Chapter 3, Article 2 - Dental Board of California

Quick Hits

Regulations - Chapter 3, Article 2

TITLE 16. PROFESSIONAL AND VOCATIONAL REGULATIONS
DIVISION 10. DENTAL BOARD OF CALIFORNIA
CHAPTER 3. DENTAL AUXILIARIES
ARTICLE 2. EDUCATIONAL PROGRAMS

Section 1070. Approval of Registered Dental Assistant Educational Programs.
(a) It is the intent of the board to approve only those educational programs for registered dental assisting which continuously maintain a high quality standard of instruction. Initial or continued approval shall be contingent upon compliance with these regulations.
(b) An educational program for registered dental assistants is one which has as its primary purpose providing post-secondary education in registered dental assisting and which encompasses educational training in the settings, foundation and application of all duties, functions and responsibilities assignable under these regulations to registered dental assistants. All approved programs shall include approved courses in coronal polishing and radiation safety pursuant to Sections 1014, 1014.1, and 1086(d)(15), but are not required to offer a course in the removal of excess cement from coronal surfaces of teeth under orthodontic treatment by means of an ultrasonic scaler.
(c) Each program shall apply for approval prior to operation. The board may approve, provisionally approve, or deny approval of any such program.
The board may, in lieu of conducting its own investigation, accept the findings of any commission or accreditation agency approved by the board and adopt those findings as its own. If a negative evaluation is made, the specific reasons therefore shall be provided to the program by the board in writing within 90 days after such negative evaluation was made.
(d) The processing times for RDA educational program approval are set forth in Section 1069. Each approved program shall be re-evaluated approximately every five years, but is subject to re-evaluation at any time if the board has reason to believe that the program may have violated these regulations.
(e) Program records shall be subject to inspection by the board at any time.

Note: Authority cited: Section 1614, Business and Professions Code. Reference: Section 1753, Business and Professions Code.

HISTORY

New subsection (d) filed 2-22-88; operative 3-23-88 (Register 88, No. 10).
Amendment of section heading, section andNotefiled 4-30-2003; operative 5-30-2003 (Register 2003, No. 18).

Section 1070.1. Definitions.
As used in Section 1070.2:
(a) "Didactic instruction" means lectures, demonstrations, and other instruction without active participation by students.
(b) "Laboratory or Pre-clinical instruction" means instruction in which students receive supervised experience performing functions using study models, manikins, or other simulation methods.
(c) "Clinical Externship instruction" means instruction in which students receive supervised experience in performing functions in the clinical setting on patients.

Note: Authority cited: Section 1614, Business and Professions Code. Reference: Section 1753, Business and Professions Code.

HISTORY

Renumbering of former Section 1018 to Section 1070.1 filed 7-17-85; effective thirtieth day thereafter (Registered 85, No. 29). For prior history, see Register 85, No. 17.
Duplicate order renumbering former Section 1018 to Section 1070.1 filed 9-27-85; effective upon filing pursuant to Government Code Section11346.2(d) (Register 85, No. 41).
Renumbering of former section 1070.1 to section 1070.2 and new section 1070.1 filed 4-30-2003; operative 5-30-2003 (Register 2003, No. 18).

Section 1070.2. Requirements for REgistered Dental Assistant Educational Programs.
The following minimum criteria shall be met for a registered dental assistant educational program to secure and maintain approval by the Board. Additional requirements may be stipulated when deemed necessary by the Board:
(a) Educational Setting. The program shall be established at the post-secondary educational level, or deemed equivalent thereto by the Board.
(b) Advisory Committee. Programs shall have an advisory committee consisting of an equal number of registered dental assistants and dentists, including at least two registered dental assistants and two dentists, all currently licensed by the Board. The advisory committee shall meet at least once each academic year with the program director, faculty and appropriate institutional personnel to monitor the ongoing quality and performance of the program. Programs that admit students at different phases shall meet at least twice each year.
(c) Administration/Faculty. Adequate provision for the supervision and operation of the program shall be made. The program must be staffed by faculty who are well-qualified in curricular subject matter, dental assisting functions, and educational methodology.

(1) The program director and each faculty member shall possess a valid, active, current license issued by the Board, and shall have a background in and current knowledge of dental assisting and registered dental assisting duties. A registered dental assistant faculty member shall possess certification in coronal polishing and radiation safety, and shall have been licensed as a registered dental assistant for at least four years.
(2) Effective two years after the effective date of this regulation, each faculty member shall have received a certificate of completion of an COMDA approved course in teaching methodology of at least 60 hours at a post-secondary institution prior to student instruction.
(3) Student contact hour loads must allow the faculty sufficient time for class preparation, student evaluation and counseling, and development of subject content and appropriate evaluation criteria and methods.
(4) The program director must have the education, background, and occupational experience necessary to understand and fulfill the program goals. He or she shall have teaching responsibilities which are less than those of a full-time faculty member. He/she shall actively participate in and be responsible for the day-to-day administration of the program including the following:
(A) Providing daily guidance of didactic, laboratory and clinical assignments.
(B) Maintaining for a period of not less than 5 years:
(1) Copies of curricula, course outlines, objectives, and grading criteria.
(2) Copies of faculty credentials, licenses, and certifications.
(3) Individual student records, including those necessary to establish satisfactory completion of all phases of the program, including clinical externship.
(4) Copies of minutes of all advisory committee meetings.
(C) Informing the Board of any changes to the program content, physical facilities, and/or faculty, at least 30 days prior to such change.
(D) Participating in budget preparation and fiscal administration, curriculum development and coordination, determination of teaching assignments, supervision and evaluation of faculty, establishment of mission criteria and procedures, design and operation of program facilities, and selection of extra-mural facilities and coordination of instruction in such facilities.
(E) Holding periodic faculty meetings to provide for subject matter correlation and curriculum evaluation, and to coordinate activities of full-time, part-time, and volunteer faculty.
(5) The owner and/or school administrator shall be responsible for the compliance of the program director with these regulations.

(d) Financial Resources. Sufficient financial resources to support the program and comply with these regulations shall be available. If the program or school requires approval by the California Department of Education and/or the Bureau for Private Post-secondary and Vocational Education, such approval must be obtained prior to application for Board approval by a new program and must be maintained at all times by approved programs. Failure to maintain such approval shall result in the automatic withdrawal of board approval of the program.
(e) The program shall notify the Board, within 30 days after enrollment, of the names, and expected date of graduation of all students enrolled, and shall notify the Board of the names of program graduates within 30 days of graduation.
(f) Length of Program. The program shall be of sufficient duration for the student to develop minimum competence in performing dental assistant and registered dental assistant duties, but shall in no event be less than 720 clock hours.
(g) Evidence of Completion. A certificate, diploma, or other evidence of completion shall be issued to each student who successfully completes the program. A student shall be deemed to have successfully completed the program if the student has met all program requirements and has obtained passing scores on final written and practical examinations on all dental assistant and registered dental assistant duties.
(h) Facilities and Resources. Facilities and class scheduling shall provide each student with sufficient opportunity, with instructor supervision, to develop minimum competency in performing dental assistant and registered dental assistant duties. Such facilities shall include safe, adequate and educationally conducive:

(1) Lecture classrooms. Classroom size and equipment shall accommodate the number of students enrolled. Classrooms shall include: chalkboard or whiteboard, projection equipment, sufficient electrical outlets, adequate lighting and ventilation, and chairs and writing space for each student.
(2) Operatories. Operatories shall be sufficient in number to allow a ratio of at least one operatory for every five students at any one time, and shall be of sufficient size to accommodate an operator, a student, an instructor, and a patient at one time.
(A) Each operatory shall replicate a modern dental office containing functional equipment including: a power-operated chair for treating patients in a supine position; operator and assistant stools; dental units designed for application of current principles of dental assistant and registered dental assistant utilization; air-water syringe; adjustable light; slow-speed and high-speed handpieces; oral evacuation equipment; work surface; view box; hand-washing sink; and all other armamentarium required to instruct dental assistant and registered dental assistant duties.
(B) Each operatory shall contain one training manikin with simulated face and tongue, full dentition, and water retrieval system.
(C) Each operatory must be of sufficient size to accommodate an operator, a student, an instructor, and a patient.
(3) Laboratories. The location and number of general use equipment, such as lathes, model trimmers, and vibrators shall assure that each student has the access necessary to develop minimum competency in performing all dental assistant and registered dental assistant duties. Protective eyewear is required for each piece of equipment.
During laboratory procedures, dental rotary equipment are required in the ratio of at least one for every three students, model trimmers in the ratio of at least one for every seven students, and vibrators in the ratio of at least one for every three students.
(4) Library. Provision shall be made for reasonable access to current and diverse dental/medical reference texts, current journals, audiovisual materials and other necessary resources. Library holdings shall include: nutrition, oral health education, preventive dentistry, dental materials, anesthesia and pain control, oral anatomy, oral histology, oral physiology, oral pathology, morphology, pharmacology, microbiology, chairside assisting, legal/ethical aspects of dentistry, radiology and radiation safety, sterilization/infection control, laboratory procedures, office emergency procedures, general dentistry, and specialty dentistry including, but not limited to, endodontics, oral and maxillofacial surgery, orthodontics, pediatric dentistry, periodontics, and prosthodontics.
(5) Armamentarium
(A) The number and variety of hand instruments shall be sufficient to instruct students in identifying and exchanging instruments, preparing procedural trays, and assisting in the diagnostic, operative and specialty procedures which are a part of general dentistry.
(B) Each student shall possess a pair of safety goggles for their exclusive use.
(C) One permanently preassembled tray for each procedure shall be provided for reference purposes. In addition, at least one set of hand instruments per chairside procedure for every two students shall be available during instruction of clinical, pre-clinical, and laboratory procedures.
(D) There shall be at least one functional typodont and bench mount for every two students, or comparable equipment if approved in advance by the Board. Each typodont shall have full dentition and soft gingivae.
(6) Infection Control. The program shall establish written pre-clinical, clinical, and laboratory protocols to ensure adequate asepsis, infection and hazard control, and disposal of hazardous wastes, which shall comply with the board's regulations and other Federal, State, and local requirements. The program shall provide such protocols to all students, faculty, and appropriate staff to assure compliance with such protocols. Adequate space shall be provided for preparing and sterilizing all armamentarium. All reusable armamentarium shall be sterilized, and a non-reusable items disposed of properly.
(7) Emergency Materials/Basic Life Support.
(A) A written policy on managing emergency situations must be made available to all students, faculty, and staff. Emergency materials shall include, but not be limited to, an oxygen tank which is readily available and functional. Medical materials for treating patients with life-threatening conditions must be available for instruction and accessible to the operatories. Facilities which do not treat patients must maintain a working model of a kit of such emergency materials for instructional purposes.
(B) All students, faculty, and staff involved in the direct provision of patient care must be certified in basic life support procedures, including cardiopulmonary resuscitation. Recertification intervals may not exceed two years. The program must document, monitor, and ensure compliance by such students, faculty, and staff, and keep a record of those who are not required to maintain such certification because they are medically or physically unable to perform such procedures.

(i) Program Content. The organization of the curriculum shall be balanced and flexible, creating opportunities for adjustments to changes in the practice of dentistry and registered dental assisting.

(1) Sufficient time shall be available for all students to obtain laboratory experience to achieve minimum competence in all dental assistant and registered dental assistant duties prior to the performance of procedures on patients.
(2) A detailed course outline shall be provided which clearly states curriculum subject matter and specific instruction hours for each topic in the individual areas of didactic, laboratory, pre-clinical, clinical, and externship instruction.
(3) There shall be no more than 14 students per instructor during laboratory instruction. There shall be no more than 6 students per instructor during pre-clinical and clinical instruction.
(4) Programs that admit students at different phases provide students with an orientation which shall include anatomy, tooth numbering, and universal precautions, including instrument sterilization, and which shall be successfully completed prior to participation in any other phase of the program.
(5) General program objectives and specific instructional unit objectives shall be stated in writing, and shall include theoretical aspects of each subject as well as practical application. The theoretical aspects of the program shall provide the content necessary for students to make judgments regarding the procedures which dental assistants and registered dental assistants are allowed to perform and to anticipate a dentist's needs during procedures performed in the practice of dentistry. The program shall assure that students who successfully complete the program can perform all dental assistant and registered dental assistant duties with minimum competence.
(6) Objective evaluation criteria shall be used for measuring student progress toward attainments of specific course objectives. Students shall be provided with specific unit objectives and the evaluation criteria that will be used for all aspects of the curriculum including written and practical examinations. The program shall establish a standard of performance which states the minimum number of satisfactory performances which are required for each procedure.
(7) Areas of didactic and laboratory demonstration instruction shall include at least the following:
(A) Biomedical -Dental-Medical Emergencies, Basic Life Support, Nutrition and Preventive Dentistry;
(B) Dental Science -Dental Materials, Oral Anatomy and Physiology, Oral Pathology, Pharmacology, Morphology and Microbiology;
(C) Dental Assisting -General and Specialty Dentistry, Chairside Assisting, Legal/Ethical Aspects of Dentistry; Patient Management; Infection Control;
(D) All functions dental assistants and registered dental assistants are allowed to perform by statute or regulation.

(j) Externship Instruction. Students shall, as part of an organized program of instruction, be provided with planned, supervised clinical instruction in performing all dental assistant and registered dental assistant duties.

(1) The program director/coordinator or a dental faculty member shall be responsible for selecting extern clinical sites and evaluating student competence in performing procedures both before and after the clinical assignment.
(2) Objective evaluation criteria shall be used by the program faculty and clinic personnel.
(3) Program faculty shall visit each extramural clinical facility at least once every ten clinical days.
(4) Dentists who intend to provide extramural clinical practices shall be oriented by the program director/coordinator or a dental faculty member prior to the student assignment. Orientation shall include the objectives of the program, the preparation the student has had for the clinical assignment, and a review of procedures and criteria to be used by the dentist in evaluating the student during the assignment.
(5) There shall be a written contract of affiliation with each extramural clinical facility utilized by the program. Such contact shall describe the settings in which the clinical training will be received, affirm that the clinical facility has the necessary equipment and armamentarium appropriate for the procedures to be performed, and affirm that such equipment and armamentarium are in safe operating condition.
(6) The program shall maintain documentation that students completed clinical training in all dental assisting and registered dental assisting functions during the clinical externship phase of the program.

Note: Authority cited: Section 1614, Business and Professions Code. Reference: Section 1753, Business and Professions Code.

HISTORY

Renumbering of former section 1070.1 to section 1070.2, including amendment of section andNote, filed 4-30-2003; operative 5-30-2003 (Register 2003, No. 18).

Section 1070.3. Approval of Pit and Fissure Sealant Courses.
The following minimum criteria shall be met for a course in the application of pit and fissure sealants to secure and maintain approval by the Board.
(a) Educational Setting. The course shall be established at the post-secondary educational level.
(b) Prerequisites. Each student must possess the necessary requirements for application for RDA licensure or currently possess an RDA license. Each student must have already completed a Board-approved course in coronal polishing.
(c) Administration/Facility. Adequate provision for the supervision and operation of the course shall be made.

(1) The course director and each faculty member shall possess a valid, active, and current RDAEF, RDH, RDHEF, RDHAP, or dentist license issued by the Board, or an RDA license issued by the Board if the person has completed Board-approved courses in coronal polishing and the application of pit and fissure sealants. All faculty shall have been licensed for a minimum of two years. All faculty shall have the education, background, and occupational experience and/or teaching expertise necessary to teach, place, and evaluate the application of pit and fissure sealants. All faculty responsible for clinical evaluation shall have completed a two hour methodology course in clinical evaluation.
(2) The course director must have the education, background, and occupational experience necessary to understand and fulfill the course goals. He/she shall actively participate in and be responsible for the day-to-day administration of the course including the following:
(A) Providing daily guidance of didactic, laboratory and clinical assignments.
(B) Maintaining for a period of not less than 5 years:
1. Copies of curricula, course outlines, objectives, and grading criteria.
2. Copies of faculty credentials, licenses, and certifications.
3. Individual student records, including those necessary to establish satisfactory completion of the course.
(C) Informing the Board of any changes to the course content, physical facilities, and/or faculty, within 10 days of such changes.

(d) Length of Course. The program shall be of sufficient duration for the student to develop minimum competence in the application of pit and fissure sealants, but shall in no event be less than 16 clock hours, including at least 4 hours of didactic training, at least 4 hours of laboratory training, and at least 8 hours of clinical training.
(e) Evidence of Completion. A certificate or other evidence of completion shall be issued to each student who successfully completes the course.
(f) Facilities and Resources. Facilities and class scheduling shall provide each student with sufficient opportunity, with instructor supervision, to develop minimum competency in applying pit and fissure sealants. Such facilities shall include safe, adequate and educationally conducive:

(1) Lecture classrooms. Classroom size and equipment shall accommodate the number of students enrolled.
(2) Operatories. Operatories shall be sufficient in number to allow a ratio of at least one operatory for every five students at any one time.
(A) Each operatory shall replicate a modern dental office containing functional equipment including: a power-operated chair for treating patients in a supine position; operator and assistant stools; air-water syringe; adjustable light; oral evacuation equipment; work surface; hand-washing sink; curing light, and all other armamentarium required to instruct in the application of pit and fissure sealants.
(B) Each operatory must be of sufficient size to accommodate a practitioner, a student, an instructor, and a patient at one time.
(3) Laboratories. The location and number of general use equipment shall assure that each student has the access necessary to develop minimum competency in the application of pit and fissure sealants. Protective eyewear is required for each student.
(4) Infection Control. The program shall establish written clinical and laboratory protocols to ensure adequate asepsis, infection and hazard control, and disposal of hazardous wastes, which shall comply with the board's regulations and other Federal, State, and local requirements. The program shall provide such protocols to all students, faculty, and appropriate staff to assure compliance with such protocols. Adequate space shall be provided for preparing and sterilizing all armamentarium.
(5) Emergency Materials/Basic Life Support.
(A) A written policy on managing emergency situations must be made available to all students, faculty, and staff.
(B) All students, faculty, and staff involved in the direct provision of patient care must be certified in basic life support procedures, including cardiopulmonary resuscitation. Re-certification intervals may not exceed two years. The program must document, monitor, and ensure compliance by such students, faculty, and staff.

(g) Program Content.

(1) Sufficient time shall be available for all students to obtain laboratory and clinical experience to achieve minimum competence in the various protocols used in the application of pit and fissure sealants.
(2) A detailed course outline shall be provided to the board which clearly states curriculum subject matter and specific instruction hours in the individual areas of didactic, laboratory, and clinical instruction.
(3) General program objectives and specific instructional unit objectives shall be stated in writing, and shall include theoretical aspects of each subject as well as practical application. The theoretical aspects of the program shall provide the content necessary for students to make judgments regarding the application of pit and fissure sealants. The course shall assure that students who successfully complete the course can apply pit and fissure sealants with minimum competence.
(4) Objective evaluation criteria shall be used for measuring student progress toward attainment of specific course objectives. Students shall be provided with specific unit objectives and evaluation criteria that will be used for all aspects of the curriculum including written and practical examinations. The program shall establish a standard of performance that states the minimum number of satisfactory performances that are required for each procedure.
(5) Areas of instruction shall include at least the following as they relate to pit and fissure sealants:
(A) Dental Science - Oral Anatomy, Histology, Physiology, Oral Pathology, Normal/Abnormal Anatomical and Physiological Tooth Descriptions
(B) Morphology and Microbiology
(C) Dental Materials and Pharmacology
(D) Sealant Basics
1. Legal requirements
2. Description and goals of sealants
3. Indications and contraindications
4. Role in preventive programs
(E) Sealant Materials
1. Etchant and/or etchant/bond combination material composition, process, storage and handling
2. Sealant material composition, polymerization type, process, storage and handling
3. Armamentaria for etching and sealant application
4. Problem solving for etchant and sealant material placement/manipulation
(F) Sealant Criteria
1. Areas of application
2. Patient selection factors
3. Other indication factors
(G) Preparation Factors
1. Moisture control protocol
2. Tooth/teeth preparation procedures prior to etching or etchant/bond
(H) Acid Etching or Etchant/Bond Combination
1. Material preparation
2. Application areas
3. Application time factors
4. Armamentaria
5. Procedure
6. Etchant or etchant/bond evaluation criteria
(I) Sealant Application
1. Application areas
2. Application time factors
3. Armamentaria
4. Procedure for chemical cure and light cure techniques
5. Sealant evaluation criteria
6. Sealant adjustment techniques
(J) Infection control protocol
(K) Clinical re-call re-evaluation protocols
(6) There shall be no more than 14 students per instructor during laboratory instruction. Laboratory instruction may be conducted on a typodont, a simulated model, and/or mounted extracted teeth. Sufficient time shall be available for all students to obtain laboratory experience to achieve minimum competence in pit and fissure sealant application prior to the performance of procedures on patients.
(7) Clinical instruction shall be of sufficient duration to allow the procedures to be performed to clinical proficiency. There shall be no more than 6 students per instructor during clinical instruction. Clinical instruction shall include clinical experience on four patients with two of the four patients used for the clinical examination. Each clinical patient must have a minimum of four (4) virgin, non-restored, natural teeth, sufficiently erupted so that a dry field can be maintained, for application of the etching, or etchant/bond combination, and sealant materials. Such clinical instruction shall include teeth in all four quadrants for each patient.

(h) Externship Instruction.

(1) If an extramural clinical facility is utilized, students shall, as part of an organized program of instruction, be provided with planned, supervised clinical instruction in the application of pit and fissure sealants.
(2) The program director/coordinator or a dental faculty member shall be responsible for selecting extern clinical sites and evaluating student competence in performing procedures both before and after the clinical assignment.
(3) Objective evaluation criteria shall be used by the program faculty and clinic personnel.
(4) Dentists who intend to provide extramural clinical practices shall be oriented by the program director/coordinator or a dental faculty member prior to the student assignment. Orientation shall include the objectives of the course, the preparation the student has had for the clinical assignment, and a review of procedures and criteria to be used by the dentist in evaluating the student during the assignment.
(5) There shall be a written contract of affiliation with each extramural clinical facility utilized by the program. Such contract shall describe the settings in which the clinical training will be received, affirm that the clinical facility has the necessary equipment and armamentarium appropriate for the procedures to be performed, and affirm that such equipment and armamentarium are in safe operating condition.

(i) Evaluation and Examination.

(1) Upon completion of the course, each student must be able to:
(A) Identify the major characteristics of oral anatomy, histology, physiology, oral pathology, normal/abnormal anatomical and physiological tooth descriptions, morphology and microbiology as they relate to pit and fissure application.
(B) Explain the procedure to patients.
(C) Recognize decalcification, caries and fracture lines.
(D) Identify the indications and contraindications for sealants.
(E) Identify the characteristics of self curing and light cured sealant material.
(F) Define the appropriate patient selection factors and indication factors for sealant application.
(G) Utilize proper armamentaria in an organized sequence.
(H) Maintain appropriate moisture control protocol before and during application of etchant and sealant material.
(I) Demonstrate the proper technique for teeth preparation prior to etching.
(J) Select and dispense the proper amount of etchant and sealant material.
(K) Demonstrate the proper techniques for application of the etchant and sealant material.
(L) Implement problem solving techniques associated with pit and fissure sealants.
(M) Evaluate the etchant and sealant placement techniques according to appropriate criteria.
(N) Check the occlusion and proximal contact for appropriate placement techniques.
(O) Adjust occlusion and evaluate or correct proximal areas(s) when indicated.
(P) Maintain aseptic techniques including disposal of contaminated material.
(2) Each student shall pass a written examination which reflects the entire curriculum content.
(3) Each student shall pass a clinical examination in which the student successfully completes the application of pit and fissure sealants on two of the four clinical patients required for clinical instruction. The examination shall include teeth in all four quadrants.

Note: Authority cited: Section 1614, Business and Professions Code. Reference: Sections 1754 and 1777, Business and Professions Code.

HISTORY

New section filed 4-28-2005; operative 5-28-2005 (Register 2005, No. 17).

Section 1070.4. Approval of Coronal Polishing Courses.
The following minimum criteria shall be met for a course in coronal polishing to secure and maintain approval by the Board.
(a) Educational Setting. The course shall be established at the post-secondary educational level.
(b) Prerequisites. Each student must possess the necessary requirements for application for RDA licensure or currently possess an RDA license. Each student must satisfactorily demonstrate to the instructor clinical competency in infection control requirements prior to clinical instruction in coronal polishing.
(c) Administration/Faculty. Adequate provision for the supervision and operation of the course shall be made.

(1) The course director and each faculty member shall possess a valid, active, and current RDAEF, RDH, RDHEF, RDHAP, or dentist license issued by the Board, or an RDA license issued by the Board if the person has completed a board-approved course in coronal polishing. All faculty shall have been licensed for a minimum of two years. All faculty shall have the education, background, and occupational experience and/or teaching expertise necessary to teach, place, and evaluate coronal polishing. All faculty responsible for clinical evaluation shall have completed a two hour methodology course in clinical evaluation.
(2) The course director must have the education, background, and occupational experience necessary to understand and fulfill the course goals. He/she shall actively participate in and be responsible for the day-to-day administration of the course including the following:
(A) Providing guidance of didactic, laboratory and clinical assignments.
(B) Maintaining for a period of not less than 5 years:
i. Copies of curricula, course outlines, objectives, and grading criteria.
ii. Copies of faculty credentials, licenses, and certifications.
iii. Individual student records, including those necessary to establish satisfactory completion of the course.
(C) Informing the board of any changes to the course content, physical facilities, and/or faculty, within 10 days of such changes.

(d) Length of Course. The program shall be of sufficient duration for the student to develop minimum competence in coronal polishing, but shall in no event be less than 12 clock hours, including at least 4 hours of didactic training, at least 4 hours of laboratory training, and at least 4 hours of clinical training.
(e) Evidence of Completion. A certificate or other evidence of completion shall be issued to each student who successfully completes the course.
(f) Facilities and Resources. Facilities and class scheduling shall provide each student with sufficient opportunity, with instructor supervision, to develop minimum competency in coronal polishing. Such facilities shall include safe, adequate and educationally conducive:

(1) Lecture classrooms. Classroom size and equipment shall accommodate the number of students enrolled.
(2) Operatories. Operatories shall be sufficient in number to allow a ratio of at least one operatory for every six students at any one time.
(A) Each operatory shall replicate a modern dental office containing functional equipment including: a power-operated chair for treating patients in a supine position; operator and assistant stools; air-water syringe; adjustable light; oral evacuation equipment; work surface; hand-washing sink; slow-speed handpiece, and all other armamentarium required to instruct in the performance of coronal polishing.
(B) Each operatory must be of sufficient size to accommodate a student, an instructor, and a patient at one time.
(3) Laboratories. The location and number of general use equipment shall assure that each student has the access necessary to develop minimum competency in coronal polishing. Protective eyewear is required for each student.
(4) Infection Control. The program shall establish written clinical and laboratory protocols to ensure adequate asepsis, infection and hazard control, and disposal of hazardous wastes, which shall comply with the board's regulations and other Federal, State, and local requirements. The program shall provide such protocols to all students, faculty, and appropriate staff to assure compliance with such protocols. Adequate space shall be provided for preparing and sterilizing all armamentarium.
(5) Emergency Materials/Basic Life Support.
(A) A written policy on managing emergency situations must be made available to all students, faculty, and staff.
(B) All students, faculty, and staff involved in the direct provision of patient care must be certified in basic life support procedures, including cardiopulmonary resuscitation. Re-certification intervals may not exceed two years. The program must document, monitor, and ensure compliance by such students, faculty, and staff.

(g) Program Content.

(1) Sufficient time shall be available for all students to obtain laboratory and clinical experience to achieve minimum competence in the various protocols used in the performance of coronal polishing.
(2) A detailed course outline shall be provided to the board which clearly states curriculum subject matter and specific instruction hours in the individual areas of didactic, laboratory, and clinical instruction.
(3) General program objectives and specific instructional unit objectives shall be stated in writing, and shall include theoretical aspects of each subject as well as practical application. The theoretical aspects of the program shall provide the content necessary for students to make judgments regarding the performance of coronal polishing. The course shall assure that students who successfully complete the course can perform coronal polishing with minimum competence.
(4) Objective evaluation criteria shall be used for measuring student progress toward attainment of specific course objectives. Students shall be provided with specific unit objectives and the evaluation criteria that will be used for all aspects of the curriculum including written and practical examinations. The program shall establish a standard of performance that states the minimum number of satisfactory performances that are required for each procedure.
(5) Areas of instruction shall include at least the following as they relate to coronal polishing:
(A) Coronal Polishing Basics
i. Legal requirements
ii. Description and goals of coronal polishing
iii. Indications and contraindications of coronal polishing
iv. Criteria for an acceptable coronal polish
(B) Principles of plaque and stain formationv
i. Clinical description of plaque, intrinsic and extrinsic stains, and calculus
ii. Etiology of plaque and stain
iii. Clinical description of teeth that have been properly polished and are free of stain.
iv. Tooth morphology and anatomy of the oral cavity as they relate to polishing techniques and to retention of plaque and stain
(C) Polishing materials
i. Polishing agent composition, storage and handling
ii. Abrasive material composition, storage, and handling, and factors which affect rate of abrasion
iii. Disclosing agent composition, storage and handling
iv. Armamentaria for disclosing and polishing techniques.
v. Contraindications for disclosing and polishing techniques.
(D) Principals of tooth polishing
i. Clinical application of disclosing before and after a coronal polish.
ii. Instrument grasps and fulcrum techniques
iii. Purpose and techniques of the mouth mirror for indirect vision and retraction.
iv. Characteristics, manipulation and care of dental handpieces when performing a coronal polish.
v. Pre-medication requirements for the compromised patient.
vi. Use of adjunct materials for stain removal and polishing techniques
vii. Techniques for coronal polishing of adults and children.
viii. Procedures for cleaning fixed and removable prosthesis and orthodontic appliances.
ix. Disclosing and polishing evaluation criteria.
(E) Infection control protocols
(6) There shall be no more than 6 students per instructor during laboratory instruction. Sufficient time shall be available for all students to obtain laboratory experience to achieve minimum competence in the performance of coronal polishing prior to the performance of procedures on patients.
(7) Clinical instruction shall be of sufficient duration to allow the procedures to be performed to clinical proficiency, which may include externship instruction as provided in subdivision

(h) There shall be no more than 6 students per instructor during clinical instruction. Clinical instruction shall include clinical experience on at least three patients, with two of the three patients used for the clinical examination. (h) Externship Instruction.

(1) If an extramural clinical facility is utilized for clinical instruction as provided in subdivision (g)(7), students shall, as part of an organized program of instruction, be provided with planned, supervised clinical instruction in the application of coronal polishing.
(2) The program director/coordinator or a dental faculty member shall be responsible for selecting extern clinical sites and evaluating student competence in performing procedures both before and after the clinical assignment.
(3) Objective evaluation criteria shall be used by the program faculty and clinic personnel.
(4) Dentists who intend to provide extramural clinical practices shall be oriented by the program director/coordinator or a dental faculty member prior to the student assignment. Orientation shall include the objectives of the course, the preparation the student has had for the clinical assignment, and a review of procedures and criteria to be used by the dentist in evaluating the student during the assignment.
(5) There shall be a written contract of affiliation with each extramural clinical facility utilized by the program. Such contract shall describe the settings in which the clinical training will be received, affirm that the clinical facility has the necessary equipment and armamentarium appropriate for the procedures to be performed, and affirm that such equipment and armamentarium are in safe operating condition.

(i) Evaluation and Examination.

(1) Upon completion of the course, each student must be able to:
(A) Identify the major characteristics of oral anatomy, histology, physiology, oral pathology, normal/abnormal anatomical and physiological tooth descriptions, morphology and microbiology as they relate to coronal polishing.
(B) Explain the procedure to patients.
(C) Recognize decalcification and mottled enamel.
(D) Identify plaque, calculus and stain formation within the oral cavity.
(E) Identify the indications and contraindications for disclosing and coronal polishing.
(F) Identify the pre-medications for the compromised patient.
(G) Utilize proper armamentaria in an organized sequence for disclosing and polishing.
(H) Perform plaque disclosure.
(I) Demonstrate the proper instrument grasp, fulcrum position, and cheek/tongue retraction.
(J) Select and dispense the proper amount of polishing agent.
(K) Demonstrate proper polishing techniques using appropriate cup adaptation, stroke, and handpiece use.
(L) Demonstrate the use of floss, tape, and abrasive strips when appropriate.
(M) Demonstrate techniques for cleaning fixed and removal prosthesis and orthodontic appliances.
(N) Maintain aseptic techniques including disposal of contaminated material.
(2) Each student shall pass a written examination which reflects the entire curriculum content.
(3) Each student shall pass a clinical examination in which the student successfully completes coronal polishing on two of the three clinical patients required for clinical instruction.

Note: Authority cited: Section 1614, Business and Professions Code. Reference: Sections 1645.1 and 1753.5, Business and Professions Code.
HISTORY

New section filed 9-6-2005; operative 10-6-2005 (Register 2005, No. 36).

Section 1070.5 Approval of Ultrasonic Scaling Courses.
The following minimum criteria shall be met for a course in the removal of excess cement from coronal surfaces of teeth under orthodontic treatment by means of an ultrasonic scaler, hereinafter referred to as "ultrasonic scaling", to secure and maintain approval by the Board.
(a) Educational Setting. The course shall be established at the post-secondary educational level.
(b) Prerequisites. Each student must possess the necessary requirements for application for RDA licensure or currently possess an RDA license.
(c) Administration/Faculty. Adequate provision for the supervision and operation of the course shall be made.

(1) The course director and each faculty member shall possess a valid, active, and current RDAEF, RDH, RDHEF, RDHAP, or dentist license issued by the Board, or an RDA license issued by the Board if the person has completed a board-approved course in ultrasonic scaling. All faculty shall have been licensed for a minimum of two years. All faculty shall have the education, background, and occupational experience and/or teaching expertise necessary to teach and evaluate ultrasonic scaling.
(2) The course director must have the education, background, and occupational experience necessary to understand and fulfill the course goals. He/she shall actively participate in and be responsible for the day-to-day administration of the course including the following:
(A) Providing guidance of didactic and laboratory assignments.
(B) Maintaining for a period of not less than 5 years:
(i) Copies of curricula, course outlines, objectives, and grading criteria.
(ii) Copies of faculty credentials, licenses, and certifications.
(iii) Individual student records, including those necessary to establish satisfactory completion of the course.
(C) Informing the board of any changes to the course content, physical facilities, and/or faculty, within 10 days of such changes.

(d) Length of Course. The program shall be of sufficient duration for the student to develop minimum competence in ultrasonic scaling, but shall in no event be less than 4 clock hours, including at least 2 hours of laboratory training.
(e) Evidence of Completion. A certificate or other evidence of completion shall be issued to each student who successfully completes the course.
(f) Facilities and Resources. Facilities and class scheduling shall provide each student with sufficient opportunity, with instructor supervision, to develop minimum competency in ultrasonic scaling. Such facilities shall include safe, adequate and educationally conducive:

(1) Lecture classrooms. Classroom size and equipment shall accommodate the number of students enrolled.
(2) Operatories. Operatories shall be sufficient in number to allow a ratio of at least one operatory for every six students at any one time.
(A) Each operatory shall replicate a modern dental office containing functional equipment including: a power-operated chair for treating patients in a supine position; operator and assistant stools; air-water syringe; adjustable light; oral evacuation equipment; work surface, hand-washing sink; and all other armamentarium required to instruct in the performance of ultrasonic scaling.
(B) Each operatory must be of sufficient size to accommodate a student and an instructor at one time.
(3) Laboratories. The location and number of general use equipment shall assure that each student has the access necessary to develop minimum competency in ultrasonic scaling. There shall be at least one ultrasonic unit and orthodontically banded typodont for every four students. This procedure shall be performed by an operator wearing gloves, mask, and safety glasses.
(4) Infection Control. The program shall establish written laboratory protocols to ensure adequate asepsis, infection and hazard control, and disposal of hazardous wastes, which shall comply with the board's regulations and other Federal, State, and local requirements. The program shall provide such protocols to all students, faculty, and appropriate staff to assure compliance with such protocols. Adequate space and equipment shall be provided for preparing and sterilizing all armamentarium.

(g) Program Content.

(1) Sufficient time shall be available for all students to obtain laboratory experience to achieve minimum competence in the various protocols used in the performance of ultrasonic scaling.
(2) A detailed course outline shall be provided to the board which clearly states curriculum subject matter and specific instruction hours in the individual areas of didactic and laboratory instruction and practical examination evaluation criteria.
(3) General program objectives and specific instructional unit objectives shall be stated in writing, and shall include theoretical aspects of each subject as well as practical application. The theoretical aspects of the program shall provide the content necessary for students to make judgments regarding the performance of ultrasonic scaling. The course shall assure that students who successfully complete the course can perform ultrasonic scaling with minimum competence.
(4) Objective evaluation criteria shall be used for measuring student progress toward attainment of specific course objectives. Students shall be provided with specific unit objectives and the evaluation criteria that will be used for all aspects of the curriculum including written and practical examinations. The program shall establish a standard of performance that states the minimum number of satisfactory performances that are required for each procedure.
(5) Areas of instruction shall include at least the following as they relate to ultrasonic scaling:
(A) Ultrasonic Scaling Basics
i. Legal requirements;
ii. Description and goals of ultrasonic scaling;
iii. Indications and contraindication of using an ultrasonic scaler as it relates to other methods of cement removal;
iv. Criteria for acceptable cement removal from orthodontically banded teeth.
(B) Tooth morphology and anatomy of the oral cavity as they relate to the use of an ultrasonic scaler in cement removal of orthodontically banded teeth.
(C) Armamentarium and equipment use and care.
(D) Principles of cement removal from orthodontically banded teeth
i. Characteristics of ultrasonic scaler units and tips for cement removal;
ii. Instrument grasps and fulcrum techniques;
iii. Purpose and techniques of the mouth mirror for indirect vision and retraction;
iv. Characteristics, manipulation and care of ultrasonic scaler unit when removing excess cement from orthodontically banded teeth;
v. Effects of ultrasonic scalers on hard and soft tissue including root damage, enamel damage, thermal damage, and soft tissue damage;
vi. Patient and operator safety including systemic medical complications and managing patients with pacemakers;
vii. Use of adjunct material for removal of excess cement from orthodontically banded teeth;
viii. Techniques for removal of excess cement from orthodontically banded teeth on a banded typodont;
ix. Evaluation criteria for removal of excess cement by an ultrasonic scaler on a banded typodont.
(E) Infection control protocols
(6) There shall be no more than six (6) students per instructor during laboratory instruction. Laboratory experience will consist of practice on orthodontically banded typodonts. Sufficient time shall be available for all students to obtain laboratory experience to achieve minimum competence in the performance of ultrasonic scaling prior to examination on two orthodontically banded typodonts for evaluation of clinical competence.

(h) Extramural Instruction.

(1) If an extramural facility is utilized, students shall, as part of an organized program of instruction, be provided with planned, supervised instruction in the removal of excess cement from orthodontically banded teeth.
(2) The program director/coordinator or a dental faculty member shall be responsible for selecting extramural sites and evaluating student competence in performing procedures both before and after the extramural assignment.
(3) Objective evaluation criteria shall be used by the program faculty and extramural personnel.
(4) Dentists who intend to provide extramural facilities shall be oriented by the program director/coordinator or a dental faculty member prior to the student assignment. Orientation shall include the objectives of the course, the preparation the student has had for the clinical assignment, and a review of procedures and criteria to be used by the dentist in evaluating the student during the assignment.
(5) There shall be a written contract of affiliation with each extramural facility utilized by the program. Such contract shall describe the settings in which the instruction will be received, affirm that the extramural facility has the necessary equipment and armamentarium appropriate for the procedures to be performed, and affirm that such equipment and armamentarium are in safe operating condition.
(i) Evaluation and Examination.
(1) Upon completion of the course, each student must be able to:
(A) Identify the major characteristics of oral anatomy, histology, physiology, oral pathology, normal/abnormal anatomical and physiological tooth descriptions, morphology and microbiology as they relate to the use of an ultrasonic scaler in the removal of cement from orthodontic bands.
(B) Describe the necessary aspects of pre-operative instructions to patients.
(C) Recognize loose appliances.
(D) Recognize decalcification and mottled enamel.
(E) Identify the indications and contraindications of using an ultrasonic scaler as it relates to other methods of cement removal.
(F) Identify pre-medications for the compromised patient.
(G) Utilize proper armamentaria in an organized sequence for the use of an ultrasonic scaler in cement removal on an orthodontically banded typodont.
(H) Demonstrate, on an orthodontically banded typodont, the proper instrument grasp, fulcrum position, and cheek/tongue retraction.
(I) Demonstrate the proper techniques for removal of cement from teeth under orthodontic treatment without causing damage to hard or soft tissues, removing cement from underneath appliances, or loosening appliances.
(J) Maintain aseptic techniques including disposal of contaminated materials.
(2) Each student shall pass a written examination which reflects the entire curriculum content.
(3) Each student shall pass a laboratory examination on two orthodontically banded typodonts which represent all four quadrants which have been banded using cementation product(s) easily visible to the operator.

Note: Authority cited: Section 1614, Business and Professions Code. Reference: Section 1754, Business and Professions Code.

HISTORY

New section filed 7-21-2005; operative 8-20-2005 (Register 2005, No. 29).

Section 1071. Approval of RDAEF Educational Programs.
(a) A single standard of care shall be maintained and the board shall approve only those educational programs for dental assisting in extended functions which continuously maintain a high quality standard of instruction. The requirements contained in this article are designed to that end and govern the approval of educational programs for RDAEF's. Continuation of approval will be contingent upon compliance with these requirements.
(b) An educational program for RDAEF's is one which has as its primary purpose providing post-secondary education in extended function dental assisting and which encompasses educational training in the settings, foundation and application of all duties, functions and responsibilities assignable under these regulations to registered dental assistants in extended functions.
(c) A new educational program for RDAEF's shall apply for approval prior to operation. The Board may approve, provisionally approve, or deny approval of any such program. Provisional approval shall not be granted for a period which exceeds the length of the program and in no event for more than 30 days. When the board provisionally approves a program, it shall state the reasons therefore. Provisional approval shall be limited to those programs which substantially comply with all existing standards for full approval. A program given provisional approval shall immediately notify each student of such status.
The Board may, in lieu of conducting its own investigation, accept the findings of any commission or accreditation agency approved by the Board and adopt those findings as its own. If the Board denies approval of a program, the specific reasons therefor shall be provided to the program by the Board in writing within 90 days after such action.
(d) The processing times for RDAEF educational program approval are set forth in Section 1069.

Note: Authority cited: Section 1614, Business and Professions Code. Reference: Sections 1614 and 1756, Business and Professions Code, and Section 15376, Government Code.

HISTORY

Renumbering and amendment of former Section 1071 to Section 1071.1 and new Section 1071 filed 1-23-86; effective thirtieth day thereafter (Register 86, No. 4).
Amendment of subsection (c) and new subsection (d) filed 2-22-88; operative 3-23-88 (Register 88, No. 10).

Section 1071.1. Requirements for Approval of RDAEF Educational Programs.
The following criteria must be met by a dental assisting educational program in extended functions to secure and maintain approval by the board:
(a) Licensure Requirements for Students -All students must possess valid, active certificates as registered dental assistants issued by the board in order to be admitted to the program.
(b) Education Setting -The program shall be established at the postsecondary educational level.
(c) Administration/Clinical Training. -The clinical training shall be given at a dental school or facility which has a written contract of affiliation for such training with a dental school. An extension program of a university shall not be considered a dental school. Such written contract of affiliation shall include a description of the settings in which the clinical training may be received and shall provide for direct supervision of such training by faculty designated by the dental school. An affiliated facility shall not include a private dental office unless such office is a site approved by the Board on recommendation of a dental school. Each RDAEF educational program shall provide clinical facilities and clinical resources necessary to accomplish training of duties assigned to the RDAEF.
(d) Facilities.

(1) There shall be a sufficient number of safe, modern lecture classroom operatories, X-ray operatories, and laboratories for use by the students.
(2) All students shall have access to modern equipment in order to develop extended functions dental assisting skills.
(3) Adequate sterilizing facilities shall be provided.

(e) Curriculum Organization/Learning Resources.

(1) The organization of the curriculum for RDAEF's shall be flexible, creating opportunities for adjustments to and research of, advances in the practice of registered dental assisting in extended functions.
(2) Students shall have reasonable access to dental/medical reference texts, current journals, audio visual materials and other relevant resources.
(3) Curriculum shall provide students with a basic understanding of extended function dental assisting procedures and an ability to perform procedures with competence and judgment.

(f) Curriculum Content.

(1) Areas of didactic and laboratory instruction shall include at least the following areas and shall be related specifically to extended functions:
(A) Biomedical -nutrition and preventive dentistry.
(B) Dental science -materials, oral anatomy and physiology, oral pathology, pharmacology, morphology, microbiology, and histology.
(C) Dental assisting -general and special dentistry, legal/ethical aspects of dentistry, and patient/dental personnel psychology.
(D) Emergency procedures.
(E) Coronal polishing in pit and fissure sealant procedures.
(2) A student who possesses a valid certificate in coronal polishing need not take any course in coronal polishing in order to complete the program.
(3) Each student shall be provided, as part of an organized program of instruction, with sufficient clinical experience to obtain competency in all functions approved by the board for performance by an RDAEF.

(g) Length of Program. The program shall be not less than 90 hours in length and shall be of sufficient length, as determined by the dental school faculty, to ensure that all students will possess the necessary skills to consistently perform extended functions safely on a patient. The board shall reevaluate the minimum length of the program one year after the effective date of this rule.

Note: Authority cited: Section 1614, Business and Professions Code. Reference: Section 1756, Business and Professions Code.

HISTORY

Renumbering and amendment of former Section 1071 to Section 1071.1 filed 1-22-86; effective thirtieth day thereafter (Register 86, No. 4).
Change without regulatory effect amending subsection (d)(1) filed 9-11-89 pursuant to Section 100, Title 1, California Code of Regulations (Register 89, No. 37).

Section 1072. Approval of RDH Educational Programs.
(a) It is the intent of this board to approve only those educational programs for dental hygienists which continuously maintain a high quality standard of instruction. The requirements contained in this article are designed to that end and govern the approval of educational programs for dental hygienists. Continuation of approval will be contingent upon compliance with these requirements.
(b) An educational program for registered dental hygienists is one which has as its primary purpose providing college level programs leading to an associate or higher degree, which is either affiliated with or conducted by an approved dental school, or which is accredited to offer college level or college parallel programs by the American Dental Association Commission on Dental Accreditation or an equivalent body.
(c) A new educational program for registered dental hygienists in California shall apply for approval prior to operation. The board may approve, provisionally approve, or deny approval to any such program. The board may, in lieu of conducting its own investigation, accept the findings of any commission or accreditation agency approved by the board and adopt those findings as its own.

Note: Authority cited: Section 1614, Business and Professions Code. Reference: Section 1758, Business and Professions Code.

HISTORY

Amendment of subsections (b) and (c) filed 6-20-5; effective thirtieth day thereafter (Register 85, No. 25).

Section 1072.1 Requirements for RDH Educational Programs.
An educational program for RDHs shall comply with the requirements set forth below in order to secure and maintain approval by the board.
(a) Physical Plant. The physical plant and equipment shall be maintained and replaced in a manner designed to provide students with the most modern or educationally optimal environment.
(b) Library. The library resources of an educational program for dental hygienists shall be broad enough to meet the teaching and research needs of the institution.
(c) Admission.

(1) The minimum basis for admission to an approved educational program for dental hygienists shall be the successful completion of an accredited high school course, or the recognized equivalent, which will permit entrance to an accredited college of liberal arts.
(2) An accredited college of liberal arts shall mean an institution approved by the Association of American Universities or by one of the regional accrediting agencies.
(3) The selection of students for admission to a hygiene educational program shall be based on estimates of their capacity for success in the study of dental hygiene as determined by evaluation of all available and significant information including information regarding background, knowledge,aptitude for and interest in the study and practice of dental hygiene, and the range of subject matter and quality of their scholastic record.

(d) Instruction.

(1) Instruction upon all levels in an educational program for dental hygienists shall be conducted upon the premise that dental hygiene education must meet the test of a true university discipline and shall include lectures, laboratory experiments and exercises and clinical practice under supervision.
(2) The term "university discipline" shall be interpreted as a level of instruction at least equivalent to that level of instruction represented by college courses in the basic sciences commonly offered in approved dental schools.

(e) Standards of Proficiency. Each school shall establish and maintain standards of proficiency and accomplishment of a qualitative nature, emphasizing thoroughness of didactic and laboratory requirements and precision in manual skills. Such standards shall be available to each student, and shall be used to ascertain periodic progress or achievement in the curriculum.
(f) Faculty. An educational program for dental hygienists shall employ an adequate staff of competent full-time faculty members having general education, professional training and teaching experience.
(g) Curriculum.

(1) The organization of the curriculum for dental hygienists shall be flexible, creating opportunities for adjustments to and research of, advances in the practice of dentistry and dental hygiene.
(2) The following factors should be considered in establishing and maintaining a balanced curriculum in the sense that it shall not over-emphasize any level or area of instruction:
(A) Respective contribution to the practice of dental hygiene;
(B) Effectiveness of instruction;
(C) Time necessary for student independent study.
(3) The general content of the curriculum shall include four subject areas: general studies, biomedical sciences, dental sciences and clinical sciences and practice. It shall also include didactic and laboratory instruction of those registered dental assistant duties specifically delegable by a licensed dentist to a registered dental hygienist. (The following guidelines are not to be interpreted as requiring specific courses in each, but rather as areas of instruction which shall be included in the curriculum.)
General Subject Matter
Speech English Sociology Psychology Biomedical Sciences
General and Microscopic Anatomy Physiology Microbiology Pathology Nutrition Pharmacology (Basic sciences necessary as a foundation for the instruction of Biomedical Sciences shall be included in, or be a prerequisite to, the curriculum of approved RDH programs) Dental Sciences
Anesthesia Dental and Medical Emergencies Tooth Morphology Head, Neck and Oral Anatomy Oral Pathology Oral Embryology and Histology Dental Materials Clinical Sciences and Practice
Periodontology Clinical Dental Hygiene Legal and Ethical Aspects of Dentistry Oral Health Education Community Dental Health
(4) Content of the curriculum for approved dental hygiene educational programs shall specifically include instruction in:
(A) periodontal soft tissue curettage;
(B) administration of local anesthetic agents, infiltration and conductive, limited to the oral cavity;
(C) administration of nitrous oxide and oxygen when used as an analgesic, utilizing fail-safe type machines containing no other general anesthetic agents; provided, however, that a graduate of a nonresident program which meets all the requirements of Sections 1072 and 1072.1 except those contained in Section 1072.1(g)(4), shall be deemed to have completed an approved program if such person has successfully completed a board-approved course of instruction in each of the functions described in Section 1072.1(g)(4) which were not taught to clinical proficiency in the nonresident dental hygiene program.

(h) Length of Program. A dental hygienist educational program shall be two academic years, not less than 1,600 clock hours, and lead to a certificate.

Note: Authority cited: Section 1614, Business and Professions Code. Reference: Sections 1614, 1758 and 1759, Business and Professions Code.

HISTORY

Amendment of subsection (g) filed 6-20-85; effective thirtieth day thereafter (Register 85, No. 25).
Editorial correction of subsection (g)(3) (Register 2004, No. 12).

Section 1073. Approval of RDHEF Educational Programs.
(a) A single standard of care shall be maintained and the Board shall approve only those educational programs for extended functions in dental hygiene which continuously maintain a high quality standard of instruction. The requirements contained in this article are designed to that end and govern the approval of educational programs for RDHEF's. Continuation of approval will be contingent upon compliance with these requirements.
(b) An educational program for RDHEF's is one which has as its primary purpose providing college level education in extended function dental hygiene and which encompasses educational training in the settings, foundation and application of all duties, functions and responsibilities assignable under these regulations to registered dental hygienists in extended functions.
(c) A new educational program for RDHEF's shall apply for approval prior to operation. The Board may approve, provisionally approve, or deny approval of any such program. Provisional approval shall not be granted for a period which exceeds the length of the program and in no event for more than 30 days.When the Board provisionally approves a program, it shall state the reasons therefor. Provisional approval shall be limited to those programs which substantially comply with all existing standards for full approval. A program given provisional approval shall immediately notify each student of such status. The Board's maximum processing time for an application for an RDHEF Educational Program shall not exceed ten days to notify the applicant in writing that the application is complete and accepted for consideration of the Board or, that the application is deficient and what specific information is required. The Board's maximum time to approve, provisionally approve, or deny approval of the RDHEF Educational Program shall not exceed 90 days upon the filing of a completed application.
The Board may, in lieu of conducting its own investigation, accept the findings of any commission or accreditation agency approved by the Board and adopt those findings as its own. If the Board denies approval of a program, the specific reasons therefor shall be provided to the program by the Board in writing within 90 days after such action.

Note: Authority cited: Section 1614, Business and Professions Code. Reference: Section 1761, Business and Professions Code.

HISTORY

New section filed 1-22-86; effective thirtieth day thereafter (Register 86, No. 4).

Section 1073.1. Requirements for Approval of RDHEF Educational Programs.
(a) Licensure Requirements for Students. All students must possess valid, active licenses as registered dental hygienists issued by the Board and current CPR certification and must have satisfactorily completed a Board-approved course of instruction in periodontal soft tissue curettage, administration of local anesthesia, and administration of nitrous oxide and oxygen in order to be eligible for admission to the program.
(b) Administration/Clinical Training. The clinical training shall be given at a dental school or facility which has a written contract of affiliation for such training with a dental school. An extension program of a university shall not be considered a dental school. Such written contract of affiliation shall include a description of the settings in which the clinical training may be received and shall provide for direct supervision of such training by faculty designated by the dental school. An affiliated facility shall not include a private dental office unless such office is a site approved by the Board on recommendation of a dental school. Each RDHEF Educational Program shall provide the clinical facilities and clinical resources necessary to accomplish training of duties assigned to the RDHEF.
(c) Facilities.

(1) There shall be lecture classrooms, operatories, X-ray operatories, and laboratories for use by the students.
(2) All students shall have access to modern equipment in order to develop extended function dental hygiene skills.
(3) Adequate sterilizing facilities shall be provided.

(d) Curriculum Organization/Learning Resources.

(1) The organization of the curriculum for RDHEF shall be flexible, creating opportunities for adjustments to and research of advances in the practice of registered dental hygiene in extended functions.
(2) Students shall have reasonable access to dental/medical reference texts, current journals, audio visual materials and other relevant resources.
(3) Curriculum shall provide students with a basic understanding of extended function dental hygiene procedures and an ability to perform procedures with competence and judgment.

(g) Curriculum Content.

(1) Areas of didactic and laboratory instruction shall include at least the following areas and shall be related specifically to extended functions:
(A) Biomedical sciences: anatomy and physiology; microbiology; oral pathology; periodontology; histology; morphology; and pharmacology.
(B) Dental sciences: anesthesia/analgesia; dental materials; occlusion; and dental morphology.
(C) Emergency procedures.
(2) Students shall be provided, as part of an organized program of instruction, with sufficient clinical experience to attain competence in all functions approved by the Board for performance by an RDHEF.
(D) Instrumentation.

(h) Length of Program. The program shall be not less than 90 hours in length and shall be of sufficient length, as determined by the dental school faculty and approved by the Board to ensure that all students will possess the necessary skills to consistently perform extended functions safely on a patient. The Board shall reevaluate the minimum length of the program one year after the effective date of this rule.

Note: Authority cited: Section 1614, Business and Professions Code. Reference: Section 1761, Business and Professions Code.

HISTORY

New section filed 1-22-86; effective thirtieth day thereafter (Register 86, No. 4).

Section 1073.2. Approval of RDHAP Educational Programs.
(a) The Board shall approve only those educational programs for registered dental hygienists in alternative practice (RDHAPs) which continuously maintain a high quality standard of instruction. The requirements contained in this article are designated to that end and govern the approval of educational programs for RDHAPs. Continuation of approval will be contingent upon compliance with these requirements.
(b) An educational program for RDHAPs is one which has as its primary purpose providing college level education including, but not limited to, dental hygiene technique and theory, which shall include gerontology, medical emergencies, business administration and practice management as they pertain to RDHAPs. The program shall be given by a college or institution of higher education that is accredited by a national agency recognized by the Council for Higher Education Accreditation.
(c) Any program for RDHAPs shall apply for and receive approval prior to operation. The Board may approve, provisionally approve, or deny approval of any such program. Provisional approval shall not be granted for a period which exceeds the length of the program and in no event for more than 30 days. When the Board provisionally approves a program, it shall state the reasons therefor. Provisional approval shall be limited to those programs which substantially comply with all existing standards for full approval. A program given provisional approval shall immediately notify each student of such status. The Board's maximum processing time for an application for an RDHAP educational program shall not exceed ten days to notify the applicant in writing that the application is complete and accepted for consideration by the Board or, that the application is deficient and what specific information is required. The Board's maximum time to approve, provisionally approve, or deny approval of the RDHAP educational program shall not exceed 90 days upon the filing of a completed application.
The Board may, in lieu of conducting its own investigation, accept the findings of any national agency recognized by the Council for Higher Education Accreditation and adopt those findings as its own. If the Board denies approval of a program, the specific reasons therefor shall be provided by the Board in writing within 90 days after denial.

Note: Authority cited: Sections 1614 and 1774, Business and Professions Code. Reference: Section 1774, Business and Professions Code.

HISTORY

New section filed 5-31-2000; operative 6-30-2000 (Register 2000, No. 22).
Amendment of subsections (b) and (c) and amendment ofNote filed 5-22-2003; operative 6-21-2003 (Register 2003, No. 21).

Section 1073.3. Requirements for Approval of RDHAP Educational Programs.
(a) Requirements of Students: All students must possess a valid, active registered dental hygienist license issued by the Board and hold a current CPR certification in order to be eligible for admission to the program.
(b) Administration. Each program shall provide the resources necessary to accomplish education of RDHAPs as specified in this section.
(c) Facilities and Equipment. Physical facilities and equipment shall be maintained and replaced in a manner designed to provide students with an educationally optimal environment.
(d) Curriculum Organization/Learning Resources.

(1) The organization for the curriculum for RDHAPs shall be flexible, creating opportunities for adjustments to and research of advances in the practices of registered dental hygiene in alternative practice. In addition each program shall establish and maintain qualitative standards for proficiency and accomplishment.
(2) Students shall have access to dental/medical reference texts, current journals, audiovisual materials and other relevant resources to ensure they achieve and maintain the proficiency standards established by the program.

(e) Curriculum Content. Curriculum must include content designed to prepare the student to assess, plan, implement, and evaluate dental hygiene services as an independent practitioner as specified and in accordance with Business and Professions Code Section 1770. The curriculum content shall include, at least the following:

(1) Dental Hygiene Technique and Theory, including:
(A) Oral pathology;
(B) Pharmacology;
(C) Sociology, psychology, and treatment of special populations, including:
1. Geriatric
2. Medically compromised
3. Developmentally disabled
4. Pediatric
(D) Evaluation of Dental Hygiene status and Dental Hygiene treatment planning;
(E) Medical histories/terminology;
(F) Dental/Medical emergencies.
(G) Apply pit, resin or composite fissure sealants

At least 75% of instructional hours shall be devoted to the subjects specified in this subsection.

(2) Business Administration and Practice Management.

(f) Length of Program. The program shall be not less than 150 hours in length.

Note: Authority cited: Section 1614, Business and Professions Code. Reference: Section 1768, Business and Professions Code.

HISTORY

New section filed 5-31-2000; operative 6-30-2000 (Register 2000, No. 22).

Section 1074. Extramural Facility.
(a) As used in this article "extramural dental facility" means any clinical facility employed by an approved dental hygiene educational program for instruction in dental hygiene which exists outside or beyond the walls, boundaries, or precincts of the primary campus of the approved program and in which dental hygiene services are rendered.
(b) An approved dental hygiene educational program shall register extramural dental facilities with the board. Such registration shall be accompanied by information supplied by the dental hygiene program pertaining to faculty supervision, scope of treatment to be rendered, name and location of the facility, date operation will commence, discipline of which such instruction is a part, and a brief description of the equipment and facilities available. The foregoing information shall be supplemented with a copy of the agreement between the approved dental hygiene program or parent university, and the affiliated institution establishing the contractual relationship. Any change in the information initially provided to the board shall be communicated to the board.

Note: Authority cited: Section 1614, Business and Professions Code. Reference: Sections 1614 and 1758, Business and Professions Code.

Section 1075. List of Approved Programs.

The board's executive officer shall maintain on file a current listing of educational programs approved by the board for the giving of resident professional instruction for registered dental auxiliaries. The list of approved RDH educational programs may include those educational programs approved for such instruction by a commission or accreditation agency approved by the board.
Note: Authority cited: Section 1614, Business and Professions Code. Reference: Sections 1614, 1753 and 1758, Business and Professions Code.

Quick Hits

Related Links

Regulations - Chapter 3, Article 2