Tenn. Comp. R. & Regs. 0460-01-.01 - DEFINITIONS
As used in Chapters 1 through 5 of Rule 0460, the following terms and acronyms shall have the following meanings ascribed to them:
(1) Associated Structures - Any structures
grouped by some common factor. Structures can be associated with the oral
cavity and/or maxillofacial area by anatomic and/or functional factors (e.g.,
the oral cavity and maxillofacial area are associated with the major and minor
muscles of mastication and all of their attachments; the oral cavity and
maxillofacial area are associated with the oral pharynx, nasal pharynx and the
airway including the trachea). All structures adjacent, attached, or contiguous
with the oral cavity and/or maxillofacial area are associated structures (e.g.,
the oral cavity and maxillofacial area are associated with the head and neck,
including the face and its components orbital, nasal, aural, etc.).
(2) Board - The Tennessee Board of
Dentistry.
(3) Board Administrative
Office - The office of the Director assigned to the Tennessee Board of
Dentistry located at 665 Mainstream Drive, Nashville, TN 37243.
(4) Certified Dental Assistant - A
designation for an individual who has obtained certification from the Dental
Assisting National Board, and with such designation, the individual may apply
for registration to practice as a registered dental assistant in this State.
All certified dental assistants must be registered by the State, pursuant to
Rule 0460-04-.02, before they are eligible to practice as registered dental
assistants in this State.
(5)
Continuing Education - Continuing education consists of dental educational
activities designed to review existing concepts and techniques, to convey
information beyond the basic dental education and to update knowledge on
advances in scientific, clinical and non-clinical practice related subject
matter, including evidence-based dentistry. The objective is to improve the
knowledge, skills and ability of the individual to provide the highest quality
of service to the public and the profession. All continuing dental education
should strengthen the habits of critical inquiry and balanced judgment that
denote the truly professional and scientific person and should make it possible
for new knowledge to be incorporated into the practice of dentistry as it
becomes available.
(a) Continuing dental
education programs are designed for part-time enrollment and are usually of
short duration, although longer programs with structured, sequential curricula
may also be included within this definition. Continuing dental education should
be a part of a life long continuum of learning.
(b) Continuing dental education programs for
dentists do not lead to eligibility for ethical announcements or certification
in a specialty recognized by the American Dental Association. Accredited
advanced dental education programs will be accepted for continuing dental
education pursuant to Rule 0460-01-.05(3)(d) 2.
(6) Coronal Polishing - The polishing of the
enamel and restorations on the clinical crown of human teeth by utilizing a
combination of a polishing agent and a slow speed handpiece, a prophy angle, a
rubber cup, or any home care cleaning device.
(7) Dental Anesthesiology - The specialty of
dentistry and discipline of anesthesiology encompassing the art and science of
managing pain, anxiety and overall patient health during dental, oral
maxillofacial and adjunctive surgical or diagnostic procedures throughout the
entire perioperative period. The specialty is dedicated to promoting patient
safety as well as access to care for all dental patients, including the very
young and patients with special health care needs.
(8) Dental Public Health - That specialty
branch of dentistry which deals with the science and art of preventing and
controlling dental diseases and promoting dental health through organized
community efforts. It is that form of dental practice which serves the
community as a patient rather than the individual. It is concerned with the
dental health education of the public, with applied dental research, and with
the administration of group dental care programs as well as the prevention and
control of dental diseases on a community basis.
(9) Division - The Tennessee Department of
Health, Division of Health Related Boards, from which the Board receives
administrative support.
(10)
Endodontics - That specialty branch of dentistry which deals with the
morphology, physiology and pathology of the human dental pulp and periradicular
tissues. Its study and practice encompass the basic and clinical sciences
including biology of the normal pulp, the etiology, diagnosis, prevention and
treatment of diseases and injuries of the pulp and associated periradicular
conditions.
(11) Full-Time
Employment - A minimum of one thousand and five hundred (1500) employed hours
per year.
(12) Licensed Dental
Hygienist - An auxiliary employee of a licensed dentist(s) who has been issued
a license to engage in clinical procedures primarily concerned with the
performance of preventive dental service which does not constitute the practice
of dentistry and is performed in accordance with the statutes and rules of the
Board, under the direct and/or general supervision and full responsibility of a
licensed dentist, pursuant to T.C.A. §§ 63-5-108 and
63-5-115.
(13) Licensee - Any
person who has been lawfully issued a license to practice dentistry or dental
hygiene in Tennessee.
(14) Mobile
Dental Clinic - Any self-contained clinic or unit which may be moved, towed,
transported or utilized on a permanent or temporary basis to an out-of-office
location in which dentistry is practiced. The out-of-office location may
include, but is not limited to, schools, nursing homes, or other
institutions.
(15) Oral and
Maxillofacial Radiology - That specialty of dentistry and discipline of
radiology concerned with the production and interpretation of images and data
produced by all modalities of radiant energy that are used for the diagnosis
and management of diseases, disorders and conditions of the oral and
maxillofacial region.
(16) Oral and
Maxillofacial Surgery - That specialty branch of dentistry which includes the
diagnosis, surgical and adjunctive treatment of diseases, injuries and defects
involving both the functional and esthetic aspects of the hard and soft tissues
of the oral and maxillofacial regions. Oral and Maxillofacial Surgery includes
the treatment of the oral cavity and maxillofacial area or adjacent or
associated structures and their impact on the human body that includes the
performance of the following areas of Oral and Maxillofacial Surgery, as
described in the most recent version of the Parameters and Pathways: Clinical
Practice Guidelines for Oral and Maxillofacial Surgery of the American
Association of Oral and Maxillofacial Surgeons:
(a) Patient assessment;
(b) Anesthesia in outpatient facilities, as
provided in T.C.A. §§ 63-5-105(6) and 63-5-108(g);
(c) Dentoalveolar surgery;
(d) Oral and craniomaxillofacial implant
surgery;
(e) Surgical correction of
maxillofacial skeletal deformities;
(f) Cleft and craniofacial surgery;
(g) Trauma surgery;
(h) Temporomandibular joint
surgery;
(i) Diagnosis and
management of pathologic conditions;
(j) Reconstructive surgery including the
harvesting of extra oral/distal tissues for grafting to the oral and
maxillofacial region; and
(k)
Cosmetic maxillofacial surgery.
(17) Oral and Maxillofacial Pathology - Oral
and Maxillofacial Pathology is the specialty of dentistry and discipline of
pathology that deals with the nature, identification, and management of
diseases affecting the oral and maxillofacial regions. It is a science that
investigates the causes, processes, and effects of these diseases. The practice
of Oral and Maxillofacial Pathology includes research and diagnosis of diseases
using clinical, radiographic, microscopic, biochemical, or other examinations.
Oral and Maxillofacial Pathology deals with the nature of the diseases
affecting the oral cavity and maxillofacial area or adjacent or associated
structures, through study of its causes, its processes and its effects,
together with the associated alternations of oral structure and function. The
practice of oral and maxillofacial pathology shall include development and
application of this knowledge through the use of clinical, microscopic,
radiographic, biochemical or other such laboratory examinations or procedures
as may be required to establish a diagnosis and/or gain other information
necessary to maintain the health of the patient, or to correct the result of
structural or functional changes produced by alternations from the
normal.
(18) Orthodontics and
Dentofacial Orthopedics - That specialty branch of dentistry concerned with the
supervision, guidance, and correction of the growing, or mature dentofacial
structures, including those conditions that require movement of teeth or
correction of malrelationships and malformations of their related structures
and the adjustment of relationships between and among teeth and facial bones by
the application of forces and/or the stimulation and redirection of functional
forces within the craniofacial complex. Major responsibilities of orthodontic
and dentofacial orthopedic practice include the diagnosis, prevention,
interception and treatment of all forms of malocclusions of the teeth and
associated alterations in their surrounding structures; the design,
application, and control of functional and corrective appliances, and the
guidance of the dentitions and its supporting structures to attain and maintain
optimal occlusal relations in physiologic and esthetic harmony among facial and
cranial structures.
(19) Pediatric
Dentistry (Pedodontics) - That specialty branch of dentistry associated with
the practice and teaching of comprehensive preventive and therapeutic oral
health care of children from birth through adolescence. It shall be construed
to include care for special patients beyond the age of adolescence who
demonstrate mental, physical and/or emotional problems.
(20) Periodontics - That specialty branch of
dentistry which deals with the diagnosis and treatment of disease of the
supporting and surrounding tissue of the teeth. The maintenance of the health
of these structures and tissues, achieved through periodontal treatment
procedures, is also considered to be a responsibility of a
periodontist.
(21) Practical Dental
Assistant - An auxiliary employee of a licensed dentist(s) who performs
supportive chairside procedures under the direct supervision and full
responsibility of that licensed dentist or who is a dental assistant student in
an educational institution accredited by the Commission on Dental Accreditation
of the American Dental Association, as defined by Rule 0460-04-.01.
(22) Prosthetic Function - Dental procedure
involving any inlay, crown, bridge, partial denture, or complete denture that
restores or replaces loss of tooth structure, teeth, or oral tissues.
(23) Prosthodontics - That specialty branch
of dentistry pertaining to the diagnosis, treatment planning, rehabilitation
and maintenance of the oral function, comfort, appearance and health of
patients with clinical conditions associated with missing or deficient teeth
and/or maxillofacial tissues using biocompatible substitutes. The following
constitute branches of Prosthodontics:
(a)
Removable Prosthodontics is that branch of prosthodontics concerned with the
replacement of teeth and contiguous structures for edentulous or partially
edentulous patients by artificial substitutes that are removable from the
mouth.
(b) Fixed Prosthodontics is
that branch of prosthodontics concerned with the replacement and/or restoration
of teeth by artificial substitutes that are not removable from the
mouth.
(c) Maxillofacial
Prosthetics is that branch of prosthodontics concerned with the restoration
and/or replacement of stomatognathic and associated facial structures by
artificial substitutes that may or may not be removable.
(24) Registered Dental Assistant - An
auxiliary employee of a licensed dentist(s) who has been issued a registration
to practice intraoral dental assisting procedures in accordance with the
statutes and rules of the Board, and is eligible to seek certification and
training in advanced dental assisting areas, and who practices under the direct
supervision and full responsibility of a licensed dentist.
(25) Registrant - Any person who has been
lawfully issued a registration from the Board to practice as dental
assistants.
(26) Restorative
Function - Dental procedure involving the repairing, restoring, or reforming of
the shape, form, and function of part or all of a tooth.
(27) Sealant Application - The application of
an organic polymer to the enamel surfaces of teeth.
(28) S.R.T.A. - The Southern Regional Testing
Agency or its successor organization.
(29) Specialist - A licensee who has
satisfactorily completed the requirements as set forth in the Dental Practice
Act and these rules to practice one of the specialties recognized by the
Board.
Notes
Authority: T.C.A. §§ 4-5-202, 4-5-204, 63-5-101, 63-5-105, 63-5-107, 63-5-108, 63-5-111 through 63-5115, and 63-5-117.
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