State of Illinois
91st General Assembly
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[ House Amendment 001 ]

91_HB2010

 
                                               LRB9102111ACtm

 1        AN  ACT  to  amend  the  Illinois  Dental Practice Act by
 2    changing Sections 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 17 and 18 as follows:

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

16        (225 ILCS 25/18) (from Ch. 111, par. 2318)
17        Sec.  18.   Acts  Constituting  the  Practice  of  Dental
18    Hygiene.  Limitations. A dental hygienist may be employed  or
19    engaged only:
20        (a)  Under the supervision of a dentist:
21             (1)  In the office of a dentist; or
22             (2)  By a federal, State, county or municipal agency
23        or institution; or
24             (3)  By a public or private school; or
25             (4)  By   a   public   clinic  operating  under  the
26        direction  of  a  hospital  or  federal,  State,  county,
27        municipal or other public agency or institution.
28        When employed or engaged pursuant to this paragraph (a) a
29    dental hygienist may perform  the  following  procedures  and
30    acts:
31             (i)  the  operative  procedure  of  dental  hygiene,
32        consisting of oral prophylactic procedures; ,
33             (ii)  the  exposure and processing of X-Ray films of
 
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 1        the teeth and surrounding structures; ,
 2             (iii)  the application to the surfaces of the  teeth
 3        or   gums   of   chemical   compounds   designed   to  be
 4        desensitizing  agents  or   effective   agents   in   the
 5        prevention of dental caries or periodontal disease; ,
 6             (iv)  all  services  which  may  be  performed  by a
 7        dental assistant as specified by rule pursuant to Section
 8        17; ,
 9             (v)  administration and monitoring of nitrous  oxide
10        upon  completion  of  a  training program approved by the
11        Department; and
12             (vi) (v)  such other procedures and acts as shall be
13        prescribed by rule or regulation of the Department.
14        (b)  Under the general supervision  of  a  dentist  in  a
15    long-term care facility licensed by the State of Illinois, or
16    a mental health or developmental disability facility operated
17    by the Department of Human Services, if the patient is unable
18    to travel to a dental office because of illness or infirmity.
19    The dentist shall personally examine and diagnose the patient
20    and  determine  which services are necessary to be performed,
21    which shall be contained in a written order to the hygienist.
22    Such  order  must  be  implemented  within  90  days  of  its
23    issuance, and an updated medical history and oral  inspection
24    must  be  performed  by  the  hygienist  immediately prior to
25    beginning the procedures to ensure that the patient's  health
26    has  not  changed in any manner to warrant a reexamination by
27    the dentist.
28        (c)  Without the  supervision  of  a  dentist,  a  dental
29    hygienist  may  perform dental health education functions and
30    may record case histories and oral conditions observed.
31        The number of dental hygienists practicing  in  a  dental
32    office  shall not exceed, at any one time, 4 times the number
33    of dentists practicing in the office at the time.
34    (Source: P.A. 88-65; 89-507, eff. 7-1-97.)
 
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 1        Section 99.   Effective  date.   This  Act  takes  effect
 2    January 1, 2000.

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