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Expanded Function Regulations Update

The issue of who could take an impression under the new Regulations governing dental assistants came up during the Spring Board of Dentistry meeting. Because the Board of Dentistry needed guidance on the intent behind the recently enacted NDA/NDAA legislation expanding dental auxiliary duties, the Board of Trustees created
an Ad Hoc Committee to review the draft Regulations for dental auxiliaries’ expanded functions. This Committee met twice in the last two months. The Committee consists of Brett Thomsen (chair), Mark Hinrichs, Scott Morrison, Sam Jacoby, Deb West, Melanie Steckleberg, Crystal Stuhr, Cindy Cronick and David O’Doherty.

The Committee has been charged with drafting language that will address the Regulations of the expanded function dental auxiliary. We have completed our mission and now the document will be transmitted to the Board of Dentistry before their July 13th meeting. We have created reasonable and appropriate language that will help steer our profession into the future concerning the regulation of expanded function dental personnel.

The summary of the changes are as follows:

172 NAC 53 Assistants - NDA May 21 2018 - June 8

1.   A detailed definition of Dental Prosthesis in Section 2.07

2.   Modification of Section 008. Prohibited Services, paragraph (E) and (F) acknowledging the Restorative Permits and excluding non-radiation digital scans that do not require manipulation of soft tissue.

3.   New Section 009, Categories of Practice of Licensed Dental Assistants and Section 010, Categories of Practice for Expanded Function Dental Assistants -  both of which mirror the proposal contained in our 407 Application.

4.   New Section 013 -  Permit and Expanded Function Course Providers also mirrors the proposal contained in our 407 Application.  The direction of the education and testing contained in the February 2018 DHHS draft Regulations was inconsistent with our 407 Application and therefore deleted in place of the new Section 013.

5.   We question why the Regulations governing Coronal Polishing and Dental X-Rays were not pulled in from the existing Regulations.  We have placed the existing Regulations text in Section 011 and recommend that it be used in the new draft.

172 NAC 56 Hygienists - NDA - June 20

1.    A detailed definition of Dental Prosthesis in Section 2.05

2.    Modification of Section 008. Prohibited Services, paragraph (E) and (F) acknowledging the Restorative Permits and excluding non-radiation digital scans that do not require manipulation of soft tissue.

3.   New Section 009, Categories of Practice of Expanded Function Dental Hygienist, which should be identical to the Expanded Function Restorative in Chapter 53 -  also mirroring the proposal contained in our 407 Application.

4.   We just began working on 009 – Additional Duties of Practice for Licensed Dental Hygienist, that would address Minor Denture Adjustments,  Interim Therapeutic Restoration Technique, Writing Prescriptions for Mouth Rinses and Fluoride Products and Administer and Titrate Nitrous Oxide Analgesia.

We believe that these two drafts are much more in line with our 407 Application August 5 2014.

Please reach out to any of the Ad Hoc committee members to express your thoughts regarding the newly drafted regulatory language.
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