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1 | AN ACT concerning dental hygienists.
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2 | Be it enacted by the People of the State of Illinois, | |||||||||||||||||||
3 | represented in the General Assembly:
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4 | Section 5. The Illinois Dental Practice Act is amended by | |||||||||||||||||||
5 | changing Section 18 as follows:
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6 | (225 ILCS 25/18) (from Ch. 111, par. 2318)
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7 | (Section scheduled to be repealed on January 1, 2006)
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8 | Sec. 18. Acts constituting the practice of dental hygiene ; .
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9 | limitations.
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10 | (1)
A dental hygienist may be employed or engaged only:
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11 | (a) Under the supervision of a dentist :
(1) in the | |||||||||||||||||||
12 | office of a dentist . ;
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13 | (2) By a federal, State, county or municipal agency or | |||||||||||||||||||
14 | institution;
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15 | (3) By a public or private school; or
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16 | (4) By a public clinic operating under the direction of | |||||||||||||||||||
17 | a hospital or
federal, State, county, municipal or other | |||||||||||||||||||
18 | public agency or
institution.
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19 | When employed or engaged pursuant to this paragraph (a) a | |||||||||||||||||||
20 | dental
hygienist may perform the following procedures and acts:
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21 | (i) the operative procedure of dental hygiene, | |||||||||||||||||||
22 | consisting of oral
prophylactic procedures;
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23 | (ii) the exposure and processing of X-Ray films of | |||||||||||||||||||
24 | the teeth and
surrounding structures;
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25 | (iii) the application to the surfaces of the teeth | |||||||||||||||||||
26 | or gums of chemical
compounds designed to be | |||||||||||||||||||
27 | desensitizing agents or effective agents in the
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28 | prevention of dental caries or periodontal disease;
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29 | (iv) all services which may be performed by a
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30 | dental assistant as specified by rule pursuant to | |||||||||||||||||||
31 | Section 17;
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32 | (v) administration and monitoring of nitrous oxide |
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1 | upon successful
completion of a
training program | ||||||
2 | approved by the Department;
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3 | (vi) administration of local anesthetics upon | ||||||
4 | successful completion of
a
training program approved | ||||||
5 | by the Department; and
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6 | (vii) such other procedures and acts as shall be | ||||||
7 | prescribed
by
rule or regulation of the Department.
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8 | (b) Under the general supervision of a dentist (i) in | ||||||
9 | the office of a dentist, (ii) in a long-term care
facility
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10 | licensed by the State of Illinois, (iii) in
or a mental | ||||||
11 | health or developmental
disability facility operated by | ||||||
12 | the Department of Human Services, (iv) in a public or
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13 | private school,
(v) in a
hospital, (vi) in a prison,
(vii) | ||||||
14 | in a community health center or clinic, (viii) in a mobile | ||||||
15 | unit, or
(ix) in a home health setting if the
patient is | ||||||
16 | unable
to travel to a dental office because of illness or | ||||||
17 | infirmity. The dentist
shall personally examine and | ||||||
18 | diagnose the patient and determine which
services are | ||||||
19 | necessary to be performed, which shall be contained in a
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20 | written order to the hygienist. Such order must be | ||||||
21 | implemented within 120 days
of its issuance, and An updated | ||||||
22 | medical history and oral inspection
must be performed by | ||||||
23 | the hygienist immediately prior to beginning the
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24 | procedures to ensure that the patient's health has not | ||||||
25 | changed in any
manner to warrant a reexamination by the | ||||||
26 | dentist . The authorizing
dentist shall be responsible for | ||||||
27 | providing the dental examination in a
reasonable and | ||||||
28 | suitable time frame to ensure the patient's overall oral
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29 | health.
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30 | Before a dental hygienist may be employed or engaged under | ||||||
31 | the general
supervision of a dentist, he or she must have been | ||||||
32 | actively engaged in the
practice of dental hygiene under the | ||||||
33 | direct supervision of a dentist for a
period of at least 12 | ||||||
34 | months. A dental hygienist who provides services under
the | ||||||
35 | general supervision of a dentist must show proof of | ||||||
36 | professional liability
insurance.
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1 | (2)
(c) Without the supervision of a dentist, a dental | ||||||
2 | hygienist may perform
dental health education functions and may | ||||||
3 | record case histories and oral
conditions observed or, in a | ||||||
4 | public health setting, as defined jointly by the Department of | ||||||
5 | Public Health and the Illinois State Board of Dentistry, | ||||||
6 | provide fluoride treatments, cleanings, and sealants for | ||||||
7 | Medicaid eligible children. | ||||||
8 | Before a dental hygienist may be employed or engaged | ||||||
9 | without the supervision of a dentist, he or she must have been | ||||||
10 | actively engaged in the practice of dental hygiene under the | ||||||
11 | direct supervision of a dentist for a period of at least 24 | ||||||
12 | months. A dental hygienist who provides services without the | ||||||
13 | supervision of a dentist must show proof of professional | ||||||
14 | liability insurance .
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15 | (3) The number of dental hygienists practicing in a dental | ||||||
16 | office shall not
exceed, at any one time, 4 times the number of | ||||||
17 | dentists practicing in the
office at the time.
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18 | (4) When employed or
engaged pursuant to paragraph
(a) or | ||||||
19 | (b) of subsection (1) of this Section, a dental
hygienist may | ||||||
20 | perform the following procedures and acts: | ||||||
21 | (a) the operative procedure of dental hygiene, | ||||||
22 | consisting of oral
prophylactic procedures; | ||||||
23 | (b) the exposure and processing of X-Ray films of the | ||||||
24 | teeth and
surrounding structures; | ||||||
25 | (c) the application to the surfaces of the teeth or | ||||||
26 | gums of chemical
compounds designed to be desensitizing | ||||||
27 | agents or effective agents in the
prevention of dental | ||||||
28 | caries or periodontal disease; | ||||||
29 | (d) all services which may be performed by a
dental | ||||||
30 | assistant as specified by rule pursuant to Section 17; and | ||||||
31 | (e) such other procedures and acts as shall be | ||||||
32 | prescribed
by
rule or regulation of the Department.
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33 | (5) A dental hygienist may only perform the following | ||||||
34 | procedures and acts
upon
successful completion of a training | ||||||
35 | program approved by the Department under
the
supervision of a | ||||||
36 | dentist: |
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1 | (a) administration and monitoring of nitrous oxide; | ||||||
2 | and | ||||||
3 | (b) administration of local anesthetics.
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4 | (Source: P.A. 93-113, eff. 1-1-04.)
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