WSR 14-13-102 PERMANENT RULES DEPARTMENT OF HEALTH (Board of Denture Technology) [Filed June 17, 2014, 1:53 p.m., effective July 18, 2014] Effective Date of Rule: Thirty-one days after filing.
Purpose: WAC 246-812-240 and 246-812-250, the new rules meet requirements of SHB 1271. They establish the education and training required before a denturist may provide nonorthodontic removable oral devices and teeth whitening services; set criteria for board approval of education curriculum; provide a process for declaration of education and training to the board; and require the denturist obtain signed patient consent on a board-approved form for teeth whitening services.
Statutory Authority for Adoption: Chapter 18.30 RCW, SHB 1271 (chapter 172, Laws of 2013).
Adopted under notice filed as WSR 14-07-049 on March 13, 2014.
Changes Other than Editing from Proposed to Adopted Version: From SHB 1271 without material change: WAC 246-812-240(1), that services must include written encouragement to have services from a licensed dentist; and a new subsection (3) that the practice of denturism does not include making, placing, constructing, altering, reproducing or repairing nonorthodontic devices intended to treat obstructive sleep apnea or TMJ. Other changes are editing only.
A final cost-benefit analysis is available by contacting Vicki Brown, Health Professions and Facilities, Board of Denturists, P.O. Box 47852, Olympia, WA 98504-7852, phone (360) 236-4865, fax (360) 236-2901, e-mail vicki.brown@doh.wa.gov.
Number of Sections Adopted in Order to Comply with Federal Statute: New 0, Amended 0, Repealed 0; Federal Rules or Standards: New 0, Amended 0, Repealed 0; or Recently Enacted State Statutes: New 2, Amended 0, Repealed 0.
Number of Sections Adopted at Request of a Nongovernmental Entity: New 0, Amended 0, Repealed 0.
Number of Sections Adopted on the Agency's Own Initiative: New 0, Amended 0, Repealed 0.
Number of Sections Adopted in Order to Clarify, Streamline, or Reform Agency Procedures: New 0, Amended 0, Repealed 0.
Number of Sections Adopted Using Negotiated Rule Making: New 0, Amended 0, Repealed 0; Pilot Rule Making: New 0, Amended 0, Repealed 0; or Other Alternative Rule Making: New 2, Amended 0, Repealed 0.
Date Adopted: April 25, 2014.
Michael Gillispie, Chairperson
Board of Denturists
NEW SECTION
WAC 246-812-240 Nonorthodontic removable oral devices.
(1) A licensed denturist may provide nonorthodontic removable oral devices after receiving an endorsement to his or her denturist license. These devices must be accompanied by written encouragement to have regular dental checkups with a licensed dentist.
(2) Nonorthodontic removable oral devices are limited to:
(a) Bruxism devices also known as occlusal splints, occlusal bite guard, bruxism appliance, bite plate, and night guard;
(b) Sports mouth guards;
(c) Removable cosmetic appliances, regardless of whether the patient is missing teeth; and
(d) Snoring devices, but only after a physician has ruled out snoring associated with sleep breathing disorders to include obstructive sleep apnea.
(3) The practice of denturism does not include the making, placing, constructing, altering, reproducing, or repairing of nonorthodontic removable oral devices intended to treat obstructive sleep apnea or to treat temporomandibular joint dysfunction.
(4) To qualify for an endorsement, a denturist must complete the following education and training in nonorthodontic removable oral devices:
(a) A minimum of four hours of instruction in snore guards and sleep apnea; and
(b) A minimum of two hours in bruxism devices, sports mouth guards, and removable cosmetic appliances.
(5) Nonorthodontic removable oral devices education and training must be obtained through a board-approved program or course.
(a) The program or course curriculum must include training on each subject listed under subsection (2)(a) through (d) of this section.
(b) A presenter must submit the training curriculum to the board for review and approval prior to providing the training.
(c) The board may review previously approved curriculums as necessary or as determined by the board.
(6) To receive a nonorthodontic removable oral devices endorsement, the denturist must provide evidence of successfully completing the education and training requirements in this section by submitting to the board:
(a) A declaration on a form approved by the board that verifies proof of completion of education and training signed and dated by both the presenter and the denturist; or
(b) A declaration on a form approved by the board that the education and training was included in a board-approved educational program signed and dated by both the instructor and the student.
NEW SECTION
WAC 246-812-250 Teeth whitening services.
(1) A licensed denturist may provide teeth whitening services after receiving an endorsement to his or her denturist license.
(2) Teeth whitening services include:
(a) Fabricating whitening trays;
(b) Providing nonprescription strength whitening solutions with over-the-counter equivalent concentrations; and
(c) Providing required follow-up care and instructions for use of the trays and solutions at home.
(3) To qualify for an endorsement, a denturist must complete a minimum of two hours of instruction in teeth whitening services.
(4) Education and training in teeth whitening services must be obtained through a board-approved program or course curriculum.
(a) A presenter must submit the training curriculum to the board for review and approval prior to providing the training.
(b) The board may review previously approved curriculums as necessary or as determined by the board.
(5) To receive an endorsement for teeth whitening services, the denturist must provide evidence of successfully completing the education and training requirement in this section by submitting to the board:
(a) A declaration on a form approved by the board that verifies proof of completion of education and training signed and dated by both the presenter and the denturist; or
(b) A declaration on a form approved by the board that the education and training was included in a board-approved educational program signed and dated by both the instructor and the student.
(6) A denturist providing teeth whitening services to patients shall provide the patient with written and verbal information and answer any questions related to teeth whitening trays and teeth whitening solutions including:
(a) Procedure;
(b) Alternatives; and
(c) Risks.
(7) The denturist shall obtain written patient consent on a form approved by the board for the procedure(s) and retain the signed form in the patient record.
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