Current through all regulations passed and filed through March 18, 2024
(A)
Subject to the
requirements set forth in paragraph (B) of this rule, an expanded function
dental auxiliary may provide all of the following services to a patient when
the supervising dentist is not physically present at the location where the
services are provided:
(1)
Application of pit and fissure
sealants;
(2)
Recementation of temporary crowns or recementation of
crowns with temporary cement;
(3)
Application of
topical fluoride;
(4)
Application of fluoride varnish;
(5)
Application of
disclosing solutions;
(6)
Application of desensitizing agents;
(7)
Caries
susceptibility testing; and
(8)
Instruction on
oral hygiene home care, including the use of toothbrushes and dental
floss.
(B)
An expanded function dental auxiliary may provide the
services in paragraph (A) of this rule for not more than fifteen consecutive
business days to a patient when the supervising dentist is not physically
present at the location at which the services are provided if all of the
following requirements are met:
(1)
The expanded function dental auxiliary has at least two
years and a minimum of three thousand hours of experience practicing as an
expanded function dental auxiliary. This experience shall be documented on a
form supplied by the board, with any necessary supporting information attached,
and the form shall be maintained in the facility(s) where the expanded function
dental auxiliary is working.
(2)
The expanded
function dental auxiliary has successfully completed a course approved by the
state dental board in the identification and prevention of potential medical
emergencies. This board approved course shall be taken through a permanent
sponsor, shall be at least four hours in duration, and shall include, at a
minimum, the following topics:
(a)
Medical history;
(b)
Recognition of
common medical emergency situations;
(c)
Office emergency
protocols;
(d)
Basic airway management;
(e)
Prevention of
emergency situations during dental appointments; and
(f)
Recognition of
symptoms, first aid treatment and possible outcomes for patients who exhibit
bleeding injuries, cardiovascular disease, insulin reaction, diabetic coma,
shock, syncope, epileptic seizures and allergic reactions.
Completion of this course shall be
documented on a form supplied by the board, with all necessary supporting
information attached, and the form shall be maintained in the facility(s) where
the expanded function dental auxiliary is working
(3)
The
supervising dentist has evaluated the expanded function dental auxiliary's
skills and has made a determination that the expanded function dental auxiliary
is competent to treat patients without the dentist being physically present.
This determination shall be documented on a form supplied by the board, and the
form shall be maintained at the facility(s) where the expanded function dental
auxiliary is working.
(4)
The supervising dentist examined the patient not more
than one year prior to the date the expanded function dental auxiliary provides
the services to the patient.
(5)
The supervising
dentist has established written protocols or written standing orders for the
expanded function dental auxiliary to follow during and in the absence of an
emergency.
(6)
The supervising dentist completed and evaluated a
medical and dental history of the patient not more than one year prior to the
date the expanded function dental auxiliary provides services to the patient
and the supervising dentist determines that the patient is in a medically
stable condition.
(7)
In advance of the appointment for dental services, the
patient is notified that the supervising dentist will be absent from the
location and that the expanded function dental auxiliary cannot diagnose the
patient's dental health care status. This notification must be documented in
the patient record.
(8)
The expanded function dental auxiliary is employed by,
or under contract with, one of the following:
(a)
The supervising
dentist;
(b)
A dentist licensed under this chapter who is one of the
following:
(i)
The employer of the supervising dentist;
(ii)
A shareholder in
a professional association formed under Chapter 1785. of the Revised Code of
which the supervising dentist is a shareholder;
(iii)
A member or
manager of a limited liability company formed under Chapter 1705. of the
Revised Code of which the supervising dentist is a member or
manager;
(iv)
A shareholder in a corporation formed under division
(B) of section 1701.03 of the Revised Code of
which the supervising dentist is a shareholder;
(v)
A partner or
employee of a partnership or a limited liability partnership formed under
Chapter 1775. or 1776. of the Revised Code of which the supervising dentist is
a partner or employee.
(c)
A government
entity that employs the expanded function dental auxiliary to provide services
in a public school or in connection with other programs the government entity
administers.
(C)
An expanded
function dental auxiliary may apply pit and fissure sealants prior to a dentist
examining the patient and rendering a diagnosis, and when a dentist is not
physically present at the location where the service is provided, if all of the
following are the case:
(1)
All of the conditions specified in paragraph (B) of
this rule have been satisfied, except for paragraphs (B)(4) and (B)(6) of this
rule.
(2)
The expanded function dental auxiliary is providing the
service as part of a program operated through any of the following: a school
district board of education or the governing board of an educational service
center; the board of health of a city or general health district or the
authority having the duties of a board of health under section
3709.05 of the Revised Code; a
national, state, district, or local dental association; or any other public or
private entity recognized by the state dental board.
(3)
A supervising
dentist for the program described in paragraph (C)(2) of this rule meets both
of the following conditions:
(a)
Is employed by or a volunteer for, and the patients are
referred by, the entity through which the program is operated;
(b)
Is available for
consultation by telephone, videoconferencing, or other means of electronic
communication.
(4)
The application of pit and fissure sealants is limited
to erupted permanent posterior teeth without suspicion of dentinal
cavitation.
If the patient is a minor, a parent,
guardian, or other person responsible for the patient has been notified that a
dentist will not be present at the location and that the expanded function
dental auxiliary is not trained to diagnose or treat other serious dental
concerns that could exist.
Effective: 9/12/2016
Five Year
Review (FYR) Dates: 08/01/2021
Promulgated Under:
119.03
Statutory
Authority: 4715.03,
4715.39,
4715.62,
4715.66
Rule
Amplifies: 4715.03,
4715.39,
4715.62,
4715.66