I have a soft spot in my heart for funny Engrish. Except when the person writing it has a blatant disrespect for patents, trademarks, and such. Isolite Systems has a slam-dunk product that has been previously featured here on DentalBuzz, and yes, we’ve even suggested that a clever hack was available which still gives the Isolite company a repeat source of income. There’s hacking, and then there’s design forgery.

This introductory email should sufficiently scare you away from even thinking about going to the dark side:

Dear Sir/Madam:

Good day! I am very pleasure to send you an E-mail to introduce our product– ISOlight Shining Suction! Pls check attachment. This product can bring a few of advantage for dentistry:

1. Work Faster, Brighter, Drier

ISOlight Shining Suction is with a continuous, powerful and shadowless illumination. Dentist can see it mach more clearly inside mouth, then they can work accurately and faster. The special design mouthpiece can supply a widely space for dentist. Operation become more convenience. This device can connect with high/low suction. then the water will go throuth mouthpiece and maintain mouth drier. The patient doesn’t need to get up the spit the water.

2. Shining Suction Stop Interruption and save more time, dentst can get more appointment

Base of the advantage, dentst can complete the operation faster and patient become more comfortable. EACH OPERATION WILL BE FAST 25%-30%. In the same working time, dentist can take more appointment and create more profit. In the same time, dentist and patient would not feel tried.

3.  Save Work

Shining Suction supply self-suction. Nurse doesn’t need to stay beside patient and hold high/low suction. She/he will be free to do the other assistance such as: mix the colophony and materail, clean the instrument, do autoclavable, pass and take the instrument etc. Then dentist can do operation more dedicated.

4. Safe

Special Mouthpiece will protect tongue and cheek. Patient will not be easy to get hurt.

5. Better Ergonomics

The ergonomic design of Shining Suction reduces fatigue and repetitive stress associated with retraction, suctioning, eyestrain, and motion spent adjusting headlights, overhead light or otherwise positioning the patient for better access or visibility.

6. Save Cost

The bright shining suction will supply the powerful light in mouth. Dentist doesn’t need to buy expensive fiber optic product, such as: Fiber optic handpice, fiber optic scaler, headlight, etc.

ISOlight Shining Suction is the new revolution dental product with many useful advantage. It will definitely help you increase your efficiency and profit. ISOlight will be your best assistant on your job.

If you have any question, pls feel free to contact me.

Do you still fight in the hard competition of old product? Do you still think about how to increase your business? Do you still warry about the profit reduce of old product? I think it is time to indraught ISOlight Shining Suction to help you.

For more detail and best distributor price, pls send E-mail to reference with your company detail.

Sincerely waitting for your reply. Have a nice day! Best regard

Kevin Guan, Export Manager, Codent Technology Co., Ltd

_________

If you ever see any other dental product knockoffs let us know here at DentalBuzz so we can “out” the dastardly company. SOPA and PIPA censoring isn’t the answer to problems like this on the internet. Awareness can only go so far, too. The real stand today has to be internal, so make sure that you continue to promote good enterprise instead of just free enterprise.

And it’s so hard for me to stand firm on my ethics because they make some REALLY CUTE HERMES BAG knockoffs out there! But I must stand up. For Isolite. And for every innovative company online that does its best to stay honest.

by Trish Walraven

Photoshop is fun. You can use it to make a fake Yelp review to help illustrate a point that you’re trying to make about something else. Like a patient writing an online review of your dental practice:

Vindication, finally! Yelp lets me air the true story of this miserable experience, and no one can stop me. First off, I had total confidence in the way I cared for my car – had the tires rotated every six months, oil changes every 3000 miles, if it was in the manual, I had it done. About a year after I’d moved into town was when I began noticing a drift to the left (irrespective of the politics here *grin*) so I took my car into Dodgy’s Auto Clinic, which had the highest score on RateMechanics.com. Get this! As I’m filling out some paperwork, one of the forms they’ve handed me is a “Privacy Agreement” that asked me to transfer ownership of any public commentary I might write in the future to Dodgy’s. Like this review – supposedly they now own it. Did the red flag go up? Definitely. Did I heed the warning? Unfortunately not. This mechanic BUTCHERED my car. Nothing feels the same. There are rattles where none previously existed, the steering wheel shimmies when I make a turn, and whenever I drive I just feel like taking a bus instead, it’s THAT BAD. They did fix the drift though, only now it goes in the opposite direction. Just in case I was insane I took it to another shop to get an opinion about their repairs. The second place agreed that unneccessary “treatment” had happened and that it would be difficult and pricey to undo the damage. In the end Dodgy’s did refund my money and asked that I not rip them apart online. I bet! The last thing they did as I walked out was to wave that “agreement” at me. Like it has any authority to do anything except make me mad. I have a destroyed car, and people should know the truth about this “Auto Clinic.” So, Bring it, Dodgy’s. Bring your lawyers. I’ve got everything I need to defend my words. You want to own my words? Here. OWN EM. I now own YOU.

This is a frightening scenario for any service provider. We have a clearly upset individual that seems sincerely convinced her car was ruined by a repair shop. And just one of these unfavorable reviews can inflict massive online damage.

Now let’s take this to dentistry. You got some patients out there talking smack about the quality of your work. Not your chairside manner, not your front office person who was less than helpful about payment arrangements. We are in the heart of your business, a heart that could be ripped out by a singular disgruntled review.

The question appears in your mind: How can we protect ourselves against this sort of damage? Just do good dentistry and treat our patients with kindness, empathy, and respect? Then what? What if you’re doing everything right and a review like the one above comes up and bites you in the backside? It’s not going to go away easily.

There’s always prevention, right? A program called Dental Justice has gotten into the business of fighting Web anti-defamation. For about $1200/year you’ll have access to Online Reputation Management Contract Templates (and some other lawsuit deterrents because otherwise these are some PRICEY legal forms!). You’re supposed to have each patient sign a contract to give you control over any reviews they may post.

What I’ve noticed is that there are two problems inherent to this solution:

1. Patients don’t like legal waivers. They pretty much only end up making you look defensive, like you have something to hide.
   
2. Anyone can post a negative review about you. Even if they’ve never been to your office or work for your competition.
   

Essentially, you have no protection against fictitious posts because even if you are using these contracts they are useless against people who never signed them in the first place. Also if a patient did sign a contract and you “out” them publicly with a copyright takedown notice, you may be exposed to a counterclaim of privacy violation. One lawyer even ended up walking out of his dentist’s office when asked to sign a Dental Justice contract:

story: Doctors and dentists tell patients, “all your reviews are belong to us”

But wait, it gets better.

John Swapceinski, co-founder of RateMDs.com seems to have exposed a fair amount of “sock puppetry” on his website at the hands of Medical Justice, Dental Justice’s parent company. In other words, he is alleging that Medical Justice is planting false reviews, that they are doing exactly the thing that they are hired to protect against.

story: Medical Justice caught impersonating happy patients on Yelp, RateMDs

Over the course of five months there were 86 ratings submissions on the RateMDs website made from Medical Justice’s own IP addresses. Naturally, these were extremely favorable reviews, and John states that Medical Justice was doctoring the web as part of their “Review Builder Program” until the scheme was discovered and the IP addresses blocked.

Sadly, Medical Justice is not the only perpetrator here. Just look up “Online Reputation Management” in your search engine to find dozens of companies that plant favorable reviews for a fee.

Now lucky for you, patients are also wising up. Most of them realize that dentistry isn’t a commodity that is easy to rate, reviews should be taken with a grain of skepticism, and that unhappy people usually squeak louder than satisfied ones. So if you’re worried about your social media going dark, stop practicing in a bubble and give your enthusiastic patients the brushes they need to paint your practice in bold, beautiful colors. Add Yelp and RateMDs links to your followup emails to make it easy for patients to take their happy vibes online.

And please, please, don’t make them sign anything.

by Eva Watson

Attention dental patients everywhere:

Feel like that new crown isn’t fitting right? Do you feel it may cause discomfort? Brain hemorrhaging? Death? Well, put that phone down, you silly thing. Your lawyer can wait because June is ‘Don’t Sue Your Dentist’ Awareness Month.

As an act of marginal sympathy, I ask those patients who plan on crushing the livelihoods of their dentists to refrain, for a moment, and search your heart for a modicum of compassion. In the spirit of ‘Don’t Sue Your Dentist’ Awareness Month, I offer latent plaintiffs a poetic gesture of retort on behalf of your dentists. I call this poem, “Oh, Come ON! You Gotta Be F%$@! Kidding Me?!”

Oh, Come ON! You Gotta Be F%$@! Kidding Me?!”

Beyond the reaches of simple men
You further the legions
Of those who wish to harm us
Into the shadows of the Beast
(The Man with the Briefcase)
We shall overturn your
Tortuous hands in our pockets
And fight… fight!
For the putrid, rotting silver in
The mouths of those who wish to
Destroy us was but a step away from
Excavation into Happiness
A porcelain utopia
Awaited those who turned on our Good selves
BEHOLD!
The wrath that disguises itself as
Innocent sufferer is the Devil
In Disguise and I’m bringing you down along with your pandering attorney!
Yeah! Booyah! How do ya like me now? Can’t hear that, you say? I said
I’m gonna countersue you!
I’m gonna Smear your name like a laboratory sample
On a glass slide!
And I’m gonna get your little dog, too!

by Trish Walraven

We know that you want to protect your family from anything that you hear about in the media. Especially radiation. Especially now, with the leaks at the nuclear power plant happening in Japan and with Dr. Oz telling everyone that going to the dentist could endanger their thyroid glands.

Your perception is made reality here at Safe Smiles Dental Care. Are you afraid of the cumulative effects of flying in airplanes, going outdoors, and X-Rays? Good.

Why do we say good? Because the way we nurture your fear of radiation sets us apart from other dental offices. We won’t say, “Oops, let’s re-take that xray; it didn’t come out right” here. We will get it right the first time, because, gosh darn it, we care. And we spent a lot of money on rectangular collimators with little magnets and beepers that tell you that we’re all lined up. And what about “Sorry, the thyroid collar will obstruct our view so we can’t use it”? You won’t hear that in our office either. We’ll just not worry your pretty little head about that part of your jaw.

This is what we call scratching our niche, baby. Our practice is the ultimate low-radiation dental office, and you won’t find this level of concern down the street at Dr. Happy-go-lucky’s practice. No way. We’ll massage your fears away with our assurance that any cancer you get in your lifetime won’t be from dental radiation.

So give us a call today at (990) 648-2130 to schedule your complimentary screening exam. We also offer just radiological services if you prefer to have your dental x-rays taken at our office and then forwarded to a dentist of your choice. But that’s such a hassle. Come on, you know you’d rather stay here with us. Especially when you start seeing these warning symbols posted all over the signs of our local competition:

Stay safe, and we’ll look forward to seeing you soon!

__________________

Yesterday on his network television show Dr. Mehmet Oz defended his remarks back in September about the necessity of lead thyroid collar use during dental x-rays whenever possible by stating that “there’s no good reason not to protect yourself against radiation.” While this is true, the bottom line is about using radiation in a way that leads to best outcomes in our patients, a point that several guest physicians also tried to make despite the protests of Dr. Oz.

Seriously, when you look at the sources of radiation in the world today, why worry about the miniscule intentional amounts? All radiation is dangerous, and it should be limited as much as possible, but the only way to avoid it totally is to dig a radon-free hole somewhere and live like a makedd roll gnat the rest of your life (ummmm. I mean naked mole rat. So hard to get that one right!). Calm your fears with this Radiation Dose Chart that was recently compiled, complete with facts about the Fukushima Nuclear plant (click on the image for full-size).

Another thing that I whipped up here for all you DentalBuzz readers is a Medical Radiation Dose Chart to download and show to your patients that have no idea how much radiation that they may be getting from the more common diagnostic procedures. I didn’t know a lot of it myself, so originally I created it to use in our office but you may find it helpful too. Did you know that it takes 10,000 PA radiographs to reach the annual limit of x-radiation? How many CT scans does it take to reach the limit? I’m too lazy to do all the math but it looks like 1 CT scan equals about 2,000 bitewings (film, not digital) according to this chart.

Regardless, we all have a responsibility to admit that we don’t know what we don’t know. And perhaps Dr. Oz may be a little right; we should do our best to protect our patients from radiation whenever possible, adapting the ALARA (As Low As Reasonably Achievable) principle with regards to radiation in dentistry.

Enter the media blitz. Interactive Digital Imaging (IDI) is re-introducing its rectangular collimator with a PR campaign targeting consumers. Dental patients will be encouraged to “Look for the Green Ring” at their dental offices, similar to the “Ask Your Doctor About” style of direct-to-consumer advertising used by the pharmaceutical industry. Originally priced at $1295, the newly redesigned Tru-Align collimator will be offered at $795 with improvements that overcome cone-cut errors and enhancements that make the positioner more user-friendly.

My favorite feature of the Tru-Align system is not that it can be used with any typical XCP holders (but still a good thing – this includes sensors, phosphor plates, and film), but that when you bump up the xray cone to the collimation ring, you get a magnetized lock-on and an audible beep to let you know that you will NOT be getting a cone-cut on that image. BAM! ZAP! If nothing else, the precision of this thing should impress our patients. And if they’re the kind that are really concerned about their radiation exposure, you can spew some factoids about reducing the absorbed dose from around 150 microsieverts to 30 microsieverts for an 18-image FMX series.

What it finally comes down to is having the right things to say to your patients when they ask about radiation, and addressing any real problems that you may be having in your office, like the assistant who has to re-take a periapical x-ray three times in order to get the one that you need. Or making sure that your thyroid collars are actually being Velcroed behind your patients’ necks. Or halting the bacteria-fest breeding on your lead aprons. My bet is that’s the biggest offense of all. Ahhh, a problem for another day…..

___

Thanks to these blogs whose articles have helped shape this one:

The ALARA Principle: Dr. Jeffrey Hoos and Michael Razzano on Dentistry IQ

The Digital Dentist Lorne Lavine

Dr. Oz discusses Dental X-Rays and Thyroid Cancer: Dr. Todd Welch at The Science of Dentistry

by Eva Watson

It’s a frustrating time to be a Dental Hygienist nowadays, from an RDH point of view. The lack of job opportunities, discourse over the creation of the Advanced Dental Hygiene Practitioner, and the selling-of-dentistry creed that owners want hygienists to adopt has produced enormous conflicts between dentists and hygienists. And it seems to be getting worse.

The issue appears to be about two things: money and control. That’s my opinion. If others in each field happen to agree with these views, let’s explore further.

As dental health professionals, what can we do to ease the burden of these two issues? How can we find common ground and move beyond the derision and animosity? I respectfully suggest:

NERF Dart Tag NDTL Strikefire Value Pack/ Fight-To-The-Death Match!

Hygienists: Talk about fire power! Well, I mean, they’re darts, but, oh! What foamy NERF fire power!
Dentists: It’s a VALUE pack. You will benefit from this monetarily… if your hygienist doesn’t dart the crud out of you first. Whee!

Mandatory Overtime Marshmallow Blaster Operatory Raids

Soft, sweet, and fat-free, hygienists and dentists may find the shooting of squishy, cylindrically-shaped goodies a much needed physical and mental release from the constant day-to-day fight for control, respect, and reduced overhead. Thank you, thinkgeek.com. I’m forever in awe of your geekdom.

Star Wars: The Clone Wars Lightsaber Duels (Wii) for Ultimate Dental Supremacy

Dentists: you automatically have to be the villain, but don’t worry. You can choose General Grievous, Count Dooku, or Anakin Skywalker. I would select General Grievous myself just because he was so very bad and evil.

Hygienists: I expect you to choose Yoda because he packed much wallop, was very wise, and had lots of experience behind him. The choice is yours, of course.

There are many ways in which to find balance between dentists and hygienists. I’m certain one day we will all work together in harmony.

by Trish Walraven

Alabama’s reputation in dentistry has recently been elevated to EPIC FAIL status.

According to today’s news at DrBicuspid.com, dental students at the University of Alabama at Birmingham (UAB) are deficient in their education. They’re playing video games at the retirement homes instead of doing dentistry, unless you count “brushing someone’s teeth” as doing dentistry. A whole lot of other allegations are being raised as well, but I thought this one especially was worth a hoot and a holler.

SPANK!

Take that, Alabama! This little slap will teach you not to hand out licenses to dental professionals without requiring students to take a national board exam first. Or even go to college first. Hey, does this mean that a dentist from Alabama will only be able to get work as a dental assistant in all the other states, like licensed dentists from other countries, until they pass the OTHER states’ board exams? The good news is that now that there’s a bunch of eyes on the situation brewing at this dental college, maybe there will be a tasty intervention coming. Remember, the first step in recovery is admitting that you have a problem.

Get the whole story here at Dr. Bicuspid (you may need to subscribe first). And if you’re from Alabama, sorry for the smack. Does it help you forgive me a little if I say I loved Alabama in Forrest Gump?

Tomorrow the an FDA panel will “probe cavity fillings” (that’s really the title of this segment shown on CBS this evening):
http://www.cbsnews.com/stories/2010/12/14/eveningnews/main7150398.shtml

Once again the media is out to sensationalize the debate by conjuring up images of daily vomiting, years of sinus congestion, and children who can’t go an hour without a seizure or two. And once again, it is mercury that is the alleged culprit.

If it really were as bad as it appears for the few people that are willing to testify before the panel, don’t you think that there would be a significantly larger population of people affected by mercury poisoning?

Four years ago, a panel decided that further study was necessary to understand whether amalgams give off more vapors when being placed or removed versus the amount of mercury vapor produced with chewing and brushing.

Maybe they were on to something there! What the FDA should do is launch a study of mercury levels in the blood, urine, and body tissues of the dentists who regularly place and remove amalgams, correlating symptoms described by those afflicted with mercury toxicity with the dentists in the study. If those symptoms are consistent in the dentists who have high levels of mercury, then go from there to decide whether amalgams are truly a problem.

The ADA stands behind the science. And until it is refuted, they are doing the right thing by not wavering on their position.

UPDATE – December 20th, 2010

Last week, an advisory panel to the US Food and Drug Administration (FDA) convened a professional panel review to again look at the safety issues associated with mercury amalgam in dentistry. A group of scientists and dental and medical professionals, lead by the International Academy of Oral Medicine and Toxicology (IAOMT), had called for FDA to reconsider its July 2009 “no risk” classification of mercury fillings. The FDA panel concluded that there are no huge scientific flaws in the agency’s 2009 finding that mercury-based dental fillings are safe for adults and children aged 6 years and older. The panel, however, recommended that the FDA look at more data, including the latest data, on the possible health risks dental amalgam poses to pregnant women and their fetuses and to young children, particularly nursing infants whose mothers have these fillings. The panel also said the FDA should consider adding warnings for these groups to the material’s product instructions.
 The ADA commended the panel’s call for continued research while offering support for the FDA’s current amalgam regulation. The panel’s call for more scientific data acknowledged concerns of dental amalgam opponents who link mercury exposure to dozens of diseases ranging from autism to Alzheimer’s disease.

No one likes the idea of seeing a child being restrained. Especially not at the dental office. But on the same hand, if a child is admitted to a hospital, has thousands of dollars spent to knock them out with potentially risky gas, and is in need of a procedure that takes only minutes to perform, which care is the right one?

Notorious press has given the papoose board a bad name. Granted, its utilization can be abused, especially as seen in the story that was profiled on ABC’s 20/20. General anesthesia isn’t without its opponents as well, especially when a child dies.

With that somber note hanging in the air, you may want to revisit David After Dentist and pick yourself up with a little sedation dentistry humor. Even if you don’t agree that his dad should have ever posted the video on YouTube, it’s still so freakin’ funny.

Children who can’t be cooperative still need a means of getting their dentistry done, so pedodontists must make choices that sometimes include the use of papoose boards or general anesthesia. For entertainment’s sake, let’s just call this polarizing dilemma by another name: Hugs vs. Drugs.

There have been accusations from both sides: allegations of “nest feathering” by morally outraged dental anesthesiologists, abuses of public funds to pay for unnecessary procedures, the ultimatums given that any child restraint is considered grounds for lawsuits, equating papoose boards with third-world dental care, or offering general anesthesia for simple extractions when a combination of restraint and other sedation would be less expensive and as effective.

As a dental professional, it is your responsibility to make well-informed choices about sedation and restraint methods. For instance, individuals with autism or cerebral palsy may find that restraints are not only necessary, but even welcomed when compared to the use of drugs that can do more harm than the good that the dentistry is trying to achieve. Restraints may not be a better choice for toddlers whose biggest problem is a helicopter parent or two who are freaked out about the psychological trauma of having an irreparable tooth pulled. If a parent freaks, most likely so will the child, so it may be your choice to pander to the whiny world of children who are more in charge than their parents. After all, it’s no big deal to go under GA for a five-minute ear tube procedure with the ENT, right? That’s expected.

No matter what you decide to do, as long as you’re doing it from a level of comfort with your ability, and most importantly, from a sense of compassion, you should be able to confidently make the call for each patient, no matter where it falls on this line.

But sometimes, you just want to throw up your hands and say “AHHHHH I QUIT!” because you don’t know how to manage a patient. That’s when it’s awesome to have someone in your contact list who you trust to make this call.

And then pass the buck to them, because referring out can be very, very gratifying at times.

The idea of dozens of dentists lined up, hoping to have their bowls filled with a ladle of delicious….CLEAR PLASTIC IMPRESSIONS….is weird. “NO INVISALIGN FOR YOU!” screamed the white-coats at Align Technology. Dentists completing less than 10 cases per year were suspended from their accounts, and sent away, bowls empty, furious with the scare-tactic attempt to boost sales and case acceptance.

Until yesterday. Instead of getting your soup in a bowl at the counter,  you complainers will be able to get it in a to-go container, from the “Concession Stand”:

Align Technology Eliminates Annual Case Requirement for Invisalign(R) Providers

SANTA CLARA, Calif., Apr 22, 2010 (GlobeNewswire via COMTEX News Network) — Align Technology, Inc. (Nasdaq:ALGN) today announced a strategic change to the Invisalign proficiency program the Company launched last June to help ensure Invisalign providers build a baseline of Invisalign product experience and knowledge through minimum annual case and continuing education (CE) goals. Effective immediately, doctors will no longer be required to start a minimum of ten shipped cases per year to maintain their active provider status. Doctors are still required to complete a minimum of ten Invisalign continuing education (CE) hours per year.

“Despite continued strong efforts by our customers to meet the annual proficiency requirements, many customers remain frustrated with the program, particularly the case requirement,” said Dan S. Ellis, vice president, North American Sales. “While we remain deeply committed to ensuring great treatment results for Invisalign doctors and patients, we are equally committed to listening to our customers and responding to their needs.”

Align will continue to emphasize the importance of Invisalign professional education in treatment success by maintaining the annual ten Invisalign CE hour requirements. In addition, Align will focus on continued product innovation and performance improvements and customer loyalty and rewards programs to help drive great treatment experiences and results. As part of this focus, Align will continue to promote the benefits of Invisalign Preferred Provider status for doctors who start ten or more cases each year.

Doctors who do not complete a minimum of ten Invisalign CE hours in a calendar year will have their Invisalign accounts temporarily suspended until they complete the minimum CE hours. With more than 200 hours of lecture-based and online learning opportunities, Align’s robust educational curriculum makes it convenient for doctors of every Invisalign experience level to stay current with product and clinical advancements.

Doctors whose customer accounts were deactivated or changed to limited status for failing to meet the 2009 proficiency requirements can reactivate their account and start using Invisalign again at any time by completing a Clear Essentials I or Clear Principles training course and thereafter meeting the annual ten CE hour requirement. More information on the proficiency program and related changes are available at http://vip.invisalign.com/proficiency.

_________________

Also worthy of reading are the frustrations aired at Jim DuMolin’s great website: http://www.thewealthydentist.com/SurveyResults/162-Invisalign-Dentists.htm.

Just so we have this straight: lasers are okay, but needles? Not so much. Texas is a bit behind the times regarding local anesthesia. But the great news is that their state board just recently issued a statement that affirms the legality of laser use by formally trained hygienists for treating periodontal disease that is not responding to traditional therapy.  Here it is in the Board’s own words:

Texas State Board of Dental Examiners’ Position Statement on the Use of Lasers by Dental Hygienists

The Texas State Board of Dental Examiners is aware that lasers can be used to replace or supplement traditional dental instruments such as handpieces, scalpels, curing lights, and the explorer.

It is the position of the Board that licensed dental hygienists may use lasers that are not capable of cutting or removing hard tissue, soft tissue, or tooth structure to perform clinical tasks that are otherwise within the hygienist’s scope of practice. Dental hygienists must perform intraoral procedures involving a laser under the general supervision of a licensed dentist.**

Whenever a new treatment modality is brought forward, it is the Board’s policy that the licensee must have proficiency and training in the use of the technology for the procedure performed. Licensees utilizing new technology must maintain documentation of the satisfactory completion of formal continuing education or training using the technology for the procedures performed. The particular technology utilized performing any particular clinical task does not alter the requirement that a dentist is ultimately responsible for any procedure delegated to an auxiliary and the auxiliary performing the procedure remains responsible for performing the task within the standard of care.

** “General supervision” means that the dentist employs or is in charge of the dental hygienist and is responsible for supervising the services performed by the dental hygienist. The dentist may or may not be present on the premises when the dental hygienist performs the procedures.