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447.06
(2) (c) (intro.) A dental hygienist may practice dental hygiene or perform
9remediable procedures under par. (a) 1. if a dentist
or dental therapist who is licensed
10to practice dentistry
or dental therapy under this chapter is not present in the facility
11in which those practices or procedures are performed only if all of the following
12conditions are met:
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13Section 42
. 447.06 (2) (c) 2. (intro.) of the statutes is amended to read:
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447.06
(2) (c) 2. (intro.) The dentist
or dental therapist who made the written
15or oral prescription has examined the patient at least once during the 12-month
16period immediately preceding:
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17Section 43
. 447.06 (3) of the statutes is created to read:
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447.06
(3) (a) In this subsection:
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1. “Collaborative management agreement” means an agreement under par. (d).
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2. “Dental health shortage area” has the meaning given in s. 36.60 (1) (ad).
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3. “Direct supervision” means that the dentist is present in the dental office or
22other practice setting, personally diagnoses the condition to be treated, personally
23authorizes each procedure, and before dismissal of the patient, evaluates the
24performance of the allied dental personnel.
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14. “General supervision” means that the dentist is not present in the dental
2office or other practice setting or on the premises at the time tasks or procedures are
3being performed by the dental therapist, but that the tasks or procedures performed
4by the dental therapist are being performed with the prior knowledge and consent
5of the dentist.
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5. “Indirect supervision” means that the dentist is present in the dental office
7or other practice setting, authorizes each procedure, and remains in the office while
8the procedures are being performed by the allied dental personnel.
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6. “Medical Assistance patient” means a patient who is a recipient of services
10under the Medical Assistance program under subch. IV of ch. 49.
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7. “Qualifying dentist” means a dentist who is licensed in this state and who
12is actively practicing in this state.
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8. “Uninsured patient” means a patient who lacks dental health coverage,
14either through a public health care program or private insurance, and has an annual
15gross family income equal to or less than 200 percent of the federal poverty
16guidelines.
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(b) The scope of practice of a dental therapist shall, subject to the terms of a
18collaborative management agreement, be limited to providing the following services,
19treatments, and procedures:
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1. Oral evaluation and assessment of dental disease and formulation of an
21individualized treatment plan.
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2. Identification of oral and systemic conditions requiring evaluation or
23treatment by dentists, physicians, or other health care providers and managing
24referrals.
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3. Comprehensive charting of the oral cavity.
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14. Oral health instruction and disease prevention education, including
2nutritional counseling and dietary analysis.
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5. Exposure and evaluation of radiographic images.
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6. Dental prophylaxis, including subgingival scaling and polishing procedures.
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7. Dispensing and administration via the oral or topical route of nonnarcotic
6analgesic, anti-inflammatory, and antibiotic medications as prescribed by a licensed
7health care provider.
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8. Application of topical preventive or prophylactic agents, including fluoride
9varnish, antimicrobial agents, caries arresting medicaments, and pit and fissure
10sealants.
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9. Pulp vitality testing.
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10. Application of desensitizing medications or resins.
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11. Fabrication of athletic mouth guards and soft occlusal guards.
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12. Changing of periodontal dressings.
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13. Administration of local anesthetic and nitrous oxide.
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14. Simple extraction of erupted primary teeth.
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15. Nonsurgical extraction of periodontally diseased permanent teeth with
18tooth mobility of +3 to +4 to the extent authorized in the dental therapist's
19collaborative management agreement, except for the extraction of a tooth that is
20unerupted, impacted, or fractured or that needs to be sectioned for removal.