ontario regulation 501/07

made under the

Dental Hygiene Act, 1991

Made: June 20, 2007
Approved: August 22, 2007
Filed: August 27, 2007
Published on e-Laws: August 28, 2007
Printed in The Ontario Gazette: September 15, 2007

Amending O. Reg. 218/94

(General)

1. Ontario Regulation 218/94 is amended by adding the following Part:

PART III
PRESCRIBED CONTRAINDICATIONS TO SCALING TEETH AND ROOT PLANING, INCLUDING CURETTING SURROUNDING TISSUE, ON MEMBER’S OWN INITIATIVE

7. (1) For the purpose of clause 5 (1) (a) of the Act, the following contraindications are prescribed if the patient has not received clearance from a physician or dentist, or both:

1. Any cardiac condition for which antibiotic prophylaxis is recommended in the guidelines set by the American Heart Association (AHA), as those guidelines are amended from time to time, unless the member has consulted with either the patient’s physician, dentist or registered nurse in the extended class (RN(EC)) and determined that it is appropriate to proceed if the patient has taken the prescribed medication per the AHA guidelines.

2. Any other condition for which antibiotic prophylaxis is recommended or required.

3. An unstable medical or oral health condition, where the condition may affect the appropriateness or safety of scaling and root planing, including curetting surrounding tissue.

4. Active chemotherapy or radiation therapy.

5. Significant immunosuppression caused by disease, medications or treatment modalities.

6. Any blood disorders.

7. Active tuberculosis.

8. Drug or alcohol dependency of a type or extent that it may affect the appropriateness or safety of scaling and root planing, including curetting surrounding tissue.

9. High-risk of infective endocarditis.

10. A medical or oral health condition with which the member is unfamiliar or that could affect the appropriateness, efficacy or safety of the procedure.

11. A drug or combination of drugs with which the member is unfamiliar or which could affect the appropriateness, efficacy or safety of the procedure.

(2) Despite subsection (1), a member shall not perform a procedure under the authority of paragraph 1 of section 4 of the Act if the member is in doubt as to the status or accuracy of the medical or oral history of the patient.

2. This Regulation comes into force on the later of the day subsection 4 (4) of Schedule B to the Health System Improvements Act, 2007 comes into force and the day this Regulation is filed.

Made by:

Council of the College of Dental Hygienists of Ontario:

Cathie Mazal-Kuvla

President

Fran Richardson

Registrar

Date made: June 20, 2007.