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one one thing that’s happened that has happened over several years now is that we have testing companies that usually administer the State Board Exam and they’re very strict about their policies when you go to take an exam so I think it’s obvious no cell phones they have a locker for your keys you cannot wear bulky clothing because you could be sneaking in notes you can’t wear a hat you can’t wear clothing that identifies you in association with a dental school any college or university in anything kind of in dentistry or possibly in dentistry if you somehow somebody said hey I have a copy of the RDA exam that is considered unprofessional conduct which could result in penalties or fines and so that is also part of the unprofessional conduct for licensing exams impersonating an examinee or having an impersonator take the licensing exam on one’s behalfall part of unprofessional conduct regarding licensing or exams

writing anything or talking during the exam is also unprofessional conduct obtaining fees by fraud or misrepresentation so while this specifically has to do with the dentist it’s possible that an auxiliary could actually participate in something of this nature so an example would be charging the insurance company for treatment that wasn’t rendered and once in a while you see this on TV you know that the FBI or law enforcement went into a dental usually law enforcement excuse me went into a dental office and removed computers and so forth because after looking at claims by dentists it looked like how can a person they only have 32 teeth at the most but they keep having all these restorations and they look for a pattern so that would be obtaining fees by fraud ormisrepresentation direct or indirect employment of any suspended student or a licensed dentist or auxiliary so if a DDS knowingly or our dental







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charges you know in previous yearsthose of course would could deny warrant denial of a license aiding and abetting of a licensed DDS DA RDA RDAEF the dental sedation assistant permit the oral or excuse me orthodontic assistant permit the RDH theRDHEF the registered dental hygienist in alternative practice so aiding and abetting those dental health team members to perform in a negligent or incompetent manner is unprofessional conduct so if you allow the your colleagues to perform illegal or negligent or incompetent dentistry you are aiding and abetting them you’re supporting them in this behavior so that is unprofessional conduct and you know if hopefully they are discovered and you know brought before the board and reported and if you’re have just turned when as they say you know turned away from the situation you in even if you did not participate in the negligent or incompetent performance of our

manner of dentistry you know that would be unprofessional and that would be unethical definitely unethical on your partfor dentists failure to report in writing within seven days the death of a patient that also includes any treatment related to not only dental treatment but including dental hygiene treatment so if that happens the dentist is required within seven days there are probably a lot of other law enforcement agencies are going to do that as well but this is just part of the dental law continuing with unprofessional conductthe participating or operating in any group advertising or referral service again dentists are allowed to market their practices and so there they do need to be careful about proclaiming superiority or false advertising failure to use a fail-safe machine for nitrous oxide oxygen administration I just want to comment again that I am following the exam RDA exam plan so sometimes it may seem







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week so I’ve been working with de for a few years and when when my predecessor Joe blaze was stepping down retiring from from the magazine I was lucky that they thought of me so it’s been a great balance so I’ll practice two or three days a week and then the rest is at home or on the road lecturing answering an endless supply of emails and phone calls and I enjoy that balance right so for the people that aren’t familiar with digital economics what what does it look at I was do for the community at large sure so dental economics has been around since 1911 it was known by the name oral hygiene at the time and it’s always had a focus on the business of dentistry on practice manager yeah there’s some stuff about products there’s some stuff about clinical but that’s really not the focus though that material is always walking us back towards where should youpurchase this decision purchased this technology for your practice

can you treat patients more efficiently it’s not just a showcase of a brilliant clinical skill so when I took over in 2014 we organized the magazine into fourdistinct pieces of content four sections the first is called macroeconomics so we look at the big sweeping changethat are affecting our profession as we know in the past 10 20 years there’s quite a lot that’s happened to our profession and it affects every single one of us the second section is practice that’s our bread and butter that’s a lot of practice management advice the third section is science and tech whereas I was mentioned before we get into a little bit of clinical a little bit of products but it’s more related to the business opportunities that it brings and then the fourth section is is money we have talked about investmentsretirements and those other kinds of financial buts by so that in a nutshell encapsulates the kind of content that we put out but of course it’s beyond just







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change or a slide now regarding the relationship of the teeth there are the static positions so the way the teeth are like that’s locked together which is the ICP- the intercostal position so when the teeth the cusps of the teeth are integrating flatlock together the intercoastal position that’s a static position there’s the dynamic position of the teeth so their relationship in movement and there’s also interferences there’s three key things regarding the teeth and the position of the teeth the static relationship the dynamicrelationship and interferences so we’re teeth catch prematurely during function now occlusions really important because it helps improve the predictability of restorations that you do it can help prevent teeth from fracturing if the occlusion is balanced so it generally protects the teeth and it can also reduce the tooth wear on the teeth or the wearing down of them such as attrition where the

teeth may be a grinding together and also it can affect the jaw jaw pains and problems with the jaw joint itself so I did a three day course on occlusion down in London at the advanced center of excellence but it was an amazing course it basically taught me everything that I know about occlusion it’s hands-on it was really good money well-spentit made my restorations much more predictable and I’m a lot more confident now managing more complex cases so the position of the teeth will influence the envelope which the mandible has to move so if these are the top teeth these are the bottom teeth their position and their relationship is going to affect chewing how much space there is for the mandible to move around if it’s really tight you’re going to have a reduced envelope of function so there’s going to be less space for those teeth to move they’re more likely to wear against each other so the nearer the tooth is to the jaw







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normal function secondly if you’ve got a really big horizontal overlaps so a large overjet if you’ve got a big overjet drawing functionyou’re not going to get that anterior guidance and finally if the patient has an edge-to-edge occlusion so edge to edge occlusion is basically the endpoint of anterior guidance so they’re already there just in that ICP so that would be a class-3 incisal relationship it doesn’t necessarily mean they have a class three skeletal relationship but the teeth meeting edge to edge means they’re already at the endpoints of anterior guidance so if they protrude their teeth aren’t going to be lifting off and protected anteriorly because they’re going to go even further beyond the points of anterior guidance anterior guidance is really important you might think why nurse we keep going over what’s anterior guidance is and the different circumstances around it but it’s important for five key reasons so firstly for

protection anterior guidance separates the posterior teeth drawing certain movements like protrusion which protects them from damage and tooth wa and it helps reduce the chance of these teeth fracturing it can therefore protect restorations it can protect vulnerable cusps and it can also just prevent natural teeth from breaking and fracturing as well secondly it’s important for phonetics so the way that we speak and pronounce things we rely on the position of our teeth relative to each other relative to our lips and how our tongue interacts with thosepositionings thirdly for aesthetics in general people consider a class want to be the most aesthetic sort of incisal relationship so something which we need to consider maybe if you straightening somebody’s teeth if you do in composite build up that kind of thing you want to give the appearance of class one if possible but you also need to consider things like lip supports







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we would want to be treated and there is a code of ethics that is usually identified and adopted by a professional organization and adopted by members of the professional organizationsperhaps even in your city or town at the local level now while professional organizations have a code of ethics there is no ceremony where we all as dental professionals raise our right hand and promise to follow these ethical standards however as someone in the health fieldas a caring person we hope that people will abide by a codeof ethics also another term that we hear quite often in our profession is professionalism so these are the qualities aims or characteristics of a profession sometimes we even grade students on theirprofessionalism and it’s really how we want to act and being a part of the healthcare profession we want to have integrity we want to be honest we want to be caring people so just a few definitions in

regards to law and ethics now as I said before this presentation will follow the RDA exam plan so part of that exam plan refers to some topics that deal with what to do when patients ask questions regarding their dental health treatment and a doctor’s diagnosis and so as in some of our previous topics for the California Dental Practice Act you can apply that information to this situation what do we need to do how do we need to act legally and ethically as far as being a dental assistant in regards to patients questions we also want to be aware of the signs and conditions indicating abuse and neglect which we will look at in subsequent in a subsequent slide and we also want to have a professional chairside manner and that information would be a summary of the Dental Practice Act scope of practice for the DA, RDA and RDAEF and also the summary of this information on law and ethicsthe first area is patient







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