02 department of professional and financial regulation 313 board of dental examiners chapter 1: definitions summary



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02 DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
313 BOARD OF DENTAL EXAMINERS
Chapter 1: DEFINITIONS

Summary: As used in the Board rules, unless the context otherwise indicates, the following words have the

following meanings:


[NOTE: Additional definitions are found in 32 M.R.S.A. Chapter 16.]

1. ACLS: “ACLS” means advanced cardiac life support.


2. ADA: “ADA” means the American Dental Association or its successor.
3. ADHA: “ADHA” means the American Dental Hygienists’ Association or its successor.
4. Advertising: “Advertising” means any verbal, written, or electronic medium designed to call public attention to or to attract patronage to a dentist, dental practice, dental hygienist, dental hygiene practice, denturist, or denturist practice.
5. BCLS: “BCLS” means basic cardiac life support.
6. Board: “Board” means the Maine Board of Dental Examiners.
7. Certificate of Oral Condition: A written statement of oral condition on a form supplied and approved by the Board of Dental Examiners that is required to be completed by a licensed dentist and received by a Maine licensed denturist prior to the completion of clinical procedures by a Maine licensed denturist related to the fabrication of any removable tooth-borne partial denture, including cast frameworks.
A. “Prior to Completing Clinical Procedures.” The terms “prior to completing clinical procedures” mean that the certificate of oral condition is required prior to the commencement of the fabrication of the tooth-borne partial denture. This requirement does not apply to tissue-borne transitional partial dentures.
B. “Tooth-Borne Partial Denture.” The terms “tooth-borne partial denture” mean any partial denture borne by tooth/teeth, retained root(s), implant(s), and includes any acrylic partial with rests, cast clasps or rigid acrylic clasps.
8. Certified Dental Assistant (CDA): “Certified Dental Assistant” means a dental assistant who has successfully passed a certification examination administered by the Dental Assisting National Board.
9. CDC: “CDC” means the Center for Disease Control and Prevention or its successor.
10. CDE: “CDE” means continuing dental education.
11. CME: “CME” means continuing medical education.
12. CODA: “CODA” means the ADA Commission on Dental Accreditation.
13. CPR: “CPR” means cardiopulmonary resuscitation.
14. Dental Auxiliaries: “Dental Auxiliariesmeans dental hygienists, dental assistants, expanded function dental assistants, dental laboratory technicians, dental radiographers, and denturists.
15. Deep Sedation: “Deep Sedation” means an induced state of depressed consciousness, accompanied by a partial loss of protective reflexes, including the inability to maintain independently and continuously an airway and/or to respond purposefully to physical stimulation or verbal command, produced by a pharmacologic or nonpharmacologic method or combination thereof.
16. Dental Assistant: “Dental Assistant” means an individual employed by a dentist and who may perform certain delegable duties pursuant to Board Rule Chapter 3 under the supervision of a dentist.
17. Dental Hygienist: “Dental Hygienist” means an individual licensed by the Board to practice dental hygiene in the State of Maine under the supervision of a dentist of record pursuant to Board Rule Chapter 2.
18. Dental Radiographer: “Dental Radiographer” means an individual licensed by the Board to practice dental radiography in the State of Maine while employed and supervised by a dentist.
19. Dental Radiography: “Dental Radiography” means the use of ionizing radiation on the maxilla, mandible and adjacent structures of human beings for diagnostic purposes.
20. Dentist: “Dentist” means an individual licensed by the Board to practice dentistry in the State of Maine as defined by 32 M.R.S.A. §1081.
21. Denturist: “Denturist” means an individual licensed by the Board to practice denturism in the State of Maine as defined by 32 M.R.S.A. §1100-B.3.
22. Direct Supervision: "Direct supervision" shall mean that the dentist must be physically present in the dental office at the time the duties under his/her supervision are being performed. In order to provide direct supervision of patient treatment, the dentist must at least diagnose the condition to be treated, authorize the treatment procedure prior to implementation, and examine the condition after treatment and prior to the patient's discharge.
23. Edentulous Arch: “Edentulous Arch” means a maxillary or mandibular arch devoid of or absent any teeth, roots, or implants.
24. Expanded Function Dental Assistant (EFDA): “Expanded Function Dental Assistant (EFDA) means a certified dental assistant (CDA) or a licensed dental hygienist who has successfully completed a Board approved EFDA training program and who has been issued a certificate by the Board to perform reversible intraoral procedures as defined by Board Rule Chapter 3 under the direct supervision of a dentist.
25. General Anesthesia: “General Anesthesia” means an induced state of unconsciousness, accompanied by a partial or complete loss of protective reflexes, including inability to maintain independently an airway and respond purposefully to physical stimulation or verbal command, produced by a pharmacologic or a nonpharmacologic method, or combination thereof.
26. General Supervision: "General supervision" shall mean that the dentist is not required to be in the dental office at the time the procedures are being performed on a patient of record.
27. Independent Practice Dental Hygienist: “Independent Practice Dental Hygienist” or “IPDH” means an individual licensed by the Board to practice without supervision by a dentist in the State of Maine pursuant to a scope of practice as defined by 32 M.R.S.A. §1094-Q.
28. Local Anesthesia: “Local Anesthesia” means the use of any drug, element, or other material which results in a state of insensibility of a circumscribed area, or the loss of sensation of some definite, localized area without inhibition of conscious processes.
29. Moderate Sedation: a drug-induced depression of consciousness during which patients respond purposefully to verbal commands, either alone or accompanied by light tactile stimulation.
30. NERB: “NERB” means the Northeast Regional Board Examination or its successor.
31. Nitrous Oxide Analgesia: “Nitrous Oxide Analgesia” means the administration of nitrous oxide in order to induce a controlled state of relative analgesia with the goal being the control of anxiety.
32. Overdenture: A denture constructed to be placed over existing teeth, retained roots or dental implants.
33. Patient of Record: “Patient of Record” means a patient who has been examined by a dentist, and has been provided with a diagnosis or treatment plan by the dentist.
34. PALS: “PALS” means pediatric advanced life support.
35. Practice of Denturism: “Practice of Denturism” means:
A. The taking of denture impressions and bite registration for the purpose of or with a view to the making, producing, reproducing, constructing, finishing, supplying, altering or repairing of a denture to be fitted to an edentulous or partially edentulous arch or arches;
B. The fitting of a denture to an edentulous or partially edentulous arch or arches, including the making, producing, reproducing, constructing, finishing, supplying, altering and repairing of dentures without performing alteration to natural or reconstructed tooth structure; and
C. The procedures incidental to the procedures specified in paragraphs a and b, as defined by Board Rule Chapter 4.
36. Public Health Supervision: "Public Health Supervision" means that:
A. The dentist provides general supervision to a dental hygienist who is practicing in a Public Health Supervision status under Chapter 2 of these rules, with the exception that the patient being treated shall not be deemed to be a patient of record of the dentist providing Public Health Supervision; and
B. The dental hygienist has an active Maine license and practices in settings other than a traditional dental practice, provided that the service is rendered under the supervision of a dentist with an active Maine license. These settings may include but are not necessarily limited to public and private schools, medical facilities, nursing homes, residential care facilities, dental vans, and any other setting where adequate parameters of care, infection control, and public health guidelines can and will be followed.
37. Reversible Intraoral Procedures: “Reversible Intraoral Procedures” means placing and removing rubber dams and matrices; placing and contouring amalgam, composite and other restorative materials; applying sealants; supra gingival polishing; and other reversible procedures as defined in Board Rule Chapter 3.
38. “Teledentistry”
A. The practice of dentistry at a distance through the use of any electronic means.
i. CONSULTATION: Consultations shall be considered to occur when a dentist and/or physician not licensed in the State of Maine reviews records or interviews or examines a patient in any way, and provides a professional opinion or recommendation to a dentist licensed in the State of Maine who is a dentist of record for the patient being diagnosed or treated. Such consultant must be fully licensed in another state. A non-resident dentist and/or physician does not need a license in this State if he/she consults with a dentist licensed in this State.
ii. DISTANCE DENTISTRY – TELEDENTISTRY: For the purposes of Teledentistry the practice of dentistry occurs in the state where the patient is located at the time of the examination.

STATUTORY AUTHORITY:

32 M.R.S.A. §§ 1073(2), 1094-I, 1094-Q, 1095, 1100-A, 1100-B, 1100-C, 1100-E, 1100-I
EFFECTIVE DATE:

May 22, 2007 – filing 2007-192


AMENDED:

February 11, 2009 – filing 2009-54



June 27, 2010 – filing 2010-255




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