Scope of Practice | NEW ADMINISTRATIVE RULES | Accepted Clinical Board Examinations | Dental Hygiene Applicant | Coronavirus | Military Spouses | Newly Licensed Hygienists | Name & Address Changes | Expanded Duties - Permits | Reporting or Self-Report | RDH Refresher Course
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The ND Board of Dental Examiners recognizes that the delivery of dental hygiene duties may be fulfilled in various settings. The Board does not limit the avenue for delivery of care, rather supervision and scope of practice. The dental hygiene license is a privilege granted by the Board to those who demonstrate professional competency and knowledge of ethics and laws governing the profession. Although the dental hygienist provides dental hygiene care under the general supervision of a dentist, the dental hygienist is accountable to be competent for all dental hygiene services provided. Nonetheless, individual competency and experience levels vary among professionals, therefore it is the supervising dentist's prerogative to determine the duties the hygienist will be authorized to provide. A licensed dental hygienist may In accordance with Chapter 43-20-03 provide dental hygiene duties as defined under Admin. Rules Ch. 20-04-01-01, while under the general supervision of a dentist as defined in NDCC 43-28-01(5) and is permitted to provide dental hygiene services as delegated by the supervising dentist that the licensed dental hygienist knows he/she is competent to perform. A licensed dentist is not permitted to delegate to a licensed dental hygienist dental services or dental supportive services that the licensed dentist knows or has reason to know that the licensed dental hygienist is not qualified by training, experience or by licensure to perform. Protocols, services to be performed, and record keeping shall not supersede any law or regulation which require dental hygiene duties to be performed under the indirect or direct supervision of a dentist.
RDH RDA CHART OF DUTIES - EXPANDED DUTIES
New license applicants: The application must be received by the Board office before any decision about qualifications can be made. The applicant shall enclose with the application a recent autographed picture of the applicant and an application fee as determined by the Board by rule. NDCC § 43-28-11. Application fees are nonrefundable.
Initial applications must be completed within twelve months and accompanied by the appropriate fee. If an applicant fails to complete the requirements for licensure within twelve months of the applications post mark, the application and fee are no longer valid. Applications which are not notarized, submitted without the required licensing fee, or without the applicant’s signed photo will be returned.
Clinical competency board exams accepted by the NDBDE are CRDTS, CITA, CDCA-WREB and the ADEX exam. Manikin based clinical competency board exams are accepted.
The Board investigates an applicant’s fitness, qualification, and previous professional record and performance. The Board may seek information from recognized data sources, including the National Practitioners Data Bank, liability insurers, health care institutions, and law enforcement agencies. The Board requires initial license applicants to submit to a statewide and nationwide criminal history check.
For information from the ND State College of Science course for ADMINISTRATION of Nitrous Oxide Inhalation Analgesia.
Initial Licensure Fee vs. Biennial Renewal Fee:
The Board may issue a permit authorizing a dental hygienist under the direct supervision to provide restorative duties if the applicant successfully completes the following:
Restorative procedures allowed under direct supervision of a dentist are as follows:
The University of Minnesota offers a ND Board approved course for Restorative Expanded Duties / 80-hour course. Successful completion of this course qualifies a registered dental hygienist or registered dental assistant for application of the Restorative Procedures Permit.
Restorative Functions Initial Application
A dental hygienist may provide anesthesia assistance under the supervision of a dentist authorized by permit to provide sedation or anesthesia services once the applicant successfully completes the following:
A dental hygienist authorized by permit may provide the following duties under contiguous supervision of a dentist authorized by permit to provide sedation or anesthesia services:
A dental hygienist authorized by permit may provide the following duties under direct visual supervision of a dentist authorized by permit to provide sedation or anesthesia services:
Anesthesia Assistant Initial Application
Anesthesia Assistant Courses Accepted by the NDBDE
The use of lasers continues to be a popular treatment modality in dentistry. It is the position of the Board that any services provided by a licensee, regardless of the device used, must be within the scope of practice for each licensee. Whenever a new treatment modality is brought forward, it is the Board’s policy that the dentist must have equal or greater proficiency and training in the technology. Neither the particular technology utilized nor amendments to scope of practice alter the fact that all licensees are responsible for their individual actions with the dentist ultimately responsible for all care provided in each dental office. Contact the Board office if you have questions about the regulations governing the practice of dental hygiene in North Dakota. A permit is not required.
Rules authorizing the administration of fluoride are silent on specifics or types of anticariogenic agents and desensitizing solutions. For this reason, dental hygienists are authorized to apply SDF. As with any authorized duty provided by a dental hygienist (or any other practitioner) it is incumbent upon the practitioner to become educated with a product, administration of a product or procedure. As noted with lasers, all licensees are responsible for their individual actions with the dentist being ultimately responsible for all care provided in each dental office.
According to the NDBDE’s reporting laws, a licensee must report to the board in writing within sixty days of the event any illegal, unethical, or errant behavior or conduct of the dentist, including malpractice judgements or settlements or final judgment for or against the licensee, a final disposition by a licensing agency in another state, territory, or country; all proceedings, of formal or informal actions by a governmental agency; a law enforcement agency; or a court for an act or conduct that would constitute grounds for discipline.
If you have a conviction, or any other incident to report as required by application, send with the application supporting documentation and/or certified copies of all court documents related to the matter discussed in the petition. Documentation includes, as applicable, a copy of any assessment or evaluation and recommendations for treatment, criminal charges, reported offenses, police reports, judgments, dispositions of criminal complaint, dispositions of offenses, final dispositions, court orders, actions pending, and deferred judgments. Not doing so may delay the licensing process.
A licensed dental hygienist, registered dental assistant, or qualified dental assistant must notify the board of any new address within 30 days of the address change. The notice required under this section of law must be given by certified mail, return receipt requested. A licensed dental hygienist, registered dental assistant, or qualified dental assistant may not practice in this state for more than thirty days after the change of address without complying with this section of the North Dakota Century Code. To download the form for name/address changes use this link. A name or address change cannot be taken by phone and must be submitted to the Board's office in writing. If you need a license mailed to you, please email the Board's office. The Board will no longer mail/send out new certificates. You may also print your registration certificate.
Name changes must be accompanied by a copy of the name change document (marriage license, section of the divorce decree, etc.) Make sure your changes include your current name. Your license/registration number is helpful, but not mandatory. NAME AND ADDRESS CHANGES WILL NOT BE COMPLETED OVER THE PHONE. Small license certificates are NO LONGER mailed out but may be printed from the Board's website.
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The Board charges $50 if you wish to have a new large certificate mailed to you. You must send a request for the certificate and a check or money order for $50 payable to NDSBDE and mail it to the address below. It may take up to 6 months to receive your new certificate.
