News & Recent Events

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What Hygienists Need to Know about Snus and E-cigarettes
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cTCC Class of 2010 Award Winners
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TSBDE Position
Statement on the
Use of Lasers by RDH

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cTDHA Component Officers Workshop Friday, July 9, 2010 Promoting Professional Development & Leadership for Dental Hygienists
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cEarn up to 12 CEU’s! –Austin, Texas
August 6 & 7, 2010

6.0 CEU’s each day!
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adhaQuarterly Payment Plan (QPP) option is now available! !!!!   More...  
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Legislative

Austin   

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Texas State Board of Dental Examiners’ Position Statement
on the Use of Lasers by Dental Hygienists

April 16, 2010

The Texas State Board of Dental Examiners is aware that lasers can be used to replace or supplement traditional dental instruments such as handpieces, scalpels, curing lights, and the explorer.

It is the position of the Board that licensed dental hygienists may use lasers that are not capable of cutting or removing hard tissue, soft tissue, or tooth structure to perform clinical tasks that are otherwise within the hygienist’s scope of practice. Dental hygienists must perform intraoral procedures involving a laser under the general supervision of a licensed dentist.**

Whenever a new treatment modality is brought forward, it is the Board’s policy that the licensee must have proficiency and training in the use of the technology for the procedure performed. Licensees utilizing new technology must maintain documentation of the satisfactory completion of formal continuing education or training using the technology for the procedures performed. The particular technology utilized performing any particular clinical task does not alter the requirement that a dentist is ultimately responsible for any procedure delegated to an auxiliary and the auxiliary performing the procedure remains responsible for performing the task within the standard of care.

** ”General supervision” means that the dentist employs or is in charge of the dental hygienist and is responsible for supervising the services performed by the dental hygienist. The dentist may or may not be present on the premises when the dental hygienist performs the procedures.


 

Represent the Voice of Dental Hygiene
 

April 13, 2010

Kolkhorst receives dental hygiene award at Blinn for legislative work

BRYAN - State Representative Lois Kolkhorst accepted the Legislator of the Year Award from the Texas Dental Hygienists’ Association on Tuesday. The award was presented at a luncheon hosted by the Blinn College Dental Hygiene Program in Bryan.

The TDHA Legislator of the Year is awarded to the Texas legislator who shows extraordinary support and leadership in the advancement of increased access to and quality of dental hygiene care for all Texans. Rep. Kolkhorst was instrumental in advancing the passage of SB 97 that substantially increased access to dental hygiene care in medically underserved areas.

Kolkhorst, whose father was a dentist, said the tour of the Blinn dental hygiene clinic brought back childhood memories. She noted the prestige of the Blinn program and thanked the students for choosing dental hygiene as a profession.

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State Rep. Lois Kolkhorst received the Legislator of the Year Award from Texas Dental Hygienists’ Association Governmental Affairs Co-chair Nancy Cline at Blinn College’s Dental Hygiene Program.

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State Rep. Lois Kolkhorst with Blinn College dental hygiene students and representatives from the Texas Dental Hygienists’ Association: President-elect Betty Haynes and Governmental Affairs Co-chairs Cathy Blunck and Nancy Cline.


NEW NATIONAL HEALTH REFORM LEGISLATION

The following is a brief overview of the key dental components of the new national health reform legislation:

Pediatric Dental Benefit: requires a dental benefit be included as part of the essential health benefits package for all eligible children (through age 21) who receive coverage through the newly -created state-based health insurance exchanges. No adult dental benefit.

Contracting with Stand-alone Dental Plans: dental insurance plans can operate as part of the new state-based  

Alternative Dental Health Care Provider Demonstration Project Grants:  $60 million allocated for education and demonstration of alternative dental health care providers, including dental hygiene and advanced practice dental hygiene workforce models.  

Oral Health Workforce Development:  establishes programs and allocates federal money to expand and develop the dental workforce.  Dental  hygienists, dental hygiene students and dental hygiene education programs are eligible for the funds.  

Oral Health Programs in School-based Clinics:  grant program for school-based health clinics, including those that offer oral health services.  

Oral Health Infrastructure and Surveillance:  establishes oral health education and surveillance programs to improve the public’s understanding of oral health and collect data on access to oral health services.


NEW RULES REGARDING DENTAL ASSISTANTS NOW IN EFFECT

RDA (RADIOLOGY CERTIFICATE) REGISTRATION PROCEDURES

The RDA (Radiology Certificate) Credential is an Optional Certificate for Dental Assistants.  The Dental Practice Act regulates all dental auxiliaries who take x-rays, monitor the administration of Nitrous Oxide/Oxygen Inhalation Conscious Sedation, apply Pit and Fissure Sealants and perform Coronal Polishing. 

Radiology Certifications issued by other state regulatory agencies will not transfer to Texas. 



Who Needs to Register with the Dental Board?

-  Dental Assistants who make x-rays in Texas must register with the State Board of Dental Examiners (SBDE).

Pit and Fissure Sealant Certification

New Requirements as of February 2, 2010

The Pit and Fissure Sealant Certificate is an Optional Certificate for Dental Assistants.  The Dental Practice Act regulates all dental auxiliaries who take x-rays, monitor the administration of nitrous oxide/oxygen inhalation conscious sedation, apply pit and fissure sealants and perform coronal polishing.

Dental Assistant Qualification Criteria:

Dental assistants interested in applying for the Pit and Fissure Certificate must qualify and provide proof of the following when submitting an application to the Dental Board:  

-  At least two years of experience as a dental assistant;

-  Successful completion of a current course in basic life support; and,

-  Successful completion of a minimum of 8 hours of clinical and  didactic education in pit and fissure sealants taken through a CODA-Accredited dental hygiene or dental assisting program approved by the Dental Board.

Following course completion you submit an application to the Dental Board for processing.  Please note that all required documentation and fees must be attached to the application for processing.


CORONAL POLISHING CERTIFICATE

New Requirements as of February 2, 2010

Dental Assistant Qualification Criteria:
Coronal Polishing certifications issued by other state regulatory agencies will not transfer to Texas. 

To be certified in coronal polishing with the SBDE a dental assistant must successfully complete ONE of the following three options and be able to provide documentation showing successful program completion when submitting their application to the Dental Board:    

OPTION 1  OR  

(1)  Have at least two (2) total years of Dental Assisting work experience.
(2)  Have completed at least eight (8) hours of clinical and didactic education in Coronal Polishing taken through a CODA-Accredited Dental Assisting Program* of the ADA and approved by the SBDE.  (Applicant must provide proof of successful completion of the CODA-Accredited Coronal Polishing Program).
     
* = The CODA-Accredited Dental Assisting Program must include the following courses:
    (a)  Oral anatomy and tooth morphology related to retention of plaque and stain;
    (b)  Indications, Contraindications, and Complications of Coronal Polishing;
    (c)  Principles of Coronal Polishing, including armamentarium, operating & patient positioning, technique & polishing agents;
    (d)  Infection Control Procedures;
    (e)  Polishing coronal surfaces of teeth; and
    (f)  Jurisprudence relating to Coronal Polishing 

OPTION 2   OR

(1)  Hold a current certification through the Dental Assistant National Board (DANB).  (Applicants must provide documentation showing successful completion from DANB).  DANB Website:  www.danb.org 
(2)  Hold a Certificate of Completion for the SBDE Jurisprudence Assessment for Coronal Polishing Certification dated within the past 12 months.  (Applicants must provide proof of completion).  Learn more and take the Jurisprudence Assessment here.
(3)  Have at least two (2) total years of Dental Assisting work experience.

OPTION 3

(1) Have graduated from a CODA-Accredited Dental Assisting Program of the ADA that included didactic course work and clinical training in Coronal Polishing.  (Applicant must provide proof of successful program completion).    
(2)  Hold a Certificate of Completion for the SBDE Jurisprudence Assessment for Coronal Polishing Certificate dated within the past 12 months.  (Applicant must provide proof of completion).  Learn more and take the Jurisprudence Assessment here
(3)  Have at least two (2) total years of Dental Assisting work experience.


Legislative Bill Becomes Law  
May 30, 2009

TDHA is proud to announce that SB 97/HB 456 was signed by Governor Perry and is now law! The provisions of this new bill will go into effect on September 1, 2009.   This new law will allow Texas Dental Hygienists to go into school-based centers, nursing homes, and community health centers for a period of up to six months before a dental exam is required by a dentist. To review the entire bill language, please go to www.capitol.state.tx.us. Thanks to all of you who dedicated your time and efforts to help pass this important legislation. In July, TDHA Governmental Affairs Council will provide a comprehensive report of the legislative session which will be made available through the association’s web site at www.texasdha.org.


RULE  §115.5

Dental Hygienists Practicing in Certain Facilities

Legislative Bill Becomes Law  
September 1, 2009

(a) A dentist may delegate to a Texas licensed dental hygienist authorization to perform a service, task or procedure for patients whom the dentist has not seen within the past twelve months when conditions are met as follows:

  (1) The dentist provides express authorization in writing which must include:

    (A) the dentist's name;

    (B) the dental hygienist's name;

    (C) the patient's name;

    (D) the name and address of the location where service is to be provided;

    (E) the date of the authorization; and

    (F) those procedures the dentist specifically authorizes the hygienist to perform, including those procedures necessary to allow subsequent clinical evaluation by a dentist;

  (2) The dentist has verified that the dental hygienist has at least two years experience as a dental hygienist; and

  (3) The service, task or procedure must be performed in either:

    (A) a nursing facility as defined in the Health and Safety Code, §242.301;

    (B) a school-based health center established under Chapter 38, Subchapter B, Texas Education Code; or

    (C) a community health center as defined by §136.002, Human Resources Code.

(b) The dental hygienist must refer patients treated under the provisions of this rule to a dentist by notification in writing of the dentist's name and address. Such notification must be provided to the patient or a person legally responsible for the patient, the authorizing dentist, the referral dentist, and copies to the patient's medical record. This notification must include a statement of services, tasks, and procedures performed.

(c) A dental hygienist, after having performed the services, tasks or procedures under this rule, may only perform delegated services, tasks or procedures with respect to the patient for six months unless the patient has been seen by either the dentist who delegated to the hygienist the authority or by a dentist to whom the patient was referred.

(d) The facility defined in subsection (a) of this section must agree to include information provided pursuant to subsection (b) of this section in the patient's medical records.



RULE §115.7

Notification of Change of Information

Each dental hygienist licensed with the board shall notify the Board within sixty (60) days of any:

  (1) change of address of the licensee's place of business;

  (2) change of the licensee's employer; or

  (3) change in the licensee's mailing address.

Why Should Texas Be The LAST?

   43 states plus the District of Columbia have already approved it.

Texans always want to be the first, the biggest and the best - so why is Texas content to be one of the last states to allow dental hygienists to administer local anesthesia to control pain for their patients? 

·Forty four jurisdictions allow hygienists to administer local anesthesia to manage treatment-related pain.

  • The number of states allowing this procedure increases every year.

  • Some states have allowed local anesthesia by hygienists since 1971.

  • The majority of hygienists in Texas want the STATE Texas law changed, if not for themselves personally, then for future hygienists. 

  • The majority of dentists surveyed by the Texas Dental Association (TDA) in 2008 were in favor of changing the law.

It is unlikely that this law will be changed without the approval and support of the Texas Dental Association.  TDHA has approached TDA about drafting a local anesthesia bill that Texas dentists would find acceptable for the 2011 Legislative Session. 

TDHA asks for your help.  Encourage your dentist to talk to his/her TDA Delegate in support of the TDA policy changes necessary for a local anesthesia bill to be written.

TDHA Governmental Affairs Council      January, 2010



IN OTHER NEWS

ada

You also need to be aware of invitations from ADA to become an “associate” member of their professional organization. To make an informed choice, you should be aware of the full picture of the story.

The Illinois Story - The CDA (Chicago Dental Assoc.) refers to the allied professional member category with the Illinois State Dental Assoc. as a successful example of including dental hygienists and laboratory techs in the dental association. To make an informed choice, you should be aware of the full picture.  In 1999-2000, at the well known Chicago Midwinter Dental Meeting, there was a $25 membership fee for hygienists and lab techs to join the Illinois State Dental Association. Benefits such as discounts on CE were offered. Many signed up. The Dental Association continued to encourage their dentist members to sign up their hygiene staff and to discourage their staff from joining the hygiene assoc. citing benefits and a lower cost. It was reported that many hygienists did not know that they were being “signed up” by their employers. In legislative hearings, the Dental Assoc. claimed their hygiene membership exceeded that of the Illinois Dental Hygienists’ Association. The Dental Assoc. also utilized the testimony of two Dental Assoc. hygienist members claiming to be representative of hygiene in the state. The Dental Assoc. in Illinois used the allied membership activity as an effort to drive a wedge among dental hygienists. Fortunately, the state legislators saw the attempt for what it was and decided in favor of local anesthesia and general supervision for dental hygienists in spite of it. In California, they are calling the allied membership an Associate Dental Health Provider, ie; ADHP. Sound familiar? Many hygienists will mistake this for the ADHA’s ADHP initiative and undoubtedly sign up. Let’s not duplicate the Illinois experience in Texas. Let’s encourage hygienists to join their own association to speak on their behalf about matters affecting dental hygiene.



CDHC - ADA’s Workforce study on creating the Community Dental Health Coordinator position

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On March 27, 2007 ADA President Kathy Roth testifies as part of a hearing entitled “Insuring Bright Futures: Improving Access to Dental Care and Providing a Healthy Start for Children” before the Subcommittee on Health of the Committee on Energy and Commerce, US House of Representatives.  As part of the ADA’s written and oral remarks, they are advocating for “some assistance from Congress” with their CDHC proposal. Dr. Roth described the CDHC provider as “….essentially a social worker with some clinical oral health skills…”.
Rep. Gene Green (D-TX) posed a question asking if the provider would be an …”oral health provider in addition to a social worker and whether the CDHC would be a state-licensed position?” Dr. Roth directly answered the question with, “No, the CDHC will not be a state-licensed position – I would like to make that very clear…It will basically be a social worker with some clinical oral health skills…”  The exchange in the committee clarifies two important points. First, although we have suspected the ADA was lobbying Congress trying to secure funding for a CDHC demonstration/pilot project – Dr. Roth’s mention of the CDHC on several occasions confirms that suspicion.
Secondly, although nothing has been said that the CDHC would be licensed, the statements on that day made it clear that licensure for the CDHC is off the table.
In the state of Texas, a Social Worker must be licensed and hold the equivalent of a Bachelor’s Degree for an entry level position and a Master’s for specialization, but a CDHC would be allowed to scale subgingivally, administer local anesthetic, carve and place restorations among other duties that are currently denied to a degreed, licensed Registered Dental Hygienist in Texas. To have it unregulated and unlicensed is a direct threat to the public’s safety without ensuring an individual administering direct patient care meets a minimum standard of competence.
In addition, the proposed CDHC as someone to provide direct access to the public is contradicted (with the exception of oral health education) as all the proposed duties would require the direct supervision of a dentist. These are very real, very immediate threats to our profession and is something ADHA and TDHA is very much on top of, working for you!


TEX HY-PAC

In 1978, the TDHA voted to support the formation of Texas Dental Hygienists’ Political Action Committee (Tex Hy-Pac). Its purpose is to encourage dental hygienists and other interested persons to inform legislators of current dental hygiene issues. This voluntary, non-profit committee supports the goals of TDHA, but operates independently and autonomously.  Tex Hy-Pac is not affiliated with any one political party but supports candidates who have demonstrated an interest in excellence in dental hygiene, and to persuade other candidates to hear our voice. This committee donates money to endorse candidates, provides information to hygienists on current legislative issues including those candidates whose views are consistent with a positive impact for dental hygiene.  The synergy of dozens and hundreds of dental hygienists working together is what it takes for our collective voice to be heard.


Mail your donations to:

TX HYPAC
5720 Windmere Ln
Fort Worth TX 76137


To find out more about what bills are before our Legislature: http://www.capitol.state.tx.us/