Missouri Code of State Regulations
Title 20 - DEPARTMENT OF COMMERCE AND INSURANCE
Division 2110 - Missouri Dental Board
Chapter 2 - General Rules
Section 20 CSR 2110-2.001 - Definitions
Current through Register Vol. 49, No. 6, March 15, 2024
PURPOSE: This rule is being amended to lessen restrictions on the delivery of care by dental hygienists working under the general supervision of a supervising dentist.
(1) "Dentist"-one who is currently licensed to practice as a dentist in Missouri.
(2) "Hygienist"-one who is currently licensed to practice as a dental hygienist in Missouri.
(3) "Direct supervision"-a level of supervision in which the dentist has authorized the procedure for a patient of record, remains in the treatment facility while the procedure is performed and evaluates the procedure prior to patient dismissal.
(4) "Indirect supervision"-a level of supervision in which the dentist has authorized the procedure for a patient of record and remains in the treatment facility while the procedure is performed.
(5) "General supervision"-a level of supervision in which the dentist has authorized the procedure for a patient of record and which does not require the physical presence of the dentist in the treatment facility during the performance of the procedure. The patient must be informed that the dentist is not in the treatment facility. The authorization may be verbal or written in the patient's record and is valid from the date of the most recent examination for a maximum of twelve (12) months. If the dentist gives verbal authorization for dental hygiene care, that authorization shall be documented in the patient's record following the delivery of that care. The authorization is not renewable without an examination of the patient by the dentist.
(6) "Patient of record"-one for whom the dentist has obtained a relevant history, performed an examination, and evaluated the condition to be treated. A supervising dentist may delegate to a licensed dental hygienist the collection of relevant and necessary systemic and oral health data prior to the supervising dentist's examination and evaluation. The patient shall be made aware, prior to the collection of any data, that the supervising dentist may not be physically present when that data is collected.
*Original authority: 332.031, RSMo 1969, amended 1981, 1993, 1995; 332.091, RSMo 1969, amended 1995; and 332.311 , RSMo 1969, amended 1997.
