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Chapter 22
REGULATORY AND ADVISORY
AGENCIES
Introduction
2
Introduction
3
Recommendations are made by individuals, groups,
or agencies that are advisory and have no authority
with regard to enforcement
Regulations are made by groups or agencies that do
have the authority to enforce compliance with the
regulations
Enforcement penalties may include fines,
imprisonment, or suspension or revocation of
licenses
Recommendations may be made by anyone, but
regulations are made by governmental groups or
licensing boards in towns, cities, counties, and states
Associations and
Organizations
Professional organizations are a valuable
resource for current infection control and
other professional information
Many dental professionals choose to
become members of their professional
organizations
4
American Dental
Association (ADA)
The ADA is the professional organization for
dentists
The ADA periodically updates its infection control
recommendations as new scientific information
becomes available
5
American Dental Assistants
Association (ADAA)
The oldest, largest group that represents
professional dental assistants
Its members include clinical personnel who
work chairside with the dentist, as well as the
receptionist, the office manager, and those
working behind the scenes in dental product
sales, insurance, and education
6
American Dental Hygienists
Association (ADHA)
The national professional organization for
dental hygienists
Provides its members with professional
support, educational programs, and
opportunities to participate in the
organization
7
Organization for Safety, Asepsis8
and Prevention (OSAP)
A not-for-profit organization composed of
dentists, hygienists, dental assistants,
government representatives, dental
manufacturers, university professors,
researchers, and dental consultants
This organization is an excellent resource
for information on infection control, injury
prevention, and occupational health
issues
State and Local Dental
Societies
State and local dental societies can help
you comply with regulatory issues in your
specific area
National, state, and local dental-assisting
societies can often answer questions and
provide opportunities for continuing
dental education
9
Government Agencies
10
Centers for Disease Control and Prevention
Food and Drug Administration
Environmental Protection Agency
Occupational Safety and Health Administration
National Institutes of Health
National Institute of Dental and Craniofacial
Research
National Institute for Occupational Safety and
Health
Centers for Disease Control and
Prevention (CDC)
11
Recognized as the lead federal agency for protecting
the health and safety of people at home and abroad
Bases its public health recommendations on the highestquality scientific data
Infection control procedures practiced in dentistry today
are based on the Guidelines for Infection Control in
Dental Health-Care Settings, issued by the CDC
Guidelines contain an Oral Health Services section that
concerns oral diseases, fluoride application, and
infection control in dentistry
The CDC does not have the authority to make laws, but
many local, state, and federal agencies use CDC
recommendations to formulate laws
Food and Drug
Administration (FDA)
12
Regulatory agency that is part of the U.S.
Department of Health and Human Services.
The FDA regulates the manufacture and labeling
of medical devices. It also regulates
antimicrobial hand-washing products and mouth
rinses.
Overview of a Dental
Operatory
13
Environmental Protection
Agency (EPA)
14
Regulatory agency that ensures the safety and
effectiveness of disinfectants
Manufacturers of disinfectants must submit
information about the safety and effectiveness of the
product
If the claims meet the EPA criteria, the product
receives an EPA registration number that must
appear on the product label
The EPA regulates discharge and final treatment of
waste materials (e.g., chemicals), as well as medical
waste after it leaves the dental office
Occupational Safety and
Health Administration (OSHA)
15
Regulatory agency that protects workers against
physical, chemical, and infectious hazards in the
workplace
It establishes protective standards, enforces those
standards, and offers technical assistance and
consultation programs
OSHA is a federal agency, but 22 states administer
their own state-operated OSHA programs
In states that administer their own OSHA programs,
the state standards must be equivalent to or more
stringent than those of the federal agency
National Institutes of Health
(NIH)
16
Part of the U.S. Department of Health and Human
Services
The primary federal agency for conducting and
supporting medical research
Many important health and medical discoveries of
the last century resulted from research supported
by the NIH
Translates research results into practice and
communicates research findings to patients and
their families, healthcare providers, and the
general public
National Institute of Dental
and Craniofacial Research
(NIDCR)
17
The dental research institute of the NIH
Its mission is to promote the general health of the
American people by improving their oral, dental,
and craniofacial health
Through research and the training of
researchers, the NIDCR promotes health,
prevents diseases and pathologic conditions,
and develops new diagnostic and therapeutic
techniques
National Institute for
Occupational Safety and
Health (NIOSH)
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NIOSH does not have regulatory authority
It is responsible for conducting research and
making recommendations for the prevention of
work-related disease and injury
NIOSH makes recommendations and
disseminates information on preventing
workplace disease, injury, and disability
It provides training to professionals in the field of
occupational safety and health