Iowa Administrative Code › Agency 650 - Dental Board › Title IV - Auxiliary Personnel › Chapter 23 - Expanded Functions › Rule 650-23.7 - Expanded Function Training

Current through Register Vol. 47, No. 3, July 24, 2024
(1)
Approved expanded function
				training programs.
Training programs for Level 1 and Level 2 expanded
				function procedures must be board-approved. Training programs for Level 2
				expanded function procedures shall be eligible for board approval if the
				training is offered through the University of Iowa College of Dentistry or
				another accredited school.
(2)
Certificates of completion.
All board-approved training
				programs are authorized and required to issue certificates to dental hygienists
				and dental assistants who successfully complete expanded function training. A
				certificate shall be issued for one or more of the listed expanded function
				procedures completed as Basic Level 1, or a certificate shall be issued for
				Certified Level 1 or Certified Level 2. Dental hygienists and dental assistants
				shall prominently display the expanded functions certificate in each dental
				facility where services are provided.
(3)
Training requirements.
Training may be completed in one or more of the listed expanded function
				procedures. Clinical training in expanded function procedures must be completed
				under observational supervision. Beginning January 1, 2020, Level 1 expanded
				function training must consist of the following:
a. An initial assessment to determine the
				base entry level of all participants in the program;
b. Completion of a training program that
				meets the following minimum standards for each function:
(1) Taking occlusal registrations:
Goal: To reproduce the patient's jaw relationship
				  accurately.
Standard: Demonstrate an accurate occlusal registration
				  confirmed by a supervising dentist. Minimum training requirement: One hour of
				  didactic training, and clinical training that includes a minimum of five
				  patient experiences under observational supervision.
(2) Placement and removal of gingival
				retraction material:
Goal: To expose the margins of a crown by displacing tissue
				  from the tooth.
Standard: Perform the procedural steps to place and remove
				  retraction material and recognize oral conditions and techniques that may
				  compromise tissue displacement or patient health.
Minimum training requirement: Two hours of didactic training,
				  the equivalent of one hour of laboratory training that includes a minimum of
				  three experiences, and clinical training that includes a minimum of five
				  patient experiences under observational supervision.
(3) Fabrication, temporary cementation and
				removal of provisional restorations:
Goal: To replicate the anatomy and function of the natural
				  tooth, prior to the final restoration.
Standard: Use various methods to fabricate and temporarily
				  cement single-unit and multiunit provisional restorations.
Minimum training requirement: Four hours of didactic
				  training, the equivalent of four hours of laboratory training that includes a
				  minimum of five experiences, and clinical training that includes a minimum of
				  ten patient experiences under observational supervision.
(4) Applying cavity liners and bases;
				desensitizing agents; and bonding systems, to include the placement of
				orthodontic brackets, following the determination of location by the
				supervising dentist:
Goal: To apply appropriate material that protects existing
				  tooth structure and adheres existing tooth structure to restorative
				  materials.
Standard: Manipulate and apply appropriate material to meet
				  clinical competency.
Minimum training requirement: Two hours of didactic training,
				  the equivalent of one hour of laboratory training that includes a minimum of
				  two experiences, and clinical training that includes a minimum of 5 patient
				  experiences in each one of these areas (for a total of 15 patient experiences
				  under observational supervision).
(5) Monitoring of patients receiving nitrous
				oxide inhalation analgesia, pursuant to subrule 23.4(5):
Goal: Understand the equipment, recognize the signs of
				  patient distress or adverse reaction, and
know when to call for help.
Standard: Exercise the ability to maintain patient safety
				  while nitrous oxide is used.
Minimum training requirement: Two hours of didactic training,
				  one hour of laboratory training in the office where the dental hygienist or
				  dental assistant is employed, and five patient experiences under observational
				  supervision.
(6) Taking
				final impressions:
Goal: Reproduce soft and hard oral tissues, digitally or with
				  impression materials.
Standard: Complete the procedural steps to obtain a
				  clinically acceptable final impression.
Minimum training requirement: Three hours of didactic
				  training, and the equivalent of clinical training that includes a minimum of
				  six patient experiences under observational supervision.
(7) Removal of adhesives using nonmotorized
				hand instrumentation:
Goal: Remove excess adhesives and bonding materials to
				  eliminate soft tissue irritation.
Standard: Identify how, when and where to remove excessive
				  bonding or adhesive material.
Minimum training requirement: One hour of didactic training,
				  and clinical training that includes a minimum of five patient experiences under
				  observational supervision.
(8) Placement of Class 1 temporary filling
				materials:
Goal: Place Class 1 temporary filling materials following
				  preparation of a tooth by a dentist.
Standard: Identify how, when and where to place Class 1
				  temporary filling materials.
Minimum training requirement: One hour of didactic training,
				  and clinical training that includes a minimum of five patient experiences under
				  observational supervision.
(9) Recementation of provisional
				restorations:
Goal: Secure the provisional restoration to a previously
				  prepared tooth after the provisional restoration has become loose or
				  dislodged.
Standard: Use various methods to fabricate and temporarily
				  cement single-unit and multiunit provisional restorations.
Minimum training requirement: If this training is completed
				  in conjunction with training in fabrication, temporary cementation and removal
				  of provisional crown and bridge restorations, the training requirements may be
				  combined since the procedures are related. If this training is being completed
				  separately, the same training requirements for fabrication, temporary
				  cementation and removal of provisional restorations applies.
c. A postcourse written
				examination at the conclusion of the training program, with a minimum of ten
				questions per function, must be administered. Participants must obtain a score
				of 75 percent or higher on each examination administered.