Arizona Administrative Code › Title 4 - PROFESSIONS AND OCCUPATIONS › Chapter 11 - STATE BOARD OF DENTAL EXAMINERS › Article 1 - DEFINITIONS › Section R4-11-101 - Definitions

Current through Register Vol. 30, No. 28, July 12, 2024
The following definitions, and definitions in A.R.S. §
				  32-1201, apply to this Chapter:
"Analgesia" means a state of decreased sensibility to pain
				  produced by using nitrous oxide and oxygen with or without Local
				  Anesthesia.
"Business Entity" means a business organization that offers
				  to the public professional services regulated by the Board and is established
				  under the laws of any state or foreign country, including a sole practitioner,
				  partnership, limited liability partnership, corporation, and limited liability
				  company, unless specifically exempted by A.R.S. § 32-1213(J).
"Calculus" means a hard, mineralized deposit attached to the
				  teeth.
"Charitable Dental Clinic or Organization" means a non-profit
				  organization meeting the requirements of
				  26 U.S.C.
				  501(c)(3) and providing
				  dental, dental therapy, or dental hygiene services.
"Clinical evaluation" means a dental examination of a patient
				  named in a complaint regarding the patient's dental condition as it exists at
				  the time the examination is performed.
"Controlled substance" has the meaning prescribed in A.R.S.
				  § 36-2501(A)(3).
"Credit hour" means one clock hour of participation in a
				  Recognized Continuing Dental Education program.
"Deep sedation" is a Drug-induced depression of consciousness
				  during which a patient cannot be easily aroused but responds purposefully
				  following repeated or painful stimulation. The ability to independently
				  maintain ventilatory function may be impaired. The patient may require
				  assistance in maintaining a patent airway, and spontaneous ventilation may be
				  inadequate. Cardiovascular function is maintained.
"Dentist of record" means a dentist who examines, diagnoses,
				  and formulates treatment plans for a patient and may provide treatment to the
				  patient.
"Direct supervision" means, for purposes of Article 7 only,
				  that a licensed dentist is present in the office and available to provide
				  immediate treatment or care to a patient and observe a dental assistant's
				  work.
"Disabled" means a dentist, dental therapist, dental
				  hygienist, or denturist has totally withdrawn from the active practice of
				  dentistry, dental therapy, dental hygiene, or denturism due to a permanent
				  medical disability and based on a physician's order.
"Documentation of attendance" means documents that contain
				  the following information:
Name of sponsoring entity;
Course title;
Number of Credit Hours;
Name of speaker; and
Date, time, and location of the course.
"Drug" means:
Articles recognized, or for which standards or specifications
				  are prescribed, in the official compendium;
Articles intended for use in the diagnosis, cure, mitigation,
				  treatment, or prevention of disease in the human body;
Articles other than food intended to affect the structure of
				  any function of the human body; or
Articles intended for use as a component of any articles
				  specified in this definition but does not include devices or components, parts,
				  or accessories of devices.
"Emerging scientific technology" means any technology used in
				  the treatment of oral disease that is not currently generally accepted or
				  taught in a recognized dental, dental therapy, or dental hygiene school and use
				  of the technology poses material risks.
"Epithelial attachment" means the layer of cells that extends
				  apically from the depth of the gingival sulcus along the tooth, forming an
				  organic attachment.
"Ex-parte communication" means a written or oral
				  communication between a decision maker, fact finder, or Board member and one
				  party to the proceeding, in the absence of other parties.
"General anesthesia" is a Drug-induced loss of consciousness
				  during which the patient is not arousable, even by painful stimulation. The
				  ability to independently maintain ventilatory function is often impaired. The
				  patient often requires assistance in maintaining a patent airway, and
				  positive-pressure ventilation may be required because of depressed spontaneous
				  ventilation or Drug-induced depression of neuromuscular function.
				  Cardiovascular function may be impaired.
"General supervision" means, for purposes of Article 7 only,
				  a licensed dentist is available for consultation, whether or not the dentist is
				  in the office, regarding procedures or treatment that the dentist authorizes
				  and for which the dentist remains responsible.
"Homebound patient" means a person who is unable to receive
				  dental care in a dental office as a result of a medically diagnosed disabling
				  physical or mental condition.
"Irreversible procedure" means a single treatment, or a step
				  in a series of treatments, that causes change in the affected hard or soft
				  tissues and is permanent or may require reconstructive or corrective procedures
				  to correct the changes.
"Licensee" means a dentist, dental therapist, dental
				  hygienist, dental consultant, retired licensee, or person who holds a
				  restricted permit under A.R.S. §§ 32-1237 or 32-1292.
"Local anesthesia" is the elimination of sensations, such as
				  pain, in one part of the body by the injection of an anesthetic Drug.
"Minimal sedation" is a minimally depressed level of
				  consciousness that retains a patient's ability to independently and
				  continuously maintain an airway and respond appropriately to light tactile
				  stimulation, not limited to reflex withdrawal from a painful stimulus, or
				  verbal command and that is produced by a pharmacological or non-pharmacological
				  method or a combination thereof. Although cognitive function and coordination
				  may be modestly impaired, ventilatory and cardiovascular functions are
				  unaffected. In accord with this particular definition, the Drugs or techniques
				  used should carry a margin of safety wide enough to render unintended loss of
				  consciousness unlikely.
"Mobile dental permit holder" means a Licensee or denturist
				  who holds a mobile permit under R4-11-1301, R4-11-1302, or R4-11-1303.
"Moderate sedation" is a Drug-induced depression of
				  consciousness during which a patient responds purposefully to verbal commands
				  either alone or accompanied by light tactile stimulation, not limited to reflex
				  withdrawal from a painful stimulus. No interventions are required to maintain a
				  patent airway, and spontaneous ventilation is adequate. Cardiovascular function
				  is maintained. The Drugs or techniques used should carry a margin of safety
				  wide enough to render unintended loss of consciousness unlikely. Repeated
				  dosing of a Drug before the effects of previous dosing can be fully recognized
				  may result in a greater alteration of the state of consciousness than intended
				  by the permit holder.
"Nitrous oxide analgesia" means nitrous oxide used as an
				  inhalation analgesic.
"Official compendium" means the latest revision of the United
				  States Pharmacopeia and the National Formulary and any current
				  supplement.
"Oral sedation" is the enteral administration of a Drug or
				  non-Drug substance or combination inhalation and enterally administered Drug or
				  non-Drug substance in a dental office or dental clinic to achieve Minimal
				  Sedation or Moderate Sedation.
"Parenteral sedation" is a minimally depressed level of
				  consciousness that allows the patient to retain the ability to independently
				  and continuously maintain an airway and respond appropriately to physical
				  stimulation or verbal command and is induced by a pharmacological or
				  non-pharmacological method or a combination of both methods of administration
				  in which the Drug bypasses the gastrointestinal tract.
"Periodontal pocket" means a pathologic fissure bordered on
				  one side by the tooth and on the opposite side by crevicular epithelium and
				  limited in its depth by the Epithelial Attachment.
"Plaque" means a film-like sticky substance composed of
				  mucoidal secretions containing bacteria and toxic products, dead tissue cells,
				  and debris.
"Polishing" means a procedure limited to the removal of
				  Plaque and extrinsic stain from exposed natural and restored tooth surfaces
				  that utilizes an appropriate rotary instrument with rubber cup or brush and
				  Polishing agent. A Licensee or dental assistant shall not represent that this
				  procedure alone constitutes an oral Prophylaxis.
"Prescription-only device" means:
Any device that is restricted by the federal act, as defined
				  in A.R.S. § 32-1901, to use only under the supervision of a medical
				  practitioner; or
Any device required by the federal act, as defined in A.R.S.
				  § 32-1901, to bear on its label the legend "Rx Only." "Prescription-only
				  Drug" does not include a Controlled Substance but does include:
Any Drug that, because of its toxicity or other potentiality
				  for harmful effect, the method of its use, or the collateral measures necessary
				  to its use, is not generally recognized among experts, qualified by scientific
				  training and experience to evaluate its safety and efficacy, as safe for use
				  except by or under the supervision of a medical practitioner;
Any Drug that is limited by an approved new Drug application
				  under the federal act or A.R.S. § 32-1962 to use under the supervision of
				  a medical practitioner;
Every potentially harmful Drug, the labeling of which does
				  not bear or contain full and adequate directions for use by the consumer;
				  or
Any Drug required by the federal act to bear on its label the
				  legend "RX Only."?
"President's designee" means the Board's executive director,
				  an investigator, or a Board member acting on behalf of the Board
				  president.
"Preventative and therapeutic agents" means substances that
				  affect the hard or soft oral tissues to aid in preventing or treating oral
				  disease.
"Prophylaxis" means a Scaling and Polishing procedure
				  performed on patients with healthy tissues to remove coronal Plaque, Calculus,
				  and stains.
"Recognized continuing dental education" means a program
				  whose content directly relates to the art and science of oral health and
				  treatment, provided by a recognized dental school, recognized dental therapy
				  school, recognized dental hygiene school, or recognized denturist school, or
				  sponsored by a national or state dental, dental therapy, dental hygiene, or
				  denturist association, American Dental Association Continuing Education
				  Recognition Program or Academy of General Dentistry, Program Approval for
				  Continuing Education approved provider, dental, dental therapy, dental hygiene,
				  or denturist Study Club, governmental agency, commercial dental supplier,
				  non-profit organization, accredited hospital, or programs or courses approved
				  by other state, district, or territorial dental licensing boards.
"Restricted permit holder" means a dentist who meets the
				  requirements of A.R.S. § 32-1237, or a dental hygienist who meets the
				  requirements of A.R.S. § 32-1292 and is issued a restricted permit by the
				  Board.
"Retired" means a dentist, dental therapist, dental
				  hygienist, or denturist is at least 65 years old and has totally withdrawn from
				  the active practice of dentistry, dental therapy, dental hygiene, or
				  denturism.
"Root planing" means a definitive treatment procedure
				  designed to remove cementum or surface dentin that is rough, impregnated with
				  Calculus, or contaminated with toxins or microorganisms.
"Scaling" means use of instruments on the crown and root
				  surfaces of the teeth to remove Plaque, Calculus, and stains from these
				  surfaces.
"Section 1301 permit" means a permit to administer General
				  Anesthesia and Deep Sedation, employ or work with a physician anesthesiologist,
				  or employ or work with a Certified Registered Nurse Anesthetist under Article
				  13.
"Section 1302 permit" means a permit to administer Parenteral
				  Sedation, employ or work with a physician anesthesiologist, or employ or work
				  with a Certified Registered Nurse Anesthetist under Article 13.
"Section 1303 permit" means a permit to administer Oral
				  Sedation, employ or work with a physician anesthesiologist, or employ or work
				  with a Certified Registered Nurse Anesthetist under Article 13.
"Section 1304 permit" means a permit to employ or work with a
				  physician anesthesiologist, or employ or work with a Certified Registered Nurse
				  Anesthetist under Article 13.
"Study club" means a group of at least five Arizona licensed
				  dentists, dental therapists, dental hygienists, or denturists who provide
				  written course materials or a written outline for a continuing education
				  presentation that meets the requirements of Article 12.
"Treatment records" means all documentation related directly
				  or indirectly to the dental treatment of a patient.