Chapter 679 — Dentists

 

2023 EDITION

 

 

DENTISTS

 

OCCUPATIONS AND PROFESSIONS

 

GENERAL PROVISIONS

 

679.010     Definitions

 

679.020     Practice of dentistry or operating dental office without license prohibited; exceptions

 

679.022     Exemption from naming licensed dentist as director for accredited institutions and programs

679.025     License required to practice dentistry; exemptions

 

679.027     Enjoining violations

 

679.050     Nonresident dentists giving or receiving instruction; hospital permits

 

LICENSING

 

679.060     Application for license; fees; grounds for refusal of license

 

679.065     Qualifications of applicants; rules

 

679.070     Examination; acceptable results

 

679.080     Reexamination of applicants; rules

 

679.090     Issuance of license

 

679.115     Licensing of dental instructor; requirements

 

679.120     Fees; waiver of fee; rules; renewal of license; notice of change of address

 

679.140     Discipline of licensee; grounds; procedure; sanctions

 

679.160     Appeal from board decision

 

679.165     Automatic suspension of license in case of mental disorder

 

679.170     Prohibited practices

 

679.176     Written work orders required for certain services

 

679.180     Enforcement; jurisdiction

 

OREGON BOARD OF DENTISTRY

 

679.230     Oregon Board of Dentistry; appointment; qualifications; confirmation; compensation and expenses

 

679.250     Powers and duties of board; rules

 

679.253     Authority of board to require fingerprints

 

679.255     Board to adopt standards for sedation during dental procedures; rules

 

679.260     Oregon Board of Dentistry Account; disbursement of receipts

 

679.280     Dental committees or consultants for improving standards of practice; liability; confidentiality of proceedings

 

679.290     Failure to comply with subpoena issued by board

 

679.300     Privileged data; admissibility of data as evidence in judicial proceedings

 

679.310     Duty to report violations; exceptions; liability

 

679.320     Confidentiality of information provided to board; limitation of liability

 

679.323     Removal of individual disciplinary information; rules

 

679.330     Advisory committee on dental assistant workforce shortage

 

MISCELLANEOUS

 

679.500     Administration of local anesthesia for certain purposes; rules

 

679.510     Liability insurance for retired dentist; requirements; rules

 

679.520     Treatment of dental waste materials containing mercury

 

679.525     Amalgam separators required in certain dental facilities

 

679.530     Information about oral prosthetic devices

 

679.535     Requirement to test heat sterilization device; rules

 

679.540     Oral disease prevention services; reimbursement; rules

 

679.543     Use of telehealth by dental care provider

 

679.546     Advertising as specialist; requirements; rules

 

679.549     Expression of regret or apology

 

679.552     Prescription and administration of vaccines; approved training course; rules

 

679.555     Rules for certification as dental assistant; examination requirements

 

DENTAL THERAPY

 

679.600     Definitions for ORS 679.600 to 679.630

 

679.603     Dental therapy license

 

679.606     Examinations, reexamination; acceptable results; rules

 

679.609     Grounds for refusal to issue or renew license

 

679.612     Prohibition on unauthorized practice, use of title; exceptions

 

679.615     Fees; waiver of fees; license renewal

 

679.618     Collaborative agreement required to practice dental therapy; required provisions; duties of dentist

 

679.621     Dental therapist scope of practice; duties of dentist; authority of dental therapist to supervise

 

679.624     Dental therapist authority to perform specified procedures; liability insurance; patient population requirement

 

679.627     Discipline

 

679.630     Rules

 

PENALTIES

 

679.991     Penalties

 

GENERAL PROVISIONS

 

      679.010 Definitions. As used in this chapter and ORS 680.010 to 680.205, unless the context requires otherwise:

      (1) “Dental assistant” means a person who, under the supervision of a dentist or dental therapist, renders assistance to a dentist, dental therapist, dental hygienist, dental technician or another dental assistant or who, under the supervision of a dental hygienist, renders assistance to a dental hygienist providing dental hygiene.

      (2) “Dental hygiene” is that portion of dentistry that includes, but is not limited to:

      (a) The rendering of educational, preventive and therapeutic dental services and diagnosis and treatment planning for such services;

      (b) Prediagnostic risk assessment, scaling, root planing, curettage, the application of sealants and fluoride and any related intraoral or extraoral procedure required in the performance of such services; and

      (c) Prescribing, dispensing and administering prescription drugs for the services described in paragraphs (a) and (b) of this subsection.

      (3) “Dental hygienist” means a person who, under the supervision of a dentist, practices dental hygiene.

      (4) “Dental technician” means a person who, at the authorization of a dentist, makes, provides, repairs or alters oral prosthetic appliances and other artificial materials and devices that are returned to a dentist and inserted into the human oral cavity or that come in contact with its adjacent structures and tissues.

      (5) “Dental therapist” means a person licensed to practice dental therapy under ORS 679.603.

      (6) “Dental therapy” means the provision of preventive dental care, restorative dental treatment and other educational, clinical and therapeutic patient services as part of a dental care team, including the services described under ORS 679.621.

      (7) “Dentist” means a person who may perform any intraoral or extraoral procedure required in the practice of dentistry.

      (8) “Dentist of record” means a dentist that either authorizes treatment for, supervises treatment of or provides treatment for a patient in a dental office or clinic owned or operated by an institution as described in ORS 679.020 (3).

      (9)(a) “Dentistry” means the healing art concerned with:

      (A) The examination, diagnosis, treatment planning, treatment, care and prevention of conditions within the human oral cavity and maxillofacial region, and of conditions of adjacent or related tissues and structures; and

      (B) The prescribing, dispensing and administering of prescription drugs for purposes related to the activities described in subparagraph (A) of this paragraph.

      (b) “Dentistry” includes, but is not limited to:

      (A) The cutting, altering, repairing, removing, replacing or repositioning of hard or soft tissues and other acts or procedures as determined by the Oregon Board of Dentistry and included in the curricula of:

      (i) Dental schools accredited by the Commission on Dental Accreditation of the American Dental Association;

      (ii) Post-graduate training programs; or

      (iii) Continuing education courses.

      (B) The prescription and administration of vaccines.

      (10) “Direct supervision” means supervision requiring that a dentist diagnose the condition to be treated, that a dentist authorize the procedure to be performed, and that a dentist remain in the dental treatment room while the procedures are performed.

      (11) “Expanded practice dental hygienist” means a dental hygienist who performs dental hygiene services in accordance with ORS 680.205 as authorized by an expanded practice dental hygienist permit issued by the board under ORS 680.200.

      (12) “General supervision” means supervision requiring that a dentist authorize the procedures by standing orders, practice agreements or collaboration agreements, but not requiring that a dentist be present when the authorized procedures are performed. The authorized procedures may also be performed at a place other than the usual place of practice of the dentist.

      (13) “Indirect supervision” means supervision requiring that a dentist authorize the procedures and that a dentist be on the premises while the procedures are performed. [Amended by 1983 c.169 §1; 1997 c.251 §4; 1999 c.188 §1; 2003 c.83 §1; 2005 c.52 §2; 2007 c.379 §1; 2011 c.716 §3; 2013 c.310 §1; 2015 c.15 §1; 2015 c.349 §1; 2019 c.58 §4; 2021 c.530 §13]

 

      679.020 Practice of dentistry or operating dental office without license prohibited; exceptions. (1) A person may not practice dentistry without a license.

      (2) Only a person licensed as a dentist by the Oregon Board of Dentistry may own, operate, conduct or maintain a dental practice, office or clinic in this state.

      (3) The restrictions of subsection (2) of this section, as they relate to owning and operating a dental office or clinic, do not apply to a dental office or clinic owned or operated by any of the following:

      (a) A labor organization as defined in ORS 243.650 and 663.005 (6), or to any nonprofit organization formed by or on behalf of such labor organization for the purpose of providing dental services. Such labor organization must have had an active existence for at least three years, have a constitution and bylaws, and be maintained in good faith for purposes other than providing dental services.

      (b) The School of Dentistry of the Oregon Health and Science University.

      (c) Public universities listed in ORS 352.002.

      (d) Local governments.

      (e) Institutions or programs accredited by the Commission on Dental Accreditation of the American Dental Association to provide education and training.

      (f) Nonprofit corporations organized under Oregon law to provide dental services to rural areas and medically underserved populations of migrant, rural community or homeless individuals under 42 U.S.C. 254b or 254c or health centers qualified under 42 U.S.C. 1396d(l)(2)(B) operating in compliance with other applicable state and federal law.

      (g) Nonprofit charitable corporations as described in section 501(c)(3) of the Internal Revenue Code and determined by the Oregon Board of Dentistry as providing dental services by volunteer licensed dentists to populations with limited access to dental care at no charge or a substantially reduced charge.

      (h) Nonprofit charitable corporations as described in section 501(c)(3) of the Internal Revenue Code and determined by the Oregon Board of Dentistry as having an existing program that provides medical and dental care to medically underserved children with special needs at an existing single fixed location or multiple mobile locations.

      (4) For the purpose of owning or operating a dental office or clinic, an entity described in subsection (3) of this section must:

      (a) Except as provided in ORS 679.022, name an actively licensed dentist as its dental director, who shall be subject to the provisions of ORS 679.140 in the capacity as dental director. The dental director, or an actively licensed dentist designated by the director, shall have responsibility for the clinical practice of dentistry, which includes, but is not limited to:

      (A) Diagnosis of conditions within the human oral cavity and its adjacent tissues and structures.

      (B) Prescribing drugs that are administered to patients in the practice of dentistry.

      (C) The treatment plan of any dental patient.

      (D) Overall quality of patient care that is rendered or performed in the practice of dentistry.

      (E) Supervision of dental hygienists, dental assistants or other personnel involved in direct patient care and the authorization for procedures performed by them in accordance with the standards of supervision established by statute or by the rules of the board.

      (F) Other specific services within the scope of clinical dental practice.

      (G) Retention of patient dental records as required by statute or by rule of the board.

      (H) Ensuring that each patient receiving services from the dental office or clinic has a dentist of record.

      (I) The prescription and administration of vaccines.

      (b) Maintain current records of the names of licensed dentists who supervise the clinical activities of dental hygienists, dental assistants or other personnel involved in direct patient care utilized by the entity. The records must be available to the board upon written request.

      (5) Subsections (1) and (2) of this section do not apply to an expanded practice dental hygienist who renders services authorized by a permit issued by the board pursuant to ORS 680.200.

      (6) Nothing in this chapter precludes a person or entity not licensed by the board from:

      (a) Ownership or leasehold of any tangible or intangible assets used in a dental office or clinic. These assets include real property, furnishings, equipment and inventory but do not include dental records of patients related to clinical care.

      (b) Employing or contracting for the services of personnel other than licensed dentists.

      (c) Management of the business aspects of a dental office or clinic that do not include the clinical practice of dentistry.

      (7) If all of the ownership interests of a dentist or dentists in a dental office or clinic are held by an administrator, executor, personal representative, guardian, conservator or receiver of the estate of a former shareholder, member or partner, the administrator, executor, personal representative, guardian, conservator or receiver may retain the ownership interest for a period of 12 months following the creation of the ownership interest. The board shall extend the ownership period for an additional 12 months upon 30 days’ notice and may grant additional extensions upon reasonable request. [Amended by 1977 c.192 §1; 1985 c.323 §3; 1995 c.286 §29; 1997 c.251 §6; 2003 c.322 §1; 2009 c.223 §1; 2011 c.637 §284; 2011 c.716 §4; 2013 c.310 §2; 2015 c.391 §1; 2019 c.58 §5; 2021 c.366 §§11,12]

 

      679.022 Exemption from naming licensed dentist as director for accredited institutions and programs. (1) ORS 679.020 (4)(a) does not apply to institutions or programs accredited by the Commission on Dental Accreditation of the American Dental Association to provide education and training.

      (2) Institutions or programs described in subsection (1) of this section must:

      (a) Maintain a list of the dentists of record that provide dental care in a dental clinic or office owned or operated by the institution or program; and

      (b) Provide the list maintained under this subsection to the Oregon Board of Dentistry when requested by the board. [2013 c.310 §3]

 

      679.025 License required to practice dentistry; exemptions. (1) A person may not practice dentistry or purport to be a dentist without a valid license to practice dentistry issued by the Oregon Board of Dentistry.

      (2) Subsection (1) of this section does not apply to:

      (a) Dentists licensed in another state or country making a clinical presentation sponsored by a bona fide dental society or association or an accredited dental educational institution approved by the board.

      (b) Bona fide full-time students of dentistry who, during the period of their enrollment and as a part of the course of study in an Oregon accredited dental education program, engage in clinical studies on the premises of such institution or in a clinical setting located off the premises of the institution if the facility, the instructional staff and the course of study to be pursued at the off-premises location meet minimum requirements prescribed by the rules of the board and the clinical study is performed under the indirect supervision of a member of the faculty.

      (c) Bona fide full-time students of dentistry who, during the period of their enrollment and as a part of the course of study in a dental education program located outside of Oregon that is accredited by the Commission on Dental Accreditation of the American Dental Association or its successor agency, engage in community-based or clinical studies as an elective or required rotation in a clinical setting located in Oregon if the community-based or clinical studies meet minimum requirements prescribed by the rules of the board and are performed under the indirect supervision of a member of the faculty of the Oregon Health and Science University School of Dentistry.

      (d) Candidates who are preparing for a licensure examination to practice dentistry and whose application has been accepted by the board or its agent, if the clinical preparation is conducted in a clinic located on premises approved for that purpose by the board and if the procedures are limited to examination only. This exception shall exist for a period not to exceed two weeks immediately prior to a regularly scheduled licensure examination.

      (e) Dentists practicing in the discharge of official duties as employees of the United States Government and any of its agencies.

      (f) Instructors of dentistry, whether full- or part-time, while exclusively engaged in teaching activities and while employed in accredited dental educational institutions.

      (g) Dentists who are employed by public health agencies and who are not engaged in the direct delivery of clinical dental services to patients.

      (h) Persons licensed to practice medicine in the State of Oregon in the regular discharge of their duties.

      (i) Persons qualified to perform services relating to general anesthesia or sedation under the direct supervision of a licensed dentist.

      (j)(A) Dentists licensed in another country and in good standing, while practicing dentistry without compensation for no more than five consecutive days in any 12-month period, provided the dentist submits an application to the board at least 10 days before practicing dentistry under this subparagraph and the application is approved by the board.

      (B) Dentists licensed in another state or United States territory and practicing in this state under ORS 676.347.

      (k) Persons practicing dentistry upon themselves as the patient.

      (L) Dental hygienists, dental assistants or dental technicians performing services under the supervision of a licensed dentist in accordance with the rules adopted by the board.

      (m) A person licensed as a denturist under ORS 680.500 to 680.565 engaged in the practice of denture technology.

      (n) An expanded practice dental hygienist who renders services authorized by a permit issued by the board pursuant to ORS 680.200. [1953 c.574 §2; 1955 c.560 §1; 1957 c.552 §4; 1963 c.284 §1; 1971 c.48 §1; 1973 c.390 §1; 1975 c.693 §19; 1979 c.1 §16; 1983 c.169 §2; 1993 c.142 §1; 1997 c.251 §5; 2005 c.504 §1; 2011 c.716 §5; 2012 c.80 §1; 2013 c.114 §1; 2017 c.342 §1; 2022 c.62 §5]

 

      679.026 [1971 c.48 §2; 1975 c.693 §20; 1977 c.192 §2; 1981 c.185 §1; repealed by 1983 c.169 §34]

 

      679.027 Enjoining violations. The Attorney General, or the prosecuting attorney of any county, or the Oregon Board of Dentistry, in its own name, may maintain an action for an injunction against any person violating any provision of ORS 679.020, 679.025, 679.170 or 679.176. Any person who has been so enjoined may be punished for contempt by the court issuing the injunction. An injunction may be issued without proof of actual damage sustained by any person. An injunction shall not relieve a person from criminal prosecution for violation of any provision of ORS 679.020, 679.025, 679.170 or 679.176 or from any other civil, criminal or disciplinary remedy. [1957 c.552 §2; 1963 c.284 §2; 1979 c.284 §192; 1983 c.169 §3]

 

      679.030 [Amended by 1953 c.574 §5; repealed by 1977 c.192 §13]

 

      679.040 [Amended by 1963 c.284 §3; repealed by 2003 c.83 §12]

 

      679.050 Nonresident dentists giving or receiving instruction; hospital permits. (1) If a reputable and duly licensed practitioner in dentistry of another state or country is asked to appear and demonstrate, receive or give instruction in the practice of dentistry before any qualified dental college or dental organization or dental study group recognized by the Oregon Board of Dentistry, the secretary of the board shall issue on written request of an authorized officer of such college or dental organization or dental study group, without fee, a permit for such purpose. A permit shall be issued upon such terms as the board shall prescribe.

      (2) If a reputable and duly licensed practitioner in dentistry of another state has been granted staff privileges, either limited, special or general, by any duly licensed hospital in this state, the secretary of the board shall issue on written request and verification of an authorized officer of such hospital, a permit for such nonresident practitioner to practice dentistry in said hospital. [Amended by 1963 c.284 §4; 1965 c.122 §3; 1967 c.282 §1; 1973 c.390 §2; 2013 c.114 §2]

 

LICENSING

 

      679.060 Application for license; fees; grounds for refusal of license. (1) Any person desiring to practice dentistry in this state shall file an application with the Oregon Board of Dentistry.

      (2) At the time of making the application, the applicant shall:

      (a) Pay to the board the required application and examination fee.

      (b) Furnish the board with evidence satisfactory to the board of details of any convictions recorded in any police records. Such details are subject to the findings required by ORS 670.280.

      (c) Present to the board a diploma or evidence satisfactory to the board of having graduated from an accredited dental education program approved by the board.

      (3) If an applicant has been in practice in another state or states the applicant shall furnish an affidavit from the secretary of the board of dental examiners or similar body of such state or states that the applicant has been engaged in the legal practice of dentistry in such state or states for a period of time prescribed by the rules of the Oregon Board of Dentistry.

      (4) The board may refuse to issue a license to or renew a license of an applicant who has been convicted of a violation of the law if the board makes the findings required by ORS 670.280. A certified copy of the record of conviction is conclusive evidence of conviction.

      (5) The board may refuse to issue a license to or renew a license of an applicant who has been disciplined by a state licensing or regulatory agency of this or another state regarding any health care profession when, in the judgment of the board, the act or conduct resulting in the disciplinary action bears a demonstrable relationship to the ability of the licensee or applicant to practice dentistry in accordance with the provisions of this chapter. A certified copy of the record of the disciplinary action is conclusive evidence of the disciplinary action.

      (6) The board may refuse to issue a license to or renew a license of an applicant who has falsified a license application, or any person for any cause described under ORS 679.140 or 679.170.

      (7) Fees paid are not refundable. [Amended by 1963 c.284 §5; 1973 c.390 §3; 1973 c.827 §69; 1973 c.829 §62a; 1977 c.444 §1; 1981 c.232 §1; 1983 c.169 §6; 1985 c.323 §4; 1995 c.199 §1; 2003 c.83 §2]

 

      679.065 Qualifications of applicants; rules. (1) An applicant for a dental license shall be entitled to take the examination to practice dentistry in Oregon if the applicant:

      (a) Is 18 years of age or older; and

      (b) Is a graduate of a dental school accredited by the Commission on Dental Accreditation of the American Dental Association or its successor agency, if any, which must have been approved by the Oregon Board of Dentistry.

      (2) Foreign trained graduates of dental programs may apply for the dental licensure examination, providing the applicant meets the board’s requirements, by rule, as will reasonably assure that an applicant’s training and education are sufficient for licensure. [1983 c.169 §5]

 

      679.070 Examination; acceptable results. (1) The Oregon Board of Dentistry may administer written, laboratory or clinical examinations to test professional knowledge and skills.

      (2) The examination must be elementary and practical in character but sufficiently thorough to test the fitness of the applicant to practice dentistry. It must include, written in the English language, questions on any subjects pertaining to dental science.

      (3) If a test or examination was taken within five years of the date of application and the applicant received a passing score on the test or examination, as established by the board by rule, the board:

      (a) To satisfy the written examination authorized under this section, may accept the results of national standardized examinations.

      (b) To satisfy the laboratory or clinical examination authorized under this section:

      (A) Shall accept the results of regional and national testing agencies or clinical board examinations administered by other states; and

      (B) May accept the results of board-recognized testing agencies.

      (4) The board shall accept the results of regional and national testing agencies or of clinical board examinations administered by other states, and may accept results of board-recognized testing agencies, in satisfaction of the examinations authorized under this section for applicants who have engaged in the active practice of dentistry in other states, in Oregon or in the Armed Forces of the United States, the United States Public Health Service or the United States Department of Veterans Affairs for at least 3,500 hours in the five years immediately preceding application and who meet all other requirements for licensure. [Amended by 1965 c.122 §4; 1983 c.169 §7; 1999 c.489 §1; 2001 c.193 §1; 2003 c.83 §3; 2005 c.229 §1; 2019 c.467 §1]

 

      679.080 Reexamination of applicants; rules. The Oregon Board of Dentistry may adopt rules requiring additional education and examination of applicants who have failed the licensing examination three times. [Amended by 1973 c.829 §63; 1977 c.444 §2; 1983 c.169 §8; 2003 c.83 §4]

 

      679.090 Issuance of license. The Oregon Board of Dentistry shall, upon the applicant’s satisfactory completion of the educational requirements and written, laboratory and clinical examinations authorized under this chapter and upon receipt of the requisite fees, issue or renew the appropriate dental license. [Amended by 1963 c.284 §6; 1971 c.34 §1; 1983 c.169 §9]

 

      679.100 [Repealed by 1963 c.284 §17]

 

      679.105 [1997 c.662 §1; repealed by 2003 c.83 §12]

 

      679.110 [Repealed by 1983 c.169 §34]

 

      679.115 Licensing of dental instructor; requirements. (1) Notwithstanding any other provision of this chapter, the Oregon Board of Dentistry shall issue a dental instructor’s license to practice dentistry to any person who furnishes the board with evidence satisfactory to the board that the applicant meets the requirements of subsection (2) of this section.

      (2) An applicant for a dental instructor’s license must be a full-time instructor of dentistry engaged in dental activities, including but not limited to participation in a faculty practice plan, within the scope of the applicant’s employment at Oregon Health and Science University and either:

      (a) Be a graduate of an accredited dental school; or

      (b) If the applicant is not a graduate of an accredited dental school, have a certificate or degree showing successful completion of an advanced dental education program of at least two years’ duration from an accredited dental school and:

      (A) Be licensed to practice dentistry in another state or a Canadian province;

      (B) Have held an instructor’s or faculty license to practice dentistry in another state or a Canadian province immediately prior to becoming an instructor of dentistry at Oregon Health and Science University;

      (C) Have successfully passed any clinical examination recognized by the board for initial licensure; or

      (D) Be certified by the appropriate national certifying examination body in a dental specialty recognized by the American Dental Association.

      (3) The board may refuse to issue or renew a dental instructor’s license to an applicant or licensee:

      (a) Who has been convicted of an offense or disciplined by a dental licensing body in a manner that bears, in the judgment of the board, a demonstrable relationship to the ability of the applicant or licensee to practice dentistry in accordance with the provisions of this chapter;

      (b) Who has falsified an application for licensure; or

      (c) For cause as described under ORS 679.140 or 679.170.

      (4) A person issued a dental instructor’s license is restricted to the practice of dentistry for or on behalf of Oregon Health and Science University.

      (5) A license issued to an applicant qualifying for a dental instructor’s license who is a specialist by virtue of successful completion of an advanced dental education program is restricted to the specialty in which the dentist was trained.

      (6) As used in this section, “accredited” means accredited by the Commission on Dental Accreditation of the American Dental Association or its successor agency, if any. [1999 c.578 §8; 2001 c.188 §1; 2013 c.413 §1; 2015 c.394 §1]

 

      679.120 Fees; waiver of fee; rules; renewal of license; notice of change of address. (1) The Oregon Board of Dentistry may impose application fees for the following:

      (a) Examinations, which may differ for general dentistry, foreign school graduate and specialty examinations.

      (b) Biennial dentist license, active.

      (c) Biennial dentist license, inactive.

      (d) Permits and certificates.

      (e) Delinquency.

      (2) Subject to prior approval of the Oregon Department of Administrative Services, the fees and charges established under this section and ORS 680.075 shall not exceed the costs of administering the regulatory program of the board, as authorized by the Legislative Assembly within the board budget, as the budget may be modified by the Emergency Board.

      (3)(a) The Oregon Board of Dentistry may waive the payment of the license fee in the case of any licensee who furnishes satisfactory evidence that the licensee has discontinued the actual practice of dentistry because of retirement.

      (b) Application to reinstate a license retired under paragraph (a) of this subsection or to convert an inactive status license to an active status license shall be made in accordance with the rules of the board and with the submission of the license fee prescribed for such license; provided, however, that if more than one year has expired since the license was retired or inactivated, satisfactory evidence of operative competence must be submitted to the board.

      (4) Every dentist shall advise the board within 30 days of any change of address.

      (5) Each dentist must renew the dentist’s license every two years through submitting a renewal application and paying the license fee.

      (6) Dentists licensed in even-numbered years must renew by March 31 of each even-numbered year. Dentists licensed in odd-numbered years must renew by March 31 of each odd-numbered year.

      (7) A reasonable charge may be made in the event that the license fee or renewal application is more than 10 days delinquent.

      (8) Fees paid are not refundable. [Amended by 1963 c.284 §7; 1967 c.19 §2; 1971 c.34 §2; 1973 c.390 §4; 1977 c.192 §3; 1977 c.444 §3a; 1981 c.232 §2; 1985 c.323 §5; 1989 c.338 §7; 1991 c.703 §25; 2023 c.602 §22]

 

      679.130 [Amended by 1973 c.390 §5; 1983 c.169 §10; 1991 c.67 §182; repealed by 1999 c.578 §6]

 

      679.140 Discipline of licensee; grounds; procedure; sanctions. (1) The Oregon Board of Dentistry may discipline as provided in this section any person licensed to practice dentistry in this state for any of the following causes:

      (a) Conviction of any violation of the law for which the court could impose a punishment if the board makes the finding required by ORS 670.280. The record of conviction or a certified copy thereof, certified by the clerk of the court or by the judge in whose court the conviction is entered, is conclusive evidence of the conviction.

      (b) Renting or lending a license or diploma of the dentist to be used as the license or diploma of another person.

      (c) Unprofessional conduct.

      (d) Any violation of this chapter or ORS 680.010 to 680.205, of rules adopted pursuant to this chapter or ORS 680.010 to 680.205 or of an order issued by the board.

      (e) Engaging in or permitting the performance of unacceptable patient care by the dentist or by any person working under the supervision of the dentist due to a deliberate or negligent act or failure to act by the dentist, regardless of whether actual injury to the patient is established.

      (f) Incapacity to practice safely.

      (2) “Unprofessional conduct” as used in this chapter includes but is not limited to the following:

      (a) Obtaining any fee by fraud or misrepresentation.

      (b) Willfully betraying confidences involved in the patient-dentist relationship.

      (c) Employing, aiding, abetting or permitting any unlicensed personnel to practice dentistry, dental hygiene or dental therapy.

      (d) Making use of any advertising statements of a character tending to deceive or mislead the public or that are untruthful.

      (e) Impairment as defined in ORS 676.303.

      (f) Obtaining or attempting to obtain a controlled substance in any manner proscribed by the rules of the board.

      (g) Prescribing or dispensing drugs outside the scope of the practice of dentistry or in a manner that impairs the health and safety of an individual.

      (h) Disciplinary action by a state licensing or regulatory agency of this or another state regarding a license to practice dentistry, dental hygiene, dental therapy or any other health care profession when, in the judgment of the board, the act or conduct resulting in the disciplinary action bears a demonstrable relationship to the ability of the licensee or applicant to practice dentistry, dental hygiene or dental therapy in accordance with the provisions of this chapter. A certified copy of the record of the disciplinary action is conclusive evidence of the disciplinary action.

      (3) The proceedings under this section may be taken by the board from the matters within its knowledge or may be taken upon the information of another, but if the informant is a member of the board, the other members of the board shall constitute the board for the purpose of finding judgment of the accused.

      (4) In determining what constitutes unacceptable patient care, the board may take into account all relevant factors and practices, including but not limited to the practices generally and currently followed and accepted by persons licensed to practice dentistry in this state, the current teachings at accredited dental schools, relevant technical reports published in recognized dental journals and the desirability of reasonable experimentation in the furtherance of the dental arts.

      (5) In disciplining a person as authorized by subsection (1) of this section, the board may use any or all of the following methods:

      (a) Suspend judgment.

      (b) Place a licensee on probation.

      (c) Suspend a license to practice dentistry in this state.

      (d) Revoke a license to practice dentistry in this state.

      (e) Place limitations on a license to practice dentistry in this state.

      (f) Refuse to renew a license to practice dentistry in this state.

      (g) Accept the resignation of a licensee to practice dentistry in this state.

      (h) Assess a civil penalty.

      (i) Reprimand a licensee.

      (j) Impose any other disciplinary action the board in its discretion finds proper, including assessment of the costs of the disciplinary proceedings as a civil penalty.

      (6) If the board places any person upon probation as set forth in subsection (5)(b) of this section, the board may determine and may at any time modify the conditions of the probation and may include among them any reasonable condition for the purpose of protection of the public and for the purpose of the rehabilitation of the probationer or both. Upon expiration of the term of probation, further proceedings shall be abated by the board if the person holding the license furnishes the board with evidence that the person is competent to practice dentistry and has complied with the terms of probation. If the evidence fails to establish competence to the satisfaction of the board or if the evidence shows failure to comply with the terms of the probation, the board may revoke or suspend the license.

      (7) If a license to practice dentistry in this state is suspended, the person holding the license may not practice during the term of suspension. Upon the expiration of the term of suspension, the license shall be reinstated by the board if the board finds, based upon evidence furnished by the person, that the person is competent to practice dentistry and has not practiced dentistry in this state during the term of suspension. If the evidence fails to establish to the satisfaction of the board that the person is competent or if any evidence shows the person has practiced dentistry in this state during the term of suspension, the board may revoke the license after notice and hearing.

      (8) Upon receipt of a complaint under this chapter or ORS 680.010 to 680.205, the board shall conduct an investigation as described under ORS 676.165.

      (9) Information that the board obtains as part of an investigation into licensee or applicant conduct or as part of a contested case proceeding, consent order or stipulated agreement involving licensee or applicant conduct is confidential as provided under ORS 676.175. Notwithstanding ORS 676.165 to 676.180, the board may disclose confidential information regarding a licensee or an applicant to persons who may evaluate or treat the licensee or applicant for drug abuse, alcohol abuse or any other health related conditions.

      (10) The board may impose against any person who violates the provisions of this chapter or ORS 680.010 to 680.205 or rules of the board a civil penalty of up to $5,000 for each violation. Any civil penalty imposed under this section shall be imposed in the manner provided in ORS 183.745.

      (11) Notwithstanding the expiration, suspension, revocation or surrender of the license, or the resignation or retirement of the licensee, the board may:

      (a) Proceed with any investigation of, or any action or disciplinary proceedings against, the dentist, dental hygienist or dental therapist; or

      (b) Revise or render void an order suspending or revoking the license.

      (12)(a) The board may continue with any proceeding or investigation for a period not to exceed four years from the date of the expiration, suspension, revocation or surrender of the license, or the resignation or retirement of the licensee; or

      (b) If the board receives a complaint or initiates an investigation within that four-year period, the board’s jurisdiction continues until the matter is concluded by a final order of the board following any appeal.

      (13) Withdrawing the application for license does not close any investigation, action or proceeding against an applicant. [Amended by 1955 c.560 §2; 1961 c.311 §1; 1963 c.284 §8; 1965 c.122 §5; 1971 c.157 §1; 1973 c.554 §1; 1977 c.192 §3a; 1977 c.745 §51; 1979 c.142 §1; 1979 c.744 §53a; 1981 c.185 §2; 1983 c.169 §11; 1985 c.323 §6; 1991 c.734 §73; 1995 c.199 §2; 1997 c.791 §25; 1999 c.253 §1; 1999 c.578 §1; 2003 c.83 §5; 2009 c.756 §39; 2021 c.530 §14]

 

      679.150 [Amended by 1961 c.311 §2; 1963 c.284 §9; 1965 c.122 §6; 1967 c.282 §2; 1983 c.169 §12; repealed by 1999 c.578 §6]

 

      679.160 Appeal from board decision. (1) Any licensee who has been disciplined by the Oregon Board of Dentistry may obtain judicial review of the decision in the manner prescribed by ORS chapter 183.

      (2) Notwithstanding ORS 676.210, enforcement of the board’s disciplinary order pending appeal shall be determined pursuant to ORS 183.482 (3). [Amended by 1961 c.311 §3; 1967 c.282 §3; 1973 c.390 §6; 1977 c.192 §4; 1979 c.744 §54; 1983 c.169 §13; 1995 c.199 §3; 2003 c.83 §6]

 

      679.165 Automatic suspension of license in case of mental disorder. The entry of a judgment by any court establishing the mental disorder of any person holding a license under this chapter operates as a suspension of such license. Such person may resume practice only upon a finding by the Oregon Board of Dentistry that the licensee has been declared restored to mental competence by an order of a court of competent jurisdiction. [1957 c.552 §3; 1999 c.59 §202; 2003 c.576 §542]

 

      679.170 Prohibited practices. A person may not:

      (1) Sell or barter, or offer to sell or barter, any diploma or document conferring or purporting to confer any dental degree, or any certificate or transcript made or purporting to be made, pursuant to the laws regulating the license and registration of dentists.

      (2) Purchase or procure by barter, any diploma, certificate or transcript described in subsection (1) of this section, with intent that it be used as evidence of the holder’s qualification to practice dentistry, or in fraud of the laws regulating the practice of dentistry.

      (3) With fraudulent intent, alter in a material regard any diploma, certificate or transcript described in subsection (1) of this section.

      (4) Use or attempt to use any diploma, certificate or transcript described in subsection (1) of this section, which has been purchased, fraudulently issued, counterfeited or materially altered, either as a license or color of license to practice dentistry, or in order to procure registration as a dentist.

      (5) Willfully make a false written or recorded oral statement to the Oregon Board of Dentistry in a material regard.

      (6) Within 10 days after demand made by the board, fail to respond to the board’s written request for information or fail to furnish to the board the name and address of all persons practicing or assisting in the practice of dentistry in the office of such person at any time within 60 days prior to the notice, together with a sworn statement showing under and by what license or authority such person and employee are and have been practicing dentistry.

      (7) Employ or use the services of any unlicensed person, to practice dentistry, dental hygiene or dental therapy, except as permitted by ORS 679.025, 679.176 and 680.010 to 680.205. [Amended by 1963 c.284 §10; 1977 c.192 §5; 1981 c.185 §3; 1983 c.169 §14; 1995 c.199 §4; 1999 c.578 §2; 2021 c.530 §15]

 

      679.175 [1953 c.574 §3; repealed by 1957 c.552 §9]

 

      679.176 Written work orders required for certain services. (1) No dentist may use the services of any person, not licensed to practice dentistry in this state, to construct, alter, repair, reline, reproduce or duplicate any prosthetic denture, bridge, appliance or any other structure to be worn in the human mouth, unless the dentist first furnishes to such person a written work order, in substantially the following form:

______________________________________________________________________________

 

(Date) ______, 2___

 

TO: (Name of dental technician or laboratory with address)

 

RE: (Name or number of patient)

      (Description of the work to be done, including diagrams if necessary, together with specifications of the type of materials to be used.)

 

(Name of ordering dentist)

 

(Address) ______

 

(Current license number) ___

______________________________________________________________________________

      (2) A duplicate copy of each such work order issued by the dentist shall be retained by each dentist for not less than two years. The Oregon Board of Dentistry or its agents shall be permitted to inspect, upon demand, the duplicate copies of all such work orders retained by each dentist.

      (3) No work order shall permit or require the taking of impressions of any part of the human oral cavity by any person not a dentist licensed by the board. [1963 c.284 §15]

 

      679.180 Enforcement; jurisdiction. (1) The district attorney of each county shall attend to the prosecution of all criminal complaints made under this chapter and may represent the Oregon Board of Dentistry in any proceeding brought pursuant to ORS 679.027 upon a complaint, information or indictment filed against any person under this chapter, or upon request of the board. However, nothing in this chapter shall be construed to prevent the prosecution of any person for violation of this chapter upon the information of the district attorney directly or, subject to the requirements of ORS 676.175, to prevent assistance being rendered to the district attorney by an employee of the board.

      (2) Nothing contained in this chapter shall be construed to require the district attorney to prosecute any person who is licensed by the board and who is subject to disciplinary action directly by the board under any provision of this chapter or ORS 680.010 to 680.205. [Amended by 1963 c.284 §11; 1967 c.282 §4; 1977 c.192 §6; 1983 c.169 §15; 1997 c.791 §26]

 

OREGON BOARD OF DENTISTRY

 

      679.230 Oregon Board of Dentistry; appointment; qualifications; confirmation; compensation and expenses. (1) The Oregon Board of Dentistry consists of 10 members appointed by the Governor and subject to confirmation by the Senate in the manner provided in ORS 171.562 and 171.565. All members of the board must be residents of this state. Of the members of the board:

      (a) Six must be Oregon active licensed dentists, of which at least one must be a dentist practicing in a dental specialty recognized by the American Dental Association;

      (b) Two must be Oregon active licensed dental hygienists; and

      (c) Two must be members of the public who are not:

      (A) Otherwise eligible for appointment to the board; or

      (B) A spouse, domestic partner, child, parent or sibling of a dentist or dental hygienist.

      (2)(a) Board members required to be Oregon active licensed dentists or dental hygienists may be selected by the Governor from a list of three to five nominees for each vacancy, submitted by:

      (A) The Oregon Dental Association, if the vacancy is in a dentist position;

      (B) The Oregon Dental Hygienists’ Association, if the vacancy is in a dental hygienist position; or

      (C) Any of the professional organizations representing a dental specialty, if the vacancy is in a dental specialty position.

      (b) In selecting the members of the board, the Governor shall strive to balance the representation on the board according to:

      (A) Geographic areas of this state; and

      (B) Ethnic group.

      (3)(a) The term of office of each member is four years, but a member serves at the pleasure of the Governor. The terms must be staggered so that no more than three terms end each year. Terms of office begin on the first Monday of April after the time of appointment. A member is eligible for reappointment. If there is a vacancy in the membership of the board for any reason, the Governor shall make an appointment to become immediately effective for the unexpired term.

      (b) A board member shall be removed immediately from the board if, during the member’s term, the member:

      (A) Is not a resident of this state;

      (B) Has been absent from three consecutive board meetings, unless at least one absence is excused;

      (C) Is not a licensed dentist or a retired dentist whose license was in good standing at the time of retirement, if the board member was appointed to serve on the board as a dentist or a dental specialist; or

      (D) Is not a licensed dental hygienist or a retired dental hygienist whose license was in good standing at the time of retirement, if the board member was appointed to serve on the board as a dental hygienist.

      (4) Members of the board are entitled to compensation and expenses as provided in ORS 292.495. The board may provide by rule for compensation to board members for the performance of official duties at a rate that is greater than the rate provided in ORS 292.495. [Amended by 1963 c.284 §12; 1969 c.314 §82; 1971 c.650 §30; 1973 c.792 §36; 1977 c.747 §1; 1983 c.169 §16; 1991 c.955 §1; 2003 c.83 §7; 2009 c.535 §14]

 

      679.240 [Repealed by 1983 c.169 §34]

 

      679.250 Powers and duties of board; rules. The powers and duties of the Oregon Board of Dentistry are as follows:

      (1) To, during the month of April of each year, organize and elect from its membership a president who shall hold office for one year, or until the election and qualification of a successor.

      (2) To authorize all necessary disbursements to carry out the provisions of this chapter, including but not limited to, payment for necessary supplies, office equipment, books and expenses for the conduct of examinations, payment for legal and investigative services rendered to the board, and such other expenditures as are provided for in this chapter.

      (3) To employ such inspectors, examiners, special agents, investigators, clerical assistants, assistants and accountants as are necessary for the investigation and prosecution of alleged violations and the enforcement of this chapter and for such other purposes as the board may require. Nothing in this chapter shall be construed to prevent assistance being rendered by an employee of the board in any hearing called by it. However, all obligations for salaries and expenses incurred under this chapter shall be paid from the fees accruing to the board under this chapter and not otherwise.

      (4)(a) To conduct examinations of applicants for license to practice dentistry, dental hygiene and dental therapy at least twice in each year.

      (b) In conducting examinations for licensure, the board may enter into a compact with other states for conducting regional examinations with other board of dental examiners concerned, or by a testing service recognized by such boards.

      (5) To meet for the transaction of other business at the call of the president. A majority of board members shall constitute a quorum. A majority vote of those present shall be a decision of the entire board. The board’s proceedings shall be open to public inspection in all matters affecting public interest.

      (6) To keep an accurate record of all proceedings of the board and of all its meetings, of all receipts and disbursements, of all prosecutions for violation of this chapter, of all examinations for license to practice dentistry, with the names and qualifications for examination of any person examined, together with the addresses of those licensed and the results of such examinations, a record of the names of all persons licensed to practice dentistry in Oregon together with the addresses of all such persons having paid the license fee prescribed in ORS 679.120 and the names of all persons whose license to practice has been revoked or suspended.

      (7) To make and enforce rules necessary for the procedure of the board, for the conduct of examinations, for regulating the practice of dentistry, and for regulating the services of dental hygienists and dental auxiliary personnel not inconsistent with the provisions of this chapter. As part of such rules, the board may require the procurement of a permit or other certificate. Any permit issued may be subject to periodic renewal. In adopting rules, the board shall take into account all relevant factors germane to an orderly and fair administration of this chapter and of ORS 680.010 to 680.205, the practices and materials generally and currently used and accepted by persons licensed to practice dentistry in this state, dental techniques commonly in use, relevant technical reports published in recognized dental journals, the curriculum at accredited dental schools, the desirability of reasonable experimentation in the furtherance of the dental arts, and the desirability of providing the highest standard of dental care to the public consistent with the lowest economic cost.

      (8) Upon its own motion or upon any complaint, to initiate and conduct investigations of and hearings on all matters relating to the practice of dentistry, the discipline of licensees, or pertaining to the enforcement of any provision of this chapter. In the conduct of investigations or upon the hearing of any matter of which the board may have jurisdiction, the board may take evidence, administer oaths, take the depositions of witnesses, including the person charged, in the manner provided by law in civil cases, and compel their appearance before it in person the same as in civil cases, by subpoena issued over the signature of an employee of the board and in the name of the people of the State of Oregon, require answers to interrogatories, and compel the production of books, papers, accounts, documents and testimony pertaining to the matter under investigation or to the hearing. In all investigations and hearings, the board and any person affected thereby may have the benefit of counsel, and all hearings shall be held in compliance with ORS chapter 183. Notwithstanding ORS 676.165, 676.175 and 679.320, if a licensee who is the subject of an investigation or complaint is to appear before members of the board investigating the complaint, the board shall provide the licensee with a current summary of the complaint or the matter being investigated not less than five days prior to the date that the licensee is to appear. At the time the summary of the complaint or the matter being investigated is provided, the board shall provide to the licensee a current summary of documents or alleged facts that the board has acquired as a result of the investigation. The name of the complainant or other information that reasonably may be used to identify the complainant may be withheld from the licensee.

      (9) To require evidence as determined by rule of continuing education or to require satisfactory evidence of operative competency before reissuing or renewing licenses for the practice of dentistry, dental hygiene or dental therapy.

      (10) To adopt and enforce rules regulating administration of general anesthesia and conscious sedation by a dentist or under the supervision of a dentist in the office of the dentist. As part of such rules, the board may require the procurement of a permit which must be periodically renewed.

      (11) To order an applicant or licensee to submit to a physical examination, mental examination or a competency examination when the board has evidence indicating the incapacity of the applicant or licensee to practice safely. [Amended by 1953 c.8 §2; 1957 c.552 §8; 1963 c.284 §13; 1965 c.122 §7; 1973 c.390 §7; 1973 c.829 §64; 1977 c.192 §7; 1983 c.169 §17; 1985 c.323 §7; 1989 c.338 §10; 1999 c.578 §3; 1999 c.751 §6; 2009 c.756 §41; 2021 c.530 §16]

 

      679.253 Authority of board to require fingerprints. For the purpose of requesting a state or nationwide criminal records check under ORS 181A.195, the Oregon Board of Dentistry may require the fingerprints of a person who:

      (1) Is employed or applying for employment by the board in a position in which the person has or will have access to information that is made confidential under state or federal laws, rules or regulations;

      (2) Provides services or seeks to provide services to the board as a contractor, vendor or volunteer in a position in which the person has or will have access to information that is made confidential under state or federal laws, rules or regulations;

      (3) Is applying for a license or permit that is issued by the board;

      (4) Is applying for renewal of a license or permit that is issued by the board; or

      (5) Is under investigation by the board. [2005 c.730 §54]

 

      Note: 679.253 was enacted into law by the Legislative Assembly but was not added to or made a part of ORS chapter 679 or any series therein by legislative action. See Preface to Oregon Revised Statutes for further explanation.

 

      679.255 Board to adopt standards for sedation during dental procedures; rules. The Oregon Medical Board and the Oregon State Board of Nursing, in consultation with the Oregon Board of Dentistry, shall adopt rules establishing standards governing their respective licensees for general anesthesia and conscious sedation administered in conjunction with the professional services of a dentist or dental hygienist. [1985 c.323 §13]

 

      679.260 Oregon Board of Dentistry Account; disbursement of receipts. (1) The Oregon Board of Dentistry Account is established in the State Treasury separate and distinct from the General Fund.

      (2) All moneys received by the Oregon Board of Dentistry under this chapter shall be paid to the State Treasury and credited to the Oregon Board of Dentistry Account. Any interest or other income derived from moneys paid into the account shall be credited monthly to the account.

      (3) Moneys in the Oregon Board of Dentistry Account are appropriated continuously and shall be used only for the administration and enforcement of ORS 676.850 and 680.010 to 680.205 and this chapter.

      (4) Ten percent of the annual license fee to be paid by each licensee of the Oregon Board of Dentistry shall be used by the board to ensure the continued professional competence of licensees. Such activities shall include the development of performance standards and professional peer review. [Amended by 1957 c.552 §5; 1967 c.19 §3; 1967 c.282 §5; 1969 c.314 §103; 1973 c.427 §21; 1977 c.192 §8; 1977 c.747 §2; 2003 c.83 §8; 2011 c.597 §279; 2013 c.240 §10]

 

      679.270 [Repealed by 1973 c.829 §71]

 

      679.280 Dental committees or consultants for improving standards of practice; liability; confidentiality of proceedings. (1) The Oregon Board of Dentistry may appoint a consultant or a committee or committees, each consisting of one or more licensed dentists in this state, to study and report to the board the condition of and dental treatment rendered to any person or persons by any licensed dentist or dentists in this state or by any person purporting to practice dentistry in this state. Any person, hospital, sanatorium, professional grievance committee, nursing or rest home or other organization may, subject to the laws governing privileged or confidential communications, provide information, interviews, reports, statements, memoranda or other data relating to the condition and treatment of any person to the consultant or committee or to the board, to be used in the course of any study for the purpose of improving the standards of dental practice or to enable the board to assess the desirability of disciplinary action relating thereto; and no liability of any kind or character for damages or other relief shall arise or be enforced against the person or organization by reason of having provided the information or material, or arise or be enforced against any consultant or member of the committee by reason of having released or published the findings and conclusions of the consultants or committees to advance dental science and dental education, or by reason of having released or published generally a summary of those studies. When used by the board to assess the desirability of disciplinary action, the testimony given to and the proceedings, reports, statements, opinions, findings and conclusions of the consultants and committees and the board shall be confidential as provided under ORS 676.175, but this shall not preclude the use of the subpoena power with respect to the actual records of dentists, patients, hospitals, sanitaria, nursing or rest homes.

      (2) There shall be no monetary liability on the part of, and no cause of action for damages shall arise against, any consultant or member of a duly appointed committee for any act or proceeding undertaken or performed within the scope of the functions of that consultant or committee, if the consultant or committee member acts without malice, has made a reasonable effort to obtain the facts of the matter on which the consultant or committee member acts, and acts in a reasonable belief that the action taken is warranted by the facts known to the consultant or committee member after that reasonable effort to obtain the facts. [1965 c.122 §2; 1977 c.192 §9; 1997 c.791 §27]

 

      679.290 Failure to comply with subpoena issued by board. (1) If a person fails to comply with any subpoena issued under ORS 679.250 (8), a judge of the circuit court of any county, on application of the executive director of the Oregon Board of Dentistry, shall compel obedience by proceedings for contempt as in the case of disobedience of the requirements of a subpoena issued from the circuit court.

      (2) In any proceeding under subsection (1) of this section and where the subpoena is addressed to a licensee of the board it shall not be a defense that:

      (a) No witness or mileage fee was paid; or

      (b) The material that is subject to the subpoena is protected under a patient and dentist privilege. [1983 c.169 §31; 2009 c.756 §42]

 

      679.300 Privileged data; admissibility of data as evidence in judicial proceedings. (1) All data shall be privileged and shall not be admissible in evidence in any judicial proceeding, but this section shall not affect the admissibility in evidence of a party’s records dealing with a party’s care and treatment.

      (2) A person serving on or communicating information to a committee described in subsection (4) of this section shall not be examined as to any communication to that committee or the findings thereof.

      (3) A person serving on or communicating to a committee described in subsection (4) of this section shall not be subject to an action for civil damages for affirmative actions taken or statements made in good faith.

      (4) As used in subsection (1) of this section, “data” means written reports, notes or records of peer review committees or other committees and similar committees of professional societies in connection with training, supervision or discipline of dentists. The term also includes written reports, notes or records of utilization review and professional standards review organization. [1983 c.169 §33]

 

      Note: 679.300 was enacted into law by the Legislative Assembly but was not added to or made a part of ORS chapter 679 or any series therein by legislative action. See Preface to Oregon Revised Statutes for further explanation.

 

      679.310 Duty to report violations; exceptions; liability. (1)(a) Unless state or federal laws relating to confidentiality or the protection of health information prohibit disclosure, any dentist or dental hygienist, or any person licensed by the Oregon Board of Dentistry, shall report to the board any suspected violation of this chapter or ORS 680.010 to 680.205 or any rule adopted by the board.

      (b) Unless state or federal laws relating to confidentiality or the protection of health information prohibit disclosure, a dentist or dental hygienist, or any person licensed by the board, shall report any prohibited conduct as defined in ORS 676.150 in the manner provided in ORS 676.150.

      (c) Unless state or federal laws relating to confidentiality or the protection of health information prohibit disclosure, the Oregon Dental Association or any other organization representing dentists or dental hygienists shall report to the board any suspected violation of this chapter or ORS 680.010 to 680.205 or any rule adopted by the board.

      (d) Any person may report to the board any suspected violation of this chapter or ORS 680.010 to 680.205 or any rule adopted by the board, association or other organization representing dentists or dental hygienists.

      (2) This section is not intended to require any person working on or with the Oregon Dental Association’s Dentist Well Being Committee or Peer Review Committee or the Quality Assurance or Peer Review Committee of the Oregon Dental Hygienists’ Association to report to the board any confidential information received within the scope of duties with that committee.

      (3) No person who has made a complaint as to the conduct of a licensee of the board or who has given information or testimony relative to a proposed or pending proceeding for misconduct against the licensee of the board, shall be answerable for any such act in any proceeding except for perjury. [1985 c.323 §11; 1999 c.578 §4; 2009 c.536 §7]

 

      679.320 Confidentiality of information provided to board; limitation of liability. (1) Any information provided to the Oregon Board of Dentistry as the basis of a complaint or in the investigation thereof shall not be subject to public disclosure during the period of investigation.

      (2) Any person who reports or provides information to the board and who does so in good faith shall not be subject to an action for civil damages as a result thereof. [1985 c.323 §12]

 

      679.323 Removal of individual disciplinary information; rules. (1) Upon the request of an individual who has been disciplined by the Oregon Board of Dentistry, the board shall remove from its website and other publicly accessible print and electronic publications under the board’s control all information related to disciplining the individual under ORS 679.140 and any findings and conclusions made by the board during the disciplinary proceeding, if:

      (a) The request is made 10 years or more after the date on which any disciplinary sanction ended;

      (b) The individual was not disciplined for financially or physically harming a patient;

      (c) The individual informed the board of the matter for which the individual was disciplined before the board received information about the matter or otherwise had knowledge of the matter;

      (d) The individual making the request, if the individual is or was a licensee, has not been subjected to other disciplinary action by the board following the imposition of the disciplinary sanction; and

      (e) The individual fully complied with all disciplinary sanctions imposed by the board.

      (2) The board shall adopt by rule a process for making a request under this section. [2016 c.41 §2]

 

      679.330 Advisory committee on dental assistant workforce shortage. (1) The Oregon Board of Dentistry shall convene an advisory committee of at least seven members to study the dental assistant workforce shortage and to review the requirements for dental assistant certification in other states. The committee shall provide advice to the board on a quarterly basis on how to address the dental assistant workforce shortage in this state.

      (2)(a) In appointing members to the advisory committee, the board shall prioritize diversity of geographic representation, background, culture and experience.

      (b) A majority of the members appointed to the committee must have experience working as dental assistants. [2023 c.436 §5]

 

      Note: 679.330 was enacted into law by the Legislative Assembly but was not added to or made a part of ORS chapter 679 or any series therein by legislative action. See Preface to Oregon Revised Statutes for further explanation.

 

MISCELLANEOUS

 

      679.500 Administration of local anesthesia for certain purposes; rules. (1) A dentist licensed to practice dentistry in this state may administer local anesthesia to a person for the purposes of receiving permanent lip color from a person licensed to perform tattooing under ORS 690.350 to 690.410 or having permanent hair removal in the lip area from a person licensed to perform electrolysis under ORS 690.350 to 690.410.

      (2) Prior to administering local anesthesia for the purposes authorized under subsection (1) of this section, the dentist must:

      (a) Receive a written order from a person licensed to perform tattooing or electrolysis under ORS 690.350 to 690.410;

      (b) Obtain a current health history from and perform an oral examination of the person who will receive the anesthesia; and

      (c) Establish and maintain a patient record in accordance with rules adopted by the Oregon Board of Dentistry.

      (3) The Oregon Board of Dentistry shall adopt rules authorizing a dentist licensed to practice dentistry in Oregon to administer local anesthesia for the purposes of tattooing human lips or having permanent hair removal in the lip area by a person licensed to perform tattooing or electrolysis under ORS 690.350 to 690.410. [1999 c.578 §10; 2003 c.187 §1; 2011 c.346 §32]

 

      679.510 Liability insurance for retired dentist; requirements; rules. (1) For the purposes of this section, “retired dentist” means a person who is retired from active practice except for the practice of dentistry without remuneration as a volunteer.

      (2) Subject to availability of funding, the Oregon Department of Administrative Services shall establish a program to purchase and maintain liability insurance for retired dentists. Insurance provided under the program shall be acquired through contracts with liability insurers that are authorized to offer liability malpractice insurance in this state. Insurance shall be provided under the program only if:

      (a) Dental services by the retired dentist will be provided through nonprofit corporations offering community services;

      (b) Dental services provided by the retired dentist will be offered to low-income patients based on ability to pay; and

      (c) The retired dentist will receive no compensation for the dental services provided, except for reimbursement for laboratory fees, testing services and other out-of-pocket expenses.

      (3) This section does not impose any liability on the state, or on the officers, employees and agents of the state, for any civil or criminal action against a retired dentist insured under the program established under subsections (1) to (5) of this section.

      (4) The department shall monitor the claims experience of retired dentists insured through the program established under subsections (1) to (5) of this section. The department may impose any risk management requirements that the department deems appropriate as a condition of providing liability insurance under the program.

      (5) The department shall provide insurance under subsection (2) of this section only to the extent that funds are appropriated to the department for the purposes of funding the program established under subsections (1) to (5) of this section.

      (6) The Oregon Department of Administrative Services may by rule establish any conditions considered necessary by the department before providing liability insurance for a retired dentist under the program established by subsections (1) to (5) of this section. [1999 c.1016 §§1,2; 2001 c.104 §261]

 

      Note: 679.510 was enacted into law by the Legislative Assembly but was not added to or made a part of ORS chapter 679 or any series therein by legislative action. See Preface to Oregon Revised Statutes for further explanation.

 

      679.520 Treatment of dental waste materials containing mercury. (1) A dentist who places in or removes from the human oral cavity dental materials containing mercury shall:

      (a) Implement and maintain best management practices of dental wastes as developed by the Oregon Dental Association to prevent amalgam waste and mercury from entering the air, sewage systems, waterways and garbage;

      (b) Have an amalgam separator installed on a wastewater drain in a dental facility where the dentist practices if dental materials containing amalgam pass through the wastewater drain. The amalgam separator must be verified by the manufacturer to remove at least 95 percent of the amalgam that passes through the drain on which it is installed;

      (c) Maintain an amalgam separator installed as required by this subsection in accordance with the manufacturer’s recommendations; and

      (d) Place all dental waste materials containing mercury in a vapor-proof container that is clearly labeled as containing mercury and dispose of the materials in accordance with best management practices of dental wastes recommended by the Oregon Dental Association. Disposal may not be by incineration that would result in the release of mercury into the air.

      (2) Each dental office shall keep proof of installation of an amalgam separator and maintain an amalgam separator maintenance log that the office shall make available for inspection by the Oregon Board of Dentistry. The board may inspect maintenance logs from a period of up to three years prior to the date of inspection. [2007 c.517 §2]

 

      679.525 Amalgam separators required in certain dental facilities. Each dental facility constructed on or after January 1, 2008, shall have amalgam separators that meet the requirements of ORS 679.520 (1)(b). [2007 c.517 §3]

 

      Note: 679.525 was enacted into law by the Legislative Assembly but was not added to or made a part of ORS chapter 679 or any series therein by legislative action. See Preface to Oregon Revised Statutes for further explanation.

 

      679.530 Information about oral prosthetic devices. Dental technicians shall, upon request by a dentist or patient, provide the dentist or patient with information about the location where oral prosthetic devices that are inserted into the human oral cavity or that come in contact with its adjacent structures and tissues were manufactured. [2009 c.147 §2]

 

      679.535 Requirement to test heat sterilization device; rules. (1) A person licensed by the Oregon Board of Dentistry who uses an autoclave or other heat sterilization device in the person’s practice shall test the autoclave or other heat sterilization device at least once per week to ensure that the device is functioning properly.

      (2) The Oregon Board of Dentistry shall adopt rules to implement this section. [2014 c.16 §2; 2017 c.362 §1]

 

      679.540 Oral disease prevention services; reimbursement; rules. (1) As used in this section:

      (a) “Dental provider” means a licensed dentist, dental hygienist or other dental practitioner or a dental care team or clinic that provides the following core services:

      (A) Comprehensive dental care;

      (B) Basic preventive dental services;

      (C) Referral to dental specialists; and

      (D) Family centered dental care.

      (b) “Health worker” means “traditional health worker” as defined by the Oregon Health Authority by rule.

      (2) The Oregon Health Authority, in consultation with coordinated care organizations and dental care organizations in this state, shall adopt rules and procedures for the training and certification of health workers to provide oral disease prevention services and for the reimbursement of oral disease prevention services provided by certified health workers.

      (3) The rules adopted under subsection (2) of this section must prescribe the training required for certification, including instruction on:

      (a) The performance of dental risk assessments; and

      (b) The provision of oral disease prevention services.

      (4) The authority shall adopt rules requiring that a certified health worker:

      (a) Refer patients to dental providers; and

      (b) Recommend to patients, or to the parent or legal guardian of a patient, that the patient visit a dental provider at least once annually. [2015 c.542 §1]

 

      Note: 679.540 was enacted into law by the Legislative Assembly but was not added to or made a part of ORS chapter 679 or any series therein by legislative action. See Preface to Oregon Revised Statutes for further explanation.

 

      679.543 Use of telehealth by dental care provider. (1) As used in this section, “telehealth” means a variety of methods, through the use of electronic and telecommunications technologies, for the distance delivery of health care services, including dental care services, and clinical information designed to improve a patient’s health status and to enhance delivery of the health care services and clinical information.

      (2) A dental care provider authorized by the Oregon Board of Dentistry to practice dental care services may use telehealth if:

      (a) In the professional judgment of the dental care provider, the use of telehealth is an appropriate manner in which to provide a dental care service; and

      (b) The dental care provider is providing a dental care service that is within the scope of practice of the dental care provider.

      (3) The use of telehealth as described in subsection (2) of this section is not an expansion of the scope of practice of a dental care provider.

      (4) The board shall treat a dental care service that is delivered by a dental care provider through telehealth as described in subsection (2) of this section the same as the board treats the dental care service when delivered in person. The board shall apply identical quality and practice standards to a particular dental care service regardless of the method of delivery of the dental care service. [2017 c.348 §1]

 

      Note: 679.543 was enacted into law by the Legislative Assembly but was not added to or made a part of ORS chapter 679 or any series therein by legislative action. See Preface to Oregon Revised Statutes for further explanation.

 

      679.546 Advertising as specialist; requirements; rules. (1) A dentist licensed by the Oregon Board of Dentistry may advertise that the dentist is a specialist in one or more areas of dentistry if the dentist:

      (a) Has completed a post-doctoral residency program that is at least two years in length and is accredited by the Commission on Dental Accreditation, or its successor organization, and approved by the board by rule;

      (b) Is a specialist as defined by the National Commission on Recognition of Dental Specialties and Certifying Boards, or its successor organization, and adopted by the board by rule; or

      (c) Has completed an advanced dental education program that is at least two years in length and is recognized by the United States Department of Education, and approved by the board by rule.

      (2) The board may adopt rules as necessary to carry out this section. [2019 c.379 §2]

 

      679.549 Expression of regret or apology. (1) For the purposes of any civil action against a person licensed by the Oregon Board of Dentistry or against a dental office or clinic, health care institution, health care facility or other entity that employs or grants the person privileges, any expression of regret or apology made by or on behalf of the person, office, clinic, institution, facility or entity, including an expression of regret or apology that is made in writing or by conduct, does not constitute an admission of liability.

      (2) A person licensed by the board, or any other person who makes an expression of regret or apology on behalf of a person licensed by the board, may not be examined by deposition or otherwise in any civil or administrative proceeding, including any arbitration or mediation proceeding, with respect to an expression of regret or apology made by or on behalf of the person, including expressions of regret or apology that are made in writing, orally or by conduct. [2019 c.182 §2]

 

      679.552 Prescription and administration of vaccines; approved training course; rules. (1)(a) In accordance with rules adopted by the Oregon Board of Dentistry, a dentist may prescribe and administer vaccines to a person with whom the dentist has established a patient relationship.

      (b) The board shall approve a training course on the prescription and administration of vaccines. The board may approve a training course offered by the Centers for Disease Control and Prevention, the American Dental Association or its successor organization or other similar federal agency or professional organization.

      (c) The board may adopt other rules as necessary to carry out this section.

      (2) The board shall adopt rules relating to the prescription and administration of vaccines by dentists, including rules requiring dentists to:

      (a) Report the prescription and administration of vaccines to the immunization registry created by the Oregon Health Authority pursuant to ORS 433.094;

      (b) Prior to administering a vaccine, review the patient’s vaccination history in the immunization registry described in this subsection;

      (c) Comply with protocols established by the authority for the prescription and administration of vaccines under subsection (1) of this section; and

      (d) Comply with any applicable rules adopted by the authority related to vaccines.

      (3) In consultation with the board, the authority may adopt rules related to vaccines prescribed and administered by dentists. [2019 c.58 §2]

 

      679.555 Rules for certification as dental assistant; examination requirements. (1) In adopting rules related to the requirements for certification as a dental assistant, including any type of expanded function dental assistant, the Oregon Board of Dentistry may require an applicant for certification to pass a written examination. If passage of a written examination is required for certification as a dental assistant, including any type of expanded function dental assistant, the board may accept the results of any examination that is:

      (a)(A) Administered by a dental education program in this state that is accredited by the Commission on Dental Accreditation of the American Dental Association, or its successor organization, and approved by the board by rule;

      (B) Administered by a dental education program in this state that is approved by the Commission for Continuing Education Provider Recognition of the American Dental Association, or its successor organization, and approved by the board by rule; or

      (C) An examination comparable to an examination described in subparagraph (A) or (B) of this paragraph that is administered by a testing agency approved by the board by rule; and

      (b) Offered in plain language in English, Spanish and Vietnamese.

      (2) The board may not require an applicant for certification as a dental assistant, including any type of expanded function dental assistant, to complete more than one written examination for certification as that type of dental assistant. [2023 c.436 §2]

 

      Note: 679.555 becomes operative July 1, 2025. See section 4, chapter 436, Oregon Laws 2023.

 

DENTAL THERAPY

 

      679.600 Definitions for ORS 679.600 to 679.630. As used in ORS 679.600 to 679.630:

      (1) “Collaborative agreement” means a written and signed agreement entered into between a dentist and a dental therapist under ORS 679.618.

      (2) “Dental pilot project” means an Oregon Health Authority dental pilot project developed and operated by the authority.

      (3) “Dentist” means a person licensed to practice dentistry under this chapter. [2021 c.530 §2]

 

      679.603 Dental therapy license. (1) The Oregon Board of Dentistry shall issue a license to practice dental therapy to an applicant who:

      (a) Is at least 18 years of age;

      (b) Submits to the board a completed application form;

      (c) Demonstrates the completion of a dental therapy education program;

      (d) Passes an examination described in ORS 679.606; and

      (e) Pays the application and licensure fees established by the board.

      (2)(a) An individual who completed a dental therapy education program in another state or jurisdiction may apply for licensure under this section if the dental therapy education program is accredited by the Commission on Dental Accreditation of the American Dental Association, or its successor organization.

      (b) The board shall determine whether the training and education of an applicant described in this subsection is sufficient to meet the requirements of subsection (1) of this section.

      (3) If an applicant holds a current or expired authorization to practice dental therapy issued by another state, the federal government or a tribal authority, the applicant shall include with the application a copy of the authorization and an affidavit from the dental regulatory body of the other jurisdiction that demonstrates the applicant was authorized to practice dental therapy in that jurisdiction. [2021 c.530 §3]

 

      Note: The amendments to 679.603 by section 3a, chapter 530, Oregon Laws 2021, become operative January 1, 2025. See section 18, chapter 530, Oregon Laws 2021. The text that is operative on and after January 1, 2025, is set forth for the user’s convenience.

      679.603. (1) The Oregon Board of Dentistry shall issue a license to practice dental therapy to an applicant who:

      (a) Is at least 18 years of age;

      (b) Submits to the board a completed application form;

      (c) Demonstrates:

      (A) The completion of a dental therapy education program that is accredited by the Commission on Dental Accreditation of the American Dental Association, or its successor organization, and approved by the board by rule; or

      (B) That the applicant is or was a participant in a dental pilot project;

      (d) Passes an examination described in ORS 679.606; and

      (e) Pays the application and licensure fees established by the board.

      (2)(a) An individual who completed a dental therapy education program in another state or jurisdiction may apply for licensure under this section if the dental therapy education program is accredited by the Commission on Dental Accreditation of the American Dental Association, or its successor organization.

      (b) The board shall determine whether the training and education of an applicant described in this subsection is sufficient to meet the requirements of subsection (1) of this section.

      (3) If an applicant holds a current or expired authorization to practice dental therapy issued by another state, the federal government or a tribal authority, the applicant shall include with the application a copy of the authorization and an affidavit from the dental regulatory body of the other jurisdiction that demonstrates the applicant was authorized to practice dental therapy in that jurisdiction.

 

      679.606 Examinations, reexamination; acceptable results; rules. (1)(a) The Oregon Board of Dentistry may require an applicant for a license to practice dental therapy to pass written, laboratory or clinical examinations to test the professional knowledge and skills of the applicant.

      (b) The examinations may not be affiliated with or administered by a dental pilot project or a dental therapy education program described in ORS 679.603.

      (c) The examinations must:

      (A) Be elementary and practical in character, and sufficiently thorough to test the fitness of the applicant to practice dental therapy;

      (B) Be written in English; and

      (C) Include questions on subjects pertaining to dental therapy.

      (2) If a test or examination was taken within five years of the date of application and the applicant received a passing score on the test or examination, as established by the board by rule, the board:

      (a) To satisfy the written examination authorized under this section, may accept the results of national standardized examinations.

      (b) To satisfy the laboratory or clinical examination authorized under this section:

      (A) Shall accept the results of regional and national testing agencies or clinical board examinations administered by other states; and

      (B) May accept the results of board-recognized testing agencies.

      (3) The board shall accept the results of regional and national testing agencies or of clinical board examinations administered by other states, and may accept results of board-recognized testing agencies, in satisfaction of the examinations authorized under this section for applicants who have engaged in the active practice of dental therapy in Oregon, another state, the Armed Forces of the United States, the United States Public Health Service or the United States Department of Veterans Affairs for a period of at least 3,500 hours in the five years immediately preceding application and who meet all other requirements for licensure.

      (4) The board shall establish rules related to reexamination for an applicant who fails an examination. [2021 c.530 §4]

 

      679.609 Grounds for refusal to issue or renew license. The Oregon Board of Dentistry may refuse to issue or renew a license to practice dental therapy if the applicant or licensee:

      (1) Subject to ORS 670.280, has been convicted of a violation of the law. A certified copy of the record of conviction is conclusive evidence of conviction.

      (2) Has been disciplined by a state licensing or regulatory agency of this state or another state regarding a health care profession if, in the judgment of the board, the acts or conduct resulting in the disciplinary action bears a demonstrable relationship to the ability of the applicant or licensee to practice dental therapy in accordance with ORS 679.600 to 679.630. A certified copy of the disciplinary action is conclusive evidence of the disciplinary action.

      (3) Has falsified an application for issuance or renewal of licensure.

      (4) Has violated any provision of ORS 679.600 to 679.630 or a rule adopted under ORS 679.600 to 679.630. [2021 c.530 §5]

 

      679.612 Prohibition on unauthorized practice, use of title; exceptions. (1) A person may not practice dental therapy or assume or use any title, words or abbreviations, including the title or designation “dental therapist,” that indicate that the person is authorized to practice dental therapy unless the person is licensed under ORS 679.603.

      (2) Subsection (1) of this section does not prohibit:

      (a) The practice of dental therapy by a health care provider performing services within the health care provider’s authorized scope of practice.

      (b) The practice of dental therapy in the discharge of official duties on behalf of the United States government, including but not limited to the Armed Forces of the United States, the United States Coast Guard, the United States Public Health Service, the United States Bureau of Indian Affairs or the United States Department of Veterans Affairs.

      (c) The practice of dental therapy pursuant to an educational program described in ORS 679.603.

      (d) A dental therapist authorized to practice in another state or jurisdiction from making a clinical presentation sponsored by a bona fide dental or dental therapy association or society or an accredited dental or dental therapy education program approved by the Oregon Board of Dentistry.

      (e) Bona fide students of dental therapy from engaging in clinical studies during the period of their enrollment and as a part of the course of study in a dental therapy education program described in ORS 679.603 (1). The clinical studies may be conducted on the premises of the program or in a clinical setting located off the premises. The facility, instructional staff and course of study at an off-premises location must meet minimum requirements established by the board by rule. The clinical studies at the off-premises location must be performed under the indirect supervision of a member of the program faculty.

      (f) Bona fide full-time students of dental therapy, during the period of their enrollment and as a part of the course of study in a dental therapy education program located outside of Oregon that is accredited by the Commission on Dental Accreditation of the American Dental Association or its successor agency, from engaging in community-based or clinical studies as an elective or required rotation in a clinical setting located in Oregon, if the community-based or clinical studies meet minimum requirements established by the board by rule and are performed under the indirect supervision of a member of the faculty of the Oregon Health and Science University School of Dentistry.

      (g) The performance of duties by a federally certified dental health aide therapist or tribally authorized dental therapist in a clinic operated by the Indian Health Service, including, as described in 25 U.S.C. 1603, an Indian Health Service Direct Service Tribe clinic, a clinic operated under an Indian Self-Determination and Education Assistance Act of 1975 (P.L. 93-638) contract or a clinic operated under an urban Indian organization. [2021 c.530 §6]

 

      679.615 Fees; waiver of fees; license renewal. (1) The Oregon Board of Dentistry may impose nonrefundable fees for the following:

      (a) Application for licensure;

      (b) Examinations;

      (c) Biennial dental therapy licenses, both active and inactive;

      (d) Licensure renewal fees;

      (e) Permits; and

      (f) Delinquency.

      (2) Subject to prior approval of the Oregon Department of Administrative Services, the fees and charges established under ORS 679.600 to 679.630 may not exceed the cost of administering ORS 679.600 to 679.630 as authorized by the Legislative Assembly within the Oregon Board of Dentistry budget and as modified by the Emergency Board.

      (3)(a) The Oregon Board of Dentistry may waive a license fee for a licensee who provides to the board satisfactory evidence that the licensee has discontinued the practice of dental therapy because of retirement.

      (b) A licensee described in this subsection may apply to the board for reinstatement of the license pursuant to rules adopted by the board. An application under this paragraph must include a fee. If the licensee has been retired or inactive for more than one year from the date of application, the licensee shall include with the application satisfactory evidence of clinical competence, as determined by the board.

      (4)(a) A license to practice dental therapy is valid for two years and may be renewed. A licensee shall submit to the board an application for renewal and payment of the fee.

      (b) A dental therapist issued a license in an even-numbered year must apply for renewal by September 30 of each even-numbered year thereafter. A dental therapist issued a license in an odd-numbered year must apply for renewal by September 30 of each odd-numbered year thereafter.

      (c) The board may charge a reasonable fee if the application for renewal or the fee is submitted more than 10 days delinquent.

      (5) A dental therapist shall inform the board of a change of the dental therapist’s address within 30 days of the change. [2021 c.530 §7; 2023 c.602 §23]

 

      679.618 Collaborative agreement required to practice dental therapy; required provisions; duties of dentist. (1) A dental therapist may practice dental therapy only under the supervision of a dentist and pursuant to a collaborative agreement with the dentist that outlines the supervision logistics and requirements for the dental therapist’s practice. The collaborative agreement must include at least the following information:

      (a) The level of supervision required for each procedure performed by the dental therapist;

      (b) Circumstances under which the prior knowledge and consent of the dentist is required to allow the dental therapist to provide a certain service or perform a certain procedure;

      (c) The practice settings in which the dental therapist may provide care;

      (d) Any limitation on the care the dental therapist may provide;

      (e) Patient age-specific and procedure-specific practice protocols, including case selection criteria, assessment guidelines and imaging frequency;

      (f) Procedures for creating and maintaining dental records for patients treated by the dental therapist;

      (g) Guidelines for the management of medical emergencies in each of the practice settings in which the dental therapist provides care;

      (h) A quality assurance plan for monitoring care provided by the dental therapist, including chart review, patient care review and referral follow-up;

      (i) Protocols for the dispensation and administration of drugs, as described in ORS 679.621, by the dental therapist, including circumstances under which the dental therapist may dispense and administer drugs;

      (j) Criteria for the provision of care to patients with specific medical conditions or complex medical histories, including any requirements for consultation with the dentist prior to the provision of care; and

      (k) Protocols for when a patient requires treatment outside the dental therapist’s scope of practice, including for referral of the patient for evaluation and treatment by the dentist, a physician licensed under ORS chapter 677, a nurse practitioner licensed under ORS 678.375 to 678.390 or other licensed health care provider.

      (2) In addition to the information described in subsection (1) of this section, a collaborative agreement must include a provision that requires the dental therapist to consult with a dentist if the dental therapist intends to perform an irreversible surgical procedure under general supervision on a patient who has a severe systemic disease.

      (3) A dentist who enters into a collaborative agreement with a dental therapist shall:

      (a) Directly provide care to a patient that is outside the scope of practice of the dental therapist or arrange for the provision of care by another dentist; and

      (b) Ensure that the dentist, or another dentist, is available to the dental therapist for timely communication during the dental therapist’s provision of care to a patient.

      (4) A dental therapist may perform and provide only those procedures and services authorized by the dentist and set out in the collaborative agreement, and shall maintain with the dentist an appropriate level of contact, as determined by the dentist.

      (5) A dental therapist and a dentist who enter into a collaborative agreement together shall each maintain a physical copy of the collaborative agreement.

      (6)(a) A dental therapist may enter into collaborative agreements with more than one dentist if each collaborative agreement includes the same supervision requirements and scope of practice.

      (b) A dentist may supervise and enter into collaborative agreements with up to three dental therapists at any one time.

      (7)(a) A collaborative agreement must be signed by the dentist and dental therapist.

      (b) A dental therapist shall annually submit a signed copy of the collaborative agreement to the Oregon Board of Dentistry. If the collaborative agreement is revised in between annual submissions, a signed copy of the revised collaborative agreement must be submitted to the board as soon as practicable after the revision is made. [2021 c.530 §8]

 

      679.621 Dental therapist scope of practice; duties of dentist; authority of dental therapist to supervise. (1) A dental therapist may perform, pursuant to the dental therapist’s collaborative agreement, the following procedures under the general supervision of the dentist:

      (a) Identification of conditions requiring evaluation, diagnosis or treatment by a dentist, a physician licensed under ORS chapter 677, a nurse practitioner licensed under ORS 678.375 to 678.390 or other licensed health care provider;

      (b) Comprehensive charting of the oral cavity;

      (c) Oral health instruction and disease prevention education, including nutritional counseling and dietary analysis;

      (d) Exposing and evaluation of radiographic images;

      (e) Dental prophylaxis, including subgingival scaling and polishing procedures;

      (f) Application of topical preventive or prophylactic agents, including fluoride varnishes and pit and fissure sealants;

      (g) Administering local anesthetic;

      (h) Pulp vitality testing;

      (i) Application of desensitizing medication or resin;

      (j) Fabrication of athletic mouth guards;

      (k) Changing of periodontal dressings;

      (L) Simple extractions of erupted primary anterior teeth and coronal remnants of any primary teeth;

      (m) Emergency palliative treatment of dental pain;

      (n) Preparation and placement of direct restoration in primary and permanent teeth;

      (o) Fabrication and placement of single-tooth temporary crowns;

      (p) Preparation and placement of preformed crowns on primary teeth;

      (q) Indirect pulp capping on permanent teeth;

      (r) Indirect pulp capping on primary teeth;

      (s) Suture removal;

      (t) Minor adjustments and repairs of removable prosthetic devices;

      (u) Atraumatic restorative therapy and interim restorative therapy;

      (v) Oral examination, evaluation and diagnosis of conditions within the supervising dentist’s authorization;

      (w) Removal of space maintainers;

      (x) The dispensation and oral or topical administration of:

      (A) Nonnarcotic analgesics;

      (B) Anti-inflammatories; and

      (C) Antibiotics; and

      (y) Other services as specified by the Oregon Board of Dentistry by rule.

      (2) A dental therapist may perform, pursuant to the dental therapist’s collaborative agreement, the following procedures under the indirect supervision of the dentist:

      (a) Placement of temporary restorations;

      (b) Fabrication of soft occlusal guards;

      (c) Tissue reconditioning and soft reline;

      (d) Tooth reimplantation and stabilization;

      (e) Recementing of permanent crowns;

      (f) Pulpotomies on primary teeth;

      (g) Simple extractions of:

      (A) Erupted posterior primary teeth; and

      (B) Permanent teeth that have horizontal movement of greater than two millimeters or vertical movement and that have at least 50 percent periodontal bone loss;

      (h) Brush biopsies; and

      (i) Direct pulp capping on permanent teeth.

      (3) The dentist described in subsection (2) of this section shall review a procedure described in subsection (2) of this section that is performed by the dental therapist and the patient chart that contains information regarding the procedure.

      (4)(a) A dental therapist may supervise a dental assistant and an expanded function dental assistant, as defined by the board by rule, if the dental therapist is authorized to perform the services provided by the dental assistant or expanded function dental assistant.

      (b) A dental therapist may supervise up to two individuals under this subsection. [2021 c.530 §9]

 

      679.624 Dental therapist authority to perform specified procedures; liability insurance; patient population requirement. (1) A dental therapist may perform the procedures listed in ORS 679.621 so long as the procedures are included in an education program described in ORS 679.603 (1) or the dental therapist has received additional training in the procedure approved by the Oregon Board of Dentistry.

      (2) A dental therapist shall purchase and maintain liability insurance as determined sufficient by the board.

      (3) A dental therapist shall dedicate at least 51 percent of the dental therapist’s practice to patients who represent underserved populations, as defined by the Oregon Health Authority by rule, or patients located in dental care health professional shortage areas, as determined by the authority. [2021 c.530 §10]

 

      679.627 Discipline. A person licensed under ORS 679.603 is subject to the provisions of ORS 679.140. [2021 c.530 §11]

 

      679.630 Rules. The Oregon Board of Dentistry shall adopt rules necessary to administer ORS 679.600 to 679.630. In adopting rules under this section, the board shall consult with dental therapists and organizations that represent dental therapists in this state. [2021 c.530 §12]

 

      679.990 [Repealed by 1957 c.552 §6 (679.991 enacted in lieu of 679.990)]

 

PENALTIES

 

      679.991 Penalties. (1) Violation of any provision of ORS 679.020 or 679.025 (1) is a Class C felony.

      (2) Violation of ORS 679.170 or 679.176 is a Class B misdemeanor.

      (3) In the event of a second or subsequent conviction under subsection (1) of this section, the court must impose a minimum sentence of 10 days of imprisonment.

      (4) In any prosecution for violation of subsection (1) or (2) of this section, it is sufficient to sustain a conviction to show a single act of conduct in violation of any of the provisions of this chapter and it is not necessary to show a general course of such conduct. [1957 c.552 §7 (enacted in lieu of 679.990); 1963 c.284 §16; 1971 c.743 §407; 1973 c.390 §8; 1977 c.192 §10; 1985 c.323 §15; 2011 c.388 §1; 2011 c.597 §280]

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