WSR 24-02-029
PERMANENT RULES
DEPARTMENT OF HEALTH
(Board of Denturists)
[Filed December 22, 2023, 2:17 p.m., effective January 22, 2024]
Effective Date of Rule: Thirty-one days after filing.
Purpose: Denturist rules regarding prefabricated implant abutments and infection control standards. New WAC 246-812-462 was adopted by the board of denturists (board) for the use of placement of prefabricated implant abutments. The adopted [rule] establishes the requirements that are to be followed in order for a licensed denturist to place a prefabricated implant abutment on an implant for the purpose of fabricating, repairing, relining, or rebasing a denture.
The board amended WAC 246-812-501 to ensure that a licensed denturist develop and maintain written infection control policies, procedures, and requirements for infection prevention and control that are appropriate for the denturist services provided by the facility.
Citation of Rules Affected by this Order: New WAC 246-812-462; and amending WAC 246-812-501.
Adopted under notice filed as WSR 23-19-088 on September 20, 2023.
Changes Other than Editing from Proposed to Adopted Version: In response to public comments, the board added the phrase "no more than 90 days" to WAC 246-812-462 so it now reads: "The prefabricated implant abutment seat shall be verified by radiographic assessment by a licensed dentist no more than 90 days prior to delivery of the denture."
Also the board added the phrase "prefabricated implant" before the term "abutment" in WAC 246-821-462 in two places for clarity.
A final cost-benefit analysis is available by contacting Vicki Brown, P.O. Box 47852, Olympia, WA 98504-7852, phone 360-236-4865, fax 360-236-2901, TTY 711, email vicki.brown@doh.wa.gov, website https://www.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Number of Sections Adopted in Order to Comply with Federal Statute: New 0, Amended 0, Repealed 0; Federal Rules or Standards: New 0, Amended 0, Repealed 0; or Recently Enacted State Statutes: New 0, Amended 0, Repealed 0.
Number of Sections Adopted at the Request of a Nongovernmental Entity: New 1, Amended 1, Repealed 0.
Number of Sections Adopted on the Agency's own Initiative: New 0, Amended 0, Repealed 0.
Number of Sections Adopted in Order to Clarify, Streamline, or Reform Agency Procedures: New 0, Amended 0, Repealed 0.
Number of Sections Adopted using Negotiated Rule Making: New 0, Amended 0, Repealed 0; Pilot Rule Making: New 0, Amended 0, Repealed 0; or Other Alternative Rule Making: New 1, Amended 1, Repealed 0.
Date Adopted: October 25, 2023.
Joshua Brooks, Chair
Board of Denturists
OTS-4569.2
NEW SECTION
WAC 246-812-462Prefabricated implant abutments.
A licensed denturist, prior to placing a prefabricated implant abutment on an implant for the purpose of fabricating, repairing, relining, or rebasing a denture, must have documented proof that a licensed dentist has examined the patient clinically. The documented proof from the licensed dentist must include a report that the implant is sufficiently osseointegrated, the surrounding soft tissues are stable and healthy, and provide a documented diagnosis that the implant is ready to restore. The prefabricated implant abutment seat shall be verified by radiographic assessment by a licensed dentist no more than 90 days prior to delivery of the denture.
AMENDATORY SECTION(Amending WSR 98-20-068, filed 10/2/98, effective 11/2/98)
WAC 246-812-501Purpose.
The purpose of WAC 246-812-501 through 246-812-520 is to establish that a licensed denturist must have written policies, procedures, and requirements for infection prevention and control in denturist offices to protect the health and well-being of the people of the state of Washington. For purposes of infection control, all denturist staff members and all patients shall be considered potential carriers of communicable diseases. Infection control procedures are required to prevent disease transmission from patient to denturist and staff, denturist and staff to patient, and from patient to patient. Every denturist is required to comply with the applicable standard of care in effect at the time of treatment. At a minimum, the denturist must comply with the requirements defined in WAC 246-812-520.