Amendments to the Dental Practice Act SPEAKER: Petra von Heimburg, D.D.S., J.D. CE-Prof - Seminars Polish American Medical Society Dental Study Club March 26,

HOW TO CONTACT ME: Petra von Heimburg, D.D.S., J.D. Phone: (847) FAX: (847) Web site: 2

Important Changes to the Act: SectionTitleEffective 7.5Emerging Scientific Technology and Applications Aug. 24, Permit for the Administration of Anesthesia and Sedation Aug. 11, Qualification of Applicants for Dental Licenses June 19, Qualification of Applicants for Dental Hygienists Aug. 24, Acts Constituting the Practice of Dentistry Aug. 24, Emergency Medical Plan; AEDJan. 1, Identification of DenturesAug. 24,

Sec Emerging Scientific Technology and Applications For the first time, the Act addresses fast changing dental technology as a catch-all; Gives the Board the powers to recommend the adoption of rules regarding use and training of personnel. 4

Applies to dentists, hygienists and assistants; Establishes that any new technology, if permitted to be performed by auxiliaries shall be performed by them under direct supervision; Examples are laser treatments, Botox and Dermal Fillers. 5

Sec Permit for the Administration of Anesthesia and Sedation TermStateDescription AnxiolysisAltered state of consciousness Wakefulness with decreased anxiety Conscious Sedation Depressed state of consciousness Independent airway maintenance; appropriate response to stimuli Deep Sedation Controlled state of depressed consciousness Partial loss of protective reflexes; inability to respond purposefully to commands General Anesthesia Controlled state of unconsciousness Partial or complete loss of reflexes; inability to maintain airway; inability to respond to commands or stimuli 6

TermPermitMinimum Monitoring Equipment Needed Records AnxiolysisNoneNone; clinical observationUsual Conscious Sedation ASphygmomanometer, stethoscope; O 2 delivery system with mask; emergency kit; suction equipment; back-up lighting system, pulse oximeter Consent, med. history; pre-, intra- and post-operative monitoring of B.P., pulse, respiration, O 2 saturation Deep Sedation and General Anesthesia BAs above; plus: laryngoscope, endotracheal tubes, tonsillar and pharyngeal suction, nasal and oral airways, temperature monitors, electrocardioscope and defibrillator, IV equipment, resuscitation facility, recovery area. As above; plus: EKG monitoring; dosages of drugs used, times given and name of person administering 7

Sec. 9 and 13 - Qualifications for Licenses Before, only the results of CRDTS, SRTA, WREB and NERB were accepted; Now, Illinois recognizes the results of all U.S. and Canadian testing agencies; This means: A dentist or hygienist wanting to practice in Illinois does not have to rely on reciprocity; Other states have not permitted the same flexibility; IDFPR may invalidate a test result if the test is found to be deficient in testing clinical competency. 8

Sec Acts Constituting the Practice of Dentistry Specifically includes the performance of in-office whitening procedures in the definition of ‘practicing dentistry; this applies to: - the taking of impressions for whitening trays; - the application or assisting with the application of whitening materials; Specifically excludes: - the discussion of whitening materials with a patient; - information about instructions; - providing of equipment for the patient to self-application. 9

Sec Emergency Medical Plan; AED Each dental office must have the following in place: A written medical emergency plan, which shall include staff responsibilities and office protocols for emergency procedures; If the office administers sedation or anesthesia, the office must have an automated external defibrillator (AED); The dentist bears sole responsibility for the above. 10

Sec Identification of Dentures Before, a removable prosthesis could be indentified with the patient's name or social security number or both; Now, the patient’s social security number can no longer be used as an identifier. 11

BE CAREFUL OUT THERE! 12