reglab/statecodes huggingface dataset:
Oregon Administrative Rules › Chapter 818 - OREGON BOARD OF DENTISTRY › Division 21 - EXAMINATION AND LICENSING › Section 818-021-0084 - Temporary Voluntary Practice Approval

Current through Register Vol. 63, No. 7, July 1, 2024
(1) A dentist, dental therapist or dental
			 hygienist may practice, without compensation and in connection with a
			 coordinating organization or other entity, the health care profession that the
			 health care practitioner is authorized to practice for a maximum of 30 days
			 each calendar year without licensure requirement. Compensation is defined as
			 something given or received as payment including but not limited to bartering,
			 tips, monies, donations, or services.
(2) A dentist, dental therapist or dental
			 hygienist is not required to apply for licensure or other authorization from
			 the Board in order to practice under this rule.
(3) To practice under this rule, a dentist,
			 dental therapist or dental hygienist shall submit, at least 10 days prior to
			 commencing practice in this state, to the Board:
(a) Out-of State volunteer
			 application;
(b) Proof that the
			 practitioner is in good standing and is not the subject of an active
			 disciplinary action;
(c) An
			 acknowledgement that the practitioner may provide services only within the
			 scope of practice of the health care profession that the practitioner is
			 authorized to practice and will provide services pursuant to the scope of
			 practice of Oregon or the health care practitioner's licensing agency,
			 whichever is more restrictive;
(d)
			 An attestation from dentist, dental therapist or dental hygienist that the
			 practitioner will not receive compensation for practice in this
			 state;
(e) The name and contact
			 information of the dental director of the coordinating organization or other
			 entity through which the practitioner will practice; and
(f) The dates on which the practitioner will
			 practice in this state.
Failure to submit (a)-(e) above will result in
				non-approval.
Oregon Administrative Rules › Chapter 818 - OREGON BOARD OF DENTISTRY › Division 21 - EXAMINATION AND LICENSING › Section 818-021-0085 - Renewal or Reinstatement of Expired License

Current through Register Vol. 63, No. 7, July 1, 2024
Any licensee whose license to practice as a dentist, dental
				hygienist or dental therapist has expired, may apply for reinstatement under
				the following circumstances:
(1) If
			 the license has been expired 30 days or less, the applicant shall:
(a) Pay a penalty fee of $50;
(b) Pay the biennial renewal fee;
			 and
(c) Submit a completed renewal
			 application and certification of having completed the Board's continuing
			 education requirements.
Oregon Administrative Rules › Chapter 818 - OREGON BOARD OF DENTISTRY › Division 21 - EXAMINATION AND LICENSING › Section 818-021-0088 - Volunteer License

Current through Register Vol. 63, No. 7, July 1, 2024
(1) An
			 Oregon licensed dentist or dental hygienist who will be practicing for a
			 supervised volunteer dental clinic, as defined in ORS
			 679.020(3)(f)
			 and (g), may be granted a volunteer license
			 provided licensee completes the following:
(a) Licensee must register with the Board as
			 a health care professional and provide a statement as required by ORS
			 676.345.
(b) Licensee will be responsible to meet all
			 the requirements set forth in ORS
			 676.345.
(c) Licensee must provide the health care
			 service without compensation.
(d)
			 Licensee shall not practice dentistry or dental hygiene for remuneration in any
			 capacity under the volunteer license.
(e) Licensee must comply with all continuing
			 education requirements for active licensed dentist or dental
			 hygienist.
(f) Licensee must agree
			 to volunteer for a minimum of 80 hours per renewal cycle.
Oregon Administrative Rules › Chapter 818 - OREGON BOARD OF DENTISTRY › Division 21 - EXAMINATION AND LICENSING › Section 818-021-0090 - Retirement of License

Current through Register Vol. 63, No. 7, July 1, 2024
(1) A
			 Licensee who no longer practices in any jurisdiction may retire their license
			 by submitting a request to retire such license on a form provided by the
			 Board.
(2) A license that has been
			 retired may be reinstated if the applicant:
(a) Pays a reinstatement fee of
			 $500;
(b) Passes the Board's
			 Jurisprudence Examination;
(c)
			 Passes any other qualifying examination as may be determined necessary by the
			 Board after assessing the applicant's professional background and
			 credentials;
(d) Submits evidence
			 of good standing from all states in which the applicant is currently licensed;
			 and
(e) Submits a completed
			 application for reinstatement provided by the Board including certification of
			 having completed continuing education credits as required by the Board during
			 the period the license was expired. The Board may request evidence of
			 satisfactory completion of continuing education courses.
Oregon Administrative Rules › Chapter 818 - OREGON BOARD OF DENTISTRY › Division 21 - EXAMINATION AND LICENSING › Section 818-021-0095 - Resignation of License

Current through Register Vol. 63, No. 7, July 1, 2024
(1) The
			 Board may allow a licensee who no longer practices in Oregon to resign their
			 license, unless the Board determines the license should be revoked.
(2) Licenses that are resigned under this
			 rule may not be reinstated.
Statutory/Other Authority: ORS 679 & 680
Statutes/Other Implemented: ORS
				  679.090,
				  679.120,
				  680.072 &
				  680.075
Oregon Administrative Rules › Chapter 818 - OREGON BOARD OF DENTISTRY › Division 21 - EXAMINATION AND LICENSING › Section 818-021-0100 - Competency Examination

Current through Register Vol. 63, No. 7, July 1, 2024
(1) The
			 Board may require any licensee to pass the Board examination or require any
			 licensee to participate in a practice review as set forth in section (2) of
			 this rule.
(2) One or more
			 consultants will review the licensee's treatment of patients selected at random
			 and report observations to the Board
(3) If the results of the examination or
			 practice review provide evidence that the licensee lacks competency, the Board
			 may refuse to renew the licensee's license or take disciplinary action against
			 the licensee.
Stat. Auth.: ORS 679
Stats. Implemented: ORS
				  679.250(9)
Oregon Administrative Rules › Chapter 818 - OREGON BOARD OF DENTISTRY › Division 21 - EXAMINATION AND LICENSING › Section 818-021-0110 - Reinstatement Following Revocation

Current through Register Vol. 63, No. 7, July 1, 2024
(1)
			 Any person whose license has been revoked for a reason other than failure to
			 pay the renewal fee may petition the Board for reinstatement after five years
			 from the date of revocation.
(2)
			 The Board shall hold a hearing on the petition and, if the petitioner
			 demonstrates that reinstatement of the license will not be detrimental to the
			 health or welfare of the public, the Board may allow the petitioner to retake
			 the Board examination.
(3) If the
			 license was revoked for unacceptable patient care, the petitioner shall provide
			 the Board with satisfactory evidence that the petitioner has completed a course
			 of study sufficient to remedy the petitioner's deficiencies in the practice of
			 dentistry, dental therapy or dental hygiene.
(4) If the petitioner passes the Board
			 examination, the Board may reinstate the license, place the petitioner on
			 probation for not less than two years, and impose appropriate conditions of
			 probation.
Statutory/Other Authority: ORS 679
Statutes/Other Implemented: ORS
				  679.140  & ORS 679.600
Oregon Administrative Rules › Chapter 818 - OREGON BOARD OF DENTISTRY › Division 21 - EXAMINATION AND LICENSING › Section 818-021-0115 - Display of Licenses

Current through Register Vol. 63, No. 7, July 1, 2024
Every licensee of the Board shall have conspicuously displayed
				their current license in every office where that licensee practices in plain
				sight of the licensee's patients.
Stat. Auth.: ORS
				  679.120,
				  679.250(7),
				  680.075 &
				  680.150
Stats. Implemented: ORS
				  679.020,
				  679.025 &
				  680.020
Oregon Administrative Rules › Chapter 818 - OREGON BOARD OF DENTISTRY › Division 21 - EXAMINATION AND LICENSING › Section 818-021-0120 - Application Valid for 180 Days

Current through Register Vol. 63, No. 7, July 1, 2024
(1)
			 If all information and documentation necessary for the Board to act on an
			 application is not provided to the Board by the applicant within 180 days from
			 the date the application is received by the Board, the Board shall reject the
			 application as incomplete.
(2) An
			 applicant whose application has been rejected as incomplete must file a new
			 application and must pay a new application fee.
(3) An applicant who fails the examination or
			 who does not take the examination during the 180-day period following the date
			 the Board receives the application, must file a new application and must pay a
			 new application fee.
Stat. Auth.: ORS 679 & 680
Stats. Implemented.: ORS
				  679.060,
				  679.065,
				  679.070,
				  679.080,
				  680.040,
				  680.050,
				  680.060,
				  680.070 &
				  680.072
Oregon Administrative Rules › Chapter 818 - OREGON BOARD OF DENTISTRY › Division 21 - EXAMINATION AND LICENSING › Section 818-021-0125 - Reapplication Following Denial of Licensure

Current through Register Vol. 63, No. 7, July 1, 2024
A person whose application for licensure has been denied on
				grounds other than failure of the licensure examination may not reapply for
				five years from the date of the Board's Final Order denying
				licensure.
Stat. Auth.: ORS 679 & 680
Stats. Implemented.: ORS
				  679.060,
				  679.065,
				  679.070,
				  679.080,
				  680.040,
				  680.050,
				  680.060,
				  680.070 &
				  680.072
Oregon Administrative Rules › Chapter 818 - OREGON BOARD OF DENTISTRY › Division 26 - ANESTHESIA › Section 818-026-0000 - Purpose

Current through Register Vol. 63, No. 7, July 1, 2024
(1) These rules
			 apply to the administration of substances that produce general anesthesia, deep
			 sedation, moderate sedation, minimal sedation or nitrous oxide sedation in
			 patients being treated by licensees. These regulations are not intended to
			 prohibit training programs for licensees or to prevent persons from taking
			 necessary action in case of an emergency.
(2) Nothing in this Division relieves a
			 licensee from the standards imposed by ORS
			 679.140(1)(e)
			 and 679.140(4).
Stat. Auth.: ORS 679 & 680
Stats. Implemented: ORS
				  679.250(7)
				  & 679.250(10)
Oregon Administrative Rules › Chapter 818 - OREGON BOARD OF DENTISTRY › Division 26 - ANESTHESIA › Section 818-026-0020 - Presumption of Degree of Central Nervous System Depression

Current through Register Vol. 63, No. 7, July 1, 2024
(1) In any hearing where a question exists as
			 to the degree of central nervous system depression a licensee has induced
			 (i.e., general anesthesia, deep sedation, moderate sedation, minimal sedation
			 or nitrous oxide sedation), the Board may base its findings on, among other
			 things, the types, dosages and routes of administration of drugs administered
			 to the patient and what result can reasonably be expected from those drugs in
			 those dosages and routes administered in a patient of that physical and
			 psychological status.
(2) The
			 following drugs are conclusively presumed to produce general anesthesia and may
			 only be used by a licensee holding a General Anesthesia Permit:
(a) Ultra short acting barbiturates
			 including, but not limited to, sodium methohexital, thiopental,
			 thiamylal;
(b) Alkylphenols -
			 propofol (Diprivan) including precursors or derivatives;
(c) Neuroleptic agents;
(d) Dissociative agents - ketamine;
(e) Etomidate; and
(f) Volatile inhalational agents.
Oregon Administrative Rules › Chapter 818 - OREGON BOARD OF DENTISTRY › Division 26 - ANESTHESIA › Section 818-026-0030 - Requirement for Anesthesia Permit, Standards and Qualifications of an Anesthesia Monitor

Current through Register Vol. 63, No. 7, July 1, 2024
(1) A
			 permit holder who administers sedation shall assure that drugs, drug dosages,
			 and/or techniques used to produce sedation shall carry a margin of safety wide
			 enough to prevent unintended deeper levels of sedation.
(2) No licensee shall induce central nervous
			 system sedation or general anesthesia without first having obtained a permit
			 under these rules for the level of anesthesia being induced.
(3) A licensee may be granted a permit to
			 administer sedation or general anesthesia with documentation of
			 training/education and/or competency in the permit category for which the
			 licensee is applying by any one the following:
(a) Initial training/education in the permit
			 category for which the applicant is applying shall be completed no more than
			 two years immediately prior to application for sedation or general anesthesia
			 permit; or
(b) If greater than two
			 years but less than five years since completion of initial training/education,
			 an applicant must document completion of all continuing education that would
			 have been required for that anesthesia/permit category during that five year
			 period following initial training; or
(c) If greater than two years but less than
			 five years since completion of initial training/education, immediately prior to
			 application for sedation or general anesthesia permit, current competency or
			 experience must be documented by completion of a comprehensive review course
			 approved by the Board in the permit category to which the applicant is applying
			 and must consist of at least one-half (50%) of the hours required by rule for
			 Nitrous Oxide, Minimal Sedation, Moderate Sedation and General Anesthesia
			 Permits. Deep Sedation and General Anesthesia Permits will require at least 120
			 hours of general anesthesia training.
(d) An applicant for sedation or general
			 anesthesia permit whose completion of initial training/education is greater
			 than five years immediately prior to application, may be granted a sedation or
			 general anesthesia permit by submitting documentation of the requested permit
			 level from another state or jurisdiction where the applicant is also licensed
			 to practice dentistry or dental hygiene, and provides documentation of the
			 completion of at least 25 cases in the requested level of sedation or general
			 anesthesia in the 12 months immediately preceding application; or
(e) Demonstration of current competency to
			 the satisfaction of the Board that the applicant possesses adequate sedation or
			 general anesthesia skill to safely deliver sedation or general anesthesia
			 services to the public.
Oregon Administrative Rules › Chapter 818 - OREGON BOARD OF DENTISTRY › Division 26 - ANESTHESIA › Section 818-026-0035 - Classes of Anesthesia Permit

Current through Register Vol. 63, No. 7, July 1, 2024
The Board shall issue the following classes of permits:
(1) A Nitrous Oxide Permit authorizes a
			 dental hygienist or a dentist to induce nitrous oxide sedation.
(2) A Minimal Sedation Permit authorizes a
			 dentist to induce minimal sedation and nitrous oxide sedation.
(3) A Moderate Sedation Permit authorizes a
			 dentist to induce moderate sedation, minimal sedation and nitrous oxide
			 sedation.
(4) A Deep Sedation
			 Permit authorizes a dentist to induce deep sedation, moderate sedation, minimal
			 sedation, and nitrous oxide sedation. The Board shall issue a Deep Sedation
			 Permit to a licensee who holds a Class 3 Permit on or before July 1,
			 2010.
(5) A General Anesthesia
			 Permit authorizes a dentist to induce general anesthesia, deep sedation,
			 moderate sedation, minimal sedation and nitrous oxide sedation.
Stat. Auth.: ORS 679 & 680
Stats. Implemented: ORS
				  679.250(7)
				  & 679.250(10)
Oregon Administrative Rules › Chapter 818 - OREGON BOARD OF DENTISTRY › Division 26 - ANESTHESIA › Section 818-026-0040 - Qualifications, Standards Applicable, and Continuing Education Requirements for Anesthesia Permits: Nitrous Oxide Permit

Current through Register Vol. 63, No. 7, July 1, 2024
Nitrous Oxide Sedation.
(1) The Board shall issue a Nitrous Oxide
			 Permit to an applicant who:
(a) Is either a
			 licensed dentist or licensed hygienist in the State of Oregon;
(b) Maintains a current BLS for Healthcare
			 Providers certificate or its equivalent; and
(c) Has completed a training course of at
			 least 14 hours of instruction in the use of nitrous oxide from a dental school
			 or dental hygiene program accredited by the Commission on Dental Accreditation
			 of the American Dental Association, or as a postgraduate.
Oregon Administrative Rules › Chapter 818 - OREGON BOARD OF DENTISTRY › Division 26 - ANESTHESIA › Section 818-026-0050 - Minimal Sedation Permit

Current through Register Vol. 63, No. 7, July 1, 2024
Minimal sedation and nitrous oxide sedation.
(1) The Board shall issue a Minimal Sedation
			 Permit to an applicant who:
(a) Is a licensed
			 dentist in Oregon;
(b) Maintains a
			 current BLS for Healthcare Providers certificate or its equivalent;
			 and
(c) Completion of a
			 comprehensive training program consisting of at least 16 hours of training and
			 satisfies the requirements of the current ADA Guidelines for Teaching Pain
			 Control and Sedation to Dentists and Dental Students at the time training was
			 commenced or postgraduate instruction was completed, or the equivalent of that
			 required in graduate training programs, in sedation, recognition and management
			 of complications and emergency care; or
(d) In lieu of these requirements, the Board
			 may accept equivalent training or experience in minimal sedation
			 anesthesia.
Oregon Administrative Rules › Chapter 818 - OREGON BOARD OF DENTISTRY › Division 26 - ANESTHESIA › Section 818-026-0055 - Dental Hygiene, Dental Therapy and Dental Assistant Procedures Performed Under Nitrous Oxide or Minimal Sedation

Current through Register Vol. 63, No. 7, July 1, 2024
(1) Under indirect supervision, dental
			 hygiene procedures may be performed for a patient who is under nitrous oxide or
			 minimal sedation under the following conditions:
(a) A licensee holding a Nitrous Oxide,
			 Minimal, Moderate, Deep Sedation or General Anesthesia Permit administers the
			 sedative agents;
(b) The permit
			 holder, or an anesthesia monitor, monitors the patient; or
(c) If a dental hygienist with a nitrous
			 oxide permit administers nitrous oxide sedation to a patient and then performs
			 authorized procedures on the patient, an anesthesia monitor is not required to
			 be present during the time the patient is sedated unless the permit holder
			 leaves the patient.
(d) The permit
			 holder performs the appropriate pre- and post-operative evaluation and
			 discharges the patient in accordance with Board rules.
Oregon Administrative Rules › Chapter 818 - OREGON BOARD OF DENTISTRY › Division 26 - ANESTHESIA › Section 818-026-0060 - Moderate Sedation Permit

Current through Register Vol. 63, No. 7, July 1, 2024
Moderate sedation, minimal sedation, and nitrous oxide
				sedation.
(1) The Board shall issue
			 or renew a Moderate Sedation Permit to an applicant who:
(a) Is a licensed dentist in Oregon;
(b) In addition to a current BLS
			 for Healthcare Providers certificate or its equivalent, either maintains a
			 current Advanced Cardiac Life Support (ACLS) certificate and/or a Pediatric
			 Advanced Life Support (PALS) certificate, whichever is appropriate for the
			 patient being sedated; and
(c)
			 Satisfies one of the following criteria:
(A)
			 Completion of a comprehensive training program in enteral and/or parenteral
			 sedation that satisfies the requirements described in Part V of the currentADA
			 Guidelines for Teaching Pain Control and Sedation to Dentists and Dental
			 Students at the time training was commenced.
(i) Enteral Moderate Sedation requires a
			 minimum of 24 hours of instruction plus management of at least 10 dental
			 patient experiences by the enteral and/or enteral-nitrous oxide/oxygen route.
(ii) Parenteral Moderate Sedation
			 requires a minimum of 60 hours of instruction plus management of at least 20
			 dental patients by the intravenous route.
(B) Completion of an ADA accredited
			 postdoctoral training program (e.g., general practice residency) which affords
			 comprehensive and appropriate training necessary to administer and manage
			 parenteral sedation, commensurate with these Guidelines.
(C) In lieu of these requirements, the Board
			 may accept equivalent training or experience in moderate sedation anesthesia.
Oregon Administrative Rules › Chapter 818 - OREGON BOARD OF DENTISTRY › Division 26 - ANESTHESIA › Section 818-026-0065 - Deep Sedation Permit

Current through Register Vol. 63, No. 7, July 1, 2024
Deep sedation, moderate sedation, minimal sedation, and nitrous
				oxide sedation.
(1) The Board shall
			 issue a Deep Sedation Permit to a licensee who holds a Class 3 Permit on or
			 before July 1, 2010 who:
(a) Is a licensed
			 dentist in Oregon; and
(b) In
			 addition to a current BLS for Healthcare Providers certificate or its
			 equivalent, maintains a current Advanced Cardiac Life Support (ACLS)
			 certificate and/or a Pediatric Advanced Life Support (PALS) certificate,
			 whichever is appropriate for the patient being sedated.
Oregon Administrative Rules › Chapter 818 - OREGON BOARD OF DENTISTRY › Division 26 - ANESTHESIA › Section 818-026-0070 - General Anesthesia Permit

Current through Register Vol. 63, No. 7, July 1, 2024
General anesthesia, deep sedation, moderate sedation, minimal
				sedation and nitrous oxide sedation.
(1) The Board shall issue a General
			 Anesthesia Permit to an applicant who:
(a) Is
			 a licensed dentist in Oregon;
(b)
			 In addition to a current BLS for Healthcare Providers certificate or its
			 equivalent, maintains a current Advanced Cardiac Life Support (ACLS)
			 certificate and/or a Pediatric Advanced Life Support (PALS) certificate,
			 whichever is appropriate for the patient being sedated, and
(c) Satisfies one of the following criteria:
(A) Completion of an advanced training
			 program in anesthesia and related subjects beyond the undergraduate dental
			 curriculum that satisfies the requirements described in the current ADA
			 Guidelines for Teaching Pain Control and Sedation to Dentists and Dental
			 Students consisting of a minimum of 2 years of a postgraduate anesthesia
			 residency at the time training was commenced.
(B) Completion of any ADA accredited
			 postdoctoral training program, including but not limited to Oral and
			 Maxillofacial Surgery, which affords comprehensive and appropriate training
			 necessary to administer and manage general anesthesia, commensurate with these
			 Guidelines.
(C) In lieu of these
			 requirements, the Board may accept equivalent training or experience in general
			 anesthesia.
Oregon Administrative Rules › Chapter 818 - OREGON BOARD OF DENTISTRY › Division 26 - ANESTHESIA › Section 818-026-0110 - Office Evaluations

Current through Register Vol. 63, No. 7, July 1, 2024
(1) By
			 obtaining an anesthesia permit or by using the services of a physician
			 anesthesiologist, CRNA, an Oregon licensed dental hygienist permit holder or
			 another dentist permit holder to administer anesthesia, a licensee consents to
			 in-office evaluations by the Oregon Board of Dentistry, to assess competence in
			 central nervous system anesthesia and to determine compliance with rules of the
			 Board.
(2) The in-office evaluation
			 may include, but is not limited to:
(a)
			 Observation of one or more cases of anesthesia to determine the appropriateness
			 of technique and adequacy of patient evaluation and care;
(b) Inspection of facilities, equipment,
			 drugs and records; and
(c)
			 Confirmation that personnel are adequately trained, hold a current BLS for
			 Healthcare Providers certificate, or its equivalent, and are competent to
			 respond to reasonable emergencies that may occur during the administration of
			 anesthesia or during the recovery period.
Oregon Administrative Rules › Chapter 818 - OREGON BOARD OF DENTISTRY › Division 26 - ANESTHESIA › Section 818-026-0120 - Reporting of Death, Serious Complications or Injury

Current through Register Vol. 63, No. 7, July 1, 2024
If a death, any serious complication or any injury occurs which
				may have resulted from the administration of any central nervous system
				anesthesia or sedation, the licensee performing the dental procedure must
				submit a written detailed report to the Board within five days of the incident
				along with the patient's original complete dental records. If the anesthetic
				agent was administered by a person other than the person performing the dental
				procedure, that person must also submit a detailed written report. The detailed
				report(s) must include:
(1) Name, age
			 and address of patient;
(2) Name of
			 the licensee and other persons present during the incident;
(3) Address where the incident took
			 place;
(4) Type of anesthesia and
			 dosages of drugs administered to the patient;
(5) A narrative description of the incident
			 including approximate times and evolution of symptoms; and
(6) The anesthesia record and the signed
			 informed consent form for the anesthesia when required.
Stat. Auth.: ORS 679 & 680
Stats. Implemented: ORS
				  679.250(7)
				  & 679.250(10)
Oregon Administrative Rules › Chapter 818 - OREGON BOARD OF DENTISTRY › Division 26 - ANESTHESIA › Section 818-026-0130 - Anesthesia Committee

Current through Register Vol. 63, No. 7, July 1, 2024
(1) The
			 Board hereby creates a committee to be known as the Anesthesia Committee. The
			 chairperson shall be a dentist who is a member of the Board. All other members
			 shall hold a Moderate, Deep Sedation or General Anesthesia Sedation Permit. At
			 least one member, other than the chairperson, shall be a practicing specialist
			 who holds a General Anesthesia Permit. Members serve at the pleasure of the
			 Board and shall be appointed by the President of the Board. The Board President
			 shall insure that the committee includes representatives of dental specialty
			 groups including general dentists.
(2) The Anesthesia Committee shall, upon
			 request of the Board, advise the Board on policies and procedures related to
			 the regulation of general anesthesia, deep sedation, moderate sedation, minimal
			 sedation and nitrous oxide sedation.
Stat. Auth.: ORS 679
Stats. Implemented: ORS
				  679.280
Oregon Administrative Rules › Chapter 818 - OREGON BOARD OF DENTISTRY › Division 35 - DENTAL HYGIENE › Section 818-035-0010 - Definitions

Current through Register Vol. 63, No. 7, July 1, 2024
All terms used in this Division shall have the meanings
				assigned under ORS
				679.010 except that:
(1) "Limited Access
			 Patient" means a patient who is unable to receive regular dental hygiene
			 treatment in a dental office.
(2)
			 "Long-Term Care Facility" shall have the same definition as that established
			 under ORS
			 442.015(14)(b).
Statutory/Other Authority: ORS
				  679.250(7)
				  & 680.150
Statutes/Other Implemented: ORS
				  679.010  & 680.010
Oregon Administrative Rules › Chapter 818 - OREGON BOARD OF DENTISTRY › Division 35 - DENTAL HYGIENE › Section 818-035-0020 - Authorization to Practice

Current through Register Vol. 63, No. 7, July 1, 2024
(1) A
			 dental hygienist may practice dental hygiene in the places specified by ORS
			 680.150 under general supervision upon authorization of a supervising
			 dentist.
(2) A dentist who
			 authorizes a dental hygienist to practice dental hygiene on a limited access
			 patient must review the hygienist's findings.
(3) A supervising dentist, without first
			 examining a new patient, may authorize a dental hygienist:
(a) To take a health history from a
			 patient;
(b) To take dental
			 radiographs;
(c) To perform
			 periodontal probings and record findings;
(d) To gather data regarding the patient;
			 and
(e) To diagnose, treatment plan
			 and provide dental hygiene services.
Oregon Administrative Rules › Chapter 818 - OREGON BOARD OF DENTISTRY › Division 35 - DENTAL HYGIENE › Section 818-035-0025 - Prohibitions

Current through Register Vol. 63, No. 7, July 1, 2024
A dental hygienist may not:
(1) Diagnose and treatment plan other than
			 for dental hygiene services;
(2)
			 Cut hard or soft tissue with the exception of root planing;
(3) Extract any tooth;
(4) Fit or adjust any correctional or
			 prosthetic appliance except as provided by OAR 818-035-0030(1)(h);
(5) Prescribe, administer or dispense any
			 drugs except as provided by OAR 818-035-0030, 818-035-0040, 818-026-0060(11)
 
			 and 818-026-0070(11);
(6) Place,
			 condense, carve or cement permanent restorations except as provided in OAR
			 818-035-0072, or operatively prepare teeth;
(7) Irrigate or medicate canals; try in
			 cones, or ream, file or fill canals;
(8) Use the behavior management techniques of
			 Hand Over Mouth (HOM) or Hand Over Mouth Airway Restriction (HOMAR) on any
			 patient.
(9) Place or remove
			 healing caps or healing abutments, except under direct supervision.
(10) Place implant impression copings, except
			 under direct supervision.
Statutory/Other Authority: ORS 679 & 680
Statutes/Other Implemented: ORS
				  679.020(1)
Oregon Administrative Rules › Chapter 818 - OREGON BOARD OF DENTISTRY › Division 35 - DENTAL HYGIENE › Section 818-035-0030 - Additional Functions of Dental Hygienists

Current through Register Vol. 63, No. 7, July 1, 2024
(1) In addition to
			 functions set forth in ORS
			 679.010, a dental hygienist may
			 perform the following functions under the general supervision of a licensed
			 dentist:
(a) Make preliminary intra-oral and
			 extra-oral examinations and record findings;
(b) Place periodontal dressings;
(c) Remove periodontal dressings or direct a
			 dental assistant to remove periodontal dressings;
(d) Perform all functions delegable to dental
			 assistants and expanded function dental assistants providing that the dental
			 hygienist is appropriately trained;
(e) Administer and dispense antimicrobial
			 solutions or other antimicrobial agents in the performance of dental hygiene
			 functions.
(f) Prescribe,
			 administer and dispense fluoride, fluoride varnish, antimicrobial solutions for
			 mouth rinsing or other non-systemic antimicrobial agents.
(g) Use high-speed handpieces to polish
			 restorations and to remove cement and adhesive material.
(h) Apply temporary soft relines to complete
			 dentures for the purpose of tissue conditioning.
(i) Perform all aspects of teeth whitening
			 procedures.
Oregon Administrative Rules › Chapter 818 - OREGON BOARD OF DENTISTRY › Division 35 - DENTAL HYGIENE › Section 818-035-0040 - Expanded Functions of Dental Hygienists

Current through Register Vol. 63, No. 7, July 1, 2024
(1) Upon completion of a course of
			 instruction in a program accredited by the Commission on Dental Accreditation
			 of the American Dental Association or other course of instruction approved by
			 the Board, a dental hygienist who completes a Board approved application shall
			 be issued an endorsement to administer local anesthetic agents and local
			 anesthetic reversal agents under the general supervision of a licensed dentist.
			 Local anesthetic reversal agents shall not be used on children less than 6
			 years of age or weighing less than 33 pounds.
(2) Upon completion of a course of
			 instruction in a program accredited by the Commission on Dental Accreditation
			 of the American Dental Association or other course of instruction approved by
			 the Board, a dental hygienist may administer nitrous oxide under the indirect
			 supervision of a licensed dentist in accordance with the Board's rules
			 regarding anesthesia.
(3) Upon
			 completion of a course of instruction approved by the Oregon Health Authority,
			 Public Health Division, a dental hygienist may purchase Epinephrine and
			 administer Epinephrine in an emergency.
Stat. Auth.: ORS 679 & 680
Stats. Implemented: ORS
				  679.025(2)(j)
				  & 679.250(7)
Oregon Administrative Rules › Chapter 818 - OREGON BOARD OF DENTISTRY › Division 35 - DENTAL HYGIENE › Section 818-035-0065 - Expanded Practice Dental Hygiene Permit

Current through Register Vol. 63, No. 7, July 1, 2024
The Board shall issue an Expanded Practice Permit to a Dental
				Hygienist who holds an unrestricted Oregon license, and completes an
				application approved by the Board, pays the permit fee, and
(1) Certifies on the application that the
			 dental hygienist has completed at least 2,500 hours of supervised dental
			 hygiene clinical practice, or clinical teaching hours, and also completes 40
			 hours of courses chosen by the applicant in clinical dental hygiene or public
			 health sponsored by continuing education providers approved by the Board;
			 or
(2) Certifies on the application
			 that the dental hygienist has completed a course of study, before or after
			 graduation from a dental hygiene program, that includes at least 500 hours of
			 dental hygiene practice on patients described in ORS
			 680.205;
			 and
(3) Provides the Board with a
			 copy of the applicant's current professional liability policy or declaration
			 page which will include, the policy number and expiration date of the
			 policy.
(4) Notwithstanding OAR
			 818-035-0025(1), prior to performing any dental hygiene services an Expanded
			 Practice Dental Hygienist shall examine the patient, gather data, interpret the
			 data to determine the patient's dental hygiene treatment needs and formulate a
			 patient care plan.
(5) An Expanded
			 Practice Dental Hygienist may render the services described in paragraphs(6)(a)
			 to (d) of this rule to the patients described in ORS
			 680.205(1)
			 if the Expanded Practice Dental Hygienist has entered into a written
			 collaborative agreement in a format approved by the Board with a dentist
			 licensed under ORS Chapter 679.
(6)
			 The collaborative agreement must set forth the agreed upon scope of the dental
			 hygienist's practice with regard to:
(a)
			 Administering local anesthesia;
(b)
			 Administering temporary restorations without excavation;
(c) Prescribing prophylactic antibiotics and
			 nonsteroidal anti-inflammatory drugs; and
(d) Referral parameters.
Oregon Administrative Rules › Chapter 818 - OREGON BOARD OF DENTISTRY › Division 35 - DENTAL HYGIENE › Section 818-035-0066 - Additional Populations for Expanded Practice Dental Hygiene Permit Holders

Current through Register Vol. 63, No. 7, July 1, 2024
A dental hygienist with an Expanded Practice Permit may
				practice without supervision at locations and on persons as described in ORS
				680.205(1)(a) through
				(e) and on the following additional
				populations: Low-income persons, as defined by earning up to 200% of the
				Federal Poverty Level or on specific population groups designated by the Dental
				Health Professional Shortage Areas (DHPSA) that lack access to care and that
				are underserved.
Stat. Auth: ORS 679 & 680
Stats. Implemented:
				  680.205 &
				  679.250(9)
Oregon Administrative Rules › Chapter 818 - OREGON BOARD OF DENTISTRY › Division 35 - DENTAL HYGIENE › Section 818-035-0072 - Restorative Functions of Dental Hygienists

Current through Register Vol. 63, No. 7, July 1, 2024
(1) The Board shall issue a Restorative
			 Functions Endorsement (RFE) to a dental hygienist who holds an unrestricted
			 Oregon license, and has successfully completed:
(a) A Board approved curriculum from a
			 program accredited by the Commission on Dental Accreditation of the American
			 Dental Association or other course of instruction approved by the Board, and
			 successfully passed the Western Regional Examining Board's Restorative
			 Examination or other equivalent examinations approved by the Board within the
			 last five years; or
(b) If
			 successful passage of the Western Regional Examining Board's Restorative
			 Examination or other equivalent examinations approved by the Board occurred
			 over five years from the date of application, the applicant must submit
			 verification from another state or jurisdiction where the applicant is legally
			 authorized to perform restorative functions and certification from the
			 supervising dentist of successful completion of at least 25 restorative
			 procedures within the immediate five years from the date of
			 application.
Oregon Administrative Rules › Chapter 818 - OREGON BOARD OF DENTISTRY › Division 35 - DENTAL HYGIENE › Section 818-035-0100 - Record Keeping

Current through Register Vol. 63, No. 7, July 1, 2024
(1) An
			 Expanded Practice Dental Hygienist shall refer a patient annually to a dentist
			 who is available to treat the patient, and note in the patient's official chart
			 held by the facility that the patient has been referred.
(2) When a licensed dentist has authorized an
			 Expanded Practice Dental Hygienist to administer local anesthesia, place
			 temporary restorations without excavation or prescribe prophylactic antibiotics
			 and nonsteroidal anti-inflammatory drugs, the Expanded Practice Dental
			 Hygienist shall document in the patient's official chart the name of the
			 collaborating dentist and date the collaborative agreement was entered
			 into.
Statutory/Other Authority: ORS 680
Statutes/Other Implemented: ORS
				  680.205(2)
				  & (3)
Oregon Administrative Rules › Chapter 818 - OREGON BOARD OF DENTISTRY › Division 38 - DENTAL THERAPY › Section 818-038-0001 - Definitions

Current through Register Vol. 63, No. 7, July 1, 2024
(1) "Dental
			 Therapist" means a person licensed to practice dental therapy under ORS
			 679.603.
(2) "Dental Therapy" means
			 the provision of preventive dental care, restorative dental treatment and other
			 educational, clinical and therapeutic patient services as part of a dental care
			 team, including the services described under ORS 679.621.
(3) "Direct Supervision" means supervision
			 requiring that a dentist diagnose the condition to be treated, that a dentist
			 authorize the procedure to be performed, and that a dentist remain in the
			 dental treatment room while the procedures are performed.
(4) "General Supervision" means supervision
			 requiring that a dentist authorize the procedures, but not requiring that a
			 dentist be present when the authorized procedures are performed. The authorized
			 procedures may also be performed at a place other than the usual place of
			 practice of the dentist.
(5)
			 "Indirect Supervision" means supervision requiring that a dentist authorize the
			 procedures and that a dentist be on the premises while the procedures are
			 performed.
(6) "Informed Consent"
			 means the consent obtained following a thorough and easily understood
			 explanation to the patient, or patient's guardian, of the proposed procedures,
			 any available alternative procedures and any risks associated with the
			 procedures. Following the explanation, the licensee shall ask the patient, or
			 the patient's guardian, if there are any questions. The licensee shall provide
			 thorough and easily understood answers to all questions asked.
(7) "Collaborative Agreement" means a written
			 and signed agreement entered into between a dentist and a dental therapist
			 under ORS 679.618.
Statutory/Other Authority: ORS 679 & ORS 679.600
Statutes/Other Implemented: ORS 679.600, ORS 679.603, ORS
				  679.618 & ORS 679.621
Oregon Administrative Rules › Chapter 818 - OREGON BOARD OF DENTISTRY › Division 38 - DENTAL THERAPY › Section 818-038-0005 - Dental Therapy Education Program

Current through Register Vol. 63, No. 7, July 1, 2024
The Board defines "Dental Therapy Education Program" as:
(1) A program accredited by the Commission on
			 Dental Accreditation of the American Dental Association, or its successor
			 organization, and approved by the Board by rule;
(2) A dental pilot project as defined in ORS
			 679.600 and includes at least 500 hours of combined didactic and hands-on
			 clinical dental therapy practice.
(3) Beginning January 1, 2025, no new
			 applicants may qualify for licensure under section 2, unless they completed
			 training within a fully approved OHA dental therapy pilot project prior to
			 January 1, 2025.
Statutory/Other Authority: ORS 679 & ORS 679.600
Statutes/Other Implemented: ORS 679.621, ORS 679.600 &
				  ORS 679.603
Oregon Administrative Rules › Chapter 818 - OREGON BOARD OF DENTISTRY › Division 38 - DENTAL THERAPY › Section 818-038-0010 - Authorization to Practice

Current through Register Vol. 63, No. 7, July 1, 2024
(1) A
			 dental therapist may practice dental therapy only under the supervision of a
			 dentist and pursuant to a collaborative agreement with the dentist that
			 outlines the supervision logistics and requirements for the dental therapist's
			 practice.
(2) A dental therapist
			 shall dedicate at least 51 percent of the dental therapist's practice to
			 patients who represent underserved populations, as defined by the Oregon Health
			 Authority by rule, or patients located in dental care health professional
			 shortage areas, as determined by the authority.
(3) A dental therapist may perform the
			 procedures listed in OAR 818-038-0020  so long as the procedures were included
			 in the dental therapist's education program or the dental therapist has
			 received additional training in the procedure through a Board approved course.
Statutory/Other Authority: ORS 679 & ORS 679.621
Statutes/Other Implemented: ORS 679.621 & ORS
				  679.600
Oregon Administrative Rules › Chapter 818 - OREGON BOARD OF DENTISTRY › Division 38 - DENTAL THERAPY › Section 818-038-0020 - Scope of Practice

Current through Register Vol. 63, No. 7, July 1, 2024
(1) A
			 dental therapist may perform, pursuant to the dental therapist's collaborative
			 agreement, the following procedures under the general supervision of the
			 dentist:
(a) Identification of conditions
			 requiring evaluation, diagnosis or treatment by a dentist, a physician licensed
			 under ORS chapter 677, a nurse practitioner licensed under ORS
			 678.375 to
			 678.390 or other licensed health care provider;
(b) Comprehensive charting of the oral
			 cavity;
(c) Oral health instruction
			 and disease prevention education, including nutritional counseling and dietary
			 analysis;
(d) Exposing and
			 evaluation of radiographic images;
(e) Dental prophylaxis, including subgingival
			 scaling and polishing procedures;
(f) Application of topical preventive or
			 prophylactic agents, including fluoride varnishes and pit and fissure
			 sealants;
(g) Administering local
			 anesthetic;
(h) Pulp vitality
			 testing;
(i) Application of
			 desensitizing medication or resin;
(j) Fabrication of athletic mouth
			 guards;
(k) Changing of periodontal
			 dressings;
(l) Simple extractions of
			 erupted primary anterior teeth and coronal remnants of any primary
			 teeth;
(m) Emergency palliative
			 treatment of dental pain;
(n)
			 Preparation and placement of direct restoration in primary and permanent
			 teeth;
(o) Fabrication and
			 placement of single-tooth temporary crowns;
(p) Preparation and placement of preformed
			 crowns on primary teeth;
(q)
			 Indirect pulp capping on permanent teeth;
(r) Indirect pulp capping on primary
			 teeth;
(s) Suture
			 removal;
(t) Minor adjustments and
			 repairs of removable prosthetic devices;
(u) Atraumatic restorative therapy and
			 interim restorative therapy;
(v)
			 Oral examination, evaluation and diagnosis of conditions within the scope of
			 practice of the dental therapist and with the supervising dentist's
			 authorization;
(w) Removal of space
			 maintainers;
(x) The dispensation
			 and oral or topical administration of:
(A)
			 Nonnarcotic analgesics;
(B)
			 Anti-inflammatories; and
(C)
			 Antibiotics; and
(y)
			 Other services as specified by the Oregon Board of Dentistry by rule.
Oregon Administrative Rules › Chapter 818 - OREGON BOARD OF DENTISTRY › Division 38 - DENTAL THERAPY › Section 818-038-0022 - Additional Functions of Dental Therapists

Current through Register Vol. 63, No. 7, July 1, 2024
In addition to functions set forth in ORS
				679.010, a dental therapist may
				perform the following functions under the indirect supervision of a licensed
				dentist:
(1) Upon successful
			 completion of a course in intravenous access or phlebotomy approved by the
			 Board, a dental therapist may initiate an intravenous (IV) infusion line for a
			 patient being prepared for IV medications, sedation, or general anesthesia
			 under the indirect supervision of a dentist holding the appropriate anesthesia
			 permit.
(2) Upon successful
			 completion of a course in intravenous access or phlebotomy approved by the
			 Board, a dental therapist may perform a phlebotomy blood draw under the
			 indirect supervision of a dentist. Products obtained through a phlebotomy blood
			 draw may only be used by the dentist, to treat a condition that is within the
			 scope of the practice of dentistry.
Statutory/Other Authority: ORS 679
Statutes/Other Implemented: ORS
				  679.600
Oregon Administrative Rules › Chapter 818 - OREGON BOARD OF DENTISTRY › Division 38 - DENTAL THERAPY › Section 818-038-0025 - Prohibited Acts

Current through Register Vol. 63, No. 7, July 1, 2024
A dental therapist may not:
(1) Place or Restore Dental Implants or any
			 other soft tissue surgery except as described in 818-038-0020.
(2) Prescribe any drugs, unless permitted by
			 ORS
			 679.010.
(3) Use the behavior management techniques of
			 Hand Over Mouth (HOM) or Hand Over Mouth Airway Restriction (HOMAR) on any
			 patient.
(4) Perform any dental
			 therapy procedure unless it is documented in the collaborative agreement and
			 rendered under appropriate Oregon Licensed Dentist supervision.
(5) Operate a hard or soft tissue
			 Laser.
(6) Treat a patient under
			 moderate, deep or general anesthesia.
(7) Order a computerized tomography
			 scan.
Statutory/Other Authority: ORS 679, ORS 679.603 & ORS
				  679.010
Statutes/Other Implemented: ORS 679.603 & ORS
				  679.010