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MN DENTAL JURISPRUDENCE REVIEW EXAM/
MN DENTAL JURISPRUDENCESTUDY GUIDE
RECENT AND COMPLETE VERSION ALL
QUESTIONS AND CORRECT ANSWERS/ BEST
GRADED A+
*take impressions for casts and bite registrations - ANSWER: - DH- General
- LDA- General *Place and remove ortho separators - ANSWER: - DH- General
- LDA - General *deliver vacuum - formed ortho retainers - ANSWER: - DH- General
- LDA - General *etch enamel surfaces; apply and adjust sealants - ANSWER: - DH- General
- LDA - indirect *monitor a patient on nitrous oxide - ANSWER: - DH- General
- LDA - indirect *mechanical polishing clinical crowns (calculus must be removed by DDS or DH before polishing) - ANSWER: - DH- General
- LDA - indirect *remove excess cement from inlays, crowns, bridges, ortho appliances with HAND INSTRUMENTS - ANSWER: - DH- General
- LDA - indirect Apply topical fluoride and bleaching agents prescribed by DDS - ANSWER: - DH- General
- LDA - indirect
- can a LDA or DH place a cavity liner or endo filler - ANSWER: No Place topical gel before injection - ANSWER: - DH- General
- LDA - indirect *place and remove rubber dam - ANSWER: - DH- General
- LDA - indirect *Preselect ortho bands - ANSWER: - DH- General
- LDA - indirect Can a LDA give local anesthesia - ANSWER: No *remove and replace ligature ties and arch wires - ANSWER: - DH- General
- LDA - indirect *remove sutures - ANSWER: - DH- General
- LDA - indirect
- LDA - direct *attach prefit and preadjusted ortho appliances - ANSWER: - DH - direct
- LDA - direct *remove fixed ortho brackets - ANSWER: - DH- direct
- LDA - direct Remove excess bond material from appliances - ANSWER: - DH- General
- LDA - direct *administer N2O2 - ANSWER: - DH- General
- LDA - direct T/F - ONLY a dentist can cement ortho bands and adjust ortho wires - ANSWER: 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. - ANSWER: - DH - personal
- LDA - personal
- (apply meds) *Place nonsurgical retraction material for gingival displacement. - ANSWER: - DH - direct
- LDA - direct
- Perform preliminary charting of the oral cavity, oral health instructions 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 - ANSWER: General(DT and ADT)
- Etch appropriate enamel surfaces, apply and adjust pit and fissure sealants.
- Placement of temporary restorations.
- Fabrication of soft occlusal guards and athletic mouthguards.
- Pulp vitality testing. - ANSWER: General (DT and ADT)
- Administer local anesthesia.
- Administer nitrous oxide inhalation analgesia *****Application of desensitizing medications of resin
- Tissue conditioning and soft reline. - ANSWER: - DT - general
- ADT - general
- 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. - ANSWER: ADT - General ——— DT cannot do these
- Repair of defective prosthetic devices
- Placement of temporary crowns: and preparation and placement of performed crowns *Provide emergency palliative treatment of dental pain
- Extractions of baby teeth - ANSWER: - DT - indirect
- ADT - general LDA General Supervision (all) - ANSWER: - 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, inlays, 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, Bo as directed by DDs
- obtain informed consent for treatments authorized by the supervising dentist pursuant to the licensed da scope DH Direct supervision (all) - ANSWER: - 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 - ANSWER: Help DDS with sedation if completed extra education. Rules, regulations, and CE requirements - ANSWER: ——— *can a dentist accept money for making a referral (renumeration = $) to another dentist? - ANSWER: - 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? - ANSWER: NO The LDA and DDS would both be held accountable
Criminal law - ANSWER: Law that deals with crime and the legal punishment of criminal offenses (crime against society) Civil law - ANSWER: Deals 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? - ANSWER: 1.) Dependence on alcohol, drugs, or other substances 2.) Writing unauthorized prescriptions *How many CE credits does a LDA, DDS, DT and DH need to have in a 2 year period? - ANSWER: - 25 for LDA and DH
- 50 for DDS and DT's Fundamental credits - ANSWER: - 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) - ANSWER: Areas of knowledge that relate to public safety and professionalism *minimum of 2 different core subjects needed in 2 yrs *what are core subjects?? - ANSWER: - Record Keeping
- Ethics
- Infection Control
- Patient Communication
- Management of med. emergencies
- Diagnosis and tx. planning (optional for DH/LDA CPR is a ——— credit - ANSWER: Fundamental; must be updated every 2 yrs *self assessment is a —— credit - ANSWER: Fundamental; printed from ADA website; usually updated every 2 yrs. completed and put in professional portfolio; 1 credit Can all of your credits be earned in the fundamental category? - ANSWER: Yes, but they cannot all be in the elective category *elective credits - ANSWER: - 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 - ANSWER: 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 - ANSWER: Past 2 year cycle
- The care must be provided without compensation
- Board requires proof of application
- 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 - ANSWER: - board may require written documentation that they are retired—— proof they are not working as a full 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? - ANSWER: To ensure that all MN citizens receive quality dental health care from competent dental health care professionals MN Board of Dentistry has ———— members - ANSWER: 9 total:
- 5 DDS
- 1 LDA
- 1 DH
- 2 public members Who appoints the 9 members of the board? - ANSWER: Governor What qualifications must the DH, DA, & DDS have to become part of the board? - ANSWER: Lawfully in active practice in the state for 5 years immediately preceding appointment into the board
How long can members serve? - ANSWER: 2 consecutive 4 - year - terms (8 years total) Practicing dental hygienist may provide what services? - ANSWER: 1 - provides care that is educational, preventive, and therapeutic through observation, assessment, eval, counseling, and therapeutic services to establish and maintain oral health 2 - evaluates pt health 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 DH - ANSWER: A person of Good Moral Character, who has graduated from a DH PROGRAM accredited by the commission on Dental Accreditation and established in an institution accredited by an agency recognized by the U.S. department of education to offer college- level programs, may apply for licensure DH program - ANSWER: Min of 2 academic years of dental hygiene education The services provided by a dental hygienist shall not include what? - ANSWER: Final diagnosis All dental hygiene services must be provided under supervision of a licensed dentist. T or F - ANSWER: True A DH may be employed by a nonprofit organization to preform DH services without the pt first being examined by a licensed DDS if the Dental hygienist.........
DH collaborative agreement must include... - ANSWER: 1 - consideration for med comp pt and med conditions for which dental eval and treatment plan must occur prior to provision of dh services 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 DT must include: - ANSWER: 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 - ANSWER: dh services provided are not a substitute for dental exam by licensed dds A DT is limited to practicing in settings that serve —— - ANSWER: low income, uninsured, and underserved patients
Referal form - ANSWER: 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) - ANSWER: 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? - ANSWER: patients name and social security number if ssn and pt name on prosthesis is not practicable id should be presented as follows: - ANSWER: - 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? - ANSWER: yes applicant must submit new background check if more than————- has Relapsed since the applicants last submitted background check to the board - ANSWER: 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 - ANSWER: 90 days how long does a person have to challenge accuracy of a report of background check - ANSWER: 30 days after they get their report back
it is unlawful for any person to ... - ANSWER: - 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 - ANSWER: 20 days supervising dds requirements - ANSWER: - 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 license 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
- no more than 2 limited licensed dds are allowed to practice gen supervision in one facility
- modifications to written agreement must be submitted in writing to board within 7 business days
- supervising dds must inform the board in writing about the termination of a written agreement with a limited dds within 7 business day of termination
- must inform board in writing about any known disciplinary or malpractice proceedings involving the limited dds w/ 7 business days of proceeding
- submit performance eval no earlier than 90 days before completion of limited dds practice period
- disciplinary actions limited license dds agrees to practice clinical dentistry for at least ————- hours annually, for a period of ————— consecutive years - ANSWER: - 1,
- 3 years *applicant for dental assisting and DH requires..... - ANSWER: - application
- copy of diploma or certificate
- submit evidence of satisfactory passing boards state and national boards
- picture
- background check ********* *DA without license can .... - ANSWER: - perform all duties not directly related with performing dental treatment or services on patients
- retract
- assist with the placement or removal of rubber dam and accessories used for its placement and retention as directed by operating dds
- remove debris with suction devices, air, mouthwash, water
- aid dh and licensed da in their duties
- apply fluoride varnish in community setting under licensed dds *what is biennial term - ANSWER: Properly renewed license or permit issued by board valid from first day of month following expiration for 24 months until renewed or terminated according to procedures in this part *a DT can supervise no more than ———- licensed or nonlicensed DAs in any one practice setting - ANSWER: 4 *A DT must enter into a ————————- with a DDS - ANSWER: collaborative management agreement (all agreements but be reviewed, signed, updated and submitted to the board EVERY YEAR)