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April 30, 2008

 

ADHP Legislation in Minnesota-Update

On April 17, 2008, the Minnesota State Senate overwhelming passed an amended Omnibus Higher Education Bill that contained a provision to put language in statute that creates the Oral Health Practitioner (OHP)—formerly the Advanced Dental Hygiene Practitioner (ADHP)—and convenes a workgroup to make recommendations and propose legislation to define the scope, supervision, and education of the provider. The amendment codifies that the OHP will be a licensed, educated provider who works under the supervision of a dentist via a collaborative management agreement. The amendment stipulates that OHPs must practice in underserved areas and cannot begin lawful practice prior to 2011.

The workgroup will design the scope of practice for the provider based on the following oral health services:

  • primary diagnostic
  • educational
  • palliative
  • therapeutic
  • restorative (cavity preps, restoration of permanent teeth, temporary crowns placement of preformed crowns, pulpotomies on primary teeth, pulp capping)
  • extractions of primary and permanent teeth
  • placing and removing sutures
  • prescriptive authority (anti-infective, non-narcotic pain management, and prevention)

The workgroup will be populated by the various stakeholders including representatives from Metropolitan State University, the University of Minnesota, MDHA, MDA, the state board of dentistry, Safety Net Coalition, and several other dentists representing various public health and special interest groups as well as two state agency representatives. In sum, the workgroup will be populated by 13 people—6 of which must be dentists, 2 of which must be dental hygienists, 2 of which will be state government employees, and the remaining 3 are at the discretion of the groups assigned to appoint them. The majority of dentists within the workgroup will be required to have specific public health experience. The workgroup is charged with completing its work by December 15, 2008, and draft legislation to enact specific recommendations will be required by January 15, 2009.

Since introduction of the ADHP legislation in February, it has under gone several changes necessary for the bill to remain active. One significant variation of the original ADHP bill was amendment to become a pilot project in which 15 mid-level practitioners would enter into practice in 2011 and an additional 15 in 2012. In addition, the name of the provider changed from ADHP to Oral Health Practitioner (OHP). Late last week, the sponsors of the bill met with the various stakeholders and devised a compromise proposal that would establish an Oral Health Practitioner in statute and convene a workgroup to make recommendations defining the scope, supervision, and education of the provider.

Senate passage of the OHP amendment is a big step, but it is only part of the lengthy process. The Minnesota House of Representatives must now consider companion legislation before the bill can move forward.

ADHA will continue to provide updates on the progress of the legislative effort. For more information on the OHP efforts in Minnesota contact the ADHA Governmental Affairs Department at (312) 440-8925 or by email at gov.affairs@adha.net. Additional information is also available on the Minnesota Dental Hygienists’ Association website: http://www.mndha.com.

 

CLL Session Highlight

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Thursday, June 19
Women’s Health: A Heart to Heart: 9:30am – 11:30am
Mentoring Careers in Research: 2:30pm – 4:30pm

Friday, June 20
Fit to Lead: Your body, Your family, Your career: 10:00am – 12:00pm
Maintaining a Sense of Sobriety in Life: Sustaining Balance by Avoiding a Practice Related Pitfall: 3:00pm – 5:00pm

Saturday, June 21
Desperately Seeking Balance: 10:30am – 12:30pm
The Entrepreneurial RDH: It starts with an Idea: 3:30pm – 5:30pm

 

Do YOU know something we don't know?
Take advantage of the pages of Access magazine to develop, empower, and support your colleagues.

As a preventive oral health care professional, you have a unique insight into your patients' oral health needs. In addition to the services you provide in the practice setting, the patient education and product recommendations you send patients home with form the foundation for their oral health attitudes and behaviors. How do you help your patients attain and maintain periodontal health between appointments? What products do you match to different periodontal case types? Let us know in an email message to JeanM@ADHA.net. Put Home Periodontal Products in the subject line, and Access may contact you for an interview.

ADHA's brand is approaching its first anniversary, and Access is planning a special feature to celebrate. If you are an ADHA member, please tell us how membership has enhanced your professional life. Send an email message to JeanM@ADHA.net and put Membership Stories in the subject line. Depending on the number of responses and topic areas covered, we may contact you for an interview.

Some of the hottest oral health innovations right now involve the technology used to detect oral cancer. Do you work in a practice that goes beyond the traditional head-and-neck examination to incorporate high-tech oral cancer detection? Access might like to interview you about the type of product(s) you use, what it takes to learn to use them effectively, how patients react to them, and any other observations you have to share with Access readers. Email JeanM@ADHA.net and title your email Oral Cancer Detection.

Access’ “Infection Control” column premiered in the August 2006 issue with an article on avian influenza by Louis DePaola, DDS. Since then, he and coauthor Jacquelyn L. Fried, RDH, MS, have written columns on face masks, handwashing and microbial resistance. What other infection control topics would you like to see covered in this column? Do you have any questions about infection control that you would like our experts to address? Let us know by emailing JeanM@adha.net, and title your email message Infection Control Inquiries. As a reminder, previous columns appeared in Access in August 2006; May-June and November 2007; and March 2008.

Access’ “Profile” column is a question & answer about your professional life, your goals and influences, and your attitudes about the changing world of dental hygiene. Any ADHA member not currently serving on the board of trustees is welcome to participate. Email JeanM@adha.net, and title your email message Profile Column [your last name]. If you are selected, you will receive a list of questions to answer and we will ask for a print-quality headshot to accompany the column. Answers will be edited for space.

 

The spring issue of the Journal of Dental Hygiene is now available!

Spring 2008 Vol. 82 No. 2

Editorial
Rebecca S. Wilder, RDH, BS, MS

Upfront
Katie Barge

Book Reviews
Review of Quality Matters: From Clinical Care to Customer Service
Review of General and Oral Pathology for the Dental Hygienist
Review of Contemporary Periodontal Surgery: An Illustrated Guide to the Art Behind the Science

Linking Research to Clinical Practice
Systematic Review Exemplar: Preventing Mucositis in Cancer Patients
Karen Williams, RDH, MS, PhD

Research Articles

Effects of Stannous Fluoride-Impregnated Dental Floss on in vivo Salivary Fluoride Levels
Casey C. Flatt, RDH; Donna Warren-Morris, RDH, MEd; Stewart D. Turner, PhD; Jarvis T. Chan, DDS, PhD

Survey of Oral Health Practices among Adults in a North Carolina Hispanic Population
Mariola Luciano, RDH, MS; Vickie P. Overman, RDH, MEd; Pamela Y. Frasier, MSPH, PhD; Enrique Platin, MS, EdD

Short Reports

Moving Research Knowledge into Dental Hygiene Practice
Sandra J. Cobban, RDH, MDE; Eunice M. Edgington, RDH, BScD, MEd; Joanne B. Clovis, PhD

Advanced Caries in a Patient with a History of Bariatric Surgery
Anne L. Hague, RDH, MS, PhD, RD; Mary Baechle, DDS

To access the Journal, go to www.adha.org and click on the members link. Your login is your member number and the password is the first three letters of your last name followed by your member number.

Once logged in to the Members section, click on the member resources link (left column), which will take you to a page with several links. Clicking on the Access the Journal link will take you to a page with all the available issues listed. After selecting an issue and article, scroll down to the bottom of the page and select the viewing format--html or pdf (beige-colored boxes). For help accessing the Journal please contact Katie Barge at KatieB@adha.net.

 

RESEARCH THAT DEVELOPS YOU!

Genome-wide Scan Finds Suggestive Caries Loci
A.R. Vieira, M.L. Marazita, and T. Goldstein-McHenry
J Dent Res 2008;87 435-439

http://jdr.iadrjournals.org/cgi/content/abstract/87/5/435
Evidence from twin studies suggests a genetic component to caries.Genes that may be related to saliva flow and diet preferences are proposed as possible candidates. A protective locus for caries in the X chromosome may explain the gender differences seen in caries frequency.

Fluoride Uptake by Plaque from Water and from Dentifrice
J.P. Pessan, S.M.B. Silva, J.R.P. Lauris, F.C. Sampaio, G.M. Whitford, and M.A.R. Buzalaf
J Dent Res 2008;87 461-465
http://jdr.iadrjournals.org/cgi/content/abstract/87/5/461
Unlike previous studies, the present findings suggest that the use of fluoridated dentifrice is likely to increase plaque fluoride concentrations significantly for up to 12 hrs in areas where the water contains fluoride close to 1.0 ppm. As previously reported, plaque fluoride concentrations were directly related to calcium concentrations.

Ca Pre-rinse Greatly Increases Plaque and Plaque Fluid F
G.L. Vogel, G.E. Schumacher, L.C. Chow, S. Takagi, and C.M. Carey
J Dent Res 2008;87 466-469
http://jdr.iadrjournals.org/cgi/content/abstract/87/5/466
This study examines if these increases are found in plaque and plaque fluid F. These and the previous salivary results suggest that a Ca pre-treatment may increase the cariostatic effects of topical F agents.

Salivary Lysozyme and Prevalent Hypertension
M. Qvarnstrom, S. Janket, J.A. Jones, P. Nuutinen, A.E. Baird, M.E. Nunn, T.E. Van Dyke, and J.H. Meurman
J Dent Res 2008;87 480-484

http://jdr.iadrjournals.org/cgi/content/abstract/87/5/480
We hypothesized that salivary lysozyme, a marker for oral infection and hyperglycemia, might display a significant relationship with hypertension, an early stage of cardiovascular disease. Our hypothesis—"high salivary lysozyme levels are associated with the odds of hypertension"—was confirmed.

Oral Symptoms Predict Mortality: a Prospective Study in Japan
R. Ide, T. Mizoue, Y. Fujino, T. Kubo, T.-M. Pham, K. Shirane, I. Ogimoto, N. Tokui, and T. Yoshimura J Dent Res 2008;87 485-489
http://jdr.iadrjournals.org/cgi/content/abstract/87/5/485
The purpose of the present study was to evaluate the effects of oral symptoms on mortality from cardiovascular disease (CVD) and pneumonia. Some oral symptoms may be predictors of mortality from pneumonia and CVD.

Can Caries Fissures be Sealed as Adequately as Sound Fissures?
M.A. Hevinga, N.J.M. Opdam, J.E. Frencken, E.M. Bronkhorst, and G.J. Truin
J Dent Res 2008;87 495-498

http://jdr.iadrjournals.org/cgi/content/abstract/87/5/495
Sealing caries fissures is considered an appropriate treatment option for arresting the caries process. Sealed caries fissures showed significantly more microleakage and insufficient sealant penetration depth than sound fissures. Neither the use of an adhesive nor its intermediate curing influenced the microleakage score and the penetration ability of sealants.

Dietary Supplements: Clinical Implications for Dentistry Diane Rigassio Radler
J Am Dent Assoc 2008; 139: 451-455.
[Abstract] [Full Text] [PDF]
Dr. Radler provides background information on the regulation and manufacturing of dietary supplements, highlights popular over-the-counter supplements and addresses the safety, efficacy and contraindications that merit consideration in dental practices.

Colorado Dental Practitioners’ Attitudes and Practices Regarding Tobacco-Use Prevention Activities for 8- Through 12-Year-Old Patients
Kelly R. Kast, Rob Berg, Ann Deas, Dennis Lezotte, and Lori A. Crane
J Am Dent Assoc 2008; 139: 467-475.

[Abstract] [Full Text] [PDF]
The authors assess dentists’, orthodontists’ and hygienists’ self-reported frequency of tobacco-use prevention counseling for children aged 8 through 12 years.

Moving Beyond Customer Service
Roger P. Levin
J Am Dent Assoc 2008; 139: 488-489.

[Full Text] [PDF]
Dr. Levin explains how customer service is one of the most discussed areas of business, yet few businesses can accomplish customer service that is truly extraordinary.

Effects of a Stannous Fluoride-Impregnated Dental Floss on in vivo Salivary Fluoride Levels
Flatt, Casey C; Warren-Morris, Donna; Turner, Steward D; Chan, Jarvis T
Journal of Dental Hygiene 2008 82, 2 p. 19-19(1)

http://adha.publisher.ingentaconnect.com/content/adha/jdh/2008/00000082/00000002/art00007
The aim of this in vivo pilot study was to determine the concentration of fluoride retained intra-orally in saliva after flossing with dental floss impregnated with stannous fluoride (SnF2). Use of this fluoride-containing dental floss offers an option for delivery of fluoride to individuals at risk for dental caries.

Moving Research Knowledge into Dental Hygiene Practice
Cobban, Sandra J; Edgington, Eunice M; Clovis, Joanne B
Journal of Dental Hygiene 2008 82, 2 p. 21-21(1)
http://adha.publisher.ingentaconnect.com/content/adha/jdh/2008/00000082/00000002/art00009
The purpose of this paper is to use diffusion of innovations theory to examine knowledge movement in dental hygiene, specifically through the example of the preventive practice of oral cancer screening by dental hygienists, considered as an innovation.

 

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