A partner for school based care Deborah Bailey Astroth, RDH,
BS, Chair, Council on Regulation and Practice Colorado Dental
Hygienists Association
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Definitions Direct Access Dental Hygiene Practitioner: A
proprietary business state where the dental hygienist retains
ownership or control of a practice of dental hygiene through direct
agreement with each client/patient in accordance with the statutory
authority of this state. Colorado Dental Hygienists Association
Policy Manual 3-02
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Supervised Dental Hygiene Direct Supervision: Nitrous Oxide
Administration Indirect Supervision: Administration of Local
Anesthesia
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What constitutes unsupervised dental hygiene? Patient histories
Extra- and Intra-oral inspection Dental and periodontal charting
X-rays Patient education Dental hygiene diagnosis and treatment
planning Impressions and study casts Scales teeth with hand,
ultrasonic or other devices, including root planing and gingival
curettage Polishes natural and restored tooth surfaces Provides
fluorides, sealants, and antimicrobial agents for the prevention
treatment of oral disease Administers topical and local anesthesia
May be the proprietor of a practice, and purchase equipment
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Why a partner for school based care? Dental Hygiene Services:
Education nutritional counseling oral health care(brushing,
flossing, rinsing) systemic & oral health relationship
Prevention oral health care fluorides sealants athletic mouthguards
Treatment assessment, radiographs, study casts dental hygiene
diagnosis, anesthesia, prophylaxis, antimicrobials, referral
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What a dental hygienist cannot provide Dental Services:
Restorative procedures Surgical procedures Orthodontic procedures
Prescriptive authority
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Why a partner for school based care? A dental hygienist MAY be
a proprietor A dental hygienist CAN provide educational, preventive
and therapeutic services The dental hygienist CAN assist with
referral into the dental care delivery system There ARE dental
hygienists in counties where there are no dentists available who
would like to pursue school-based care partnerships
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CDHA Member Survey 2012 Are you interested in acquiring your
own equipment to become a Direct Access Dental Hygienist?
TotalCentral Region Northeast Region Southern Region Western Region
Yes 36%38%42%25%44% N0 64%63%58%75%56%
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School-based practice TotalCentral Region Northeast Region
Southern Region Western Region % Very Interested/ Interested 76%
78%75%72% Neutral10% 5%17%14% % Somewhat Interested/ Not at all
interested 14%13%19%8%14%
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Prevent the need for costly restorative and surgical procedures
Partner with Direct Access Dental Hygienists
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Changes on the horizon Legislation is being introduced in
January, 2013 for an oral health mid-level provider that would be
able to perform limited restorative and surgical procedures, and
would have prescriptive authority. The Dental Practice Law is
scheduled for Sunset Review in 2014. The Colorado Dental
Association and the Colorado Dental Hygienists Association are
meeting to discuss possibly changes to be introduced.
Definitions Premises means within the same building, dental
office, or treatment facility and within close proximity to respond
in a timely manner to an emergency or the need for assistance.
Dental Practice Law, 12-35-103 (10) (b)
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Definitions Supervised Dental Hygiene: Indirect supervision
means the supervision of those tasks or procedures that do not
require the presence of the dentist in the office or on the
premises at the time such tasks or procedures are being performed,
but do require that the tasks be performed with the prior knowledge
and consent of the dentist. Dental Practice law, 12-35-103, (10)
(a)
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Definitions Dental hygiene diagnosis means the identification
of an existing oral health problem that a dental hygienist is
qualified and licensed to treat within the scope of dental hygiene
practice. The dental hygiene diagnosis focuses on behavioral risks
and physical conditions that are related to oral health. A dentist
shall confirm any dental hygiene diagnosis that requires treatment
that is outside the scope of dental hygiene practice pursuant to
sections 12-35-124, 12-35-125, and 12-35-128. Dental Practice Law,
12-35-103 (4.5)
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Unsupervised Dental Hygiene Unsupervised Dental Hygiene: Not
defined in the Dental Practice Law definitions, however, is defined
in 12-35-124.What constitutes practicing unsupervised dental
hygiene.
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Definitions Dental hygiene means the delivery of preventive,
educational, and clinical services supporting total health for the
control of oral disease and the promotion or oral health provided
by a dental hygienist within the scope of his or her education,
training and experience and in accordance with applicable law.
Dental Practice Law, 12-35-103, (4)