Oklahoma Code § 59-328.58

Title 59. Professions And Occupations: Dentists utilizing dental hygienist with elder care
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advanced procedure permit to treat patients utilizing teledentistry
— Permissible facilities — Expanded duty permit for elder care and
public health for dental assistants.
A.  A licensed dentist may allow a dental hygienist with an
elder care advanced procedure permit to treat patients under general
supervision by utilizing teledentistry on a patient in:
1.  A nursing facility, specialized facility, or nursing care
component of a continuum of care facility licensed under or
otherwise subject to the Nursing Home Care Act, Section 1-1901 et
seq. of Title 63 of the Oklahoma Statutes;
2.  An assisted living center or continuum of care facility
licensed under the Continuum of Care and Assisted Living Act,
Section 1-890.1 et seq. of Title 63 of the Oklahoma Statutes;
3.  A residential care home licensed under the Residential Care
Act, Section 1-819 et seq. of Title 63 of the Oklahoma Statutes;
4.  An adult day care center or adult day care component of a
continuum of care facility licensed under or otherwise subject to
the Adult Day Care Act, Section 1-870 et seq. of Title 63 of the
Oklahoma Statutes; or
5.  Another healthcare facility or long-term care facility as
specifically approved by the Board of Dentistry.
B.  A dental hygienist with a minimum of two (2) years of
licensed active hygiene practice may apply to the Board for an
advanced procedure permit for elder care and public health.
C.  Upon receipt of the advanced procedure permit, the dental
hygienist may provide hygiene treatments to a new or existing
patient in a facility listed in subsection A of this section,
utilizing mobile or other applicable dental equipment.  In addition
to a written record and patient file, the hygienist shall complete a

visual recording of the patient’s mouth through video or live
teledentistry to aid the dentist in completing an evaluation and
diagnosis of the patient.  The video recording shall be maintained
as part of the patient record.
D.  A dentist shall complete an in-person, live, or recorded
teledentistry assessment, diagnosis, and treatment plan for the
patient taking into consideration the needs, health, and physical
abilities of the patient a minimum of every thirteen (13) months.
E.  The supervising dentist shall maintain all patient records
including teledentistry recordings for a period of seven (7) years.
F.  A dental assistant having a minimum of two (2) years of
active dental assisting practice may apply to the Board for an
expanded duty permit for elder care and public health.  Upon receipt
of the expanded duty permit, the dental assistant may assist a
hygienist while providing treatment in a facility listed in
subsection A of this section under the general supervision of the
supervising dentist.  The patient records shall list the dental
assistant providing treatment while assisting the dental hygienist.

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