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MN Dental Jurisprudence Exam Latest
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*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 ✔✔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 ✔✔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 ✔✔The dentist is personally operating on a patient and authorizes the allied dental personnel to aid in treatment by concurrently performing supportive procedures.
DH, DT or DA must do these before administering nitrous ✔✔take a course with a minimum of 12 hours total comprised of didactic instruction, personally administering and managing at least 3 individual supervised cases
who can place sealants after completing a course by a school accredited by the commission on dental accreditation? ✔✔DH, DT, DA
*WHO can give local anesthesia after completing a course on local anesthesia from a school accredited by the Commission on Dental Accreditation ✔✔DH and DT (not DA)
*Dental hygienists and licensed dental assistants shall not take impressions and bite registrations for _____________ of fixed and removable prostheses. ✔✔Final construction
*Before removal of bond material, a dental hygienist or licensed dental assistant must successfully complete a course in the use of ____________ for the express purpose of the removal of bond material from teeth. ✔✔rotary instruments
Scope of Practice ✔✔---
DH and DA with restorative functions can place, contour, and adjust amalgam, glass ionomers, and stainless steel crowns on class _______
(supragingival) ✔✔Class I, II, V
Performing any or all restorative procedures limited to placing, contouring, & adjusting amalgam, glass ionomers, and Class I and V supra composite restorations ✔✔DH - indirect
LDA - indirect
*managing and removing IV lines ✔✔DH - indirect
LDA - indirect
*placing an IV line ✔✔DH - direct
LDA - direct
administering any medications or agents ✔✔Personal DH and RDA
*Perform preliminary charting including assessments and existing restoration, determine the perio status, and formulate the DH tx plan in coordination with DDS ✔✔DH - general
*make referrals in consultation with DDS ✔✔DH - general
*complete prophy with scaling, root planing, and polishing restorations ✔✔DH - general
dietary and nutritional counseling ✔✔DH - general
*replacement, cementation and adjustment of INTACT temporary restorations ✔✔DH - general
LDA - general
*remove overhangs ✔✔DH - general
Complete preliminary charting of oral cavity and surrounding structures w/ exception of perio probing and assessment of the perio structure ✔✔LDA - general
of course DH can do this too, with probing
take photographs intra or extra orally ✔✔DH - general
LDA - general
take vital signs ✔✔DH - general
LDA - general
*etch enamel surfaces; apply and adjust sealants ✔✔DH - general
LDA - indirect
*monitor a patient on nitrous oxide ✔✔DH - general
LDA - indirect
*mechanical polishing clinical crowns (calculus must be removed by DDS or DH before polishing) ✔✔DH - general
LDA - indirect
*remove excess cement from inlays, crowns, bridges, ortho appliances with HAND INSTRUMENTS ✔✔DH - general
LDA - indirect
apply topical fluoride and bleaching agents prescribed by DDS ✔✔DH - general
LDA - indirect
*can a LDA or DH place a cavity liner or endo filler ✔✔no
place topical gel before injection ✔✔DH - general
LDA - indirect
*place and remove rubber dam ✔✔DH - general
LDA - indirect
*Preselect ortho bands ✔✔DH - general
LDA - indirect
can a LDA give local anesthesia? ✔✔No
*remove and replace ligature ties and arch wires ✔✔DH - general
LDA - indirect
*remove sutures ✔✔DH - general
LDA - direct
fabricate, cement, and adjust temporary crowns ✔✔DH - direct
LDA - direct
*remove temporary RESTORATIONS with hand instruments only ✔✔DH - direct
LDA - direct
*etch enamel surfaces before bonding of ortho by DDS ✔✔DH - direct
LDA - direct
*attach prefit and preadjusted ortho appliances ✔✔DH - direct
LDA - direct
*remove fixed ortho brackets ✔✔DH - direct
LDA - direct
remove excess bond material from appliances ✔✔DH - general
LDA - direct
*administer N2O2 ✔✔DH - general
LDA - direct
T/F - ONLY a dentist can cement ortho bands and adjust ortho wires ✔✔true
Concurrently perform supportive services if the dentist holds a valid general anesthesia or moderate sedation certificate, is personally treating a patient, and authorizes the allied dental personnel to aid in treatment including the administration of medications into an existing intravenous line, an enteral agent, or emergency medications in an emergent situation. ✔✔DH - personal
LDA - personal
(apply meds)
*Place nonsurgical retraction material for gingival displacement. ✔✔DH - direct
LDA - direct
*****Application of desensitizing medication or resin
-Tissue conditioning and soft reline. ✔✔DT - general
ADT - general
-Atraumatic restorative therapy.
*Tooth reimplantation.
-Dressing changes.
-Dispense and administer analgesics, anti-inflammatories, and antibiotics as (permitted by the collaborative management agreement) ✔✔general ADT and DT
-Cavity preparation; and restoration of primary and permanent teeth
-Pulpotomies on primary teeth
-pulp capping on primary and permanent teeth.
-Stabilization of reimplanted teeth.
-Remove sutures.
-Brush biopsies. ✔✔DT - indirect
ADT - general
-Extraction of periodontaly diseased permanent teeth with mobility of +3 to +4 as permitted by the collaborative management agreement. (Not including unerupted, impacted, fractured)
-Oral evaluation and assessment of dental disease and the formation of an individualized treatment plan authorized by a collaborating dentist
-Make appropriate referrals to dentists, physicians, and other practitioners in consultation with the collaborating dentist. ✔✔ADT - GENERAL
---DT cannot do these
-deliver vacuum-formed ortho retainers
-place and remove elastic ortho separators
-complete prelim charting
-take photographs extra and intraorally
-vital signs - pulse, bp as directed by dds
-obtain informed consent for treatments authorized by the supervising dentist pursuant to the licensed da scope
DH Direct supervision (all) ✔✔Etch for ortho, remove CRs, fabricate temp restorations, place/remove matrix bands, remove ortho cement with rotary instruments, attach ortho appliances, remove fixed ortho bands/brackets, initiate and place IV lines, place nonsurgical retraction material for gingival displacement.
DH personal supervision ✔✔Help DDS with sedation if completed extra education.
Rules, regulations, and CE requirements ✔✔____
*can a dentist accept money for making a referral (renumeration = $) to another dentist? ✔✔nope
*the patient can be terminated for: ✔✔- pt failure to comply with treatment or professional advice (ex: advanced perio)
- consistent tardiness or failed appts
- failure to pay for services rendered
- behavior mngmt issues
*Can a LDA scale and clean mandibular anteriors on a pediatric patient? ✔✔NO
The LDA and DDS would both be held accountable
*Who could be in trouble by the Board of Dentistry if a DH/LDA practices beyond their scope of practice, even when the DDS did NOT request them to and the DH/LDA acted on their own ✔✔both the DDS and DH/LDA
Ad: "Our practice specialized in cosmetic dentistry, promising superior results in the quest to achieve your perfect smile"
What is wrong w/ the above ad? ✔✔DDS cannot say they are SUPERIOR and cannot PROMISE the results of a tx.
Civil law ✔✔deal with disputes between individuals, organizations, or between the two, in which compensation is awarded to the victim
What actions would cause an immediate suspension of a Dental Professional License? ✔✔1. Dependence on alcohol, drugs, or other substances
- Writing unauthorized prescriptions
*How many CE credits does a LDA, DDS, DT and DH need to have in a 2 year period? ✔✔ 25 for LDA and DH
50 for DDS and DT's
fundamental credits ✔✔directly related to clinical practice of dentistry
*minimum of 15 credits for LDA and DH;
30 for DDS and dental therapists
Core Subjects (fundamental credits) ✔✔areas of knowledge that relate to public safety and professionalism
*minimum of 2 different core subjects needed in 2 yrs
*what are core subjects?? ✔✔-Record Keeping
-Ethics
-Infection Control
-Patient Communication
-Management of med. emergencies
-Diagnosis and tx. planning (optional for DH/LDA)
CPR is a _________ credit ✔✔Fundamental; must be updated every 2 yrs
*self assessment is a _____ credit ✔✔Fundamental; printed from ADA website; usually updated every 2yrs. completed and put in professional portfolio; 1 credit
Can all of your credits be earned in the fundamental category? ✔✔yes, but they cannot all be in the elective category
*elective credits ✔✔activities directly related to, or supportive of the practice of dentistry;
