Iowa Administrative Code › Agency 650 - Dental Board › Title I - General Provisions › Chapter 1 - Administration › Rule 650-1.1 - Definitions

Current through Register Vol. 47, No. 3, July 24, 2024
As used in these rules:
"Accredited school"
means a dental, dental
				 hygiene, or dental assisting education program accredited by the American
				 Dental Association Commission on Dental Accreditation.
"Board"
means the dental board.
"Chapter"
means Iowa Code chapter
				 153.
"Coronal polish"
means an adjunctive
				 procedure that must also include removal of any calculus, if present, by a
				 dentist or dental hygienist. Coronal polishing of teeth using only a rotary
				 instrument and a rubber cup or brush for such purpose, when performed at the
				 direction of and under the supervision of a licensed dentist, is deemed not to
				 be the giving of prophylactic treatment.
"Dental assistant trainee"
means any person
				 who is engaging in on-the-job training to meet the requirements for
				 registration in accordance with Iowa Code section 153.39 and who is learning
				 the necessary skills under the personal supervision of a licensee or registrant
				 as delegated by a licensed dentist.
"Dental hygiene committee,"
as defined in
				 Iowa Code section 153.33A, means the dental hygiene committee of the dental
				 board.
"Department"
means the department of public
				 health.
"Direct supervision"
means that the dentist
				 is present in the treatment facility, but it is not required that the dentist
				 be physically present in the treatment room, or the dentist is not present in
				 the treatment facility but is able to appear using live video upon request with
				 a response time similar to what would be expected if the dentist were present
				 in the treatment facility.
"General supervision of a dental assistant"
means that a dentist has examined the patient and has delegated the services to
				 be provided by a registered dental assistant, which are limited to all
				 extraoral duties, dental radiography, intraoral suctioning, and use of a curing
				 light and intraoral camera. The dentist need not be present in the facility
				 while these services are being provided. If a dentist will not be present, the
				 following requirements shall be met:
1. Patients or their legal guardians must be informed prior
				 to the appointment that no dentist will be present and therefore no examination
				 will be conducted at that appointment.
2. The dental assistant must consent to the
				 arrangement.
3. Basic emergency procedures must be established and in
				 place, and the dental assistant must be capable of implementing these
				 procedures.
4. The treatment to be provided must be prior-prescribed by a
				 licensed dentist and must be entered in writing in the patient record.
"General supervision of a dental hygienist"
means that a dentist has examined the patient and has prescribed authorized
				 services to be provided by a dental hygienist. The dentist need not be present
				 in the facility while these services are being provided. If a dentist will not
				 be present, the following requirements shall be met:
1. Patients or their legal guardians must be informed prior
				 to the appointment that no dentist will be present and therefore no examination
				 will be conducted at that appointment.
2. The hygienist must consent to the arrangement.
3. Basic emergency procedures must be established and in
				 place and the hygienist must be capable of implementing these
				 procedures.
4. The treatment to be provided must be prior prescribed by a
				 licensed dentist and must be entered in writing in the patient record.
"Lapsed license," "permit,"
or
"registration"
means a license, permit, or registration that a
				 person has failed to renew as required or the license, permit, or registration
				 of a person who failed to meet stated obligations for renewal within a stated
				 time. A person whose license, permit, or registration has lapsed continues to
				 hold the privilege of licensure or registration in Iowa, but may not practice
				 dentistry, dental hygiene, or dental assisting until the license, permit, or
				 registration is reinstated.
"License"
means a certificate issued to a
				 person to practice as a dentist or dental hygienist under the laws of this
				 state.
"Licensee"
means a person who has been
				 issued a certificate to practice as a dentist or dental hygienist under the
				 laws of this state.
"Overpayment"
means payment in excess of the
				 required fee. Overpayment shall result in the return of the original request
				 and payment, prior to processing, with a clarification of the total amount
				 due.
"Peer review"
as defined in Iowa Code
				 section 272C.1(7)  means evaluation of professional services rendered by a
				 licensee or registrant.
"Peer review committee"
as defined in Iowa
				 Code section 272C.1(8)  means one or more persons acting in a peer review
				 capacity pursuant to these rules.
"Personal supervision"
means a licensee or
				 registrant is physically present in the room to oversee and instruct all
				 services of the dental assistant trainee as delegated by a licensed
				 dentist.
"Practice of dentistry"
as defined in Iowa
				 Code section 153.13 includes the rendering of professional services in this
				 state as an employee or independent contractor or the rendering of any dental
				 decisions, including diagnosing, treatment planning, determining the
				 appropriateness of proposed dental care, or engaging in acts that constitute
				 the practice of dentistry.
The following classes of persons shall also be deemed to be
				 engaged in the practice of dentistry:
1. Persons publicly professing to be dentists, dental
				 surgeons, or skilled in the science of dentistry, or publicly professing to
				 assume the duties incident to the practice of dentistry.
2. Persons who perform examinations, diagnosis, treatment,
				 and attempted correction by any medicine, appliance, surgery, or other
				 appropriate method of any disease, condition, disorder, lesion, injury,
				 deformity, or defect of the oral cavity and maxillofacial area, including
				 teeth, gums, jaws, and associated structures and tissue, which methods by
				 education, background, experience, and expertise are common to the practice of
				 dentistry.
3. Persons who offer to perform, perform, or assist with any
				 phase of any operation incident to tooth whitening, including the instruction
				 or application of tooth whitening materials or procedures at any geographic
				 location. For purposes of this paragraph, "tooth whitening" means any process
				 to whiten or lighten the appearance of human teeth by the application of
				 chemicals, whether or not in conjunction with a light source.
"Registrant"
means a person who has been
				 issued a certificate to practice as a dental assistant under the laws of this
				 state.
"Registration"
means a certificate issued to
				 a person to practice as a dental assistant under the laws of this state.
This rule is intended to implement Iowa Code sections
				 147.1(2), 147.13, 147.30, 147.76, 147.80, 153.13 and 153.15, and chapter
				 272C.