MN Dental Jurisprudence Exam 2023/2024

MN Dental Jurisprudence Exam TERMS person includes an individual, corporation, partnership, or any other legal entity state when used in reference to a state other than MN, means any other state of the U.S., District of Columbia, and the Commonwealth of Puerto Rico CODA stands for Commission on Dental Accreditation Dental health care personnel (DHCP) individuals who work in a dental practice who may be exposed to body fluids such as blood or saliva assistant any person who assists a dentist in carrying out the basic duties of a dental office health care facility, program, or nonprofit organization includes hospital; nursing home; home health agency; group home serving the elderly, disabled, or juveniles; state operated facility licensed by the commissioner of human health services or the commissioner of corrections; federal, state, or local public health facility, community clinic, tribal clinic, school authority, head start program, or nonprofit organization that saves individuals who are uninsured or who are MN health care public program recipients General supervision The dentist has prior knowledge and has given consent for the procedures being performed during which the dentist is not required to be present in the dental office or on the premises Indirect supervision The dentist is in the office, authorizes the procedures, and remains in the office while the procedures are being performed by the allied dental personnel Direct supervision The dentist is in the dental office, personally diagnoses the condition to be treated, personally authorizes the procedure, and before dismissal of the patient, evaluates the performance of the allied dental personnel Personal Supervision The dentist is personally operating on a patient and authorizes the allied dental personnel to aid in treatment by concurrently performing supportive procedures Public health supervision A type of supervision in which a licensed dental hygienist may provide dental hygiene services, as specified by state law or regulations, when such services are provided as part of an organized community program in various public health settings, as designated by state law, and with general oversight of such programs by a licensed dentist designated by the state 00:0101:13 Medical emergency Medically necessary care which is immediately needed to preserve life, prevent serious impairment to bodily functions, organs, or parts, or prevent placing the physical or mental health of the patient in serious injury Patient A natural person who has received healthcare services from a provider for the treatment or examination of a medical, psychiatric, or mental condition, the surviving spouse & parents of a deceased patient or a person that the patient appoints in writing as a representative for minors: patient includes a parent or guardian or a person acting as a parent or guardian in the absence of a parent or guardian analgesia the diminution or elimination of pain as a result of the administration of an agent including but not limited to local anesthesia, nitrous oxide, & pharmacological & nonpharmalogical methods anxiolysis/minimal sedation has to do w/sedation; a relaxed state & usually the patient is awake; patient can follow directions or answer questions Deep sedation a depressed level of consciousness produced by a pharmacological or nonpharmological method or a combination of both during which patients can't be easily aroused but respond purposefully following repeated or painful stimulation; characterized by impairment of the patients ability to independently maintain ventilatory function, spontaneous ventilation potentially being inadequate to meet a patients needs & the need for assistance in maintaining a patients airway; patients cardiovascular function doesn't typically require assistance Enteral A technique of administration in which the agent is ABSORBED through the gastrointestinal tract or oral mucosa such as w/ oral, rectal, or sublingual administration General anesthesia An induced state of unconsciousness produced by a pharmacological or nonpharmacological method or combination during which patients are not arousable even by painful stimulation; characterized by the frequent impairment of the patient's need for assistance in maintaining a patent airway, the need for (+) pressure ventilation due to depressed spontaneous ventilation or drug induced depression of neuromuscular function, & potential impairment of cardiovascular function Inhalation A technique of administration in which the gaseous or volatile is introduced into the pulmonary tree & whose primary effect is due to absorption through the pulmonary bed minimal sedation a minimally depressed level of consciousness produced by a pharmacological or nonpharmalogical method that retains the patients ability to independently & continuously maintain an airway & respond normally to tactile stimulation & verbal command; characterized by moderate impairment to the patients cognitive function & coordination but leaves unaffected the patients ventilatory & cardiovascular functions nitrous oxide inhalation analgesia the administration by inhalation of a combination of nitrous oxide & oxygen producing an altered level of consciousness that retains the patients ability to independently & continuously maintain an airway & respond appropriately to physical stimulation or verbal command parenteral a technique of administration in which the drug bypasses the gastrointestinal tract such as w/intramuscular, intravenous, intranasal, submucosal, subcutaneous, or intraocular administration transdermal/transmucosal technique of administration in which the drug is administered by a patch or iontophoresis Another term for general anesthesia is deep sedation pediatric advanced life support (PALS) an advanced life support educational course for the pediatric health care provider that teaches the current certification standards of the American academy of pediatrics or the American heart association; PALS certificate must be obtained through the American heart association Advanced cardiac life support (ACLS) an advanced educational course for a health care provider that teaches a detailed medical protocol for the provision of life saving cardiac care in settings ranging from the prehospital environment to the hospital setting ACLS course must include 1) advanced airway management skills 2) cardiac drug usage 3) defibrillation 4) arrhythmia interpretation ****certificate must be obtained through the American Heart Association CPR training for dental professionals must include ~AED training/operation ~Barrier mask or bag for ventilation training ~Foreign body airway obstruction ~Two person rescuer for adult, child, & infant ~Adult, child, and infant CPR ***course must be obtained through the American heart association health care provider course or the American Red Cross professional rescuer course initial license term valid from the date issued until the last day of the licensee's birth month in either the following even numbered year for an even numbered birthdate year or the following odd numbered year for an odd numbered birthdate biennial term a properly renewed license or permit issued by the board is valid from the 1st day of the month following expiration for 24 months until renewed or terminated DUTIES/SCOPE OF PRACTICE (56% of exam) T/F a patients oxygen levels always need to be monitored w/any type of sedation true; record in patient chart! scaling removal of calculus deposits from the teeth etching roughing up the tooth surface chemically so that bond material adheres (think of the process of placing sealants) Dentist a person of good moral character who has graduated from a dental program accredited by CODA T/F it would be acceptable for a dentist to treat an emergency patient who is not their regular patient & who regularly saw a different dentist true Licensed dental practice (general duties/scope of practice-broad definition; not specific) ~uses a dental degree or designation & the person is able to diagnose, treat, prescribe or operate for any disease, pain, deformity, injury, or physical condition of the human tooth, teeth, alveolar process, gums or jaw or adjacent structures ~manager, proprietor, operator, or conductor of a place where dental operations are performed ~performs dental operations of any kind ~uses a roentgen or x-ray machine for dental treatment or diagnostic purposes ~extracts a human tooth/teeth or corrects or attempts to correct malpositions of the human teeth or jaw ~offers & undertakes by any means or methods to diagnose, treat, or remove stains or accretions from human teeth or jaw ~takes impressions or performs any phase of any operation incident to replace part of a tooth or the whole tooth or teeth or associated tissues by means of a filling, crown, bridge, inlay, or onlay ~furnishes, supplies, constructs, reproduces, repairs, or offers to furnish, supply, construct, reproduce, or repair prosthetic dentures, plates, bridges, or other substitutes for natural teeth ~performs any clinical operation included in the curricula of recognized dental schools or colleges resident dentist a person who is a graduate of a dental school & is an enrolled graduate student or student of an advanced dental education program & isn't licensed to practice dentistry in MN requirements/scope of practice of a resident dentist ~obtain from the board a license to practice dentistry as a resident dentist (must be designated "resident license dentist") ~authorizes the licensee to practice dentistry only under the supervision of a licensed dentist ~license must be renewed annually does a resident dentist license qualify a person for licensure? no Resident dental provider scope of practice ~License is to practice as a resident hygienist or DT & license must be designated "resident dental provider license" ~licensee can only practice under the supervision of a licensed dentist or DT DT a person of good moral character who has graduated w/a bachelor or masters degree from a dental therapy education program that has been approved by the board per accredited by CODA or another board approved national accreditation organization Practice of Dental therapy (DT) 1) works under the supervision of a MN licensed dentist under a collaborative management agreement 2) practices in settings that serve low income, uninsured, & underserved patients or are located in dental health professional shortage areas 3) provides oral health care services including oral evaluation & assessment; educational, palliative, therapeutic, & restorative services within the context of the collaborative management agreement DH a person of good moral character who has graduated from a dental hygiene program (must be a minimum of 2 years) accredited by CODA & established by the U.S. department of education to offer college level programs Practice of Dental Hygienists 1) provide care that's educational, preventative, & therapeutic through observation, assessment, evaluation, counseling, and therapeutic services to establish & maintain oral health 2) evaluates patient health status through review of medical & dental histories, assess & plans dental hygiene care needs, performs a prophylaxis including complete removal of calculus deposits, accretions, & stains by scaling, polishing, & performs root planing & debridement 3) administers local anesthesia & nitrous oxide inhalation analgesia 4) provides other services as permitted by rules of the board Exemptions/exceptions to the practice of dentistry 1) dentist or DH in any branch of the armed services of the U.S., the U.S. public health service, or the U.S. veterans administration 2) any dental students attending an accredited school by the Commission on Dental Accreditation (CODA)when acting under indirect supervision of a MN licensed dentist & under instruction of a licensed dentist, DT, DH, or DA 3) practice of licensees from other states or countries while appearing as clinicians under the auspices of a duly approved dental school/college o a reputable dental society/club 4) people taking exams for licensure administered or approved by the board 5) dentists & DH licensed by the states during their functioning as examiners responsible for conducting licensing exams 6) use of x-rays or other diagnostic imaging modalities from making radiographs or other similar records in a hospital under the supervision of a physician or dentist or someone accredited in diagnostic imaging 7) those under a written work order by a DDS or ADT to construct, alter, repair, or duplicate a denture, partial dentures, crown, bridge, splint, ortho, prosthetic or other dental appliance DA a person of good moral character who has graduated from a dental assisting program accredited by CODA T/F a DA can take scans for Invisalign under indirect supervision True who has the authority to administer influenza vaccines the dentist what is the limitations on a dentist administering the flu vaccine can only be administered to patients 19 & older what are the requirements/regulations for dentists administering the flu vaccine 1) immediate access to emergency response equipment (must include oxygen, epinephrine, & other allergic rxn response equipment) 2) trained or have successfully completed a program approved by the MN Board of Dentistry in administration of vaccines 3) must comply with guidelines established by the federal advisory committee on immunization practices relating to vaccines 4) after dentist has administered, must report the administration of the immunization to the MN immunization information connection or notify the patients primary physician or clinic what must the training for administering immunizations include 1) education material on the disease and vaccination as a method of disease prevention 2) contraindications & precautions 3) intramuscular administration 4) communication of risks & benefits; legal requirements 5) reporting of adverse events 6) documentation required by federal law 7) storage & handling of vaccines what must a faculty member who practices dentistry before beginning duties in a school of dentistry or dental program do? apply for a limited or full faculty license Can a faculty dentist practice dentistry if they're not licensed? no how long is a faculty license valid during the time the holder remains a faculty member at a dental school or within a dental program limited faculty dental license entitles the holder to practice dentistry within the school & its affiliated teaching facilities but ONLY for the purposes of teaching or conducting research (unless the dentist was a faculty member on Aug 1, 1993) a limited faculty license must be renewed Annually full faculty dental license entitles the holder to practice dentistry w/in the school & its affiliated teaching facilities & elsewhere if the license holder is employed 50% or more by the school in the practice of teaching or research & upon successful review by the board of the applicants qualifications a full faculty license must be renewed Biennially speciality dentists the board may grant 1 or more specialty licenses in the areas of speciality defined by the board; limited to practice in their specialty as designated by their specialty license applicants for a specialty license must 1) successfully completed a postdoctoral specialty program accredited by CODA or announced a limitation of practice before 1967 2) have been certified by a specialty board approved by the MN board of dentistry or provide evidence of passing a clinical exam for licensure required in another state or Canada; oral & maxillofacial surgeons must have a MN medical license in good standing 3) been in active practice or a postdoctoral educational program or U.S. government service AT LEAST 2,000 HRS IN THE 36 MONTHS PRIOR TO APPLYING 4) be interviewed by board committee (if requested) 5) present complete records of sample patients treated by the applicant (SAMPLE MUST BE DRAWN FROM PATIENTS TREATED DURING THE 36 MONTHS PRIOR TO APPLICATION; if requested)