Login | Tuesday, January 06, 2009

Know your limits

Even if the dentist you work for delegates a task to you, never do anything outside the scope of your license, Harvey says. If you do and something goes wrong, you both are liable.

Keep yourself up-to-date on any changes in your state’s practice act . With all the new technologies available, Harvey says it’s also important to know what’s best for your patients. Know what you can and can’t use, and be sure you have the best tools available for patient screening.

“Using just the unaided eye and the traditional tools of dentistry are just not enough,” Gutkowski says. “If those are your only diagnosis tools, you’re setting yourself up for a lawsuit.”

As technologies evolve, new risks emerge for hygienists, Harvey says. These technologies must be used correctly and when appropriate. But she also said she isn’t aware of any lawsuits filed for failure to use a screening tool. Rather, the allegation focuses on failure to diagnose, which makes screening devices a vital part of hygiene visits.


All about patient care

Providing the best patient care you can within the scope of your license will help you avoid malpractice claims. Know your limits, but know what’s expected of you as well.

Build a rapport with patients. Educate them. Document what you do. Buy your own insurance. Provide risk assessment, early diagnosis and early treatment. Remember that with more responsibility comes more liability and with more technology comes more potential risk. Do what you can to protect yourself, because whether or not a claim is settled out of court, nothing good can come from it.

“I don’t think anybody would want to go through any of it,” DiGangi says. “It would be traumatic to your life and your family.” 


Renee Knight is a staff writer for Modern Hygienist.

*Comments from attorneys in this article do not constitute legal advice.

References available upon request. E-mail mh@advanstar.com.



RISK Assessment

*CARIES
ivoclar vivadent
CRT Bacteria
The CRT bacteria caries risk test makes harmful bacteria visible by facilitating the detection of mutans streptococci and lactobacilli in saliva—two strains that play a decisive role in the development of caries. These strains can harm both healthy as well as restored teeth. Test results are available after only two days.
 
 
 
Oral BioTech
CariFree
The CariFree system is a comprehensive caries risk assessment and treatment system that includes a 1-minute chairside CariScreen caries susceptibility test. If caries risk is moderate or high, a corrective action including the CariFree antibacterial Treatment and Maintenance rinses can be dispensed to treat the infection.
www.carifree.com
 

Practiceworks
Logicon Caries Detector
Utilizing a database of the disease features of carious lesions, the Logicon Caries Detector software zones in on shades of gray and analyzes changes in radiographic density to identify demineralized areas and determine the probability that caries is present, allowing you to see on screen what you could not see with your eyes alone.
 
 
 
gc america
Saliva-Check
Saliva-Check assesses a patient’s possible caries risk based upon his or her saliva condition. It measures hydration, salivary condition, resting and stimulated saliva pH, saliva buffering capacity, and stimulated saliva flow. Testing reportedly takes less than 10 minutes to identify patients who exhibit medium- or high-risk caries factors.
www.gcamerica.com
 

*ALL IN ONE
PreViser Corp.
PreViser
Now in its third version and offering many new features, PreViser oral disease and risk assessment software helps measure and communicate patients’ oral disease and risk—for perio disease, caries and oral cancer—as simple numeric scores. Dentists in CIGNA Dental’s network now have access to this technology at a discounted cost.
www.previser.com
 

*PERIO
Advanced Dental Diagnostics
micro-IDent
Micro-IDent plus supplies data on quality and quantity of 11 periodontopathogenic species and their affiliation to so-called “bacterial complexes.” The test results represent a strong basis for the design of individual therapy, significantly increasing the success rate of therapy while reducing the relapse rate.
www.addx.us
 
 
Oratec Corp.
BANA Test
The BANA Test is a highly sensitive, inexpensive, easy-to-use chairside test for periodontal risk. In just 5 minutes, the test can detect the bacteria associated with periodontal disease by applying tongue swabs or subgingival plaques to a test strip.
 

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Do you offer polishing for every patient?

Yes

No

I only do it if they request it