Guide or NIHB’s Tribal Oral Health Initiative, please contact Brett Weber at [email protected]. Contents From the Chairperson ....................................................2 The Oral Health Crisis in Tribal Communities..............3 Alaska Natives Find a Solution: Dental Therapy .........6 First Steps: Evaluating Dental Therapy’s Potential for Your Tribe .................................................8 Complying with State Statute and Regulations .........11 Implementing Independent Tribal Licensing: The Swinomish Story .................................................. 17 Developing the Workforce: Keeping Students Close -
Dental Auxiliary Personnel World Health Organization (WHO) Can
Third Lec Community Dentistry Assist Prof Alhan Ahmed Dental Auxiliary personnel The concept of dental team is used to describe the providers of dental care, all of whom perform different roles and function. They undergo different training and work together to provide care to dental patients. Dental auxiliary is a person who is gives responsibility by a dentist(generic term for all persons who is assist the dentist in patient management render dental care), the duties undertaken by dental auxiliaries range from simple task (sorting instrument) to complex procedure which form part of treatment of patients, they play an important role in the public dental health. A dentist is a person licensed to practice dentistry under the law of the appropriate state, province, territory or nation. Dentists are concerned with the prevention and control of the diseases of the oral cavity. They are legally entitled (licensed and registered) to treat patients independently, prescribe certain drugs and to employ and supervise auxiliary personnel. Dental auxiliary can help the dentist in providing dental care. World Health Organization (WHO) can classify dental auxiliary according to: a. The training they have received. b. The task they are expected to undertake. c. Legal restrictions placed upon them. Classification: 1. Non operating auxiliaries. According to revised classification of non- operatory auxiliary are: Dental surgery assistant: a. Non- operatory auxiliary. b. Assist the dentist or dental hygienist in treating patients. c. Not permitted to treat patients independently. d. Also called dental nurse or chair side dental assistant. e. The duties of the dental assistant are Reception of the patient. -
Role of Dental Auxiliaries in Dental Health by Batch B of Final BDS (January 2015 Batch) Submitted Is a Bonafide Work Done Under My Guidance and Supervision
P a g e | 2 Certificate This is to certify that the subject seminar on Role of Dental Auxiliaries in Dental health by Batch B of Final BDS (January 2015 batch) submitted is a bonafide work done under my guidance and supervision. Date: Signature of Faculty Department of Public Health Dentistry Manipal College of Dental Sciences Manipal P a g e | 3 Internal Examiner External Examiner P a g e | 4 Contents Introduction................................................................................................................ 4 Classification by W.H.O (1967)...................................................................................5 Degrees of Supervision...............................................................................................6 (A) Non-Operating Dental Auxiliaries......................................................................9 1. Dental Receptionist.............................................................................................9 2. Dental assistant................................................................................................13 Educational and licensing requirements in U.S.................................................................13 Earnings and salary............................................................................................14 3. Dental Health Educator.....................................................................................15 4. Dental Technician..............................................................................................19 -
The Role of the Oral Health Therapist in the Provision of Oral Health Care to Patients Across All Ages
We are IntechOpen, the world’s leading publisher of Open Access books Built by scientists, for scientists 5,400 134,000 165M Open access books available International authors and editors Downloads Our authors are among the 154 TOP 1% 12.2% Countries delivered to most cited scientists Contributors from top 500 universities Selection of our books indexed in the Book Citation Index in Web of Science™ Core Collection (BKCI) Interested in publishing with us? Contact [email protected] Numbers displayed above are based on latest data collected. For more information visit www.intechopen.com 16 The Role of the Oral Health Therapist in the Provision of Oral Health Care to Patients Across All Ages Hanny Calache1,2 and Matthew Hopcraft3 1Dental Health Services Victoria, 2La Trobe University, 3University of Melbourne Australia 1. Introduction This chapter will describe the role and evolution of the scope of clinical practice of dental hygienists, dental therapists and oral health therapists. These three groups of allied oral health professionals are playing an increasingly important role in the provision of oral health services and it is therefore important to understand how they are utilised as part of the dental team. Historically, the dental hygiene profession originated in the early 1900s in the US, followed by Norway, 1924; United Kingdom, 1943; Canada, 1947; Japan, 1948; and Australia, 1971 (Johnson, 2009). Dental hygienists predominantly provide health education, preventive, periodontal and orthodontic auxiliary services to people of all ages. Dental therapists were introduced in New Zealand in 1921 to provide basic preventive and restorative dental care for children in the School Dental Service. -
Katy Can Do It Welcoming Dental Therapists to the Dental Team
Katy Can Do It Welcoming dental therapists to the dental team. BY TERRI PETERSON SMITH AND CLAUDIA KANTER hen Katy be challenges ahead. But I have full areas in which their scopes of practice (Kathlyn) confidence in the University, practitioners, overlap. For us, that means patients can Leiviska gradu- future patients and myself to make this expect to receive a single standard of care, ated from the program and model of oral health care regardless of the education level of the University of delivery successful.” caregiver.” The school also believed that Minnesota in For Katie, part of that confidence had learning together would allow all mem- W 2008 with a to do with the opportunity to learn along- bers of the dental team to develop an bachelor’s degree in biology, she had her side dental and dental hygiene students, understanding and appreciation for the sights set on becoming a dentist. Like in the same facilities and from the same unique skills each provider brings to the many dental school applicants, she’d been faculty. According to Karl Self, director of patient care experience. “We were looking naturally drawn to the health sciences and long-term, to the time when our dental to both the art and science of the profes- students would be in practice,” says Self. sion. She had good grades and hand skills, “I knew there would be “We hoped that (for them) working with wanted to work one-on-one with patients, challenges ahead. But I have a dental therapist would be a familiar and and enjoyed––and even excelled in––a team- accepted experience, which would help based approach to just about everything. -
House Bill Report Hb 1317
HOUSE BILL REPORT HB 1317 As Reported by House Committee On: Health Care & Wellness Appropriations Title: An act relating to the profession of dental therapist. Brief Description: Establishing the profession of dental therapist. Sponsors: Representatives Cody, Tharinger, Jinkins, Robinson, Entenman, Stonier, Pettigrew, Slatter, Kloba, Gregerson, Shewmake, Macri, Fitzgibbon, Lekanoff, Appleton, Frame and Ryu. Brief History: Committee Activity: Health Care & Wellness: 2/13/19, 2/22/19 [DP]; Appropriations: 2/27/19, 2/28/19 [DPS]. Brief Summary of Substitute Bill Establishes the profession of dental therapists in Washington, and sets the requirements for licensure, the scope of practice, and the settings in which dental therapists can practice. Allows a dental therapist to supervise an expanded function dental auxiliary and dental assistant. Modifies the settings in which a dental health aide therapist may practice. HOUSE COMMITTEE ON HEALTH CARE & WELLNESS Majority Report: Do pass. Signed by 9 members: Representatives Cody, Chair; Macri, Vice Chair; Davis, Jinkins, Riccelli, Robinson, Stonier, Thai and Tharinger. Minority Report: Do not pass. Signed by 5 members: Representatives Schmick, Ranking Minority Member; Caldier, Assistant Ranking Minority Member; Chambers, DeBolt and Maycumber. Minority Report: Without recommendation. Signed by 1 member: Representative Harris. –––––––––––––––––––––– This analysis was prepared by non-partisan legislative staff for the use of legislative members in their deliberations. This analysis is not a part -
House Bill 2528 Sponsored by Representative SANCHEZ (Presession Filed.)
81st OREGON LEGISLATIVE ASSEMBLY--2021 Regular Session House Bill 2528 Sponsored by Representative SANCHEZ (Presession filed.) SUMMARY The following summary is not prepared by the sponsors of the measure and is not a part of the body thereof subject to consideration by the Legislative Assembly. It is an editor’s brief statement of the essential features of the measure as introduced. Directs Oregon Board of Dentistry to issue dental therapist license to qualified applicant. Pro- hibits unlicensed use of title “dental therapist” and practice of dental therapy. Provides exceptions to prohibition. Adds dental therapist member to board. Takes effect on 91st day following adjournment sine die. 1 A BILL FOR AN ACT 2 Relating to dental therapy; creating new provisions; amending ORS 679.010, 679.140, 679.170, 679.230 3 and 679.250 and section 1, chapter 716, Oregon Laws 2011; and prescribing an effective date. 4 Whereas good oral health is an integral piece of overall health and well-being, and untreated 5 dental disease compromises overall health and requires increasingly costly interventions; and 6 Whereas most dental disease can be prevented at little cost through routine dental care and 7 disease prevention; and 8 Whereas dental-related issues are a leading reason that Oregonians seek care in hospital emer- 9 gency departments, which have become the source of care for many Oregonians, especially in 10 uninsured and low-income populations; and 11 Whereas dental therapists are evidence-based primary dental care providers that expand access 12 -
Mississippi 2020 Allowable and Prohibited Duties for Dental Assistants
DENTAL ASSISTING NATIONAL BOARD, INC. Mississippi 2020 Allowable and Prohibited Duties for Dental Assistants At-a-glance information includes a dental assisting career ladder and job titles, radiography requirements, education and exam requirements, delegable functions and supervision levels, and prohibited functions. INSIDE: • State requirements and functions chart • Appendix A: information about numbering system • Appendix B: information about supervision levels for dental assistants ABOUT THESE DATA These data are presented for informational purposes only and are not intended as a legal opinion regarding dental practice in any state. DANB confers with each state’s dental board at least annually regarding the accuracy and currency of this information. To verify, or if you have any questions, please contact your state’s dental board. © 2006-2020 Dental Assisting National Board, Inc. All rights reserved. NELDA®, CDA®, COA®, CRFDA®, CPFDA®, and COMSA®, are registered certification marks of the Dental Assisting National Board, Inc. (DANB). DANB®, Dental Assisting National Board®, RHS®, ICE®, and Measuring Dental Assisting Excellence® are registered service marks of DANB. CERTIFIED DENTAL ASSISTANT™ is a certification mark of DANB. MI MISSISSIPPI: OVERVIEW State-approved 6/11/2020 State Career Ladder There is one recognized level of dental assistant in Mississippi. See the following pages for details about requirements and allowed functions for each level. Numbers for each level are provided for internal reference and do not correspond to specific state designations. State Job Titles 1 Dental Assistant State Radiography Requirements To legally operate dental x-ray equipment and perform dental radiographic procedures in Mississippi, a dental assistant must: I. a. Hold a current national DANB Certified Dental Assistant (CDA) certificationOR b. -
Ohio 2020 Allowable and Prohibited Duties for Dental Assistants
DENTAL ASSISTING NATIONAL BOARD, INC. Ohio 2020 Allowable and Prohibited Duties for Dental Assistants At-a-glance information includes a dental assisting career ladder and job titles, radiography requirements, education and exam requirements, delegable functions and supervision levels, and prohibited functions. INSIDE: • State requirements and functions chart • Appendix A: information about numbering system • Appendix B: information about supervision levels for dental assistants ABOUT THESE DATA These data are presented for informational purposes only and are not intended as a legal opinion regarding dental practice in any state. DANB confers with each state’s dental board at least annually regarding the accuracy and currency of this information. To verify, or if you have any questions, please contact your state’s dental board. © 2006-2020 Dental Assisting National Board, Inc. All rights reserved. NELDA®, CDA®, COA®, CRFDA®, CPFDA®, and COMSA®, are registered certification marks of the Dental Assisting National Board, Inc. (DANB). DANB®, Dental Assisting National Board®, RHS®, ICE®, and Measuring Dental Assisting Excellence® are registered service marks of DANB. CERTIFIED DENTAL ASSISTANT™ is a certification mark of DANB. OH OHIO: OVERVIEW State-approved 6/18/2020 State Career Ladder There are three recognized levels of dental assistants in Ohio. See the following pages for details about requirements and allowed functions for each level. Numbers for each level are provided for internal reference and do not correspond to specific state designations. 3 Expanded Function Dental Auxiliary (EFDA) 2 Certified Assistant State Job Titles 1 Basic Qualified Personnel (BQP) State Radiography Requirements To legally operate dental x-ray equipment and perform dental radiographic procedures in Ohio under the direct supervision of a dentist, a dental assistant must be state certified as a Dental X-Ray Machine Operator. -
A Review of the Global Literature on Dental Therapists
A Review of the Global Literature on Dental Therapists In the Context of the Movement to Add Dental Therapists to the Oral Health Workforce in the United States April 2012 A Review of the Global Literature on Dental Therapists In the Context of the Movement to Add Dental Therapists to the Oral Health Workforce in the United States prepAred by David A. Nash, Jay W. Friedman, Kavita R. Mathu-Muju, Peter G. Robinson, Julie Satur, Susan Moffat, Rosemary Kardos, Edward C.M. Lo, Anthony H.H. Wong, Nasruddin Jaafar, Jos van den Heuvel, Prathip Phantumvanit, Eu Oy Chu, Rahul Naidu, Lesley Naidoo, Irving McKenzie and Eshani Fernando This project was made possible with support from the W.K. Kellogg Foundation A Review of the GlobAl liteRAtuRe on DentAl theRApists exeCutive summAry preface The literature of the countries using dental therapists in their oral health workforces is extensive. Consequently, an attempt to summarize the literature is lengthy. The intention is to provide as comprehensive a review as possible in order that the existing global literature is accessible to anyone desiring to study it. For a much more detailed and substantive summarization of the literature than is provided in this executive summary, the reader is referred to Section 17: “Summary and Conclusions.” There are 1,100 documents referenced in the bibliography. Two-thirds of these are cited and annotated in this monograph. These are identified in boldface type in the bibliography. introduCtion “Oral Health in America: A Report of the Surgeon General” in 2000 highlighted the problems in oral health for many Americans—problems that are particularly acute for America’s children.