3 Colo. Code Regs. § 709-1.26

Current through Register Vol. 47, No. 22, November 25, 2024

Section 3 CCR 709-1.26 - Application of Silver Diamine Fluoride by Dental Therapists and Dental Hygienists

This Rule is promulgated pursuant to sections 12-20-204, 12-220-105(3), 12-220-106, 12-220-503, 12-220-504(1)(e) and 12-220-508(1)(c)(VIII) C.R.S.

A. A dental hygienist or a dental therapist may prescribe and apply silver diamine fluoride if the licensee meets the statutory requirements in sections 12-220-503, C.R.S.

B. The application of silver diamine fluoride may not be assigned to an unlicensed professional.

C. Pursuant to section 12-220-503(1)(g)(IV), C.R.S., the postsecondary course or continuing education course of a minimum of one hour developed at a postsecondary level must include the following requirements:

1. Instruction on the use of proper placement and techniques of silver diamine fluoride (SDF);

2. Limitations of SDF;

3. Uses for SDF in clinical practice;

4. Mechanisms of action of SDF;

5. Diagnostic criteria, contraindications and limitations of SDF; and

6. Protocols for handling sensitivity, complications, or unsuccessful completion and follow up.

7. Training must be obtained through a course provided or recognized by any of the following organizations (or a successor organization):

a. A Commission on Dental Accreditation (CODA) accredited institution;

b. The American Dental Association (ADA) Continuing Education Recognition Program (CERP);

c. The Academy of General Dentistry (AGD) Program Approval for Continuing Education (PACE);

d. The American Medical Association (AMA); or

e. The American Dental Hygienists' Association (ADHA) or Colorado Dental Hygienists' Association.

D. The articulated plan with a collaborating dentist for dental hygiene prescribing as set forth in section 12-220-503(1)(g)(1), C.R.S., is subject to Board review and the dental hygienist shall provide the plan to the Board upon request.

E. When applying silver diamine fluoride pursuant to this Rule, at a minimum, the following must be documented in the patient's record:

1. Teeth treated;

2. Date of the procedure;

3. Rationale for applying the agent; and

4. Any required disclosures.

F. Pursuant to 12-220-201(1)(oo), C.R.S., the Board may take disciplinary action against an applicant or licensee for failing to comply with the requirements regarding the application of silver diamine fluoride.

3 CCR 709-1.26

Adopted June 14, 2018, Effective August 14, 2018, Amended July 14, 2021, Effective September 14, 2021; ; Amended November 3, 2022; Effective December 30, 2022

38 CR 04, February 25, 2015, effective 3/30/2015

38 CR 11, June 10, 2015, effective 6/30/2015

39 CR 04, February 25, 2016, effective 3/16/2016

39 CR 10, May 25, 2016, effective 6/30/2016

39 CR 16, August 25, 2016, effective 9/14/2016

41 CR 04, February 25, 2018, effective 3/17/2018

41 CR 11, June 10, 2018, effective 7/3/2018

41 CR 14, July 25, 2018, effective 8/14/2018

42 CR 11, June 10, 2019, effective 6/30/2019

42 CR 23, December 10, 2019, effective 1/1/2020

44 CR 11, June 10, 2021, effective 6/30/2021

44 CR 16, August 25, 2021, effective 9/14/2021

44 CR 23, December 10, 2021, effective 12/30/2021

45 CR 21, November 10, 2022, effective 10/4/2022

45 CR 23, December 10, 2022, effective 12/10/2022

45 CR 23, December 10, 2022, effective 12/30/2022