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the RDAEF even the DA the registered dental hygienist and so many times patient confidentiality is within the dental office because there’s so many different dental team members that are actually looking at the patient record in all of the information there so you also want to be careful that if you are going out to lunch that you don’t discuss patient information and names in a public setting in an elevator in the hallways the Health Insurance Portability and Accountability Act also known as HIPPA this is a federal law started in the 1990s don’t quote me on that it might be 1970s anyway and it started to during the age of it is 1990s during the age of computer and digital information sharing information digitally specifically for dental information that would be sent electronically another way term for digital to insurance companies and so the federal government enacted the HIPAA and this protects their personal health

information of a patient now it actually expanded on this protection of their health information from electronically sending information to insurance companies to also how we handle patient information and records in the dental office so I’ve been in dentistry for a very long time and we used to actually post what’s called the day sheet so we would know what patient is coming in the procedures so we could set up and be prepared with our dental tray setups and so sometimes that would be posted in a room on a cabinet we did kind of keep it behind the patient’s head but occasionally a patient would be look around and say oh I know that person so these days that would definitely be a violation of HIPAA also if you are a business office assistant and your patient counter is above your desk area you want to make sure that you don’t have patient records out where somebody could lean over and actually see patients







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safety certificate or license they cannot take x-rays even if they are they have a lot of experience it is illegal for them to obtain radiographs excessive prescribing or administering of drugs or treatment diagnostic procedures or excessive use of diagnostic or treatment facilities so this unprofessional conduct has to do with excessiveness there now we have a computerized method of prescribing drugs in California and probably other states so it’s tracked so if there’s excessive prescribing or sometimes even a pharmacist it’s their ethical duty to watch that as well excessive prescribing or administering of drugs is unprofessional conduct and certainly unethical because it could cause harm to the patient or diagnostic procedures like telling a patient well you know you need x-rays every time you come to visit remember they’re evidence base it’s not just on a calendar method or that every patient who new patient who walks in the door

needs SRP that’s not evidence-based or excessive use of treatment facilities in California a dentist can have multiple offices but there is there are requirements as to how close these offices are and you know the communities that they servenext threats or harassment of a patient or licensee that provides evidence for unprofessional conduct so a dentist cannot harass or threaten a patient or a licensee that reports the dental practice the dental officefor unprofessional conduct so they can’t threaten them with their job or verbally or dock their wages or anything like that if they are reportingunprofessional conduct to the dental board and reporting to the demo board can also be anonymous but again a dentist cannot threaten or harass patient or a licensee for that for reporting continuing on with unprofessional conduct practicing with suspension or revocation of a license in another state so if someone







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you are an RDA and certified in that procedure you may apply topical fluoride as a DA application of sealants provided that you are certified which would be RDA or RDAEF and those would be exempt clinical duties under the supervision of a registered dental hygienist or a registered dental hygienists in alternative practice now there’s a lot of lines here on this slide again I’mfollowing the exam RDA exam plan and so there are many areas here that if you’re my student you want to go back and review scope of practice for the DA RDA RDAEF including the duties supervision and settingswhat is the DA RDA RDEF involvement in initial patient care what is allowed for those auxiliaries with caries detection devices liners and bonding agents what can the DA RDAEF and excuse me da RDA and RDA EF do in regards to applying and activating whitening agentshave knowledge of direct and indirect restorations again as associated

with the DA RDA and RDAEF final impressions who can do that and under what supervision coronal polishing and application of pit and fissure sealants again reviewed the scope of practice review the scope of practice for the DA RDA everybody say it with me and RDAEF for endodontic periodontal procedures extra oral prosthodontic appliances and infection control procedures you also want to have knowledge or review your radiationsafety and remember that in California all persons operating dental radiography equipment must be licensed that’s what it was called prior to 1985 or currently we say certified which became the term after 1985 so everyone must have a dental radiography certificate in order to obtain radiographs also it is unprofessional conduct for the dentists to allow any person to obtain radiographic images if they are not certified or licensed so that is aiding and abetting illegal practice of







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again over the top of me talking cuz I’m hoping that makes it easy for you to understand in a class one canine relationship the cusps tip of the maxillary canine is lined up with the mandibular canine premolar embrasure so basically the tip of the top canine is bang in the middle of the canine and the premolar in that gap for a class to canine relationship the cusps tip of the maxillary canine is mesial to the mandibular canine premolar embrasure so the tip of that canine even if you have canine to canine in a static bites if the teeth are just in ICP which is biting together if that top canine is meeting the lower canine that’ll be a class two and if that canine on the top is further back so this is now for class three canine relationship the tip of the cusp of that upper canine the maxillary canine is going to be distal to the embrasure so behind that embrasure between the lower canine and first premolar so I hope that makes sense in

terms of the different relationships in a static occlusion so this is just an ICP so maximum in Turkish patient or intercostal positions there when the patient just bites down like that so there’s no movement there’s no tongue rolling or trying to rearrange them it’s just how they meet in a stable by so that is what the differentclassifications are from ICP so moving on to the dynamic occlusion so the movement of theTeeth one in function there are three main things that we need to consider first of all is Pro true Civ movement so that’s when the mandible moves forward lateral movements they left-to-right sort of grinding sliding like this and then also disk luge ins they will come on to that in a minuteso protrusion is when the mandible slides forward to come to anedge-to-edge relationship so ideally they should be guided by the back of the anterior teeth the lower teeth should slide along them using anterior







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centric relation contact position so the first advantage of restoring to the CR CP isit’s a reproducible position so every single time is going to be the same you’ll be able to reproduce it even between appointments secondly you can eliminate interferences with a stable tooth to tooth contact and thirdly an advantage is you get evenness of the occlusal contact so you get like a balanced occlusion and it’s going to be even between the different of glues or contacts fourth you get good control over the occlusion clinically so it makes it much more in your control and much more predictable fifth there’s a mechanical convenience of this type of occlusion and sixth of the technical convenience of doing this kind of occlusion so disadvantages or times when this might not work so well if you have a very close Illya we’re patient so if things if they’re very aware of slight discrepancies and changes this might not work

for them it could reap reciprocate a TMJ clicks if the patient has a click in their jaw it could get worse or you may sort of creates one through changing the patient’s bite and you can also lose anterior guidance and create posterior rubbing contacts as well so there are two more definitions which you might have come across and these are the Bennett’s movements and the Bennett’s angle so to explain these you should be able to see a diagram again overtop of me talking though the Bennett movement is drawing lateral excursions says the bodily shift of the mandible in the direction of the working side so it’s generally no greater than twomillimeters the Bennett angle is the angle formed in the horizontal plane between the pathway of the non-working side condyle and the sagittal plane so that’s approximately 15 degrees and it’s known as the nits on the non-working side or the balancing side so there are five







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