DEN 101 (L1-3)

Lectures 1-3 notes review

Dr. C. Edmund Kells

• invented surgical aspirator

• hired first female assistant (1885)

Paul Revere

first forensic dentist in the U.S.

Dr. G.V. Black

• “grand ole man of dentistry”

• perfected a formula for amalgam making it safe to use in the late 1800s

Where is the History of Dentistry Museum located?

Maryland

HIPPA

health insurance probability and accountability act

Dental Medicine

the art and science of prevention, diagnosis, and treatment of conditions, diseases, and disorders of the oral cavity, maxillofacial region, and its associated structures as it relates to human beings

DDS

Doctor of dental surgery

DMD

Doctor of dental medicine

CODA

Commission on Dental Accreditation

General Dentist (DMD/DDS) can perform what?

can legally perform all functions

Dental Assistant

• 1-2 year program/OTJ training

• NC has DA II

• CDA is given by DANB

• ADAA

• EFDA

• NC, coronal polishing

DANB

Dental Assisting National Board

Chair-side Dental Assistant

• main role

• 4-handed dentistry

• priority is to make patient comfortable

Circulating Dental Assistant

• 6-handed dentistry

• sterilization of instruments

Clinical Dental Assistant Types (3)

• Chair-side

• Circulating

• Community Work:Volunteer

Sterilization Assistant

weekly monitoring of sterilizers/documentation (SPORE testing)

Dental Hygienist

• 2-4 year ADA accredited program

• RDH

• Licensed

• NC requires RDH be supervised by a dentist

• ADHA

Dental Lab. Tech.

• 2 year education/OTJ training

• ADA accredited programs do exist

• CDT

• NC, must work from a prescription written by a licensed dentist

• ADLTA

• use private labs for most work

How many specialties are recognized by the ADA?

12

Dental Public Health

• prevention of dental disease

• promote dental health

• AAPHD

• Ex. Wake County Human Services

Endodontics

• pathology, morphology of the dental pulp and surrounding tissues due to injury and disease

• root canal

Oral and Maxillofacial Pathology

diagnosis and nature of diseases that affect the oral cavity

Oral and Maxillofacial Radiology

• 1999

• production and interpretation of images and data

Oral and Maxillofacial Surgery

• diagnosis and surgical treatment of the oral and maxillofacial region due to injury, disease, or defects

• referral based dentistry

• 3rd molar extractions, implants, etc.

Orthodontics

• diagnosis, supervision, guidance, and correction of the malocclusion in the dentofacial structures

• braces

• referral based dentistry

Pediatric Dentistry

• prevention of disease, diagnosis, and treatment of oral care in children from birth through adolescence

• for patients with special needs

• referral based dentistry

Periodontics

• diagnosis and treatment of the diseases of the supporting and surrounding tissues of the tooth

• referral based dentistry

• deep scaling, implants, gingival grafts

Prosthodontics

• diagnosis, restoration, and maintenance of the oral functions

• replacement of missing teeth through artificial means

• referral based dentistry

• dentures, crowns, bridges, load implants, etc.

Dental Anesthesiology

• pain management

• putting people to sleep for dentistry, place IV’s, travel a lot, etc.

Oral Medicine

oral health care of medically complex patients and for the diagnosis and management of medically-related diseases, disorders and conditions affecting oral and maxillofacial region

Orofacial Pain

• diagnosis, management and treatment of pain disorders of the jaw, mouth, face, head, and neck

• underlying pathophysiology, etiology, prevention, and treatment of these disorders

• improving access to interdisciplinary patient care

CE with Special Interest (3)

no post-graduate formal university training is required

• cosmetic dentistry

• dental implant

• temporo-mandibular joint therapy

Cosmetic Dentistry

focuses on improving the appearance of a persons teeth, mouth, and smile

Dental Implants

• artificial tooth root replacements used as part of prosthetic

• esthetic

Tempro-mandibular Joint Therapy (TMJ)

disorder that compromises jaw flexibility and may cause pain at rest or during common movements (talking, chewing, yawning)

OTHERS

• forensic dentistry

• hospital dentistry

• geriatric

Forensic Odontology

• gathering and use of dental evidence in law

• identification of assailant by comparing a record of their dentition with a record of the bite mark left on a victim

• performed by any dentist with experience/training in this field

• documentation/verification of identity

NCSBDE

• North Carolina State Board of Dental Examiners

• establishes laws that govern dentistry in NC

• work with public

• ensure the dental profession merit and receive confidence of the public and that only qualified persons be permitted to practice

State Dental Practice Act

protect public from incompetent dental healthcare providers

Board of Dentistry

• interprets and implements state regulations

• governor of the state appoints members

NCSBDE Functions

• issue and renew licenses

• administration of licensure examinations

• promulgation of rules and enforcement of laws and regulations governing the practice

Reciprocity

• agreement between states that allows dentists and hygienist to move between states and practices without further examination or requirements

• NC DOESN’T have reciprocity

CITA

• council of interstate testing agencies

• non-profit

• independent regional testing agency

• administers ADEX (licensure exams)

• 13 jurisdictions

Respondeat Superior

• doctrine (let the master answer)

• employer is responsible for any harm caused by the actions of the employee

• all functions performed by dental assistant included

Supervision

• direct

• examine patient before and after care

• be present in the office physically

Indirect Supervision

• dentist authorizes/delegates specific procedures

• not required to be physically present

DAI Can…

• take radiographs is passed NCSBDE approved course

• perform all DAII functions is employed full-time as a chair-side dental assistant

How to Maintain CDA?

• Complete 12hrs of CE per year

• CPR Certification

• Annual Renewal fee ($75)

Temperatures in Office

• Reception- 72 degrees

• Treatment Room- 68-70 degrees

Fluorescent Lighting

clinical/sterilization

LED Lights

higher efficiency