reglab/statecodes huggingface dataset:
Texas Administrative Code › Title 22 - EXAMINING BOARDS › Part 5 - STATE BOARD OF DENTAL EXAMINERS › Chapter 110 - SEDATION AND ANESTHESIA › Section 110.9 - Anesthesia Permit Renewal

Current through Reg. 49, No. 28; July 12, 2024
(a) The Board
				shall renew an anesthesia/sedation permit biennially if required fees are paid
				and the required emergency management training and continuing education
				requirements are satisfied. The Board shall not renew an anesthesia/sedation
				permit if, after notice and opportunity for hearing, the Board finds the permit
				holder has provided, or is likely to provide, anesthesia/sedation services in a
				manner that does not meet the minimum standard of care. If a hearing is held,
				the Board shall consider factors including patient complaints, morbidity,
				mortality, and anesthesia consultant recommendations.
(b) Fees. Biennial dental license renewal
				certificates shall include the biennial permit renewal, except as provided for
				in this section. The licensee shall be assessed a biennial renewal fee in
				accordance with the fee schedule in Chapter 102 of this title (relating to
				Fees).
(c) Continuing Education.
(1) In conjunction with the biennial renewal
				of a dental license, a dentist seeking to renew a minimal sedation, moderate
				sedation, or deep sedation/general anesthesia permit must submit proof of
				completion of the following hours of continuing education every two years on
				the administration of or medical emergencies associated with the permitted
				level of sedation:
(A) Level 1: Minimal
				Sedation - six (6) hours;
(B)
				Levels 2 and 3: Moderate Sedation - eight (8) hours; or
(C) Level 4: Deep Sedation/General Anesthesia
				- twelve (12) hours.
Texas Administrative Code › Title 22 - EXAMINING BOARDS › Part 5 - STATE BOARD OF DENTAL EXAMINERS › Chapter 110 - SEDATION AND ANESTHESIA › Section 110.10 - Use of General Anesthetic Agents

Current through Reg. 49, No. 28; July 12, 2024
(a)
				No dentist shall administer or employ the general anesthetic agent(s) listed in
				subsection (b) of this section, which has a narrow margin for maintaining
				consciousness, unless the dentist possesses a valid Level 4 - General
				Anesthesia or Deep Sedation permit issued by the Board.
(b) The following drugs are general
				anesthesia agents with a narrow margin for maintaining consciousness and must
				only be used by a dentist holding a Level 4 - General Anesthesia or Deep
				Sedation permit:
(1) short acting
				barbiturates including, but not limited to thiopental, sodium methohexital, and
				thiamylal;
(2) short acting
				analogues of fentanyl including, but not limited to remifentanil, alfentanil,
				and sufentanil;
(3) alkylphenols
				including precursors or derivatives, which includes, but not limited to
				propofol and fospropofol;
(4)
				etomidate;
(5) dissociative
				anesthetics - ketamine;
(6)
				volatile inhalation anesthetics including, but not limited to sevoflurane,
				desflurane and isoflurane; and
(7)
				similarly acting drugs or quantity of agent(s), or technique(s), or any
				combination thereof that would likely render a patient deeply sedated,
				generally anesthetized or otherwise not meeting the conditions of the
				definition of moderate sedation as stated in §
										110.1 of
				this chapter (relating to Definitions).
Texas Administrative Code › Title 22 - EXAMINING BOARDS › Part 5 - STATE BOARD OF DENTAL EXAMINERS › Chapter 110 - SEDATION AND ANESTHESIA › Section 110.13 - Required Preoperative Checklist for Administration of Nitrous Oxide and Levels 1, 2, 3, and 4 Sedation/Anesthesia

Current through Reg. 49, No. 28; July 12, 2024
(a) A
				dentist administering nitrous oxide or Level 1, 2, 3, or 4 sedation/anesthesia
				must create, maintain, and include in the patient's dental records required by
				§
									108.8 of
				this title (relating to Records of the Dentist) a document titled "preoperative
				sedation/anesthesia checklist." The checklist must be completed prior to
				commencing a procedure for which the dentist will administer nitrous oxide or
				Level 1, 2, 3, or 4 sedation/anesthesia. The checklist may be paper or
				electronic.
(b) A dentist
				delegating the administration of sedation/anesthesia to another provider in
				accordance with Texas Occupations Code §
									258.001(4),
				must maintain in the patient's dental records required by §
									108.8 of
				this title (relating to Records of the Dentist), a document titled
				"preoperative sedation/anesthesia checklist." The checklist must be completed
				by the sedation/anesthesia provider, or by the dentist delegating the procedure
				with information provided by the sedation/anesthesia provider as necessary,
				prior to commencing a procedure for which the dentist has delegated another
				provider to administer the sedation/anesthesia. The checklist may be paper or
				electronic.
(c) At a minimum, the
				preoperative checklist must include documentation of the following as
				applicable for each level of sedation/anesthesia administered, consistent with
				the requirements of §§
									110.3-
				110.6
				of this chapter (relating to Sedation and Anesthesia):
(1) Medical history, including documentation
				of the following:
(A) review of patient
				medical history;
(B) review of
				patient allergies;
(C) review of
				patient surgical and/or anesthesia history;
(D) review of family surgical and/or
				anesthesia history; and
(E) review
				of patient medications and any modifications;
Texas Administrative Code › Title 22 - EXAMINING BOARDS › Part 5 - STATE BOARD OF DENTAL EXAMINERS › Chapter 110 - SEDATION AND ANESTHESIA › Section 110.14 - Emergency Preparedness Policies and Procedures

Current through Reg. 49, No. 28; July 12, 2024
(a) Pursuant to Texas Occupations Code §
									258.1557,
				all permit holders, including nitrous oxide/oxygen inhalation sedation permit
				holders, must develop written emergency preparedness policies and procedures
				specific to the permit holder's practice setting that establish a plan for the
				management of medical emergencies in each practice setting in which the dentist
				administers sedation/anesthesia.
(b) The emergency preparedness policies and
				procedures must include written protocols, policies, procedures, and training
				requirements specific to the permit holder's equipment and drugs for responding
				to emergency situations involving sedation/anesthesia, including information
				specific to respiratory emergencies.
(c) The permit holder must annually review
				the emergency preparedness policies and procedures to determine whether an
				update is necessary. The permit holder must maintain documentation of the dates
				of the emergency preparedness policies and procedures' creation, the most
				recent update, and the most recent annual review.
(d) Policies and procedures developed by all
				permit holders must include basic life support protocols, advanced cardiac life
				support rescue protocols, and/or pediatric advanced cardiac life support rescue
				protocols if treating pediatric patients, consistent with the requirements of
				§§
									110.3-
				110.6
				of this chapter (relating to Sedation and Anesthesia), as applied to the permit
				holder.
(e) Policies and procedures
				developed by all permit holders must include, at a minimum, the following
				documents:
(1) Specific protocols for
				response to a sedation/anesthesia emergency, including specific protocols for
				advanced airway management techniques;
(2) Staff training log, documenting staff
				training in emergency prevention, recognition, and response on at least an
				annual basis;
(3) Emergency drug
				log documenting annual reviews for assurance of unexpired supply;
(4) Equipment readiness log indicating annual
				reviews for assurance of function of the equipment required by § 110.15 of
				this chapter (relating to Prevention of and Response to Sedation/Anesthesia
				Emergencies); and
(5) Individual
				office staff roles and responsibilities in response to an emergency, including
				roles and responsibilities specific to a response to a respiratory
				emergency.
Texas Administrative Code › Title 22 - EXAMINING BOARDS › Part 5 - STATE BOARD OF DENTAL EXAMINERS › Chapter 110 - SEDATION AND ANESTHESIA › Section 110.15 - Prevention of and Response to Sedation/Anesthesia Emergencies

Current through Reg. 49, No. 28; July 12, 2024
(a) Pursuant to Texas Occupations Code §
									258.1556,
				the Board establishes minimum emergency preparedness standards and requirements
				for the administration of sedation/anesthesia.
(b) Consistent with the requirements of
				§§
									110.3-
				110.6
				of this chapter (relating to Sedation and Anesthesia), as applicable to the
				procedure, at any time a permit holder administers sedation/anesthesia the
				permit holder must have immediately available:
(1) an adequate and unexpired supply of drugs
				and anesthetic agents, including but not limited to pharmacologic antagonists
				and resuscitative drugs appropriate for the type of sedation/anesthesia
				administered;
(2) an automated
				external defibrillator, as defined by Section
				779.001 of the Texas
				Health and Safety Code;
(3) a
				positive pressure ventilation device;
(4) supplemental oxygen; and
(5) appropriate monitors and equipment for
				the type of sedation/anesthesia administered, including but not limited to:
(A) stethoscope;
(B) sphygmomanometer or automatic blood
				pressure monitor;
(C) pulse
				oximeter when required by §§
											110.4,
				110.5, or
				110.6
				of this chapter (relating to Sedation and Anesthesia);
(D) an oxygen delivery system with adequate
				full face masks and appropriate connectors that is capable of delivering high
				flow oxygen to the patient under positive pressure, together with an adequate
				backup system;
(E) suction
				equipment which permits aspiration of the oral and pharyngeal cavities and a
				backup suction device which will function in the event of a general power
				failure;
(F) a lighting system
				which permits evaluation of the patient's skin and mucosal color and a backup
				lighting system of sufficient intensity to permit completion of any operation
				underway in the event of a general power failure; and
(G) capnograph, size-and-shape appropriate
				advanced airway device, intravenous fluid administration equipment, and/or
				electrocardiogram, when required by §§
											110.3,
				110.4,
				110.5, or
				110.6
				of this chapter (relating to Sedation and Anesthesia).
Texas Administrative Code › Title 22 - EXAMINING BOARDS › Part 5 - STATE BOARD OF DENTAL EXAMINERS › Chapter 110 - SEDATION AND ANESTHESIA › Section 110.16 - Sedation/Anesthesia of High-Risk Patients

Current through Reg. 49, No. 28; July 12, 2024
(a) For
				purposes of this rule, the following definitions apply:
(1) "High-risk patient" means a patient who
				has a level 3 or 4 classification according to the American Society of
				Anesthesiologists Physical Status Classification System (ASA).
(2) "Board-approved education program" means
				an in-person or online program provided by a recognized continuing education
				provider pursuant to Board rule 22 TAC §
										104.2 of
				this title (relating to Providers) and any subsequent amendments.
Texas Administrative Code › Title 22 - EXAMINING BOARDS › Part 5 - STATE BOARD OF DENTAL EXAMINERS › Chapter 110 - SEDATION AND ANESTHESIA › Section 110.17 - Sedation/Anesthesia of Pediatric Patients

Current through Reg. 49, No. 28; July 12, 2024
(a) For
				purposes of this rule, the following definitions apply:
(1) "Pediatric patient" means a patient
				younger than 13 years of age.
(2)
				"Board-approved education program" means an in-person or online program
				provided by a recognized continuing education provider pursuant to §
										104.2 of
				this title (relating to Providers) and any subsequent amendments.
Texas Administrative Code › Title 22 - EXAMINING BOARDS › Part 5 - STATE BOARD OF DENTAL EXAMINERS › Chapter 111 - STANDARDS FOR PRESCRIBING CONTROLLED SUBSTANCES AND DANGEROUS DRUGS › Section 111.1 - Additional Continuing Education Required

Current through Reg. 49, No. 28; July 12, 2024
(a)
				Effective until September 1, 2020, each dentist who is permitted by the Drug
				Enforcement Agency to prescribe controlled substances shall complete every
				three years a minimum of two hours of continuing education in the abuse and
				misuse of controlled substances, opioid prescription practices, and/or
				pharmacology. This continuing education may be utilized to fill the continuing
				education requirements of annual renewal.
(b) Effective beginning September 1, 2020,
				each dentist who is permitted by the Drug Enforcement Agency (or any subsequent
				permitting authority authorized by state and federal law) to prescribe
				controlled substances must complete 2 hours of continuing education related to
				approved procedures of prescribing and monitoring controlled substances as
				outlined in paragraphs (1) - (3) of this subsection. These 2 hours of
				continuing education may be used to satisfy the recordkeeping continuing
				education requirements of §
									104.1 of
				this title (relating to Requirement). After completing the initial requirement,
				a dentist may, no more than once annually, take the course under this
				subsection to fulfill hours toward the recordkeeping continuing education
				requirement.
(1) For dentists authorized to
				prescribe controlled substances before September 1, 2020, the 2 hours of
				required continuing education must be completed no later than September 1,
				2021.
(2) For dentists who are
				authorized to prescribe controlled substances on or after September 1, 2020,
				the 2 hours of required continuing education must be completed not later than
				the first anniversary after the person is issued an authorization to
				prescribe.
(3) For dentists who
				have surrendered the permit or authorization to prescribe controlled substances
				or have their permit or authorization to prescribe controlled substances
				revoked by any administrative, civil, or criminal proceeding, the requirements
				of paragraph (2) of this subsection shall apply to any new permit or
				authorization granted on or after September 1, 2020, regardless of whether the
				dentist previously satisfied the requirements of this subsection.
Texas Administrative Code › Title 22 - EXAMINING BOARDS › Part 5 - STATE BOARD OF DENTAL EXAMINERS › Chapter 111 - STANDARDS FOR PRESCRIBING CONTROLLED SUBSTANCES AND DANGEROUS DRUGS › Section 111.2 - Self-Query of Prescription Monitoring Program

Current through Reg. 49, No. 28; July 12, 2024
Each dentist who is permitted by the Drug Enforcement Agency
				  to prescribe controlled substances shall annually conduct a minimum of one
				  self-query regarding the issuance of controlled substances through the
				  Prescription Monitoring Program of the Texas State Board of
				  Pharmacy.
Texas Administrative Code › Title 22 - EXAMINING BOARDS › Part 5 - STATE BOARD OF DENTAL EXAMINERS › Chapter 111 - STANDARDS FOR PRESCRIBING CONTROLLED SUBSTANCES AND DANGEROUS DRUGS › Section 111.3 - Prescription Monitoring by the Dentist

Current through Reg. 49, No. 28; July 12, 2024
(a)
				Prior to prescribing or dispensing opioids, benzodiazepines, barbiturates, or
				carisoprodol, a dentist shall access the patient's prescription drug history
				report through the Texas State Board of Pharmacy's Prescription Monitoring
				Program (PMP) Clearinghouse. Failure to do so is grounds for disciplinary
				action.
(b) The act described above
				in subsection (a) of this section may be performed by an employee or other
				agent of the dentist acting at the direction of the dentist so long as that
				employee or agent acts in compliance with HIPAA and the employee or agent only
				accesses information related to a particular patient of the dentist. The
				dentist is responsible for any unauthorized access by an employee or other
				agent.
(c) Exceptions: the act
				described above in subsection (a) of this section is not necessary if the
				patient has been diagnosed with cancer or is receiving hospice care and that
				status is clearly noted in the patient's record.
(d) It is not violation if the dentist makes
				a good faith attempt to comply with subsection (a) of this section but is
				unable to because circumstances outside the dentist's control and those
				circumstances are clearly noted in the patient's record.
(e) A dentist may not disclose or use the
				information obtained through the PMP Clearinghouse in a manner not authorized
				by Texas Health and Safety Code Chapter 481 or other applicable law. Improper
				disclosure or use of the information obtained from the PMP Clearinghouse may
				represent grounds for discipline under Texas Occupations Code §
									263.002(a)(3)
				and (a)(10), and the Board shall apply
				discipline pursuant to §
									107.206
				of this title (relating to Public Actions of the Board) and the Board's
				disciplinary matrix.
(f) The
				requirement contained in subsection (a) of this section is effective on March
				1, 2020, in accordance with H.B. 3284 of the 86th Texas Legislature.
Texas Administrative Code › Title 22 - EXAMINING BOARDS › Part 5 - STATE BOARD OF DENTAL EXAMINERS › Chapter 111 - STANDARDS FOR PRESCRIBING CONTROLLED SUBSTANCES AND DANGEROUS DRUGS › Section 111.4 - Prescription Monitoring by the Board

Current through Reg. 49, No. 28; July 12, 2024
(a) The
				Board shall promulgate specific guidelines for dentists for the responsible
				prescribing of opioids, benzodiazepines, barbiturates, or
				carisoprodol.
(b) The Board shall
				periodically access a dentist's prescription information through the
				Prescription Monitoring Program to determine whether they are engaging in
				potentially harmful prescribing patterns or practices. This determination will
				be based on:
(1) the number of times a
				dentist prescribes opioids, benzodiazepines, barbiturates, or carisoprodol;
				and
(2) patterns of prescribing
				combinations of those drugs and other dangerous combinations identified by the
				Texas State Board of Pharmacy.
Texas Administrative Code › Title 22 - EXAMINING BOARDS › Part 5 - STATE BOARD OF DENTAL EXAMINERS › Chapter 111 - STANDARDS FOR PRESCRIBING CONTROLLED SUBSTANCES AND DANGEROUS DRUGS › Section 111.5 - Electronic Prescribing Waivers

Current through Reg. 49, No. 28; July 12, 2024
(a)
				Effective January 1, 2021, the Board shall issue an electronic prescribing
				waiver to dentists who submit a waiver request form.
(b) The dentist must demonstrate
				circumstances necessitating a waiver from the electronic prescribing
				requirement, which include:
(1) economic
				hardship. Economic hardship shall be determined on a case by case basis, taking
				into account factors including:
(A) any
				special situational factors affecting either the cost of compliance or the
				ability to comply;
(B) the likely
				impact of compliance on profitability or viability; and
(C) the availability of measures that would
				mitigate the economic impact of compliance;
Texas Administrative Code › Title 22 - EXAMINING BOARDS › Part 5 - STATE BOARD OF DENTAL EXAMINERS › Chapter 112 - VISUAL DENTAL HEALTH INSPECTIONS › Section 112.1 - Definitions

Current through Reg. 49, No. 28; July 12, 2024
The following words and terms when used in this chapter shall
				  have the following meanings, unless the context clearly indicates
				  otherwise.
(1) Visual Dental Health
				Inspection--An inspection made by students engaged in a formal education
				program in dentistry or dental hygiene or by health care workers, other than
				dentists, dental hygienists, dental assistants, physicians and physician
				assistants.
(2) Limited Oral
				Evaluation--A non-comprehensive evaluation of an individual who is not a
				patient of record made by a licensed dentist for the following limited
				purposes:
(A) screening for symptoms of oral
				cancer; and/or
(B) evaluating
				minors or members of underserved populations for current or potential dental
				problems.
Texas Administrative Code › Title 22 - EXAMINING BOARDS › Part 5 - STATE BOARD OF DENTAL EXAMINERS › Chapter 112 - VISUAL DENTAL HEALTH INSPECTIONS › Section 112.2 - Visual Dental Health Inspection

Current through Reg. 49, No. 28; July 12, 2024
(a) A visual
				dental health inspection is performed as a group activity taking place in a
				school or other institutional setting for the purpose of making a gross
				assessment of the dental health status of group members, at no cost to the
				members. It is cursory and does not involve the use of dental instruments,
				though use of gloves, tongue depressors and intra oral lighting is encouraged.
				Further, it does not involve making a diagnosis, providing treatment, or
				treatment planning. Individuals performing visual dental health inspections in
				accordance with this chapter do not engage in the practice of dentistry if the
				inspection process is limited to recognizing when tissue does not appear normal
				and encouraging the member to appoint with a licensed Texas dentist.
(b) A visual dental health inspection may be
				performed by:
(1) a dentist, dental student,
				dental hygienist or dental hygiene student to conduct research or for
				educational purposes in the field of dentistry or dental hygiene; or
(2) dentists or dental hygienists employed by
				the State of Texas Department of State Health Services (DSHS), Department of
				Aging and Disability (DADS), or by any public health dentist or dental
				hygienist employed by any other state, county, of city health department for
				the purposes of oral health surveillance, oral health program planning, or
				epidemiological surveys required by state or federal agencies.
Texas Administrative Code › Title 22 - EXAMINING BOARDS › Part 5 - STATE BOARD OF DENTAL EXAMINERS › Chapter 112 - VISUAL DENTAL HEALTH INSPECTIONS › Section 112.3 - Limited Oral Evaluation

Current through Reg. 49, No. 28; July 12, 2024
(a) This rule shall
				not be construed to prohibit a registered dental hygienist from collecting
				clinical data in conjunction with a licensed dentist's limited oral evaluation
				under this rule.
(b) This rule
				shall not be construed to prohibit a registered dental hygienist or a dental
				assistant with the appropriate certificate from applying sealants in
				conjunction with a limited oral evaluation performed by a licensed dentist
				under this rule.
(c) This rule
				shall not be construed to prohibit a registered dental hygienist or a dental
				assistant from applying fluoride varnish in conjunction with a limited oral
				evaluation performed by a licensed dentist under this rule.
(d) A limited oral evaluation is performed by
				a licensed dentist in conjunction with a federal, state, county, or city
				government healthcare program, a non-profit organization, or an educational
				institution. It is a non-diagnostic, non-comprehensive evaluation of an
				individual who is not a patient of record made for the limited purpose of
				screening for symptoms of oral cancer and/or evaluating minors or underserved
				populations for current or potential dental problems.
(e) A limited oral evaluation must be
				provided at no cost to the patient or any third party. The evaluation must
				result in a written assessment of findings that is provided to the patient and
				retained by the dentist or entity qualifying under subsection (d) of this
				section.
(f) A limited oral
				evaluation is exempt from the requirements of the minimum standard of care for
				a comprehensive examination in §
									108.7
				of this title (relating to Minimum Standard of Care, General) and §
									108.8 of
				this title (relating to Records of the Dentist), except as required by this
				rule. The dentist must obtain written, informed consent as to the limited
				nature and non-diagnostic results of the evaluation from the patient or his/her
				parent or guardian. The dentist must provide a copy of the written informed
				consent and the results of the evaluation to the patient or his/her parent or
				guardian. The written informed consent must clearly evidence the name of the
				evaluating dentist, the patient's name, and the date of evaluation.
(g) A limited oral evaluation shall not be
				performed for business promotion or patient solicitation purposes. A dentist
				performing a limited oral evaluation must comply with all rules and laws
				governing professional conduct and business promotion. Following the
				evaluation, the dentist may recommend or refer the patient to a dentist for
				follow-up examination.
(h) Either
				the dentist or the entity qualifying under subsection (d) of this section shall
				retain a copy of the written informed consent and the results of the evaluation
				for five years from the date of the evaluation.
Texas Administrative Code › Title 22 - EXAMINING BOARDS › Part 5 - STATE BOARD OF DENTAL EXAMINERS › Chapter 113 - REQUIREMENTS FOR DENTAL OFFICES › Section 113.1 - Definitions

Current through Reg. 49, No. 28; July 12, 2024
The following words and terms, when used in reference to this
				  chapter, shall have the following meanings, unless the context clearly
				  indicates otherwise.
(1) X-ray
				equipment--An x-ray system, subsystem, or component thereof including portable,
				hand-carried or stationary x-ray machines or devices.
(2) X-ray laboratory--A facility, space or
				area in which x-ray equipment is used to create a radiograph.
Texas Administrative Code › Title 22 - EXAMINING BOARDS › Part 5 - STATE BOARD OF DENTAL EXAMINERS › Chapter 113 - REQUIREMENTS FOR DENTAL OFFICES › Section 113.2 - X-Ray Laboratories

Current through Reg. 49, No. 28; July 12, 2024
(a) All dental
				licensees, including dentists, dental hygienists or other dental auxiliaries
				shall comply with Title 25 Texas Administrative Code § 289.232(Radiation
				Control Regulations for Dental Radiation Machines) as promulgated by the Texas
				Department of State Health Services Radiation Control Program or its
				successor.
(b) All dental x-ray
				laboratories operating in this state must be under the general supervision of a
				Texas licensed dentist.
(c) All
				dental patients must be protected by a lead apron with the thyroid collar while
				directly exposed to x-rays with the exception of those radiographs where it is
				necessary to image areas concealed or obstructed by a thyroid collar. A
				non-lead apron may be used instead of a lead apron if the non-lead apron
				provides protection from x-rays that is equivalent to that of a lead
				apron.
Texas Administrative Code › Title 22 - EXAMINING BOARDS › Part 5 - STATE BOARD OF DENTAL EXAMINERS › Chapter 114 - EXTENSION OF DUTIES OF AUXILIARY PERSONNEL-DENTAL ASSISTANTS › Section 114.1 - Permitted Duties

Current through Reg. 49, No. 28; July 12, 2024
(a) A dentist may
				delegate to a dental assistant the authority to perform only acts or procedures
				that are reversible. An act or procedure that is reversible is capable of being
				reversed or corrected.
(b) A
				dentist may not delegate or otherwise authorize a dental assistant to perform
				any task for which a certificate or additional training is required under this
				section, unless the dental assistant holds the required certificate or has
				obtained the additional training.
(c) A dental assistant may perform tasks
				under a dentist's general or direct supervision. For the purposes of this
				section:
(1) "General supervision" means that
				the dentist employs or is in charge of the dental assistant and is responsible
				for supervising the services to be performed by the dental assistant. The
				dentist may or may not be present on the premises when the dental assistant
				performs the procedures.
(2)
				"Direct supervision" means that the dentist employs or is in charge of the
				dental assistant and is physically present in the office when the task is
				performed. Physical presence does not require that the supervising dentist be
				in the treatment room when the dental assistant performs the service as long as
				the dentist is in the dental office.
Texas Administrative Code › Title 22 - EXAMINING BOARDS › Part 5 - STATE BOARD OF DENTAL EXAMINERS › Chapter 114 - EXTENSION OF DUTIES OF AUXILIARY PERSONNEL-DENTAL ASSISTANTS › Section 114.2 - Registration of Dental Assistants

Current through Reg. 49, No. 28; July 12, 2024
(a) A
				dental assistant may not position or expose dental x-rays unless the dental
				assistant holds a dental assistant radiology certificate issued by the State
				Board of Dental Examiners under this section.
(b) To be eligible for a dental assistant
				radiology certificate under this section, an applicant must present on or
				accompanying an application form approved by the State Board of Dental
				Examiners proof satisfactory to the Board that the applicant has:
(1) Paid all application, examination and
				licensing fees required by law and Board rules and regulations;
(2) Graduated from an accredited high school
				or holds a certificate of high school equivalency, General Equivalency Diploma
				(GED);
(3) Submitted fingerprints
				for the retrieval of criminal history record information;
(4) Successfully completed a current hands-on
				course in basic life support; and,
(5) Either:
(A) taken and passed a course of instruction
				and an examination administered by the State Board of Dental Examiners or its
				designated agent, that fulfills the requirements in subsection (h) of this
				section; or,
(B) if the applicant
				is certified as a dental assistant by the Dental Assisting National Board,
				taken and passed a jurisprudence examination administered by the State Board of
				Dental Examiners or its designated agent.
Texas Administrative Code › Title 22 - EXAMINING BOARDS › Part 5 - STATE BOARD OF DENTAL EXAMINERS › Chapter 114 - EXTENSION OF DUTIES OF AUXILIARY PERSONNEL-DENTAL ASSISTANTS › Section 114.3 - Pit and Fissure Sealant

Current through Reg. 49, No. 28; July 12, 2024
(a) The
				following words and terms, when used in this section, shall have the following
				meanings, unless the context clearly indicates otherwise:
(1) "Didactic education" requires the
				presentation and instruction of theory and scientific principles.
(2) "Clinical education" requires providing
				care to patient(s) under the direct supervision of a dentist or dental
				hygienist instructor.
(3) "Direct
				Supervision" requires that the instructor responsible for the procedure shall
				be physically present during patient care and shall be aware of the patient's
				physical status and well-being.
Texas Administrative Code › Title 22 - EXAMINING BOARDS › Part 5 - STATE BOARD OF DENTAL EXAMINERS › Chapter 114 - EXTENSION OF DUTIES OF AUXILIARY PERSONNEL-DENTAL ASSISTANTS › Section 114.4 - Monitoring the Administration of Nitrous Oxide

Current through Reg. 49, No. 28; July 12, 2024
(a) Previous Nitrous Oxide Monitoring
				Certificate Holders.
(1) Until September 1,
				2019, the State Board of Dental Examiners shall issue a "nitrous oxide
				monitoring registration" to a dental assistant who holds a current nitrous
				oxide monitoring certificate issued by the board before that date and who meets
				the continuing education requirements established by the board under 22 TAC
				§
										114.12.
				These persons will not be required to meet the requirements of subsection (d)
				of this section to obtain or renew the nitrous oxide monitoring registration. A
				nitrous oxide monitoring registration must be renewed biennially in accordance
				with the requirements of Tex. Occ. Code §265.0017 and 22 TAC §
										114.2(d).
(2) Beginning on September 1, 2019, the board
				shall cease issuing nitrous oxide monitoring registrations to any person who
				does not comply with the provisions of subsection (d) of this section. Persons
				who have obtained a nitrous oxide monitoring registration under paragraph
				(a)(1) of this subsection may continue to practice and renew their nitrous
				oxide monitoring registrations. Nitrous oxide monitoring registrations which
				have been expired more than one year may not be renewed, and instead shall
				require qualification under subsection (d) of this section.
Texas Administrative Code › Title 22 - EXAMINING BOARDS › Part 5 - STATE BOARD OF DENTAL EXAMINERS › Chapter 114 - EXTENSION OF DUTIES OF AUXILIARY PERSONNEL-DENTAL ASSISTANTS › Section 114.5 - Coronal Polishing

Current through Reg. 49, No. 28; July 12, 2024
(a) "Coronal
				polishing" means the removal of plaque and extrinsic stain from exposed natural
				and restored tooth surfaces using an appropriate rotary instrument with rubber
				cup or brush and polishing agent. This includes the use of a
				toothbrush.
(b) A Texas-licensed
				dentist may delegate coronal polishing to a dental assistant, if the dental
				assistant:
(1) works under the direct
				supervision of the licensed dentist; and
(2) meets the education requirements in
				subsection (c) of this section.
Texas Administrative Code › Title 22 - EXAMINING BOARDS › Part 5 - STATE BOARD OF DENTAL EXAMINERS › Chapter 114 - EXTENSION OF DUTIES OF AUXILIARY PERSONNEL-DENTAL ASSISTANTS › Section 114.6 - General Qualifications for Registration or Certification

Current through Reg. 49, No. 28; July 12, 2024
(a) Any person who desires to provide dental
				assistant services requiring registration or certification must obtain the
				proper registration or certification issued by the Board before providing the
				services, except as provided in Texas Occupations Code §
									265.001(d) and
				§
									114.11 of this chapter.
(b) Any applicant for registration or
				certification must meet the requirements of this chapter.
(c) To be eligible for registration or
				certification, an applicant must provide with an application form approved by
				the Board satisfactory proof to the Board that the applicant:
(1) has fulfilled all requirements for
				registration or certification outlined in this chapter;
(2) has met the requirements of §
										101.8 of this title;
(3) has not had any disciplinary action taken
				in this state or any other jurisdiction;
(4) has successfully completed a current
				course in basic life support;
(5)
				has taken and passed the jurisprudence assessment administered by the Board or
				an entity designated by the Board within one year immediately prior to
				application;
(6) has paid all
				application, examination and fees required by law and Board rules and
				regulations; and
(7) has completed
				a course in human trafficking prevention approved by the executive commissioner
				of the Texas Health and Human Services Commission.
Texas Administrative Code › Title 22 - EXAMINING BOARDS › Part 5 - STATE BOARD OF DENTAL EXAMINERS › Chapter 114 - EXTENSION OF DUTIES OF AUXILIARY PERSONNEL-DENTAL ASSISTANTS › Section 114.7 - Exemption from Licensure for Certain Military Service Members and Military Spouses

Current through Reg. 49, No. 28; July 12, 2024
(a) The executive
				director of the Texas State Board of Dental Examiners must authorize a
				qualified military service member or military spouse to perform delegated
				permitted duties as a dental assistant in Texas without obtaining a
				registration in accordance with §
									55.0041(a),
				Texas Occupations Code. This authorization to perform delegated permitted
				duties is valid during the time the military service member or, with respect to
				a military spouse, the military service member to whom the military spouse is
				married is stationed at a military installation in Texas, but is not to exceed
				three years.
(b) In order to
				receive authorization to perform delegated permitted duties the military
				service member or military spouse must:
(1)
				hold an active registration to perform delegated permitted duties as a dental
				assistant in another state, territory, Canadian province, or country that:
(A) has registration requirements that are
				determined by the board to be substantially equivalent to the requirements for
				registration in Texas; and
(B) is
				not subject to any restriction, disciplinary order, probation, or
				investigation;
Texas Administrative Code › Title 22 - EXAMINING BOARDS › Part 5 - STATE BOARD OF DENTAL EXAMINERS › Chapter 114 - EXTENSION OF DUTIES OF AUXILIARY PERSONNEL-DENTAL ASSISTANTS › Section 114.8 - Retired Registration Status

Current through Reg. 49, No. 28; July 12, 2024
(a)
				Application.
(1) A holder of a valid and
				current Texas dental assistant registration may apply to the Board to have the
				registration placed on retired status.
(2) A registered dental assistant must apply
				to the Board for retired status, on a form prescribed by the Board, before the
				expiration date of the person's Texas registration.
(3) The Board shall deny a request to place a
				registration on retired status if there are any current or pending complaints
				or disciplinary actions against the registered dental
				assistant.
Texas Administrative Code › Title 22 - EXAMINING BOARDS › Part 5 - STATE BOARD OF DENTAL EXAMINERS › Chapter 114 - EXTENSION OF DUTIES OF AUXILIARY PERSONNEL-DENTAL ASSISTANTS › Section 114.9 - Criminal History Evaluation Letter

Current through Reg. 49, No. 28; July 12, 2024
(a) A person
				enrolled or planning to enroll in an educational program that prepares the
				person for initial certification as a dental assistant and who has reason to
				believe that he or she may be ineligible for licensure due to a conviction or
				deferred adjudication for a felony or a misdemeanor offense, may petition the
				Board for a Criminal History Evaluation Letter.
(b) The requestor must submit a petition that
				includes:
(1) a statement by the requestor
				indicating the reason(s) and basis of potential ineligibility;
(2) any applicable court documents including,
				but not limited to, indictments, orders of deferred adjudication, judgments,
				probation records and evidence of completion of probation;
(3) any other documentation requested by the
				Board; and
(4) the required
				fee.
Texas Administrative Code › Title 22 - EXAMINING BOARDS › Part 5 - STATE BOARD OF DENTAL EXAMINERS › Chapter 114 - EXTENSION OF DUTIES OF AUXILIARY PERSONNEL-DENTAL ASSISTANTS › Section 114.10 - Dishonorable Conduct

Current through Reg. 49, No. 28; July 12, 2024
The dishonorable conduct section is intended to protect the
				  public from dangerous, unethical, and illegal conduct of licensees and
				  registrants. The purpose of this section is to identify unprofessional or
				  dishonorable behaviors of a dental assistant which the Board believes are
				  likely to pose a threat to the public. Actual injury to a patient need not be
				  established for a dental assistant to be in violation of this section. Behavior
				  constituting dishonorable conduct includes, but is not limited to:
(1) Criminal conduct--including but not
				limited to conviction of a misdemeanor involving fraud or a felony under
				federal law or the law of any state as outlined in Chapter 101 of this
				title.
(2) Deception or
				misrepresentation--engages in deception or misrepresentation:
(A) in soliciting or obtaining patronage;
				or
(B) in obtaining a
				fee.
Texas Administrative Code › Title 22 - EXAMINING BOARDS › Part 5 - STATE BOARD OF DENTAL EXAMINERS › Chapter 114 - EXTENSION OF DUTIES OF AUXILIARY PERSONNEL-DENTAL ASSISTANTS › Section 114.11 - Exemption

Current through Reg. 49, No. 28; July 12, 2024
(a) A dental assistant will not be considered
				to be positioning, exposing, or otherwise making dental x-rays if the dental
				assistant only performs radiological procedures:
(1) In the course of training or for other
				educational purposes; and,
(2) Is
				at all times under the direct supervision of the employer dentist.
Texas Administrative Code › Title 22 - EXAMINING BOARDS › Part 5 - STATE BOARD OF DENTAL EXAMINERS › Chapter 114 - EXTENSION OF DUTIES OF AUXILIARY PERSONNEL-DENTAL ASSISTANTS › Section 114.12 - Continuing Education for Certificate Holders

Current through Reg. 49, No. 28; July 12, 2024
(a) To renew a certificate of registration
				issued under this chapter, a dental assistant must complete six (6) hours of
				continuing education each year in areas covering dental assistant duties. At
				least three (3) of these six (6) hours must be clinical continuing
				education.
(b) A dental assistant
				may fulfill the continuing education requirement through board-approved
				self-study, interactive computer courses, or lecture courses. All continuing
				education must be offered by providers approved under 22 Texas Administrative
				Code §
									104.2.
(c) As a prerequisite to the renewal of a
				dental assistant's certificate of registration, a course in human trafficking
				prevention approved by the executive commissioner of the Texas Health and Human
				Services Commission must be completed.
Texas Administrative Code › Title 22 - EXAMINING BOARDS › Part 5 - STATE BOARD OF DENTAL EXAMINERS › Chapter 114 - EXTENSION OF DUTIES OF AUXILIARY PERSONNEL-DENTAL ASSISTANTS › Section 114.13 - Reinstatement of a Cancelled Registration

Current through Reg. 49, No. 28; July 12, 2024
The Board may reinstate a cancelled Texas dental assistant
				  registration to active status, provided the registered dental assistant submits
				  an application for reinstatement on a form prescribed by the Board, pays the
				  appropriate fees due at the time application is made, and meets the
				  requirements of this section.
(1) An
				applicant who, at the time of application for reinstatement, is practicing as a
				registered dental assistant in another state, or territory outside of the
				United States, and has practiced as a registered dental assistant actively
				within the two years immediately preceding the date of application, shall
				provide:
(A) verification of registration and
				disciplinary history from all state board(s) of dentistry where the registered
				dental assistant has held a registration;
(B) proof of active practice within the two
				years preceding the application;
(C) proof that the registered dental
				assistant has taken and passed the Texas jurisprudence assessment administered
				by the Board or an entity designated by the Board within one year immediately
				prior to application;
(D) proof of
				successful completion of a current hands-on course in basic life
				support;
(E) proof of completion of
				12 hours of continuing education, taken within the 12 months preceding the date
				the application is received by the Board. All hours shall be taken in
				accordance with the requirements for continuing education as mandated by §
										114.12 of this chapter (relating
				to Continuing Education for Certificate Holders); and
(F) proof of submission of fingerprints for
				the retrieval of criminal history record information.
Texas Administrative Code › Title 22 - EXAMINING BOARDS › Part 5 - STATE BOARD OF DENTAL EXAMINERS › Chapter 114 - EXTENSION OF DUTIES OF AUXILIARY PERSONNEL-DENTAL ASSISTANTS › Section 114.21 - Requirements for Dental Assistant Registration Courses and Examinations

Current through Reg. 49, No. 28; July 12, 2024
(a) The following words and terms, when used
				in this section, shall have the following meanings, unless the context clearly
				indicates otherwise:
(1) "Dental industry
				professional organization"--any organization, the primary mission of which is
				to represent and support dentists, dental hygienists, and/or dental
				assistants;
(2)
				"Jurisprudence"--the body of statutes and regulations pertaining to and
				governing practice by dental assistants, including relevant portions of the
				Texas Occupations Code, and the rules enacted by the SBDE.
Texas Administrative Code › Title 22 - EXAMINING BOARDS › Part 5 - STATE BOARD OF DENTAL EXAMINERS › Chapter 114 - EXTENSION OF DUTIES OF AUXILIARY PERSONNEL-DENTAL ASSISTANTS › Section 114.23 - Dental Assistant Examination Integrity

Current through Reg. 49, No. 28; July 12, 2024
(a) Course providers shall employ reasonable
				methods to ensure the integrity of examinations administered under this
				chapter, including, but not limited to:
(1)
				Employing at least three (3) forms of each examination, with substantially
				distinct selection and ordering of questions;
(2) Utilizing a pool of examination questions
				sufficiently large to comply with the requirements of this section;
(3) Allowing examinees a reasonable and
				appropriate maximum amount of time to complete an examination; and,
(4) Securing the pool of examination
				questions, actual examinations, and any other source of specific examination
				data.
Texas Administrative Code › Title 22 - EXAMINING BOARDS › Part 5 - STATE BOARD OF DENTAL EXAMINERS › Chapter 115 - EXTENSION OF DUTIES OF AUXILIARY PERSONNEL-DENTAL HYGIENE › Section 115.1 - Definitions

Current through Reg. 49, No. 28; July 12, 2024
The following words and terms, when used in this section,
				  shall have the following meanings, unless the context clearly indicates
				  otherwise.
(1) Dental Hygienist--One
				who possesses the qualifications prescribed by the laws of this state and who
				possesses a valid certificate and current registration receipt issued by the
				Texas State Board of Dental Examiners to so practice.
(2) Irreversible--an act that is
				"irreversible" is not capable of being reversed or corrected.
(3) Root Planing--A definitive treatment
				procedure designed to remove cementum or surface dentin that is rough,
				impregnated with calculus, or contaminated with toxins or
				microorganisms.
(4)
				Scaling--Instrumentation of the crown and root surfaces of the teeth to remove
				plaque and calculus from these surfaces.
(5) Supervising Dentist--The term
				"supervising dentist" as used in these rules relating to the practice of dental
				hygiene, shall mean a dentist licensed by the State Board of Dental Examiners,
				who is responsible for monitoring the services to be performed by the dental
				hygienist. The supervising dentist must have and maintain a doctor patient
				relationship with any patient to whom any dental hygienist under his or her
				supervision provides services.
(6)
				General Supervision--In this section, "general supervision" means supervision
				of a dental hygienist by a supervising dentist, where the dentist may or may
				not be present on the premises when the dental hygienist performs the dental
				hygiene procedures.
(7) Direct
				Supervision--In this section, "direct supervision" means that the supervising
				dentist responsible for the procedure shall be present on the premises during
				patient care and shall be aware of the patient's physical status and well
				being.