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CA DENTAL BOARD REPORT NOVEMBER 2017
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Report of the Meeting of the Dental Board of California

November 2-3, 2017

Prepared for the California Society of Pediatric Dentistry

The Dental Board of California met November2-3,2017, in Sacramento, California. The following report summarizes actions and issues coming before the Board pertinent to pediatric oral health

 

RDA LICENSURE UPDATE

In April of this year the Dental Board of California, responding to the report and recommendations of the Office of Professional Examination Services of the Department of Consumer Affairs, voted to suspend administration and passage of the RDA practical examination as a condition for RDA licensure. Until an alternative licensure pathway is identified by the Board, as an interim measure, candidates who have met all other requirements for licensure, including successful completion of the RDA Written Examination and the RDA Law & Ethics Examination, are being granted a license. 

In August the Board appointed a subcommittee to develop and propose a permanent pathway to RDA licensure that considered alternatives to the practical examination which would still protect the public and yet not create an unnecessary workforce barrier. After consideration of a number of options, the Board voted at the November meeting to maintain on a permanent basis the simpler interim requirements.

Comment: As the Board approaches its 2019 “sunset review,” this decision is consistent with one of the goals of the legislature’s sunset review process to “eliminate overly restrictive eligibility standards …  that unduly limit competition between professionals or place undue burdens on those who want to enter the profession.” Another impediment to RDA licensure will be removed next year with the combining of the RDA written examination and the law and ethics examination into a single test structure.


IRRIGANTS WHEN THE DENTAL PULP IS EXPOSED

Assembly Bill 1277, passed by the legislature and signed into law by Governor Jerry Brown in October, in response to a series of mycobacterium abscesses infections associated with therapeutic pulpotomy procedures performed last year in an Anaheim clinic facility, requires the Dental Board to adopt regulation no later than December 31, 2018, which require that water or other methods used for irrigation of the dental pulp to be sterile or contain recognized disinfecting or antibacterial properties. At the November meeting, the Board approved this proposed language and initiated the rule making process that will place such requirement into effect on January 1, 2019.    

Comment: Members are advised to follow closely the actual wording of the final regulation as will be reported by the Board on its website (http://www.dbc.ca.gov), by CDA on its website (https://www.cda.org) and published in the CDA Update, as well as on our CSPD blast mailings and in our mailed and available-online Bulletin.

 
ANESTHESIA LEGISLATION

In the first year of the 2017-2018 California Legislative Session, three bills were introduced which would govern the administration of sedation and general anesthesia in the dental setting. None reached the Governor’s desk (see Legislative Report elsewhere in The Bulletin) and the authors have indicated each will be taken up again next year. Whatever legislation is passed, the Dental Board will be tasked with developing regulations under the statute. The Board summarizes each of the bills as follows:

 

AB 224 (Thurmond) DENTISTRY: ANESTHESIA AND SEDATION
This bill would implement portions of the Dental Board’s recommendations included in its pediatric anesthesia study that was provided to the Legislature. Specifically, this bill would change the way the Board regulates pediatric anesthesia by enhancing requirements for the administration of general anesthesia and deep sedation for patients thirteen years of age and younger.

SB 392 (Bates) DENTISTRY: REPORT; ACCESS TO CARE: PEDIATRIC DENTAL PATIENTS
This bill would require the Dental Board to analyze, and report to the Legislature by January 1, 2019, how requiring an additional anesthesia permitholder to be present when administering general anesthesia to a patient seven year of age or younger would affect access to care for pediatric patients

SB 501 (Glazer) DENTISTRY: ANESTHESIA AND SEDATION REPORT
SB 501 would implement portions of the Dental Board’s recommendations included in its pediatric anesthesia study that was provided to the Legislature. This bill would change the way the Board regulates pediatric anesthesia by enhancing requirements for the administration of general anesthesia and deep sedation for patients thirteen years of age and younger. This bill would also require the Board to study how new policies aimed at increased safety would affect access to care.


Respectfully submitted,

Paul Reggiardo, DDS,
Public Policy Advocate, California Society of Pediatric Dentistry.

 

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