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depending on the seriousness there could be imprisonment there be jail time fines can be anywhere from five hundred dollars to several thousand dollars suspension meaning your license is taken away for a period of time or revocation again just depending on the seriousness of the unprofessional conduct it could be taken away for life never to practice again in California on the Dental Board of California’s website they’ve redesigned it so if you’re watching this and you’ve been in California for a while they have a new design to their website and there is a button on the home page called enforcement actions when you click on that button you go to a section where they have what’s called hot sheets and these are public records of dental professionals so to speak I’ll say professional lightly who have engaged in unprofessional conduct and it gives their name and where they live you know the area what they didmany

times we’ll see people writing prescriptions for drugs for themselves auxiliaries actually stealing prescriptions and using them forthemselves and friends and family practicing performing dentistry outside of the scope of practice there was one I read once about someone impersonating another person to go in and take the exam a state board exam for the person so there are manyconduct conduct excuse me that people engage in that certainly is unprofessional potentially harmful to themselves and to their patients so we’re gonna have several slides of unprofessional conduct one of them has to do with licensing exams and the conduct in taking an examination license so again this is for dentistry or for an RDAor RDAEF or RDH and so using unauthorized materials in a testing facility sneaking in you can call itdishonesty basically I’m going to just be very blunt here it’s about cheating cheating during state board exams so

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waiting for a crown the dentist is obligated legally obligated to finish that tooth or teeth for that treatment or they’re waiting on a dental appliance they are legally obligated to finish that treatment and so if they are going to dismiss a patient they need to have whatever ongoing treatment they need to complete it and then they need to dismiss them with a letter and offer them a referral which is usually linked to the local Dental Society you know but that’s the type of referralnext we have look more unprofessional conduct willful misrepresentation of facts relating to a disciplinary action so this would be if a person is investigated of course being deceitful or downplaying what the situation was or lying about a situation and this could be also to the patience of someone who has been disciplined by the Dental Board you don’t have to put a sign up in your window but you know usually you know people hear in the community

you know what’s what’s happening with their dentist and physician and you know grocery store owner and so forth and wherever they do business so you do have to be truthful use of fraud in procurement of a license so examples of this would be the exam conduct when taking an exam or with license renewal so when you renew your license we are signing that under penalty of perjury that that we have indeed met the requirements so when you go tocontinuing education courses usually the presenters or the organization that sponsoring the presenter will give you a continuing education certificate those are kept by the license holder but on occasion the dental boards will do a random audit and then you may have to send those in so you want to hold on to those any action or conduct that would warrant denial of a license so if you have outstanding warrants or you are a fugitive or you have unprofessional conduct

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radiographic images we want to make sure we limit radiation exposure by using ALARA ALARA so if you’re my student please reviewthat by using good technique we want to ensure patient and operator safety again by our knowledge and by using proper technique we want to use quality assurance so that we are protecting our patients and ourselves as dental radiography operators quality assurance making sure your equipment is in proper working order your computers your sensors if you’re still using film and using automatic processors and then radiation risk management so that you evaluate your radiographic images and have discussions about techniques and how to improve or if you need to change any methods that you’re using.the dental and economics it’s afantastic publication that has a lot of really interesting ideas concepts articles things that you guys can go in and a lot of it reefer you knowciao I was

practicing dentist I graduated in 2005 did GPR 2006 and I loved dentistry but I was practicing doing the associate thing for a few years and about 2010 I started my own practice with my business partner a total startup and so that was very exciting to me I was enjoying learning the clinical as you do for a few years I was exciting excited to learn the business which I knew nothing about but after you know a couple of years I realized I don’t know if I’m having an me to practice five or six days a week for my entire career I knew at that point I loved lecturing loved writing I loved working with companies I had some early opportunities to give feedback and do consulting with with companies not with dentists I loved all of that I love travel so I started to put put it out there into the universe you know go to conferences do any lecture and gig I could that I wanted to just not practice full-time I want to practice two days a

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the centric relation are the centric draw relation the terminal hinge access relation or the terminal hinge relation and the retreated access position to the RA P so you might hear this called various different things and then there’s the retreated condylar axis so the RCA which is the imaginary axis which runs through both the kondal regions when the condyles are in there CR in relation to the maxilla and it’s a relaxed and unstrained relationship so it can be a functional position if deflective contacts and cuspsinterferences are removed and then the centric relation contact position so the CR CP is the relationship of the mandible to the maxilla when the condyles are in their most superior positions in the glenoid fossa with their interior surfaces acting against the posterior facing surfaces of the eminence and tooth contact is occurring so this is the additional bit for a centric relation contact position compared to a centric

relation and in this CR CP the zero separation and in ninety percent of subjects is only going to be one or two teeth meeting so the RCP is the retreated contact position and this is the relationship of the mandible to the maxilla when the condyles are in their most posterior position in the glenoid fossa and tooth contact has occurred so in this position the condyles are usually positioned downwards and backwards but there are various things that affect centric relation and RCP and then finally the retreated arc of closure so the RAC this is the arc of opening and closing made by the mandible when it’s rotating on the recruited condylar axis so there’s something known as slide or slip which is when the patient is in CR CP or the retreated contact position and then they move into ICP with the teeth still contacting so they slide from the retreated position into ICP and around 10% of patients there’s no difference and they don’t have a

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function or k9 guidance as you start to move and then you’ll change to group function so that will be a combination or you may be different on the left and right like I am Ipersonally don’t have a very stable bite it seems to change quite a lot and I’ve also got quite a bit of wear on my canines so where I used to have canine guidance they’ve worn down and I’m starting to change into group function because my canines are no longer propping my teeth open in lateral excursions and this is due to grinding my teeth they are now wearing eye guard so you may have heard the theory that canine guidance is better than group function but there’s actually quite little evidence to suggest that one is better than the other it’s a bit easier to achieve k9 guidance when you’re sort of just wanting to teeth to properties open group functions quite a complex thing to achieve but you do need to consider when planning changing the bites

for a patient or building up their teeth if what something happens to them like what’s happened to me where the canines have started to wear down which teeth are then going to take over the function and can they withstand these forces and then finally we’ll just touch on discs lusion so discs lusion is the disclosure of the posterior teeth due to anterior guidancethis can be immediate if there’s contact between the anterior teeth in ICP so if in the regular bites there’s anterior contacts then you’ll get immediate disclosure of the posterior teeth or it can be delayed such as in a class to Division one in size a relationship so there can be three circumstances where you don’t have anterior guidance so first of all if there’s an open bite so if when the patient’s biting down they have an anterior open bite you’re not going to get that anterior guidance or at least you’re going to get itextremely late and during protrusion not during

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it’s important toacknowledge them when everything I’m teaching you here is from their workbook on what I’ve learnt from them so what I’ve given you is probably a couple of pages of a ten chapter three-day intensive course so it’s just the cherry on the cake really it’s tiny little bit the tip of the iceberg shall we say so I would definitely recommend that if you’ve got any more questions about what I’ve said or about the course please do reach out to me and hopefully I can point you in the right direction and helplet’s get started looking at and learning about law and ethics for the dental assistant again specifically for California we’re going to take a look at some dental law and ethics definitions so a law also known as a statute is very complex it is takes a process actually can start with ideas from the public or ideas from our in this case I’ll say the state legislature and we have business and profession code also called B and P code

and these are laws that affect many areas of society but we’re going to be looking at specifically the practice of dentistry and dental education there are also california code of regulations and these are rules that help define the law so when a law is passed generally it goes through different agencies or legislative bodies I should say and once it is approved or voted on and accepted by various legislative agencies in this example our state legislature then it would go to the governor to sign and once a law is in effect it is not easily changed a code on the other hand can be updated to explain certain laws when you say in dentistry there’s a change in technology or a change in the manner in which we offer dental treatment to patients ethics are a set of principles of right conduct the general nature of morals and the specific moral choices made by a person so ethics are how we want to treat patients kind of in the content of how

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