Chapter 150-14 DENTAL APPLICANCES, CAPS, COVERINGS, PROSTHESES AND COSMETIC COVERINGS
| (1) |
"Appliance"
means any fixed or removable structure which may or may not be made with an
impression of a human mouth or extraoral facial structures or any portion of
the human mouth, teeth, gums or jaw used to prevent adverse dental conditions,
including but not limited to changing the appearance of teeth, changing the
shape and shade of teeth, protect teeth, effecting the position of teeth or
repairing or replacing missing or damaged teeth. In addition, appliances shall
also include any device that gains a desired dental or medical result by using
the teeth or surrounding oral structures as support. |
| (2) |
"Cap" shall mean any fixed or removable
artificial structure created with a model or impression of a natural or
artificial tooth and used or worn as a covering on that natural or artificial
tooth. |
| (3) |
"Cosmetic covering"
means any fixed or removable artificial structure or product used or worn as a
covering on natural or artificial human teeth created with a model, impression
or any other measuring device including but not limited to computer assisted
design (CAD), of the human mouth or any portion thereof and used solely for
cosmetic purposes. Cosmetic covering shall include, but not be limited to, such
structures commonly known as "grills." |
| (4) |
"Covering" means any item that is used to
permanently or temporarily place over a natural or prosthetic tooth. |
| (5) |
"Dentist" shall mean an individual who is
licensed in this State pursuant O.C.G.A. § 43-11-1(9). |
| (6) |
"Fabricate" means to create, design or
construct any structure, whether artificial or naturally occurring, defined by
this rule as a dental appliance, cap, covering, prosthesis or cosmetic
covering. |
| (7) |
"Prosthesis" means:
| (a) |
Prosthesis: Artificial replacement of any
part of the human body. |
| (b) |
Dental
prosthesis: Any device or appliance replacing one or more missing teeth and/or,
if required, associated structures. This term includes but is not limited to
abutment crowns and abutment inlays/onlays, bridges, dentures, obturators, and
gingival prostheses. |
| (c) |
Definitive
prosthesis: Prosthesis to be used over an extended period of time. |
| (d) |
Fixed prosthesis: Non-removable dental
prosthesis that is solidly attached to abutment teeth, roots or
implants. |
| (e) |
Fixed-removable
prosthesis: Combined prosthesis, one or more parts of which are fixed, and the
other(s) attached by devices that allow their detachment, removal and
reinsertion by a dentist only. |
| (f) |
Interim prosthesis: A provisional prosthesis designed for use over a limited
period of time. |
| (g) |
Removable
prosthesis: Complete or partial prosthesis, which can be removed and reinserted
by a patient. |
|
| (8) |
"Theatrical purposes" shall mean any fabricated product defined by this rule
that is only used during activities of the performing arts and removed
immediately after such use. |
| (1) |
The fabrication of any dental appliance,
cap, covering, prosthesis or cosmetic covering, as defined by this chapter, is
included in the practice of dentistry as defined by O.C.G.A. § 43-11-17. |
| (2) |
No person shall fabricate any dental
appliance, cap, covering, prosthesis or cosmetic covering, as defined by this
chapter, unless he or she is licensed to practice dentistry or working under
the prescription of a licensed dentist. Nothing in this chapter shall prohibit
a physician licensed pursuant to Article 2, Chapter 34, Title 43 of the
Official Code of Georgia from performing any act within the scope of his or her
license. |
| (3) |
This rule shall not
apply to any structure that is used solely for theatrical purposes as defined
by this chapter. |
The dentist is responsible for the safety of the patient when
he or she fabricates or directs any other person to fabricate and the dentist
delivers any dental appliance, cap, covering, prosthesis or cosmetic covering
under this chapter.
| (a) |
For purposes of this rule, the term below
shall have the following meaning.
"Injectable pharmacologic" means any medication classified as a
neurotoxin, adjuvant or therapeutic agent including, but not limited to,
hyaluronic acid (such as Restylane), fillers (such as collagen), Botulinum
Toxin Type A (such as Botox) or similar products that have been approved by the
Federal Food and Drug Administration.
|
| (b) |
No dentist shall administer an injectable
pharmacologic unless the minimum standards of training and procedure set forth
in this section are satisfied. |
| (c) |
Administration of an injectable pharmacologic for the functional or cosmetic
enhancement of the gums, cheeks, jaws, lips, the oral cavity and associated
tissues is a procedure which can be performed by a dentist in connection with a
dental procedure in a dental treatment setting. |
| (d) |
A dentist may administer an injectable
pharmacologic only after having completed a Board-approved post-doctoral course
that is sufficient to prepare a dentist to satisfactorily administer injectable
pharmacologics safely and effectively, as provided in (f) below. |
| (e) |
Notwithstanding (d) above, a dentist
licensed in Georgia who has successfully completed an ADA accredited oral and
maxillofacial surgery advanced specialty education program shall not be
required to complete the Board-approved course set forth in (f) below prior to
administering injectable pharmacologics. |
| (f) |
In order to obtain Board approval for a
course on injectable pharmacologics, a course provider shall submit a course
outline, including course content and objectives and the curriculum vitae of
the instructor(s), for Board review and approval. The course outline shall
indicate whether the training is visual, hands-on or lecture. An approved
course shall be at least 21 hours in length and shall include advanced
instruction in the following:
| 1. |
Anatomy of
head and neck; |
| 2. |
Neurophysiology,
including facial tissues, parasympathetic, sympathetic and peripheral nervous
systems relative to peri-oral tissue, and facial architecture; |
| 3. |
Patient selection, including indications
and contraindications; |
| 4. |
Pharmacological effects and contraindications, including potential drug
interactions; and |
| 5. |
Management of
complications. |
|
| (g) |
The
course administrator shall issue a certificate of completion to a dentist who
successfully completes the approved course. |
| (h) |
A dentist who desires to administer
injectable pharmacologics shall submit to the Board, within 30 days of
completing the course, a certified true copy of the certificate of course
completion provided to the dentist by the course administrator. |
| (i) |
Prior to administering injectable
pharmacologics to a patient, the dentist shall conduct an appropriate physical
examination within the scope of dental practice, obtain a complete medical
history, including the patient's medications, allergies and sensitivities and
comprehensively assess the dental needs of the patient. Specific notations on
the use of injectable pharmacologics, including the type of agent, dosage,
duration and any untoward reactions, shall be recorded in the patient
record. |
| (j) |
A dentist shall not
delegate the administration of an injectable pharmacologic. |
| (k) |
The use of injectable pharmacologics
without first having met the minimum standards for training and the procedures
contained in this section shall constitute a deviation from the acceptable
standards of practice required of a licensee and may subject a dentist to the
penalties set forth in O.C.G.A.§ 43-11-47. |
