Non Bias Consumer Oral Health Consultation

PO BOX 1417

Concord MA 01742

NOTE: If you wish to read the letters written about this bill in the Stow Independent /fall of 2017, please email: info@ohp4c.com and type "dental therapist letters" in the subject line. The letters will be emailed to you.

SOME INFO ON WHY OHP4C MADE THE RECOMMENDATIONS IT DID

Note the MA Dental Therapist bill, as written, requires only 3 years of education TOTAL...including the 2 years it takes to become a dental hygienist.

Some hygienist's organizations are saying that is " just one year less than what dentists receive"

WRONG! INCORRECT!

TO BE A DENTIST: It is required that the individual complete a four year college degree that includes the following either as part of a major or an elective: 6 semester hours of inorganic chemistry, 6 semester hours of organic chemistry, 6 semester hours of physics, 6 semester hours of biology, and 6 semester hours of English/Humanities. The individual also needs to take and do well on the Dental Aptitude Test: a day long didactic, hands-on carving, and spacial acuity test.

Next the individual has to be accepted at a dental school. Most often there are one to two thousand applicants for just 100 to 200 spots in a first year class. Not an easy task to get accepted.

Dental school is four years. During those four years the individual who wishes to become a dentist must complete courses in the medical school ( examples: gross anatomy...yes, your dentist dissected a human cadaver...histology, neuroanatomy, biochemistry, microbiology, et cetera ...all at least one semester long, many two semesters).

Concurrently with these studies the individual spends time in the laboratory learning materials: metallurgy, ceramics, sculpture, casting, et cetera.

Concurrently with the above two studies the individual who would be a dentist spends time in the dental clinic treating live patients. The first year, second semester, only doing dental hygiene things, but second year on the dental student becomes proficient in all aspects of dentistry under the supervision of a dentist clinical instructor. Included are courses on how each procedure is done, the possible side effects, both medical and dental, and how to deal with and reverse each.

During these four years of 18 hour days, 7 days per week the dental student is required to take and pass 2 two day national board examinations, sitting for one after the second year of study and the other in the last semester of the fourth year. These examinations cover all aspects of the individual's studies.

Once all this has been accomplished and the individual graduates from dental school with a doctorate in dentistry, he/she must take and pass a two day, live patient, multi procedure state or regional dental board exam to become a licensed dentist.

TO BE A HYGIENIST: The individual wishing to be a dental hygienist must complete two years of dental hygiene school after high school. After which there is a national board and a state board that test at the level the hygiene student was taught.

In the bill as written only one more year of training would be needed to be a dental therapist.

When I began my practice I moonlighted for three years as an instructor at Middlesex Community College's Dental Hygiene Program. Among other things, I taught the one semester pharmacology course. The dental hygiene pharmacology books available for use are significantly watered down versions of what is taught in a dental school.

THERE IS NO EDUCATIONAL EQUIVALENCY BETWEEN A DENTIST'S EDUCATION AND A HYGIENIST'S.

411

S1169/H2474 Both the MA Dental Hygienist Association and the MA Dental Hygienists PAC sponsor Rep Hogan's bill.

Here is the real 411:

For the past 35 years or so the MA Dental Hygienists have wanted to work independently from a dentist. This bill without mandates is a dream come true for dental hygienists.

For the last 35 years I have been one of the few dentists in MA who have supported the MA Dental Hygienists' desire to do dental hygiene tasks separately from a dentist's office. Now, in 2017, it is an even easier desire to support. With records, x-rays, models and questions/photos all easily shared electronically between a dentist's office and a dental hygiene's office.

If the MA Dental Hygienists want my support for such a bill I AM THERE. To try to get to that goal through a bill meant to help those in dental provider shortage areas or on medicaid is not being transparent.

I would ask hygienists to work with the POSSE to get Dental Therapists who WILL and MUST go to under servered areas. Who will spend 80% of their work year working with underserved populations. THEN I will work with hygienists to get routine dental hygiene separated from the dentist's office.

Dr Valentina Pasquantonio 10/16/2017

April 27, 2018:

Announced this week: there has been an agreement reached between the MA Dental Society, the Pew Charitable Trusts, and the MA Senate and House that has resulted in legislation which would establish dental therapists. The legislation/bill has to be passed before July 31, 2018.

Under this legislation dental therapists would have to obtain a bachelors degree followed by Master's level training in dental therapeutics, have at least 50% of their patients be on Medicaid or be considered underserved and would only be able to preform surgical procedures under the direct supervision of a dentist.

OHP4C (formally the Dental Posse) is extremely pleased with this legislative compromise.

The only OHP4C consumer recommendation not fully in this bill: 50% rather than 80% of the underserved.

Thank-you to the MA Senate, House, and the Pew Charitable Trust for taking the time to understand the detriment to all consumers and especially the underserved consumers their original bill would have posed.

This post will stay up until July 31, 2018 (c) OHP4C.com 4/2018

Tell your family and friends about the OHP4C!.

Rival DENTAL THERAPIST BILLS in MA State Legislature

(H2474/S1169) and (H2820)

Incorporating the four points below Massachusetts will have a good bill to meet the oral health needs of the underserved citizens of the Commonwealth

OHP4C recommends that a final bill incorporate the following:

1. Education of the Dental Therapist should mirror that of a nurse practitioner: 4 year college degree (including a two year dental hygiene associate degree) and a masters degree in dental theraputics

2. Direct supervision by a dentist is not needed if education described in one (1) above is completed.

3. A dental therapist, by law, is mandated to work in under served areas of the Commonwealth 80% of his/her working hours per year or lose his/her license.

4. Allow dental therapists with advanced internships in extractions to extract teeth under the direct (via visual +audio electronic communication), off site, supervision of a dentist AND a signed prescription of a dentist.

________________________________________________________________________(c) Dental POSSE, LLC

NEW PRODUCT ALLERT: AMABRUSH: DNB (Do Not Buy) See March 2018 Article for details.

Your mouth is connected to your body and your body to your mouth. What happens in one impacts the other.

We each have ONE, WHOLE, INTERGRATED, HUMAN BODY

EMAIL: info@ohp4c.com

Late one evening Fred and Dr. Val

had a heated, nose to nose "discussion" about a presentation the doctor was writing. Fred had some strong opinions.

GO TO "ABOUT US" page TO FIND OUT WHAT THEY WERE "DISCUSSING"

HELPING CONSUMERS ACHIEVE AND MAINTAIN ORAL HEALTH

through education, advocacy, and consultation

PRODUCT ALERT: Hager Aquamed DryMouth Spray, Dry Mouth Drops and Chewing gum. All 100% xylitol with no other sugars. R (Recommended). See October 2018 Article for details

HOME PAGE

 OHP4C's advocacy project:

ORAL HEALTH DEFINED: Includes but is not limited to: The ability to speak, smile, taste, touch, chew, swallow, and convey a range of emotions through facial expressions with confidence and free from pain or discomfort, and disease.

(international definition of oral health)

2019 FEDERAL LEGISLATION WATCH:

The Action for Dental Health Act: legislation aimed at improving oral health and access to oral health care IS NOW LAW

December 19, 2018 ; Senate introduces a bill to amend McCarran-Ferguson Act: this would force health insurance companies to abide by the federal antitrust laws. (note: health and dental insuarnce companies are now exempt from these antitrust laws)

DENTAL THERAPIST BILL / MA 2018/

KILLED BY LEGISLATORS

JULY 31, 2018 The Dental Therapist bill was never taken to the floor of the legislator to be voted on. It was killed (in the Public Health Committee?). It would appear that if a certain legislator didn't get her way the agreed upon language from the stake holders ( see April 27th entry below) ,who wished to protect the rights of the underserved consumers of our state, made no impact. All that work by all the parties of interest was lost. OHP4C will watch this issue again if it surfaces in the next session. Since the "underserved" consumers needs got disregarded by the legislators for another 2 years.

 ORAL HEALTH POSSE FOR CONSUMERS, LLCr

education, advocacy, consultation

(a non-biased Consumer Oral Health LLC)

January 2019 DELTA: The latest news from the dental community in it's ongoing fight to make Delta pay for patient's dental care has just gotten interesting(...or uglier depending on your viewpoint). In the December 17, 2018 issue of "Dentistry Today" Dr Michael Davis of NM wrote an article comparing how Washington state and Massachusetts state dental societies are interfacing with Delta (a national organization who pretends to be local in every state). Dr. Davis writes that the dental oragizations in Washington state are working in concert with one another to hold Delta to it's contracts and promises to both dentists and consumers. Dr Davis goes on to accuse members of the Massachusetts Dental Society of selling out their constituants for personal grain/perks from Delta (agreeing to full 9% decrease in fees instead of the 10% decrease in fees that Delta wanted but not advocating for the 0% decrease in fees their constituent dentists want...who wants a decrease in money coming into his/her business when costs are going up?). The dentists in Massachusetts were then forced to put together another advocacy group . BIG MESS.

What you as a consumer need to know:(a) Delta proports to be a non-profit but pays it's executives 6 figure salaries...it is a good gig to work for Delta. (b) It was dentists who started this non profit Delta 40+ years ago to help patients pay for dental work...then the dentists extricated themselves from the product. (c) With the high costs of offering continuing education courses and meetings the dental societies have slowly allowed themselves to take money from different companies. Delta being a BIG contributor...oh, there were foundations formed, and good deeds touted; but at the end of the day there is the appearance of, if not the actual, bad acts. I wish I didn't have to say this but dentists are not bad...just DUMB! Becasue it is DUMB to think a big corporation is doing good things for you just to be nice.

DELTA/ALL INSURANCE COMPANIES/ ARE THERE TO MAKE MONEY...NOT TO HELP YOU (consumer or dentist) ALWAYS REMEMBER THAT!

(an important consumer question: Do you pay insurance premiums with the expectaion that the money will be used for your and your family's dental care? OR do you pay pemiums to support a Delta foundation that gives hundreds of thousands of dollars to dental societies and dental schools?...my dental school just got a MILLION DOLLAR grant from Delta...think what your yearly maximum might be if all that money was actually used for the direct dental care the consumers who paid delta expected! )