Dental Assistant Presentation 2016

The Oklahoma State Board of Dentistry was one of the first four Agencies in the original Constitution along with the State Board of Pharmacy, Board of

Health, and a Commission on Pure Food.

Oklahoma Constitution Article 5 Section 39 created the Oklahoma Board of Dentistry making it a

constitutionally created agency at Statehood in 1907.

Dr. James Sparks Board President

OKC District 5

Dr. Stan Crawford 1st Vice-President

Grove District 8

Dr. Jeff Lunday 2nd Vice-President

Norman District 4

Dr. Jeff Nelson Secretary/Treasurer

Kingston District 6

Dr. Michael Howl Tulsa

District 2

Dr. Curtis Bowman Enid

District 1

Dr. Lisa Nowlin Elk City District 3

Dr. Jim Gore Pryor

District 7

Angela Craig, RDH Edmond

Hygiene Member

Phil Cotten Norman

Public Member

Lori Roberts, Esq. Broken Arrow Public Member

It is the duty of the Oklahoma Board of Dentistry to protect the public safety by ensuring the safe

and legal practice of dentistry in the State of Oklahoma through the enforcement of the

Oklahoma Dental Practices Act and other State Laws.

So what constitutes practicing Dentistry without a license??

1. Representing oneself to the public as being a dentist or as one authorized to practice dentistry;

2. Representing oneself to the public as being able to diagnose or examine clinical material or contract for the treating thereof;

3. Representing oneself as treating or professing to treat by professional instructions or by advertised use of professional equipment or products;

4. Representing oneself to the public as treating any of the diseases or disorders or lesions of the oral cavity, teeth, gums, maxillary bones, and associate structures;

5. Removing human teeth

6. Repairing or filling cavities in human teeth; 7. Correcting or attempting to correct malposed teeth;

8. Administering anesthetics, general or local; 9. Treating deformities of the jaws and adjacent structures;

10. Using X-Ray and interpreting dental X-Ray film;

11. Offering, undertaking or assisting, by any means or methods, to remove stains, discolorations, or concretions from the teeth; 12. Operating or prescribing for any disease, pain, injury, deficiency, deformity, or any physical condition connected with the human mouth;

13. Taking impressions of the teeth and jaws; 14. Furnishing, supplying, constructing, reproducing, or repairing, or offering to furnish, supply, construct, reproduce, or repair, prosthetic dentures, sometimes known as plates, bridges, or other substitutes for natural teeth for the user or prospective user thereof;

15. Adjusting or attempting to adjust any prosthetic denture, bridge, appliance, or any other structure to be worn in the human mouth;

16. Diagnosing, making, and adjusting appliances to artificial casts of malposed teeth for treatment of the malposed teeth in the human mouth, without instructions;

17. Writing a laboratory prescription to a dental laboratory or dental laboratory technician for the construction, reproduction or repair of any appliance or structure to be worn in the human mouth;

18. Owning, maintaining, or operating an office or offices by holding a financial interest in same for the practice of dentistry or;

19. Any other procedure otherwise defined in the State Dental Act requiring a valid license or permit to perform while the person does not hold such valid license or permit issued by the Board.

Section 328.24 states that:

No person shall practice as a dental assistant or oral & maxillofacial surgery assistant for more than one (1) day in a calendar year without having applied for a permit as a dental

assistant or oral & maxillofacial surgery assistant from the Board of Dentistry within thirty (30) days of beginning employment.

During this time period, the dental assistant shall work under direct VISUAL supervision of a dentist at all times.

This means that from the date you begin employment as a dental assistant, you have 30 days to obtain a permit. This “grace period” allows you time to submit an application, the

application to be processed at the Board Office, and receive your permit via mail.

If you have not received your permit within 30 days of employment, you CANNOT continue

assisting until you have received it.

A DENTAL ASSISTANT IS REQUIRED TO WORK UNDER DIRECT SUPERVISION OF A

LICENSED DENTIST AT ALL TIMES.

THIS MEANS IF THE DENTIST IS NOT IN THE OFFICE, YOU CANNOT PERFORM ANY

DENTAL ASSISTANT DUTIES!

All licensees and permit holders shall display their current permit or license in a visible place within

the dental office or treatment facility.

This means that you are required to post your permit at all times. Not some of the time, not only when you think about it….

AT ALL TIMES.

This is the expiration date.

This means that after this date, the

permit is no good.

These are the expanded function permits. If it says “No,” you

cannot perform this function. If it says “Yes” you can.

This is your

permit number.

Radiation Safety and Protection

Coronal Polishing and Topical Fluoride

Pit and Fissure Sealants

Assisting in the Administration of Nitrous Oxide

A dental assistant holding this expanded duty permit may expose intra-oral and extra-oral radiographs.

• There is no minimum clinical experience to take this course, but you are required to have your Dental Assistant Permit before you may

begin taking the 200 X-Rays required to obtain the Radiation permit.

• This permit allows you to take the X-Rays…

It does NOT allow you to read and interpret the X-Rays you take!!!

A dental assistant holding this expanded duty permit may:

(i) Polish coronal surfaces of teeth, or prepare teeth for bad cementation or bonding of brackets utilizing a slow speed

rotary hand piece and rubber cup or brush (examination for calculus and scaling must be done by a dentist or dental

hygienist) and

(ii) Apply topical fluoride and desensitizing agents

-The course is only open to applicants with a minimum of one (1) year active chairside experience as a dental assistant, of which no

less than six (6) months shall be in any one practice.

DENTAL ASSISTANTS CANNOT DO “PROPHY!” (Never ever ever ever ever ever ever ever ever!)

A dental assistant holding this expanded duty may place pit and fissure sealants.

*Applicants must have a minimum of one year clinical experience as a dental assistant.

*A dental assistant must hold a permit for Coronal Polishing prior to enrolling in the Sealant course.

A dental assistant holding this expanded duty permit may assist a dentist or a dental hygienist who holds an advanced procedure permit in the

administration of nitrous oxide. - This course shall be open only to applicants with a minimum of one (1)

year of active experience as a dental assistant.

- This permit in NO way allows an assistant to administer Nitrous Oxide. This permit ONLY allows a dental assistant to monitor a patient on Nitrous under direct supervision (not direct visual supervision).

-In July 2015, there was language added to the State Practice Act which would allow the Board the authority to recognize DANB CDA’s.

-DANB then made it very clear to the Board that the “CDA” credential is trademarked and if the Oklahoma Board were to issue that credential to an assistant who was not in good standing with DANB, the Board could/would be legally liable.

-At that point, the Board decided issuing any permit including “CDA” credentials until they came up with a way to ensure those credentials prior to issuing any permits.

-Having a DANB certificate does not mean that you are exempt from the required Oklahoma State Board Dental Assistant Permit.

-Having a Radiation Permit issued by DANB does not legally allow you to take X-Rays in a dental office per the State Dental Act.

As of today’s date, there are NO continuing education requirements for

Dental Assistants.

*If you are DANB Certified, you MAY have a CE

requirement. This is completely separate from the Oklahoma State Board of Dentistry.

If you have education from another state in one of the 4 recognized expanded functions, you

may make a request to the Committee on Allied Dental Education to review your education and

determine if you are eligible for expanded functions in the State of Oklahoma.

IMPORTANT: No permits/education

automatically transfers to this state.

The Committee shall: a. Review the standards and equivalency of in-state and out-of-state dental

and auxiliary program requirements and make recommendations to the Board,

b. Evaluate individual credentials and programs for the purpose of issuing dental assistant expanded duty permits and dental hygiene advanced

procedure permits from persons holding out-of-state licenses and permits based on CODA or DANB programs and criteria as defined by the State Dental Act and other statutes and shall make recommendations to the

Board, c. Recommend standards and guidelines and review criteria for all expanded

duty programs or courses for dental assistants from CODA approved programs and Non-CODA approved providers and advanced procedures

of dental hygienists from CODA approved programs to the Board, d. Recommend and develop guidelines for classroom, electronic media and

other forms of education and testing.

The Commission on Dental Accreditation (*The only “accreditation” the Board recognizes)

Oklahoma Dental Assisting Programs that are CODA Approved:

Western Technology Center Weatherford, OK

Metro Technology Center

OKC, OK

Francis Tuttle Technology Center

OKC, OK

Moore-Norman Technology Center

Norman, OK

Rose State College

Midwest City, OK

**The Board will also recognize any expanded function courses taken through the Oklahoma Dental Foundation.

Go to www.ok.gov/dentistry Click on the “Applications and Forms” tab

Click on “Dental Assistant Out of State Requirements”

This will give you a list of the documentation the Committee requires in order to make a recommendation.

If you cannot/do not provide all of the requested information, there is no guarantee the Committee will be able to make a recommendation to the Board regarding your request.

Once the Board has approved the Committee’s recommendation, you will be

notified in writing at the last known address provided to the Board.

*You must have a current Dental Assistant Permit before requesting expanded functions.

There is no cost to submit a request to the Committee.

If the Committee cannot establish equivalency in education, you may be

required to re-take the expanded function course in the State of Oklahoma.

195:15-1-5: Duties not assignable to Dental Assistants

A dentist shall not delegate to a dental assistant, nor shall a dental assistant perform, any of the following procedures and duties:

(1) Diagnosis;

(2) Treatment Planning;

(3) Prescription of Medications;

(4) Final placement or removal of orthodontic brackets and bands;

(5) Removal of fully hardened cement;

(6) Surgery or the cutting or severance of hard and soft tissue;

(7) Placement or adjustment of any removable or fixed prosthesis;

(8) Placement or removal of restorative materials in a human oral cavity;

(9) Administration of injectable local anesthesia;

(10) Utilization of a laser

(11) Administration of Nitrous Oxide

(12) Any procedure that may contribute to or result in an irreversible alteration of the human oral anatomy;

(13) An expanded duty when the dental assistant does not currently hold a permit issued by the Oklahoma Board of Dentistry for that expanded function;

(14) Those procedures allocated exclusively to dental Hygienists by 195:15-1-6 or the State Dental Act.

NAME CHANGES

IF YOUR NAME CHANGES, YOU WILL NEED TO SUBMIT THE NAME CHANGE DOCUMENTATION INTO THE BOARD OFFICE

WITH A $10 CHECK OR MONEY ORDER.

PLEASE SUBMIT NAME CHANGE DOCUMENTATION TO THE BOARD OFFICE WITHIN 30 DAYS OF THE NAME CHANGE.

*PLEASE DO NOT WAIT UNTIL RENEWAL PERIOD TO CHANGE YOUR NAME!

Section 328.41- On or before the first day of January of each year, every dentist, dental

hygienist, dental assistant, oral & maxillofacial surgery assistant and other licensee or permit holders previously licensed or permitted by the Board to practice in this state shall submit a renewal application with information as

may be required by the Board, together with an annual renewal fee established by the Rules of the Board. Upon receipt of the annual renewal fee, the Board shall issue a renewal certificate authorizing the dentist, hygienist, or assistant to continue the practice of dentistry, hygiene, or assisting, respectively, in this

state for a period of one (1) year.

Every license or permit issued by the Board shall expire on December 31st of

each year.

(Not your employer’s, not your parent’s, not your spouse’s, and not the Board’s!)

Renewal period begins October 1st of each year and ends December 31st of each year.

Once your permit expires, you have the option to renew with late fee (double the renewal fee) until March 31st, at which time the Board will officially

cancel your permit our for non-payment of renewal fee.

ONLINE WITH A CREDIT CARD

BY PAPER WITH CHECK OR MONEY

ORDER

Here is the link for the online system to renew online with a credit card.

Here you will find the paper renewal applications to submit with a check or money order

PLEASE SLOW DOWN AND READ WHAT YOU ARE ATTESTING TO!!

Between 12/14/15 and 1/7/16, the Board Office processed 1,994 dental assistant

permit renewals.

(This does not include renewals processed for dentists, dental specialty, dental hygienists, oral & maxillofacial surgery assistants, dental labs, dispensing, professional

entity, or Resident/Faculty.)

After December 5th, 2015 the average turnaround time for renewals was 1-2 weeks.

MORAL OF THE STORY:

THE EARLIER YOU RENEW YOUR LICENSE/PERMIT, THE FASTER YOU CAN

EXPECT TO RECEIVE IT BACK!

Dentists- 2,342 Dental Specialty- 377

Retired Volunteer Dentists- 123 Dental Hygienists- 2,281 Dental Assistants- 5,657

Oral & Maxillofacial Surgery Assistants- 204 Dental Labs- 110

Professional Entity- 990 Dispensing Permits- 448

Resident/Faculty Permits- 21 Anesthesia Permits- 197

Facility Permits- 213

Total Licenses/Permits Issued by the Board- 12,963

LICENSE VERIFICATION

(This page is updated twice a week outside renewal period, 3-4 times per week during renewal period.)

#1- CLICK ON THE LICENSE VERIFICATION TAB OF OUR WEBSITE!

#2- CLICK ON “VERIFY A DENTAL ASSISTANT”

(You can scroll through to find your name along with your permit information)

Please note the date at the top is the last time

this information was updated.

Susan Rogers, Esq.- Executive Director/General Counsel

Jim Seely- Deputy Director

George Haralson- Chief Investigator

Dr. Bill Nations, DDS- Anesthesia Coordinator

Jamie Thompson- Administrative Assistant (Part-Time)

Brittany Parrott- Administrative Assistant (Full-Time)

Approximately 90% of investigations involve potential criminal charges 1. Drug crimes

2. Forged prescriptions

3. Forged licenses- tax list

4. Sexual battery

5. Insurance Fraud

6. Medicaid/Medicare Fraud

7. Fatality Investigations

8. Unlicensed/unauthorized practice

9. Dental Labs- Meth Labs

*Forged (both written and called in fraudulently) and/or stolen prescriptions and prescription pads

*Lack of safeguards on ordering/stocking

*Poor/lack of record keeping and forged records for distribution cabinets

*Inadequate new patient background information for doctor shoppers

-The Board can only begin an investigation if there is a written complaint on file

-The Board can/will keep your name confidential in the event

of an investigation

-You have an ETHICAL obligation to report any misconduct/forgery/harassment/assault/

intoxication to the Board.

*If you are not part of the solution, you are part of the problem!* -unknown

www.ok.gov/dentistry

Our website is updated on at least a weekly basis. Any major changes, events, deadlines, etc. will be posted on our home page.

SEARCH: OKLAHOMA STATE BOARD OF DENTISTRY

LOOK FOR OUR DEFAULT PICTURE!

Oklahoma State Board of Dentistry

2920 N Lincoln Blvd., Ste. B

OKC, OK 73105

Phone: (405)522-4844

Fax: (405)522-4614

Email: Brittany.Parrott@dentistry.ok.gov