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what's new August 2024 Update to all General Anesthesia Permit Holders Regarding Office Inspections
General Anesthesia/Sedation Office Inspections Update In 2019, at the direction of the State Auditor, the NC State Board of Dental Examiners began the process of implementing a general anesthesia/sedation office inspection program. The stated goal of the program was to ensure each dental office that offers anesthesia or sedation services is inspected at least once every five years. At the onset of the program, the NCSBDE agreed to accept the American Association of Oral and Maxillofacial Surgeons (A.A.O.M.S.) inspection for general anesthesia permit holders in lieu of a Board inspection. The acceptance of the A.A.O.M.S. inspection was considered a temporary measure during the COVID-19 State of Emergency so that the Board could focus the program primarily on sedation permit holders who were not subject to on-going inspections by any agency. Recently, the NCSBDE made the decision to start phasing out the acceptance of the A.A.O.M.S. inspection reports for general anesthesia permit holders and to start phasing in the NCSBDE inspections. This decision was made due to the passing of the COVID-19 State of Emergency and recent court rulings that prohibit state agencies from allowing private associations to fulfill state agency obligations. Therefore, please be advised that Inspector Rick Hetzel will be contacting General Anesthesia permit holders soon to start scheduling these inspections. The purpose of these inspections is not to initiate disciplinary action, but to make certain all offices meet the training, equipment, and facility requirements of the appropriate rule, and to ensure any necessary corrective action is taken to protect the public. Offices subject to inspections will receive advanced notice of the proposed inspection. Once an inspection date is agreed upon, a checklist of everything that will be subject to inspection will be provided. Again, this is a safety program that focuses on required equipment, training, and documentation. It will be conducted with as little disruption to your schedule as possible. If you have any questions, please contact Inspector Rick Hetzel at 828-578-4817 or by email at rhetzel@ncdentalboard.org. You may also contact Betty Sines at 919-459-1788 or by email at bsines@ncdentalboar.org. April 2024 Recent Injunctions Against Unauthorized/Unlawful Practice of Dentistry 2023-02-01 Entered Consent Order Granting Permanent Injunction - Georgetown 2023-02-24 Final Entered Consent Order - Lynch (Payne) 2023-06-27 Consent Order Granting Injunction - Executed - Ragan 2023-07-05 Consent Order - Dazzle Bright 2023-08-30 Default Judgment - Jones 2023-11-20 Consent Order - Black 2023-11-20 Consent Order - Washington 2024-01-17 Consent Order - Michael 2024-03-01 Consent Order Granting Permanent Injunction - Morris March 2024 NC Dental Board adopts Position Statement on selection of a Dental and Dental Hygiene Compact
To read the statement, click here. January 2024 FAQs on Prescribing of Gabapentin This correspondence was provided to us with the final version of the North Carolina Controlled Substance Reporting System (NC CSRS) Gabapentin Frequently Asked Questions (FAQ) document. Per legislative Session 2023-2024, North Carolina GS 90-113.70 requires the dispensers of controlled substances to report these dispensations to the North Carolina Controlled Substances Reporting System. HB 190 Section 11.2 G.S. 90-113.73(c) included the required reporting of Gabapentin as a substance of interest for practitioners and dispensers effective March 1, 2024, and effective for veterinarians March 1, 2025. This Gabapentin FAQ document has been designed to provide clear answers to common questions arising from this change. Click here to access the information. March 2023 Opioid Course Click for information on new opioid course offered by AchieveCE: Controlled Substance Prescriptions in Dentistry February 2023 New Dates for Opioid and Mental Health/Substance Abuse Courses 2023 schedule for safe opiate prescribing is available @ ce-dojo.com Also available, a mental health and substance abuse awareness course given by Dr Roger Moore PhD - an NC licensed clinical psychologist. The course schedule is also available @ ce-dojo.com January 2023 UPDATED Dates for the Claytor Opioid Course Click here for UPDATED information on and 2023 schedule for Dr. Claytor's opioid course released January 25. December 2022 Important New Rules Go Into Effect Two new sets of rules were recently approved by the Rules Review Commission of the NC General Assembly that will widely impact both applicants and current licensees.
April 2022 New Opioid Courses Available Pain Management in Dentistry: Opioids, Substance Use Disorders and More June 17, 2022 live webinar Jointly provided by Eastern AHEC, Greensboro AHEC, and the NC Department of Health and Human Services – Division of Public Health. Additional details and Registration information can be found here. It’s 2022, Why Are We Still Discussing Opioid Use? Live Webinar Dates & Registration Information may be found here. April 2022 UPDATED Dates for the Claytor Opioid Course Click here for UPDATED information on and schedule for Dr. Claytor's opioid course released March 31. March 2022 Opioid Course Available Another option for opiate compliance continuing education: CE dojo February 2022 The Board has revised an earlier statement on elective cosmetic procedures and the use of certain medications primarily used for cosmetic enhancement. The revision is based on peer-reviewed scientific studies demonstrating the efficacy of certain of these drugs in treating dental conditions. To read the interpretive statement, click here. Note: An interpretive statement is intended to provide guidance to licensees as to how the Board interprets laws or rules that govern the practice of dentistry and dental hygiene. They are not intended to be comprehensive or to set out exhaustively every standard that might apply in every circumstance. Interpretive statements are not enforceable as a law or rule but do set forth criteria that may be used by the Board should a disciplinary question arise. June 2021 Our most current list of Board approved courses for Sedation permits may be accessed via our Anesthesia/Sedation page. Courses may be submitted for approval by sending information and request to the Board Offices. S.T.O.P. Act Goes into Full Effect July 7th S.T.O.P – do not write another prescription for a controlled substance before you read this important announcement from the NC Department of Health and Human Services! May 2021 New Opioid Course Now Available Treating Pain Safely: 2021 Online Update for Prescribers for Safe Opioid Prescribing Dates & Registration Information may be found here. April 2021 New Opioid Courses Available Controlled Substances and North Carolina Dentists: Approved Procedures for Prescribing and Monitoring While Safely and Effectively Managing Pain and Anxiety Dates & Registration Information may be found here. March 2021 The provisions outlined below were extended by Executive Order #211 and are now in effect through August 8, 2021 unless subsequently modified by the Governor. https://files.nc.gov/governor/documents/files/EO211-DHHS-Provisions-Extension.pdf ********* Governor Cooper’s Executive Order #193 https://files.nc.gov/governor/documents/files/EO193-DHHS-Extension.pdf in conjunction with recently enacted Administrative Orders from the Secretary of the Department of Health and Human Services (DHHS), the State Health Director, and the NC State Board of Dental Examiners now allow dentists to administer COVID-19 vaccinations in North Carolina. Full provisions of all orders regarding individual training and education, handling and administration of the vaccine, and patient education and follow-up are continually and contemporaneously in effect. Executive Summary of Important Information on Vaccine Requirements March 3, 2021 Dental Board Order regarding Dentists Administering Vaccinations NC State Health Director's Standing Order for FDA authorized COVID-19 Vaccine Administration February 2021 Click here for UPDATED information on and schedule for Dr. Claytor's opioid course released February 3. Updated opioid webinar schedule has been released by Old Well Consulting. Here is link for more information. September 2020 UNC is offering a course to satisfy the annual requirement for opioid prescribing. Click here for more information. Burnout Survey for NC Dentists and Dental Hygienists Dr. Bill Claytor of the NC Caring Dental Professionals has requested we post info about the Burnout Survey for Dentists and Dental Hygienists. Please click these links to read the information and participate: August 2020 Recently, the Board was asked if a moderate conscious sedation permit holder could administer or supervise a CRNA administering Ketalar (ketamine hydrochloride) to induce a level of moderate conscious sedation. On July 10, 2020, the Board approved and issued a response to the inquiry. Based on its review of the relevant sedation rules and the FDA-approved manufacturer's label for Ketalar, the Board concludes that it would be a violation of the Board's rules for a moderate conscious sedation or a moderate pediatric conscious sedation permit holder to administer Ketalar, or to supervise a CRNA in administering Ketalar. Click here to read the Board's response. July 2020 To read the Board's latest updates regarding COVID Sterilization Reports, click here. To read the latest information regarding CPR certification, click here. June 2020 Click here to read the remarks made by the Board President, Dr. Merlin Young, at the June 12, 2020 Board Meeting. May 2020 New opioid classes have been scheduled by Old Well Consulting. Here is link for more information. March-April-May 2020 Click here to read statement on providing dental services during the COVID-19 pandemic adopted by the NC State Board of Dental Examiners. Pursuant to North Carolina Governor Roy Cooper’s Executive Order No. 130, Section 3, the North Carolina State Board of Dental Examiners ("Board") has been authorized to waive or modify regulatory licensure requirements temporarily for persons that meet certain qualifications, where those licensure requirements would prevent or impair allowing those persons to provide care. This licensure application waiver and modification is temporary and is effective only until June 26, 2020, unless Executive Order Nos. 130 and 139 are further extended with a superseding Executive Order. Details may be found on each licensure page: Dental, Hygiene and Intern Posted April 21. Link to most recent OSHA Guidelines on preparing the workplace for the COVID-19 Virus. Posted April 2. Here is the latest information regarding COVID-19 released on March 27. Click here to read the information we were asked to share by the Department of Health and Human Services regarding COVID-19 on March 20. Click here to read the Board Statement regarding dental practices and COVID-19 issued on March 18. Click here to see a State by State comparison on Dental Recommendations on COVID-19. Click here to read the Board Statement regarding dental practices and COVID-19 issued on March 16. March 2020 Click here for the Board’s Interpretive Statement Regarding Auxiliaries Providing Assistance in Administering Sedation or Anesthesia Explanation of New Public Health Hygiene Rules The North Carolina State Board of Dental Examiners (Board) has adopted amendments to rule |21 NCAC 16W .0101 and new rule 21 NCAC 16W .0104|, both of which are effective February 1, 2020. Click here to read an overview of the changes. February 2020 Click here for UPDATED information on and schedule for Dr. Claytor's opioid course as of June 15, 2020. Statement on New Public Health Hygiene Rules The North Carolina State Board of Dental Examiners (Board) has adopted amendments to rule |21 NCAC 16W .0101 and new rule 21 NCAC 16W .0104|, both of which are effective February 1, 2020. These rules are being amended and adopted to increase access to care in underserved areas of the State. In dental access shortage areas, Rule 16W .0104 permits a public health hygienist to perform clinical hygiene procedures based on a dentist's written standing order rather than requiring a supervising dentist's in-person evaluation. The Board expects that treatment provided by a public health hygienist under this rule will be done based on a standing order, absent an individual patient’s clinical need for the dentist to conduct a prior in-person evaluation. May 2019 All dentists licensed after January 1, 2019 are required to take a six-hour course on Professionalism and Ethics. A course that meets this requirement will be offered by the NC Dental Society. Click here for information on registering for this course. Upcoming Opioid Courses Dental Pain Management 2019: Developments in Policy and Practice COST: $80 June 21, 2019 8:30-10:00AM Register here. August 23, 2019 8:30-10:00AM Register here. October 3, 2019 5:30-7:00PM Register here. February 2019 A link to the Interpretive Statement regarding Informed Consent may be found on the Rules and Laws page or by clicking here. January 2019 Opioid Prescribing course N.C. Dental Opioid Prescribing Course:
UPDATE 2019
Bill Claytor, Jr., DDS, MAGD July 2018 From Sharon Fischer, Program Coordinator New Opioid course offered by The Old Well Consulting Group May 2018 This is our most current list of Board approved courses for Sedation permits. Courses may be submitted for approval by sending information and request to the Board Offices. To access the list, please click here. March 2017 Information on proposed rule changes at the Department of Health and Human Services regarding Self-Referrals of Healthcare Providers may be found here. Time-sensitive with regard to making comment. February 2017 As a condition of dental license renewal for 2018, all licensees who have a current DEA registration MUST complete an annual CE course of at least one hour that shall include, but not be limited to, instruction on controlled substance prescribing practice and controlled substance prescribing for chronic pain management. Courses may be taken in-person or online.
The following courses, while not an exhaustive list, have been approved as meeting this requirement. Courses do not have to be approved by the Board. In those instances where the CE course awards more than one hour credit, licensees may apply the additional credit toward the general requirement of patient care and count all hours toward the 15 hour requirement necessary for license renewal. Training Course for NC Dentists in Opioid Prescribing - Dr. Ray Dionne Opioid Epidemic: Guidance for Healthcare Providers - 2-25-17 in Iredell County Several upcoming courses offered at Wake AHEC Safe Opioid Prescribing for Acute Dental Pain The Opioid Epidemic: Guidance for Stokes County Health Providers The Opioid Epidemic: Guidance for Dare County Health Providers Best Prescribing Practices for Opioid Use in Dentistry Treating Pain Safer: One Hour Online Course for Safe Opioid Prescribing - MAHEC Guidance for Nash County Health Providers - Area L AHEC N. C. Dental Opioid Prescribing Course:
UPDATE 2018
Bill Claytor, Jr., DDS, MAGD Dental Pain Pharmacotherapy: Considerations in Today’s Healthcare Landscape May 22, 2018 6:00 pm – 8:00 pm Kimberly Sanders, PharmD, BCPS UNC Eshelman School of Pharmacy https://www.charlotteahec.org/continuing-professional-development/event.cfm?eventid=54138 December 2016 Information regarding Sales of Hand-held Dental Radiation Generating Devices (RDGs) may be found here. November 2016 For information on registering for the CSRS, please visit this site. July 2012 Session Law 2012-187 (Senate Bill 810) was signed by the Governor on July 16, 2012 and is now effective. See changes affecting rulemaking specifically GS 150B-19.1 in Section 3. August 2011 Amended Rules Allow Dentists and Dental Hygienists to take all Amended Rules create new categories of "retired dentist" and designate total number of CE hours necessary for each category. Note:
A dentist whose use of a minor psychosedative complies with this Board-Approved Pediatric CE Sedation Courses Note: "Board Approval" indicates that a continuing education course appears to meet certain specifications as described in the Board's rules. However, the Dental Board does not endorse or recommend any particular continuing education course and is not responsible for the quality of any course content. This UNC School of Dentistry Continuing Dental Education course meets the CE requirements for annual renewal of the North Carolina State Board of Dental Examiners pediatric sedation permit. Contemporary Sedation of Children for the Dental Practice: |
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