Agd house of Delegates (hod) Policy Manual

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Diagnostic tests, dentists right to prescribe and perform


“Resolved, that the Academy of General Dentistry recognizes that dentists have the right to prescribe and perform any diagnostic tests deemed necessary providing that:

1. The test is required for the oral diagnosis of or treatment planning for the patient, or the management of a percutaneous injury in a clinical setting.

2. The patient has given informed consent.
3. The test is accompanied, where appropriate, by adequate pre- and post-counseling.
4. There is provision for appropriate referral to a physician responsible for the comprehensive medical care of the patient.”

Environmental “best management” practices

2003:12-H-7 AMENDED HOD 2013

2013:310-H-6 “Resolved, that HOD Policy 2003: 12-H-7 be amended to read:
Resolved, that the AGD urge dentists to support environmental “best management” practices, and be it further
Resolved, that the AGD constituents be encouraged to work with their counterpart dental societies to promote environmental best management practices.”

Expanded Function Dental Assistant (EFDA)


“Resolved, that it is the position of the AGD that the utilization of expanded function dental assistants (EFDA), under the direct supervision of the dentist, providing only reversible procedures is an effective, safe and efficient way to increase capacity and access to care while reducing barriers to utilization of care.”

Evidence-based dentistry

Definition of


“Resolved, that the Academy of General Dentistry believes that evidence-based dentistry is an approach to treatment planning and subsequent dental therapy that requires the judicious melding of systematic assessments of scientific evidence relating to the patients medical condition and history, the dentists clinical experience, training, and judgment, and the patients treatment needs and preferences.”

Use of


“Resolved, that evidence-based dentistry be utilized to promote the delivery of the most effective care for the patient and not for the determination of dental benefits.”

Fees, adjustment of

93:25 H 7

"Resolved, that the Academy of General Dentistry recognizes that dentists may, upon occasion, adjust fees to classes of individuals, such as relatives, clergy, staff, senior citizens, the indigent, and be it further

Resolved, that any occasional fee adjustments should not be reflected in determination of UCRs by third parties, and be it further

Resolved, that the Academy of General Dentistry recommends that this be properly recorded in the dentist's records."

Fees; i.e., usual, reasonable, customary: definition of

93:24 H 7

"Resolved, that the Academy of General Dentistry adopt the American Dental Association's definitions of and policies regarding 'usual, customary and reasonable fees,' which read:

'Usual fee' is the fee which an individual dentist most frequently charges for a specific dental procedure.

'Reasonable fee' is the fee charged by a dentist for a specific dental procedure which has been modified by the nature and severity of the condition being treated and by any medical or dental complications or unusual circumstances, and therefore may differ from the dentist's "usual" fee or the benefit administrator's "customary" fee.
'Customary fee' is the fee level determined by the administrator of a dental benefit plan from actual submitted fees for a specific dental procedure to establish the maximum benefit payable under a given plan for the specific procedure."

Flexible Spending


“Resolved, that the AGD support the expansion of Flexible Spending Account (FSA) reimbursable health items to include oral health items.”

Fluoridated public water supplies, public funding for

81:32 H 7

"Resolved, that the AGD support the use of public funds to assist local and state governments in seeing that their public water supplies are adequately fluoridated."

Fluoride in water supplies and toothpaste, position statement


“Resolved, that based on the Center for Disease Control’s Recommendations for Using Fluoride, the AGD adopt the following position statement:

When used appropriately, fluoride is safe and effective in preventing and controlling dental caries. Regular use throughout life will help protect teeth against decay. All water supplies, including bottled water, should have appropriate fluoride levels. All fluoridated items, including toothpaste, should be used as recommended by your dentist.”

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