Transcript Regulatory & Advisory Agencies

Chapter 22
Regulatory & Advisory
Agencies
Copyright 2003, Elsevier Science (USA).
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Introduction
Several government agencies and professional
organizations have a direct influence on dentistry,
infection control, and other health care safety
issues.
In addition to issuing recommendations and
regulations some have regulatory roles and
others are advisory.
These agencies can serve as an excellent resource
for information and educational materials.
Copyright 2003, Elsevier Science (USA). All rights reserved.
Recommendations and Regulations

Recommendations are made by individuals,

Regulations are made by groups or agencies
that do have the authority to enforce compliance
groups, or agencies that are advisory and have no
authority for enforcement.
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.
Copyright 2003, Elsevier Science (USA). All rights reserved.
Associations and Organizations

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The American Dental Association (ADA) is the
professional organization for dentists. The ADA
periodically updates its infection control
recommendations as new scientific information
becomes available.
The Organization for Safety and Asepsis
Procedures (OSAP) is 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.
Copyright 2003, Elsevier Science (USA). All rights reserved.
Associations and Organizations- cont’d

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State and local dental societies can be helpful to
you in complying 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.
Copyright 2003, Elsevier Science (USA). All rights reserved.
Governmental Agencies

Centers for Disease Control and Prevention (CDC)

Food and Drug Administration (FDA)


Occupational Safety and Health Administration
(OSHA)
National Institute for Occupational Safety and
Health (NIOSH)
Copyright 2003, Elsevier Science (USA). All rights reserved.
Centers for Disease Control and
Prevention (CDC)

The CDC is recognized as the lead federal agency for
protecting the health and safety of people at home and
abroad.

The CDC bases its public health recommendations on the
highest quality scientific data.

Most infection control procedures practiced in dentistry
today are based on the recommendations of the CDC.


It has an Oral Health Services section that studies oral
diseases, fluoride application, and infection control in
dentistry.
It does not have the authority to make laws, but many
of the local, state, and federal agencies use CDC
recommendations to formulate the laws.
Copyright 2003, Elsevier Science (USA). All rights reserved.
Food and Drug Administration (FDA)



The FDA is a regulatory agency and is part of
the United States Department of Health and
Human Services.
The FDA regulates the manufacturing and
labeling of medical devices (such as sterilizers,
biologic and chemical indicators, ultrasonic
cleaners and cleaning solutions, liquid sterilants,
gloves, masks, protective eyewear, dental
handpieces and instruments, dental chairs, and
dental unit lights).
It also regulates antimicrobial handwashing
products and mouth rinses.
Copyright 2003, Elsevier Science (USA). All rights reserved.
Environmental Protection Agency

The EPA is a regulatory agency.

It ensures the safety and effectiveness of disinfectants.

Manufacturers of disinfectants must submit information
about the safety and effectiveness of the product.
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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 (i.e., chemicals), as well as medical
waste, after it leaves the dental office.
Copyright 2003, Elsevier Science (USA). All rights reserved.
Occupational Safety and Health
Administration (OSHA)

OSHA is a regulatory agency.

It protects workers’ against physical, chemical, or infectious
hazards in the workplace.
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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.
Copyright 2003, Elsevier Science (USA). All rights reserved.
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 occupational safety and
health professionals.
Copyright 2003, Elsevier Science (USA). All rights reserved.