R156-69-808c. Expanded Functions of Dental Auxiliaries -- Certification for the Removal of Coronal Dental Adhesive -- Parameters -- CPE

(1) Under Subsections 58-69-808(1)(c) and (2), the qualifications, training, and safety standards for a dental hygienist or dental assistant to obtain certification for the removal of coronal dental adhesive are established in this section. (2) Under Subsection 58-69-808(2)(a), an applicant for a certification under this section shall: (a) meet one of the following requirements: (i) currently hold a dental hygienist license; or (ii) provide evidence that the applicant is a dental assistant: (A) with at least 3,500 hours of dental assisting in the last six years; and (B) who holds current CPR or BCLS-BLS certification; and (b) complete and pass an approved education program of at least 22 hours that: (i) is: (A)(I) CODA accredited; (II) recognized by DANB; or (III) a course recognized by the Utah Association of Orthodontists (UAO); and (B) approved by the Division in collaboration with the Board, as listed on the Division website at https://commerce.utah.gov/dopl/dentistry/. (ii) includes a hands-on component that requires obtaining written informed consent from each patient in accordance with Subsection R156-69-808d(2); (iii) is taught by an instructor who: (A) has an active and current license as a dentist; (B) is qualified by education, training, and experience to provide instruction on the removal of coronal adhesive; (C) has at least 4,000 hours of clinical experience; (D) is teaching within the scope of practice for the instructor's license; and (E) meets the CPE requirements of Section R156-69-304a; and (iv) meets the requirements of Subsection (3). (3) Under Subsection 58-69-808(2)(a), a dental hygienist or dental assistant applying for a certification under this section shall complete an education program on the removal of coronal adhesive that meets the following requirements: TABLE 2 Curriculum for the Removal of Coronal Adhesive Certification Topics Subtopics Didactic Hours Foundational knowledge of anatomy, physiology, and morphology Including: dental anatomy including tooth structures, locations, classifications, and terminology of primary and permanent teeth; tooth morphology including the shape, size, surfaces, and features of primary teeth and permanent teeth; supportive tissues and structures including gingiva, periodontal ligament, alveolar bone, cementum, frenums, mucosa, and tongue; orthodontic terminology; and enamel composition and properties, and abnormalities including attrition, abrasion, erosion, discoloration, pitting, cracks, chips, and decalcifications 3 didactic hours Appliances, restorations, and materials Including: orthodontic brackets; bonding adhesives; dental restorations including crowns, bridges, veneers, implants, composite, and amalgam; and use of dental radiographs in identification of dental restorations 2 didactic hours Dental Instruments Including: hand instruments, band-removing pliers, and bracket removing pliers; a slow-speed handpieces and configuration for safe coronal adhesive removal; handpiece components including bur retention mechanism, size, shape, lighting, and water; dental bur selection; dental or surgical magnification devices including dental loupes; maintenance including sanitation, sterilization, and decontamination; and demonstrate competency on typodont teeth 4 didactic hours Techniques for coronal adhesive polishing Including: handpiece grip and ergonomics; tooth isolation; infection control safety of enamel, tooth, and supportive structures; and adhesive removal sequence including bracket removal, fine adhesive removal, enamel polishing, and differentiation between adhesive and enamel and dental restoration materials and enamel abnormalities; 3 didactic hours Case management Including: identifying potential complications, and mitigating and managing complications including patient factors and procedures; prevention strategies; and poor outcomes of improper techniques 1 didactic hour Law and rule, and Professional Ethics Including: scope limitations; supervision requirements; and record keeping 1 didactic hour Clinical integration and simulated patient care Including: recognizing common errors and prevention; comprehensive treatment sequencing, and time management; case management including recognizing when isolation fails and managing complications; provider and patient ergonomics; and 2 didactic hours and 6 clinical hours removal and enamel polishing of a minimum of 55 tooth surfaces under direct supervision Comprehensive knowledge-based written exam Including: law and rule including scope of practice; professional ethics; and all aspects of didactic and simulated training N/A Competency examinations Summative evaluations on performance of at least 24 teeth on a live patient and that is judged with calibrated rubrics N/A (4) Under Subsection 58-69-808(2)(b), a dental hygienist or dental assistant certified under this section shall provide services to remove coronal adhesive under the following parameters: (a) after obtaining consent from each patient that meets the requirements of Subsection R156-69-808d(1); (b) the supervising dentist obtains and maintains professional liability insurance covering the certification holder for work performed while engaging in the expanded function; (c) using a hand instrument or a slow-speed handpiece to remove the coronal adhesive; (d) have magnification tools available and use the magnification tools when necessary; (e) the supervising dentist completes a final evaluation of the removal of coronal dental adhesive after the removal of coronal adhesive is completed; and (f) record in the patient's file that the dental hygienist or dental assistant completed the removal of coronal dental adhesive. (5) Under Subsection 58-69-808(2)(b), a dental assistant with certification under this section shall complete the CPE requirements for the removal of coronal dental adhesive under Subsection R156-69-304a(7)(a)(ii).