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5. Exposure and evaluation of radiographic images.
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6. Dental prophylaxis, including subgingival scaling and polishing procedures.
AB56,1011,1917
7. Dispensing and administration via the oral or topical route of nonnarcotic
18analgesic, anti-inflammatory, and antibiotic medications as prescribed by a licensed
19health care provider.
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8. Application of topical preventive or prophylactic agents, including fluoride
21varnish, antimicrobial agents, caries arresting medicaments, and pit and fissure
22sealants.
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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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112. 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
5tooth mobility of +3 to +4 to the extent authorized in the dental therapist's
6collaborative management agreement, except that “dental therapy” does not include
7the extraction of a tooth that is unerupted, impacted, or fractured or that needs to
8be sectioned for removal.
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16. Emergency palliative treatment of dental pain limited to the procedures in
10this paragraph.
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17. Preparation and placement of direct restoration in primary and permanent
12teeth.
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18. Fabrication and placement of single-tooth temporary crowns.
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19. Preparation and placement of preformed crowns on primary teeth.
AB56,1012,1515
20. Indirect and direct pulp capping on permanent teeth.
AB56,1012,1616
21. Indirect pulp capping on primary teeth.
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22. Intraoral suture placement and removal.
AB56,1012,1818
23. Minor adjustment and repair of removable prostheses.
AB56,1012,1919
24. Placement and removal of space maintainers.
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25. Pulpotomy on primary teeth.
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26. Tooth reimplantation and stabilization.
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27. Recementing of a permanent crown.
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28. Any additional services, treatments, or procedures specified in the rules
24promulgated under s. 447.02 (1) (g).
AB56,1013,10
1(c) 1. A dental therapist licensed under this chapter may provide dental
2therapy services only under the general supervision of a qualifying dentist with
3whom the dental therapist has entered into a collaborative management agreement.
4For purposes of this subdivision, general supervision of a dental therapist by a
5dentist requires that a task or procedure be performed by a dental therapist with the
6prior knowledge and consent of the dentist, but does not require the presence of the
7dentist in the office or on the premises at the time a task or procedure is being
8performed by the dental therapist and does not require prior examination or
9diagnosis of a patient by the dentist before the dental therapist provides dental
10therapy services to the patient.
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2. A supervising dentist shall accept responsibility for all services performed
12by a dental therapist pursuant to a collaborative management agreement. If services
13needed by a patient are beyond the dental therapist's scope of practice or
14authorization under the collaborative management agreement, the dental therapist
15shall, to the extent required under the collaborative management agreement,
16consult with the supervising dentist as needed to arrange for those services to be
17provided by a dentist or another qualified health care professional.
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(d) 1. Prior to providing any dental therapy services, a dental therapist shall
19enter into a written collaborative management agreement with a qualifying dentist
20who will serve as a supervising dentist under par. (c). The agreement must be signed
21by the dental therapist and the qualifying dentist and address all of the following:
AB56,1013,2322
a. The practice settings where services may be provided and the patient
23populations that may be served.
AB56,1014,3
1b. Any conditions or limitations on the services that may be provided by the
2dental therapist, the level of supervision required, and any circumstances requiring
3consultation prior to performing services.