Iowa Administrative Code › Agency 650 - Dental Board › Title IV - Auxiliary Personnel › Chapter 23 - Expanded Functions › Rule 650-23.1 - Definitions

Current through Register Vol. 47, No. 3, July 24, 2024
As used in this chapter:
"Accredited school"
means a dental, dental
				  hygiene, or dental assisting education program accredited by the Commission on
				  Dental Accreditation (CODA).
"Clinical training"
means training which
				  includes patient experiences.
"Didactic training"
means educational
				  instruction.
"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.
"Fabrication"
means the construction or
				  creation of an impression, occlusal registration, provisional restoration or
				  denture, as defined in this chapter.
"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, use of a curing
				  light, intraoral camera, and recementation of a provisional restoration. The
				  dentist need not be present in the facility while these services are being
				  provided.
"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.
"Laboratory training"
means training that is
				  hands-on, that may include simulation, and that prepares a dental hygienist or
				  dental assistant for patient experiences. Laboratory training can be done as
				  part of an approved course, or obtained through a supervising dentist.
"Observational supervision,"
for expanded
				  functions, is for training purposes only and means the dentist is physically
				  present in the treatment room to oversee and direct all services being provided
				  as part of clinical training.
"Patient experiences"
are procedures that
				  are performed on a patient, during the course of clinical training, under the
				  observational supervision of a dentist.
"Prosthetic"
means any provisional or
				  permanent restoration intended to replace a tooth or teeth.
"Provisional restoration"
means a crown or
				  bridge placed with the intention of being replaced with a permanent crown or
				  bridge at a later date, or a permanent crown provisionally recemented to be
				  replaced or recemented at a later date.