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Dentists unfortunately are not utilizing eAccess. The results of the 2013 Prescription Monitoring Program stakeholder feedback survey showed low response rates for dentists. The Board strongly encourages licensees to become more aware of the issue of misuse and abuse of controlled drugs in society. A key step in this process is to
access the educational resources the NSPMP provides and to enroll in eAccess. For more information please visit the NSPMP website at: www.nspmp.ca.
Hands-‐on Practice Program for Foreign Trained Dentists
The International Educated Dental Professional (IEDP) Multi-‐Stakeholder Work Group addresses licensure challenges related to IEDPs including dentists, dental hygienists, dental assistants, dental technicians and
denturists. The IEDP work group has organized a Hands-‐on Practice Program for foreign trained dentists to be held at the Faculty of Dentistry, Dalhousie University on April 25, 26, May 2 and 3, 2014. This program is administered
by Immigrant Settlement and Integration Services (ISIS) and is designed to enable participants who have successfully completed the Assessment of Fundamental Knowledge exam of the NDEB equivalency process to
practice for the NDEB Assessment of Clinical Skills exam. The program is limited to eight participants and will be facilitated by Drs. John Cox and Vern Shaffner.
Fair Registration Practice Review
The Fair Registration Practices Act (FRPA) Review Office was established in 2011 to ensure that applicants to regulated professions have access to registration processes that are procedurally fair; while at the same time
allowing regulators to adhere to their standards for public protection. FRPA legislation mandates that all regulated professions undergo a review of its registration processes. The results of the review will produce individualized
regulatory body action plans so that regulators can work collaboratively with the Review Office to meet the requirements of the Act. The Dental Board will undergo its FRPA review in 2014.
Database and Website
The database and website the Board currently operates are outdated and require change. The Board is in the process of incorporating new database software and will be launching its new website later this year. The database
upgrade will help Board operations and the website launch will allow licensees better access to Board resource material.
Study Clubs
There are currently fifty-‐six study clubs registered with the Dental Board and study clubs are required to renew their status every three years to remain active. Only study clubs which are registered are able to award CE credits
accepted by the Dental Board.
Reminder The MCDE Committee would like to remind all licensees that successful completion of a CPR course during the
three year CDE cycle is a requirement for re-‐licensure.
Respectfully submitted,
Dr. Martin Gillis, Registrar
Board BusinessF r o m t h e R e g i s t r a r’s D e s k
PROVINCIAL DENTAL BOARD OF NOVA SCOTIASuite 102, 1559 Brunswick Street, Halifax, Nova Scotia B3J 2G1 (902) 420-0083 www.pdbns.ca
No. 52, March 2014
Announcement: 2014 License fees for Registered Dental Assistants
At the September 27, 2013 meeting of the Provincial Dental Board, the Board unanimously passed motions for a balanced budget in 2014 and the fee structure for 2014. The licensing fee for dental assistants is $202.00 in 2014.
Invoices for dental assistant licensing fees were sent on March 15, 2014 and fees must be paid by 4:30 pm on Wednesday, April 30, 2014 to remain a member in good standing. If a dental assistant becomes a member not in
good standing and is struck from the register the re-‐instatement fee is $101.00 plus the licensing fee ($202.00 + $101.00 = $303.00).
Appointments
Board Committee Appointments The following Board Committee appointments were performed at the January 31, 2014 meeting of the Dental
Board: Dr. Kevin Walsh to the Governance Committee;
Ms. Donna Rushton to the Governance Committee; Dr. Dan Albert to the Finance and Audit Committee;
Dr. Shelly Anderson to the Human Resources Committee; and Dr. Clare Champoux to become Chair of the Human Resources Committee.
Complaints Committee Appointment – Public Member
Ms. Janelle Gray was unanimously appointed as a public representative to the Complaints Committee. Ms. Gray replaces Ms. Harriet Davies who declined reappointment. The Board would like to thank Ms. Davies for her
valuable contributions and dedication to the Complaints Committee over the past several years.
Resignation of Ms. Laurie Brenton from the Dental Board Ms. Laurie Brenton, the Board’s government appointed dental assistant representative, resigned in December
2013 due to her move to New Brunswick. The Board forwarded her letter of resignation to the Minister of Health and Wellness and has contacted the Agencies, Boards and Commissions (ABC) office stating that the Dental Board
will require a government appointed dental assistant to fill the position vacated by Ms. Brenton.
Licensing Report As of the January 31, 2014 meeting of the Provincial Dental Board the number of licensed dentists, students, assistants and corporations are:
Year DDS Students RDA Corporations 2014 545 11 795 414
2013 561 11 790 407 2012 556 10 780 381
2011 537 9 735 369
Functional Committee Updates
Complaints Committee September 30, 2013: A meeting of the Complaints Committee was held on September 30, 2013. Four cases were
heard: Case 1: Decision tabled for deliberation and decision at a later date.
Case 2: Decision tabled for deliberation and decision at a later date. Case 3: Decision tabled for deliberation and decision at a later date.
Case 4: Decision tabled for deliberation and decision at a later date.
October 21, 2013: A meeting of the Complaints Committee was held on October 21, 2013. Deliberation and decisions were made on the four cases tabled on September 30, 2013.
Case 1: Letter of Reprimand, publish on a no-‐name basis. Case 2: Letter of Counsel, publish on a no-‐name basis.
Case 3: Letter of Reprimand, publish on a no-‐name basis. Case 4: Letter of Reprimand, publish on a no-‐name basis.
October 28, 2013: A meeting of the Complaints Committee was held on October 28, 2013. Three cases were heard:
Case 1: Dismissed, publish on a no-‐name basis. Case 2: Decision tabled for deliberation and decision at a later date.
Case 3: Decision tabled for deliberation and decision at a later date.
November 18, 2013: A meeting of the Complaints Committee was held on November 18, 2013. Deliberation and decisions were made on the two cases tabled on October 28, 2013.
Case 1: Dismissed, publish on a no-‐name basis. Case 2: Letter of Reprimand, publish on a no-‐name basis.
January 20, 2014: A meeting of the complaints committee was held on January 20, 2014. Two cases were heard,
one was a case tabled on September 23, 2013 because additional information was required. Case 1 (Tabled September 23, 2013): Letter of Counsel, publish on a no-‐name basis.
Case 2: Decision tabled for deliberation and decision at a later date.
Discipline Committee There is currently one active Discipline case and there are three appeals of Complaints Committee decisions to
Discipline.
Mandatory Continuing Dental Education (MCDE) Committee A random sample of the dentists and dental assistants completing their MCDE cycle on December 31, 2013 has
been performed. Seven dentists and eleven dental assistants were notified of their selection and instructed to submit their CE logs and supporting documents to the Board. An orientation session was held at the Board office
on January 17, 2014 to introduce the new committee members to the audit process. The MCDE audit took place on February 7, 2014.
Dental Practice Review (DPR) Committee
2013 Final Report: All licensees chosen for the self-‐assessment audit and site visit audit in 2013 have satisfactorily completed the audit process.
2014 Audit: A random sample of dentists stratified by area has been performed for the 2014 Dental Practice Review audit. Samples for self-‐assessments and sub-‐samples for site visits were completed for each geographic
area. The dentists selected for Dental Practice Review self-‐assessment have been notified of their selection to complete the self-‐assessment forms. The Dental Practice Review Committee will meet to review the self-‐
assessment forms in March 2014 and the Registrar will begin practice site visits in April 2014.
NSDA Infection Prevention and Control Document In previous years the Dental Board used the 2006 CDA Infection Control document as the reference for Dental
Practice Review. In order to avoid confusion among licensees the Dental Board has adopted the NSDA Infection Prevention and Control document to serve as the Board’s reference document for infection prevention and control
effective January 31, 2014. The Board expects that all licensees to be compliant with this document and it will be the reference document the Board uses for Dental Practice Review.
The Utilization of Dental Lasers for Scaling and Root Planing Procedures
Dr. Debora Matthews, Assistant Dean Research, Faculty of Dentistry, Dalhousie University provided the Dental Board with a presentation on the clinical evidence for using dental lasers in periodontal debridement. The
evidence revealed that using lasers produced no difference in subgingival bacteria compared to traditional scaling and root planning, and there is no evidence that lasers are better than traditional therapy in reducing periodontal
disease. There are concerns and risks associated with using lasers such as: 1. An increase in intrapulpal temperatures when used on root surfaces; 2.Some lasers can cause pitting, cracking, melting of dental tissues and
can damage bone; and 3.There are safety issues with laser use such as retinal damage, therefore proper eye protection for patients and operators is essential. Before delivering this mode of treatment it is necessary for
licensees to provide patients with the information they will need to make an informed decision and consent for treatment.
Nova Scotia Prescription Monitoring Program (NSPMP) – Stakeholder Feedback Survey
In its report , First do no Harm: Responding to Canada’s Prescription Drug Crisis, the Canadian Centre for Substance Abuse states that Canada is the world’s second largest per capita consumer of prescription opioids and the
International Narcotics Control Board Reports that Canada’s use of prescription opioids increased by 203% from 2000-‐ 2010. Controlled drugs such as opioids are associated with serious harms such as addiction, overdose and
death. In Nova Scotia, The NSPMP has the legislated mandate to promote the appropriate use of monitored drugs and the
reduction of the abuse or misuse of monitored drugs. In addition to the monitoring of controlled drugs, the NSPMP provides to prescribers resources such as eAccess. In April 2012, eAccess was launched as a secure web
application which allows prescribers and pharmacists to access patient profiles at any time of the day to determine the best treatment for their patients while promoting the appropriate use and the reduction of abuse or misuse of
monitored drugs.
Licensing Report As of the January 31, 2014 meeting of the Provincial Dental Board the number of licensed dentists, students, assistants and corporations are:
Year DDS Students RDA Corporations 2014 545 11 795 414
2013 561 11 790 407 2012 556 10 780 381
2011 537 9 735 369
Functional Committee Updates
Complaints Committee September 30, 2013: A meeting of the Complaints Committee was held on September 30, 2013. Four cases were
heard: Case 1: Decision tabled for deliberation and decision at a later date.
Case 2: Decision tabled for deliberation and decision at a later date. Case 3: Decision tabled for deliberation and decision at a later date.
Case 4: Decision tabled for deliberation and decision at a later date.
October 21, 2013: A meeting of the Complaints Committee was held on October 21, 2013. Deliberation and decisions were made on the four cases tabled on September 30, 2013.
Case 1: Letter of Reprimand, publish on a no-‐name basis. Case 2: Letter of Counsel, publish on a no-‐name basis.
Case 3: Letter of Reprimand, publish on a no-‐name basis. Case 4: Letter of Reprimand, publish on a no-‐name basis.
October 28, 2013: A meeting of the Complaints Committee was held on October 28, 2013. Three cases were heard:
Case 1: Dismissed, publish on a no-‐name basis. Case 2: Decision tabled for deliberation and decision at a later date.
Case 3: Decision tabled for deliberation and decision at a later date.
November 18, 2013: A meeting of the Complaints Committee was held on November 18, 2013. Deliberation and decisions were made on the two cases tabled on October 28, 2013.
Case 1: Dismissed, publish on a no-‐name basis. Case 2: Letter of Reprimand, publish on a no-‐name basis.
January 20, 2014: A meeting of the complaints committee was held on January 20, 2014. Two cases were heard,
one was a case tabled on September 23, 2013 because additional information was required. Case 1 (Tabled September 23, 2013): Letter of Counsel, publish on a no-‐name basis.
Case 2: Decision tabled for deliberation and decision at a later date.
Discipline Committee There is currently one active Discipline case and there are three appeals of Complaints Committee decisions to
Discipline.
Mandatory Continuing Dental Education (MCDE) Committee A random sample of the dentists and dental assistants completing their MCDE cycle on December 31, 2013 has
been performed. Seven dentists and eleven dental assistants were notified of their selection and instructed to submit their CE logs and supporting documents to the Board. An orientation session was held at the Board office
on January 17, 2014 to introduce the new committee members to the audit process. The MCDE audit took place on February 7, 2014.
Dental Practice Review (DPR) Committee
2013 Final Report: All licensees chosen for the self-‐assessment audit and site visit audit in 2013 have satisfactorily completed the audit process.
2014 Audit: A random sample of dentists stratified by area has been performed for the 2014 Dental Practice Review audit. Samples for self-‐assessments and sub-‐samples for site visits were completed for each geographic
area. The dentists selected for Dental Practice Review self-‐assessment have been notified of their selection to complete the self-‐assessment forms. The Dental Practice Review Committee will meet to review the self-‐
assessment forms in March 2014 and the Registrar will begin practice site visits in April 2014.
NSDA Infection Prevention and Control Document In previous years the Dental Board used the 2006 CDA Infection Control document as the reference for Dental
Practice Review. In order to avoid confusion among licensees the Dental Board has adopted the NSDA Infection Prevention and Control document to serve as the Board’s reference document for infection prevention and control
effective January 31, 2014. The Board expects that all licensees to be compliant with this document and it will be the reference document the Board uses for Dental Practice Review.
The Utilization of Dental Lasers for Scaling and Root Planing Procedures
Dr. Debora Matthews, Assistant Dean Research, Faculty of Dentistry, Dalhousie University provided the Dental Board with a presentation on the clinical evidence for using dental lasers in periodontal debridement. The
evidence revealed that using lasers produced no difference in subgingival bacteria compared to traditional scaling and root planning, and there is no evidence that lasers are better than traditional therapy in reducing periodontal
disease. There are concerns and risks associated with using lasers such as: 1. An increase in intrapulpal temperatures when used on root surfaces; 2.Some lasers can cause pitting, cracking, melting of dental tissues and
can damage bone; and 3.There are safety issues with laser use such as retinal damage, therefore proper eye protection for patients and operators is essential. Before delivering this mode of treatment it is necessary for
licensees to provide patients with the information they will need to make an informed decision and consent for treatment.
Nova Scotia Prescription Monitoring Program (NSPMP) – Stakeholder Feedback Survey
In its report , First do no Harm: Responding to Canada’s Prescription Drug Crisis, the Canadian Centre for Substance Abuse states that Canada is the world’s second largest per capita consumer of prescription opioids and the
International Narcotics Control Board Reports that Canada’s use of prescription opioids increased by 203% from 2000-‐ 2010. Controlled drugs such as opioids are associated with serious harms such as addiction, overdose and
death. In Nova Scotia, The NSPMP has the legislated mandate to promote the appropriate use of monitored drugs and the
reduction of the abuse or misuse of monitored drugs. In addition to the monitoring of controlled drugs, the NSPMP provides to prescribers resources such as eAccess. In April 2012, eAccess was launched as a secure web
application which allows prescribers and pharmacists to access patient profiles at any time of the day to determine the best treatment for their patients while promoting the appropriate use and the reduction of abuse or misuse of
monitored drugs.
Dentists unfortunately are not utilizing eAccess. The results of the 2013 Prescription Monitoring Program stakeholder feedback survey showed low response rates for dentists. The Board strongly encourages licensees to become more aware of the issue of misuse and abuse of controlled drugs in society. A key step in this process is to
access the educational resources the NSPMP provides and to enroll in eAccess. For more information please visit the NSPMP website at: www.nspmp.ca.
Hands-‐on Practice Program for Foreign Trained Dentists
The International Educated Dental Professional (IEDP) Multi-‐Stakeholder Work Group addresses licensure challenges related to IEDPs including dentists, dental hygienists, dental assistants, dental technicians and
denturists. The IEDP work group has organized a Hands-‐on Practice Program for foreign trained dentists to be held at the Faculty of Dentistry, Dalhousie University on April 25, 26, May 2 and 3, 2014. This program is administered
by Immigrant Settlement and Integration Services (ISIS) and is designed to enable participants who have successfully completed the Assessment of Fundamental Knowledge exam of the NDEB equivalency process to
practice for the NDEB Assessment of Clinical Skills exam. The program is limited to eight participants and will be facilitated by Drs. John Cox and Vern Shaffner.
Fair Registration Practice Review
The Fair Registration Practices Act (FRPA) Review Office was established in 2011 to ensure that applicants to regulated professions have access to registration processes that are procedurally fair; while at the same time
allowing regulators to adhere to their standards for public protection. FRPA legislation mandates that all regulated professions undergo a review of its registration processes. The results of the review will produce individualized
regulatory body action plans so that regulators can work collaboratively with the Review Office to meet the requirements of the Act. The Dental Board will undergo its FRPA review in 2014.
Database and Website
The database and website the Board currently operates are outdated and require change. The Board is in the process of incorporating new database software and will be launching its new website later this year. The database
upgrade will help Board operations and the website launch will allow licensees better access to Board resource material.
Study Clubs
There are currently fifty-‐six study clubs registered with the Dental Board and study clubs are required to renew their status every three years to remain active. Only study clubs which are registered are able to award CE credits
accepted by the Dental Board.
Reminder The MCDE Committee would like to remind all licensees that successful completion of a CPR course during the
three year CDE cycle is a requirement for re-‐licensure.
Respectfully submitted,
Dr. Martin Gillis, Registrar
Board BusinessF r o m t h e R e g i s t r a r’s D e s k
PROVINCIAL DENTAL BOARD OF NOVA SCOTIASuite 102, 1559 Brunswick Street, Halifax, Nova Scotia B3J 2G1 (902) 420-0083 www.pdbns.ca
No. 52, March 2014
Announcement: 2014 License fees for Registered Dental Assistants
At the September 27, 2013 meeting of the Provincial Dental Board, the Board unanimously passed motions for a balanced budget in 2014 and the fee structure for 2014. The licensing fee for dental assistants is $202.00 in 2014.
Invoices for dental assistant licensing fees were sent on March 15, 2014 and fees must be paid by 4:30 pm on Wednesday, April 30, 2014 to remain a member in good standing. If a dental assistant becomes a member not in
good standing and is struck from the register the re-‐instatement fee is $101.00 plus the licensing fee ($202.00 + $101.00 = $303.00).
Appointments
Board Committee Appointments The following Board Committee appointments were performed at the January 31, 2014 meeting of the Dental
Board: Dr. Kevin Walsh to the Governance Committee;
Ms. Donna Rushton to the Governance Committee; Dr. Dan Albert to the Finance and Audit Committee;
Dr. Shelly Anderson to the Human Resources Committee; and Dr. Clare Champoux to become Chair of the Human Resources Committee.
Complaints Committee Appointment – Public Member
Ms. Janelle Gray was unanimously appointed as a public representative to the Complaints Committee. Ms. Gray replaces Ms. Harriet Davies who declined reappointment. The Board would like to thank Ms. Davies for her
valuable contributions and dedication to the Complaints Committee over the past several years.
Resignation of Ms. Laurie Brenton from the Dental Board Ms. Laurie Brenton, the Board’s government appointed dental assistant representative, resigned in December
2013 due to her move to New Brunswick. The Board forwarded her letter of resignation to the Minister of Health and Wellness and has contacted the Agencies, Boards and Commissions (ABC) office stating that the Dental Board
will require a government appointed dental assistant to fill the position vacated by Ms. Brenton.