093_SB0190eng SB190 Engrossed LRB093 03426 AMC 03446 b 1 AN ACT concerning dentistry. 2 Be it enacted by the People of the State of Illinois, 3 represented in the General Assembly: 4 Section 5. The Illinois Dental Practice Act is amended 5 by changing Section 18 as follows: 6 (225 ILCS 25/18) (from Ch. 111, par. 2318) 7 (Section scheduled to be repealed on January 1, 2006) 8 Sec. 18. Acts Constituting the Practice of Dental 9 Hygiene. Limitations. A dental hygienist may be employed or 10 engaged only: 11 (a) Under the supervision of a dentist: 12 (1) In the office of a dentist; 13 (2) By a federal, State, county or municipal 14 agency or institution; 15 (3) By a public or private school; or 16 (4) By a public clinic operating under the 17 direction of a hospital or federal, State, county, 18 municipal or other public agency or institution. 19 When employed or engaged pursuant to this paragraph (a) a 20 dental hygienist may perform the following procedures and 21 acts: 22 (i) the operative procedure of dental hygiene, 23 consisting of oral prophylactic procedures; 24 (ii) the exposure and processing of X-Ray 25 films of the teeth and surrounding structures; 26 (iii) the application to the surfaces of the 27 teeth or gums of chemical compounds designed to be 28 desensitizing agents or effective agents in the 29 prevention of dental caries or periodontal disease; 30 (iv) all services which may be performed by a 31 dental assistant as specified by rule pursuant to SB190 Engrossed -2- LRB093 03426 AMC 03446 b 1 Section 17; 2 (v) administration and monitoring of nitrous 3 oxide upon successful completion of a training 4 program approved by the Department; 5 (vi) administration of local anesthetics upon 6 successful completion of a training program approved 7 by the Department; and 8 (vii) such other procedures and acts as shall 9 be prescribed by rule or regulation of the 10 Department. 11 (b) Under the general supervision of a dentist in a 12 long-term care facility licensed by the State of 13 Illinois, or a mental health or developmental disability 14 facility operated by the Department of Human Services, if 15 the patient is unable to travel to a dental office 16 because of illness or infirmity. The dentist shall 17 personally examine and diagnose the patient and determine 18 which services are necessary to be performed, which shall 19 be contained in a written order to the hygienist. Such 20 order must be implemented within 12090days of its 21 issuance, and an updated medical history and oral 22 inspection must be performed by the hygienist immediately 23 prior to beginning the procedures to ensure that the 24 patient's health has not changed in any manner to warrant 25 a reexamination by the dentist. 26 (c) Without the supervision of a dentist, a dental 27 hygienist may perform dental health education functions 28 and may record case histories and oral conditions 29 observed. 30 The number of dental hygienists practicing in a dental 31 office shall not exceed, at any one time, 4 times the number 32 of dentists practicing in the office at the time. 33 (Source: P.A. 91-594, eff. 1-1-00; 91-689, eff. 1-1-01.)