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MN Dental Jurisprudence Exam Latest Update 2024 Actual
Exam With Questions Answers
- 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.
- 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
- a dental hygienist or dental assistant must successfully complete a board approved course on these specific restorative procedures. application of pit and fissure sealants - DH - general LDA - indirect *Administer LA - DH - general *monitor a patient on nitrous - DH - General LDA - Indirect T/F -- DH or LDA shall NOT take impressions and bite registrations for the FINAL construction of fixed and removable prostheses. - True *Utilizing rotary instruments for the removal of bond material from teeth - DH - indirect LDA - indirect 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
*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 - indirect Perform restorative procedures limited to: placing, contouring, and adjusting amalgam restorations and glass ionomers; adapting and cementing stainless steel crowns; and placing, contouring, and adjusting class I, II, & V supragingival composite restorations on primary and permanent teeth. - DH - Indirect LDA - indirect *place and remove periodontal packs - DH - General LDA - indirect *dry root canals with paper points - DH - general LDA - indirect *remove bond material with rotary instruments after removal of ortho - DH - direct LDA - direct *place and remove matrix bands - DH - direct 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
- Perform preliminary charting of the oral cavity, oral health instruction and disease prevention, including nutritional counseling, dietary analysis.
- Apply topical medications such as, but not limited to, topical fluoride and cavity varnishes in appropriate dosages. *****-Perform mechanical polishing - GENERAL (DT and ADT)
- Etch appropriate enamel surfaces, apply and adjust pit and fissure sealants.
- Placement of temporary restorations.
- 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
- Repair of defective prosthetic devices
- Placement of temporary crowns: and preparation and placement of preformed crowns *Provide emergency palliative treatment of dental pain
- Extractions of baby teeth - DT - indirect ADT - general LDA General Supervision (all) --cut arch wires on ortho appliance
- remove loose bands on ortho appliance
- remove loose brackets on ortho appliances
- re-cement intact temp restorations
- place temp fillings, not including temporization of Inlays, onlays, crowns, and bridges
- take radiographs
- impressions for casts and appropriate bite registration, not to include impressions and bite registrations for final construction of fixed and removable prostheses
- 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. They are creating a false/unjustified expectation. Also, cosmetic dentistry is not recognized as a 'specialty' by the ADA In advertising a dental office, the DDS cannot use terms such as "top" or "best". They cannot make a claim that a survey, ballot, or poll constitutes a ranking for who they are or what they do; ex) "the top 15%" or "voted best.." T/F - true 5 components of CPR training --AED
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; Max. of 10 credits for DH/LDA; 20 for DDS and dental therapists ex) Self-study-scholarly articles Scholarly activities- presentations Volunteering/Community Service General Attendance- 3 credits for a state or national dental convention BOD will randomly select individuals for an audit; you will be notified by letter and have ____ days to submit COPIES of your CE record - 60 days (never send an original) *Each dental professional is required to keep documentation of their CE for the current 2 year cycle AND the previous ____ year cycle - past 2 year cycle *all dental professionals must notify the board of dentistry within _________ of a name or address change - 30 days ****T/F : must display annual renewal certificate w/ license in plain sight for pts to see. When renewing license, copies can be requested if one is employed at multiple practices. (One must carry a wallet copy if they float to variety of offices) - True (you cannot make copies yourself) *All DHCP must renew their license every _____ on the date when they originally got their license - 2 years When is reading a professional article considered a fundamental credit and when is it an elective credit?
- A professional article w/ a post test is considered fundamental Reading a professional article for the information is considered elective the board can grant a GUEST LICENSE for a DA, DDS, DH if the following conditions are met - 1. must be currently licensed
- is currently engaged in practice
- is approved by the board
- was established by a non profit organization that is tax exempt
- provides dental care to patients who have difficulty accessing to care
- must agree to treat "indigent" patients
- has to pay a non refundable free no more than $
- guest license must be renewed anually and expires on Dec. 31
- the care must be provided without compensation
- board requires proof of application 11.must be subject to all state rules and regulations continuing education waiver for a dental professional who is RETIRED from active practice and has limited the provision of dental care services --board may require written documentation that they are retired -- proof they are not working as a full time dental professional (maybe working a few times a month)
- must complete and document at least 5 hours of approved courses on infection control, medical emergencies, etc.
- provide documentation of current CPR certificate what is the boards mission? - to ensure that all MN citizens receive quality dental health care from competent dental health care professionals MN Board of Dentistry has _______ members - 9 total :
- 5 DDS
- 1 LDA
- 1 DH
- 2 public members who appoints the 9 members of the board? - governor what qualifications must the DH, DA, & DDS have to become part of the board? - lawfully in active practice in the state for 5 years immediately preceding appointment into the board how long can members serve? - 2 consecutive 4-year-terms (8 years total) practicing dental hygienists may provide what services? - 1 - provides care that is educational, preventative, and therapeutic through observation, assessment, eval, counseling, and therapeutic services to establish and maintain oral health 2 - evaluates pt heath status through review of med and dental histories, assesses and plans dh care needs, performs a prophy including complete removal of calc, accretions and stains by scaling, polishing, and performs root planing and debridement 3 - administers local and nitrous 4 - provides other related services as permitted by rules of the board
2 - age and procedure specific standard collaborative practice protocols, including recommended intervals for the performance of dh services and a period of time in which an exam by dds should occur 3 - copies of consent to treatment form provide to patient by dental hygienist 4 - specific protocols for the placement of pit and fissure sealants and requirements for follow up care to assure efficacy of sealants after applications 5 - procedure for creating and maintaining dental records for the patients that are treated collaborative management agreement between a DDS and a DT must include: - 1. settings where the DT can serve
- any practice limitations (DT vrs. ADT) with the level of supervision
- procedure specific protocalls
- procedure to maintain dental records
- a plan to manage medical emergencies
- quality assurance plan (referral, chart review, follow up care)
- protocalls for administering and dispensing meds
- supervision criteria for DAs dental hygiene consent to treatment must include statement stating that - dh services provided are not a substitute for dental exam by licensed dds A DT is limited to practicing in settings that serve ______ - low income, uninsured, and underserved patients referal form - for all referrals to pt for further procedures, dh must fill out and provide a copy for collaborating dds health care facility or nonprofit organizations are limited to: (for collaborative agreement) - hospital, nursing home, home health agency, group home serving elderly, disabled, or juveniles; state-operated facility licensed by commissioner of human services or commissioner of corrections; and federal, state, or local public health facility, community clinic, tribal clinic, schools what must be on every complete upper and lower denture and removable dental prosthesis? - patients name and social security number if ssn and pt name on prosthesis is not practicable id should be presented as follows: -- ssn of pt may be omitted if name of pt is shown
- initials of pt must be shown alone if use of pt name is impracticable
- identification marks may be omitted in entirety if none of the forms of id are practicable or clinically safe do you ID mark older prosthesis without this info? - yes
applicant must submit new background check if more than ____________ has Relapsed since the applicants last submitted background check to the board - 1 year no license issued to any applicant who refuses to consent to a criminal background check or fails to submit fingerprints within __________ after submission of application for licensure - 90 days how long does a person have to challenge accuracy of a report of background check - 30 days after they get their report back how long does the board give the applicant to challenge the accuracy or completeness of the report - 180 days when temp license is suspended, the regulated person shall be provided with at least _______________ notice of any hearing held pursuant to this section - 10 days if the board has not completed its investigation and final order within _________________ days the temp suspension shall be lifted unless the regulated person requests a delay in disciplinary preceedings for any reason - 30 days self-reporting: when should a regulated person who is diagnosed as infected with HIV, HBV, or HCVreport the info to the commissioner - no more than 30 days after learning of the diagnosis or 30 days after becoming licensed or registered by the state *infection control reporting- a regulated person shall, within _____________, report to the appropriate board personal knowledge of a serious failure or a pattern of failure by another regulated person to comply with accepted and prevailing infection control procedures related to prevention of hiv hbv and hcv transmission - 10 days how long after an infection control report does the designated office have to meet with the board - 30 days of receiving report without hearing, the board may temporarily suspend the right to practice of a regulated person if they find they have refused to submit or comply with monitoring.... - infection control it is unlawful for any person to.. --enable a unlicensed person to practice dentistry
- practice without a license
- not go by his or her own name (and degree) regulated person shall be provided with at least ________notice of a hearing under temp suspension infection control - 20 days supervising dds requirements --board-approved MN licensed dds for at least 5 consecutive years
- license shall not be subject to, or pending, corrective or disciplinary action within the previous five years according to NN statutes
- acceptable written agreement between limited licensed dds and supervising dds- may only supervise 1 for duration of agreement- written agreement shall include info acknowledgment that limited dds agrees to practice clinical dentistry at least 1,100 hours annual for a period of 3 consecutive years
minimum of _____ credit hours for dentists and DT's of fundamental CE's - 30 maximum of ___credit hours of elective CEs for DT and DDS - 20 _ credit hours each biennial cycle for a hygienist and dental assistant; minimum of __ of fundamental and maximum of __ elective - 25, 15, 10 A minimum of _ courses must be completed in _ of the core subject areas per biennial cycle - 2, 2 Core subjects - Infection control, record keeping, ethics, management of med emergencies, pt communications, diagnosis and treatment planning. Fundamental - Activities directly related to the provision of clinical dental services elective - Activities directly related to, or supportive of the practice of dentistry, dental hygiene, or dental assisting clinical subject - Subjects directly related to the provision of dental care and treatment to pts core subject - ares of knowledge that relate to public safety and professionalism acceptable documentation for CE hours - Every form should include: name and location of organization/presenter, contact information and credentials or training that qualifies presenter to teach course, course title, date, hours and subject matter. *specialty dental practices: -- dental public health
- endodontics
- oral and maxillofacial radiology & pathology
- oral surgery
- ortho
- pediatric dentistry
- periodontics
- prosthodontics A dental tech and DDS may practice in the same facility but may each have their own practice. - True;
- the DDS is not responsible for the dental tech unless the tech is EMPLOYED by the DDS *what if a patient stops by and asks the tech for a denture adjustment?? what about for it to be cleaned? - lab tech cannot do either *how many dental therapists can a dentist have? - 5 *a dentist can have a collaborative agreement with no more than ______ DH's unless authorized by the Board - 4
what do you need in order to advertise for sales, construction, reproduction, or repair?? (dental prosthetic appliances) - a written work order from a DDS (good for 2 years) *non licensed dental assistants: - can be trained ON THE JOB, on site with dentist duties: retract the cheek, suction, transfer instruments, mix cements, help in sterilization, turn rooms around, set up/tear down, set pts, and walk pts out. (general???) a DDS is responsible for ensuring that any DA complies with ... -- completing a CPR course and maintaining certificate
- compliance with most current infection control guidelines *limited licensed dental assistants - non licensed but have taken a course in taking RADIOGRAPHS Sedation - ____ Minimal Sedation (Conscious sedation) --to reduce anxiety -- Anxiolysis
- lightest form of sedation
- ex: N2O2, oral meds, or IV sedation (need 12 hours of a course with 3 different "practice cases") characterized by moderate impairment to the patient's cognitive function and coordination, but leaves unaffected the patient's ventilator and cardiovascular - minimal sedation Moderate Sedation (still conscious) - relaxed, awake and can still respond ex: N2O2, oral meds, IV sedation (need 60 hours during an extra course with practice) Deep sedation (unconscious) - can only be performed by an anesthesiologist or an oral surgeon (need extra schooling) *means a depressed level of consciousness produced by a pharmacological agent during which the patient cannot be easily aroused but responds purposefully following repeated or painful stimulation - deep sedation *general anesthesia (unconscious) - for extreme cases of dental care *oral and maxillofacial surgeons Infection Control ------- high level disinfection - Elimination of all microorganisms except bacterial spores decontamination - Removal, inactivation, or destruction of HBV and HIV on a surface or item to the point where HBV and/or HIV are no longer capable of causing infection and the surface or item is rendered safe for barehanded touching, use or disposal. Disinfection - destroys most pathogenic and other microorganisms by physical or chemical means
- does not ensure the degree of safety associated with sterilization processes (ex: sanitary wipes used to wipe down the cubicle)
*DHCP should receive infection prevention training: - 1. When they are hired
- When new procedures affect their occupational exposure
- Annually
- According to state or federal requirements *dental techs must have a work order from the DDS and will keep their work order on infection control for ____ years - 2 *training should include: --A description of their exposure risks
- Review of prevention strategies and infection prevention policies and procedures
- Discussion of how to manage work-related illness and injuries
- Review of work restrictions for the exposure or infection *The infection prevention coordinator - will be responsible for developing and maintaining a written infection prevention program; monitoring/evaluating the program; and implementing quality improvement measures as needed. *extracted teeth are infectious and should be disposed in - medical waste containers (but not if it has amalgam in it) -- find out local regulations regarding disposal of amalgam *can we give patients their teeth after extractions? - yes, it is no longer our responsibility once it is handed over extracted teeth for educational purposes must be... --Cleaned so there is no visible blood or debris.
- Kept moist in a simple solution such as water or saline placed in a container with a secure lid to prevent leaking during transport or storage, and labeled with the biohazard symbol until sterilization
- Heat-sterilized to allow for safe handling. if you get poked by a needle, instrument or were exposed by blood.. you should - 1. Wash the site of the needlestick or cut with soap and water.
- Flush splashes to the nose, mouth, or skin with water.
- Irrigate eyes with clean water, saline, or sterile irrigants.
- Report the incident to your supervisor or the person in your practice responsible for managing exposures.
- Immediately seek medical evaluation from a qualified health care professional1 because, in some cases, postexposure treatment may be recommended and should be started as soon as possible.
- fill out incident form and submit to board
*OSHA (Occupational Safety and Health Act) requires - employers make hep B vaccine available to all employees who have potential contact w/ blood or OPIM (other potentially infectious materials) *What employees need Hep B vaccination? - any employee that has potential for contact with blood Every dental office needs to have a written exposure plan; written policies and procedures for prompt reporting, evaluation, counsel, tx. and follow-up to occupational exposures. T/F - True *Exposure training should include: - 1) Description of their exposure risks
- Review of prevention strategies & infection control policies/procedures
- Discussion regarding how to manage work related illnesses and injuries
- Review of work restrictions for the exposure/infection *When to wash hands: --before treating a patient
- before gloves are put on
- right after gloves are taken off
- after treating a patient Fingernails should be kept SHORT; Artificial nails carry greater ______ and are implicated in fungal and bacterial infections - gram negative organisms when should your eyewear be cleaned? - between every patient and after your last patient at the end of the day *A surgical mask that covers both the nose and mouth and protective eye wear w/ solid side shields (or a face shield) should be worn by DHCP T/F - true when should you change your mask? --when it becomes wet or visibly soiled
- between patients
- every 3 hours *destruction of most bacteria, some viruses, and fungi( but not mycrobaterium tuberculosis or bacterial spores) - through the exposure to a chemical registered with EPA as hospital disinfectant but with ----no label claim for tuberculdcidal - low level disinfection *destruction of mycobacterium tuberculosis, vegetative bacteria, most viruses and fungi (not bacterial spores) through exposure to a chemical registered with EPA hospital disinfectant WITH label claim for tubercluocidal activity - intermediate level disinfection means the destruction of all forms of microbial life except high numbers of bacterial spores through exposure to a chemical registered with enviormental protection agency "sterilant" - high level disinfection
