State of Illinois
91st General Assembly
Legislation

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91_SB0800eng

 
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 1        AN  ACT  to  amend  the  Illinois  Dental Practice Act by
 2    changing Sections 6, 17, and 18.

 3        Be it enacted by the People of  the  State  of  Illinois,
 4    represented in the General Assembly:

 5        Section  5.   The Illinois Dental Practice Act is amended
 6    by changing Sections 6, 17, and 18 as follows:

 7        (225 ILCS 25/6) (from Ch. 111, par. 2306)
 8        Sec.  6.   Board  of  Dentistry  -  Report  By   Majority
 9    Required.   There  is  created  a  Board  of Dentistry, to be
10    composed of persons designated  from  time  to  time  by  the
11    Director, as follows:
12        Eleven  Ten  persons,  8 of whom have been dentists for a
13    period of 5 years  or  more;  2  of  whom  have  been  dental
14    hygienists  one  who has been a dental hygienist for a period
15    of 5 years or more, and one public member.  None  of  the  10
16    members  shall  be employed by or be an officer of any dental
17    college, or  dental  or  dental  hygiene  department  of  any
18    institution  of  learning.   The  dental hygienists hygienist
19    shall not participate in the examination  of  applicants  for
20    licenses  to practice dentistry.  The public member shall not
21    participate in the examination of applicants for licenses  to
22    practice  dentistry  or  dental  hygiene.   The  board  shall
23    annually elect a chairman who shall be a dentist.
24        Terms  for  all  members  shall  be for 4 years.  Partial
25    terms over 2 years in length  shall  be  considered  as  full
26    terms.   A  member  may be reappointed for a successive term,
27    but no member shall serve more than 2 full terms  in  his  or
28    her lifetime.
29        The  membership of the Board shall include only residents
30    from various geographic areas of this State and shall include
31    at least some graduates from various institutions  of  dental
 
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 1    education in this State.
 2        In  making  appointments  to the Board the Director shall
 3    give due consideration to recommendations by organizations of
 4    the dental profession in  Illinois,  including  the  Illinois
 5    State   Dental   Society   and   Illinois  Dental  Hygienists
 6    Association, and shall  promptly  give  due  notice  to  such
 7    organizations of any vacancy in the membership of the Board.
 8    The  Director may terminate the appointment of any member for
 9    cause  which  in  the  opinion  of  the  Director  reasonably
10    justifies such termination.
11        A vacancy in the membership of the Board shall not impair
12    the right of a quorum to exercise all the rights  and perform
13    all the duties of the Board.  Any action to be taken  by  the
14    Board  under  this Act may be authorized by resolution at any
15    regular or special meeting, and each  such  resolution  shall
16    take  effect  immediately.   The  Board  shall  meet at least
17    quarterly.  The Board may adopt  all  rules  and  regulations
18    necessary  and  incident  to its powers and duties under this
19    Act.
20        The  members  of  the  Board  shall   each   receive   as
21    compensation  a  reasonable sum as determined by the Director
22    for each day actually engaged in the duties  of  the  office,
23    and   all   legitimate  and  necessary  expense  incurred  in
24    attending the meetings of the Board.
25        Members of the Board shall be immune  from  suit  in  any
26    action  based  upon  any  disciplinary  proceedings  or other
27    activities performed in good faith as members of the Board.
28    (Source: P.A. 89-80, eff. 6-30-95; 89-116, eff. 7-7-95.)

29        (225 ILCS 25/17) (from Ch. 111, par. 2317)
30        Sec. 17.  Acts Constituting the Practice of Dentistry.  A
31    person practices dentistry, within the meaning of this Act:
32        (1)  Who  represents himself as being able to diagnose or
33    diagnoses, treats, prescribes, or operates for  any  disease,
 
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 1    pain, deformity, deficiency, injury, or physical condition of
 2    the human tooth, teeth, alveolar process, gums or jaw; or
 3        (2)  Who  is a manager, proprietor, operator or conductor
 4    of a business where dental operations are performed; or
 5        (3)  Who performs dental operations of any kind; or
 6        (4)  Who uses an X-Ray machine or X-Ray films for  dental
 7    diagnostic purposes; or
 8        (5)  Who  extracts a human tooth or teeth, or corrects or
 9    attempts to correct malpositions of the human teeth or  jaws;
10    or
11        (6)  Who offers or undertakes, by any means or method, to
12    diagnose,  treat  or  remove  stains,  calculus,  and bonding
13    materials from human teeth or jaws; or
14        (7)  Who uses or administers local or general anesthetics
15    in the treatment  of  dental  or  oral  diseases  or  in  any
16    preparation  incident  to  a  dental operation of any kind or
17    character; or
18        (8)  Who takes impressions of the human tooth, teeth,  or
19    jaws  or  performs any phase of any operation incident to the
20    replacement  of  a  part  of  a  tooth,  a  tooth,  teeth  or
21    associated tissues by means of a filling, crown, a bridge,  a
22    denture or other appliance; or
23        (9)  Who  offers to furnish, supply, construct, reproduce
24    or repair, or who furnishes, supplies, constructs, reproduces
25    or repairs, prosthetic dentures, bridges or other substitutes
26    for natural teeth, to the user or prospective  user  thereof;
27    or
28        (10)  Who  instructs  students  on  clinical  matters  or
29    performs  any clinical operation included in the curricula of
30    recognized dental schools and colleges.
31        The fact that any  person  engages  in  or  performs,  or
32    offers  to  engage in or perform, any of the practices, acts,
33    or operations set forth in this Section, shall be prima facie
34    evidence that such person  is  engaged  in  the  practice  of
 
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 1    dentistry.
 2        The  following  practices, acts, and operations, however,
 3    are exempt from the operation of this Act:
 4        (a)  The rendering of dental relief in emergency cases in
 5    the practice of his or  her  profession  by  a  physician  or
 6    surgeon,  licensed  as  such  under  the  laws of this State,
 7    unless he undertakes to reproduce or reproduces lost parts of
 8    the human teeth in the mouth or to restore or replace lost or
 9    missing teeth in the mouth; or
10        (b)  The practice of dentistry in the discharge of  their
11    official  duties  by  dentists  in  any  branch  of the Armed
12    Services of the  United  States,  the  United  States  Public
13    Health Service, or the United States Veterans Administration;
14    or
15        (c)  The  practice  of  dentistry  by  students  in their
16    course of study in dental schools or colleges approved by the
17    Department, when acting under the direction  and  supervision
18    of dentists acting as instructors; or
19        (d)  The practice of dentistry by clinical instructors in
20    the  course  of  their  teaching  duties in dental schools or
21    colleges approved by the Department:
22             (i)  when acting under the direction and supervision
23        of dentists, provided that such clinical instructors have
24        instructed continuously in this State  since  January  1,
25        1986; or
26             (ii)  when  holding  the  rank  of full professor at
27        such approved dental school or college and  possessing  a
28        current   valid  license  or  authorization  to  practice
29        dentistry in another country; or
30        (e)  The practice of dentistry by  licensed  dentists  of
31    other  states  or countries at meetings of the Illinois State
32    Dental Society or component parts thereof, alumni meetings of
33    dental colleges, or  any  other  like  dental  organizations,
34    while appearing as clinicians; or
 
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 1        (f)  The  use  of X-Ray machines for exposing X-Ray films
 2    of dental or oral tissues  by  dental  hygienists  or  dental
 3    assistants; or
 4        (g)  The  performance  of  any dental service by a dental
 5    assistant, if such service is performed under the supervision
 6    and full responsibility of a dentist.
 7        For purposes of this paragraph (g), "dental  service"  is
 8    defined to mean any intraoral procedure or act which shall be
 9    prescribed  by  rule or regulation of the Department.  Dental
10    service, however, shall not include:
11             (1)  Any and all diagnosis of  or  prescription  for
12        treatment of disease, pain, deformity, deficiency, injury
13        or  physical  condition  of  the  human teeth or jaws, or
14        adjacent structures.
15             (2)  Any and all Removal of, or restoration  of,  or
16        addition to the hard or soft tissues of the oral cavity.
17             (3)  Any and all correction of malformation of teeth
18        or of the jaws.
19             (4)  Administration   of   anesthetics  (other  than
20        topical anesthetics and monitoring of nitrous oxide).
21             (5)  Any Removal of calculus and stains  from  human
22        teeth.
23             (6)  Any  and  all  Taking  of  impressions  for the
24        fabrication   of   orthodontic   appliances,   prosthetic
25        appliances, space maintainers, crowns, bridges,  splints,
26        inlays,  onlays,  or  other  restorative  or  replacement
27        dentistry.
28             (7)  The   operative  procedure  of  dental  hygiene
29        consisting of oral prophylactic  procedures,  except  for
30        coronal polishing.
31             (8)  The application to the surfaces of the teeth or
32        gums  of  chemical compounds designed to be desensitizing
33        agents or effective agents in the  prevention  of  dental
34        caries or periodontal disease.
 
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 1        (h)  The practice of dentistry by an individual who:
 2             (i)  has  applied  in  writing to the Department, in
 3        form and substance satisfactory to the Department, for  a
 4        general   dental   license  and  has  complied  with  all
 5        provisions of Section 9  of  this  Act,  except  for  the
 6        passage  of  the examination specified in subsection (e),
 7        of Section 9, of this Act; or
 8             (ii)  has applied in writing to the  Department,  in
 9        form  and substance satisfactory to the Department, for a
10        temporary  dental  license  and  has  complied  with  all
11        provisions of subsection (c), of Section 11, of this Act;
12        and
13             (iii)  has been accepted or appointed for  specialty
14        or  residency  training  by  a  hospital situated in this
15        State; or
16             (iv)  has been accepted or appointed  for  specialty
17        training  in  an approved dental program situated in this
18        State; or
19             (v)  has been accepted or  appointed  for  specialty
20        training  in  a  dental  public health agency situated in
21        this State.
22        The applicant shall be permitted  to  practice  dentistry
23    for  a  period  of  3  months  from  the starting date of the
24    program, unless authorized in writing by  the  Department  to
25    continue  such  practice for a period specified in writing by
26    the Department.
27        The applicant shall only be entitled to perform such acts
28    as may be prescribed by and incidental to  their  program  of
29    residency  or  specialty  training  and  shall  not otherwise
30    engage in the practice of dentistry in this State.
31        The authority to  practice  shall  terminate  immediately
32    upon:
33             (1)  the   decision   of  the  Department  that  the
34        applicant has failed the examination; or
 
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 1             (2)  denial of licensure by the Department; or
 2             (3)  withdrawal of the application.
 3    (Source: P.A. 89-116, eff. 7-7-95.)

 4        (225 ILCS 25/18) (from Ch. 111, par. 2318)
 5        Sec.  18.   Acts  Constituting  the  Practice  of  Dental
 6    Hygiene.  Limitations. A dental hygienist may be employed  or
 7    engaged only:
 8        (a)  Under the supervision of a dentist:
 9             (1)  In the office of a dentist; or
10             (2)  By a federal, State, county or municipal agency
11        or institution; or
12             (3)  By a public or private school; or
13             (4)  By   a   public   clinic  operating  under  the
14        direction  of  a  hospital  or  federal,  State,  county,
15        municipal or other public agency or institution.
16        When employed or engaged pursuant to this paragraph (a) a
17    dental hygienist may perform  the  following  procedures  and
18    acts:
19             (i)  the  operative  procedure  of  dental  hygiene,
20        consisting of oral prophylactic procedures;,
21             (ii)  the  exposure and processing of X-Ray films of
22        the teeth and surrounding structures;,
23             (iii)  the application to the surfaces of the  teeth
24        or   gums   of   chemical   compounds   designed   to  be
25        desensitizing  agents  or   effective   agents   in   the
26        prevention of dental caries or periodontal disease;,
27             (iv)  all  services  which  may  be  performed  by a
28        dental assistant as specified by rule pursuant to Section
29        17;,
30             (v)  administration and monitoring of nitrous  oxide
31        upon successful completion of a training program approved
32        by the Department; and
33             (vi) (v)  such other procedures and acts as shall be
 
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 1        prescribed by rule or regulation of the Department.
 2        (b)  Under the general supervision  of  a  dentist  in  a
 3    long-term care facility licensed by the State of Illinois, or
 4    a mental health or developmental disability facility operated
 5    by the Department of Human Services, if the patient is unable
 6    to travel to a dental office because of illness or infirmity.
 7    The dentist shall personally examine and diagnose the patient
 8    and  determine  which services are necessary to be performed,
 9    which shall be contained in a written order to the hygienist.
10    Such  order  must  be  implemented  within  90  days  of  its
11    issuance, and an updated medical history and oral  inspection
12    must  be  performed  by  the  hygienist  immediately prior to
13    beginning the procedures to ensure that the patient's  health
14    has  not  changed in any manner to warrant a reexamination by
15    the dentist.
16        (c)  Without the  supervision  of  a  dentist,  a  dental
17    hygienist  may  perform dental health education functions and
18    may record case histories and oral conditions observed.
19        The number of dental hygienists practicing  in  a  dental
20    office  shall not exceed, at any one time, 4 times the number
21    of dentists practicing in the office at the time.
22    (Source: P.A. 88-65; 89-507, eff. 7-1-97.)

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