Cal. Code Regs. tit. 16 § 1082.1

Current through Register 2024 Notice Reg. No. 49, December 6, 2024
Section 1082.1 - [Repealed operative 1/1/2025] RDH Clinical Examination Requirements
(a) Every applicant shall be given a clinical examination which shall consist of the examination of a patient, complete scaling of one or two quadrants (depending upon patient selection), and root planing. Scaling and root planing includes but is not limited to the complete removal of calculus, soft deposits and plaque, and smoothing of the unattached tooth surfaces. Unattached tooth surface means the portion of the crown and root surface to which no tissue is attached. Ultrasonic, sonic, handpiece or other mechanical scaling devices may be used only at the direction of the Board. If so permitted, an applicant who chooses to use an ultrasonic or sonic scaling device shall bring to the exam and use the services of an assistant to perform high volume evacuation at all times when the ultrasonic or sonic scaling device is being used. Only the services of a dental assistant or registered dental assistant shall be permitted.

The clinical examination shall be completed within a two hour period. Such period shall commence with the acceptance or rejection of the initial patient presented by the applicant.

(b) One patient shall be provided by the applicant. If a patient is deemed unacceptable by the examiners, it is the applicant's responsibility to provide another patient who is acceptable. The applicant's ability to select an appropriate patient is considered part of the examination. An acceptable patient shall meet the criteria set forth in Section 1080.1 and the following additional criteria:
(1) Does not have extreme tissue or tooth sensitivity which would interfere with proper probing and exploring by examiners.
(2) Has at least one quadrant with the following:
(A) At least 6 natural teeth which are free of conditions which would interfere with evaluation, including but not limited to probing depths greater than 6mm, class 3 furcation, class 3 mobility, gross decay, faulty restorations, or full or partial veneer crowns. Crowns with smooth margins are acceptable. A patient will not be rejected because he/she has one tooth with a probing depth greater than 6mm.
(B) At least 3 of the natural teeth in the quadrant must be posterior teeth with interproximal pocket depths of 4 to 6mm. Two of these posterior teeth must be molars.
(C) Demonstrable, explorer-detectable moderate to heavy subgingival calculus must be present on a majority of the subgingival tooth surfaces and there must be some subgingival calculus on every tooth. Explorer-detectable moderate to heavy interproximal ledges must be present.
(c) If an applicant is unable to find a patient with one quadrant which meets the requirements of subsection (b)(2) above, the applicant may provide a patient in which those requirements can be found in two quadrants. An applicant who presents such a patient shall be required to scale all teeth in both quadrants in the same time allotted for scaling one quadrant.
(d) The applicant shall provide full mouth radiographs of the patient, which shall consist of 18 radiographs at least 4 of which must be bite-wing and the radiographs must be of diagnostic quality. All radiographs shall have been taken not more than one year prior to the examination at which they are presented.
(e) The applicant shall provide the following instruments:
(1) Color coded Marquis-type periodontal probe.
(2) Sharp explorers.
(3) Clear-plane mouth mirror.
(4) Saliva ejector.
(5) All necessary armamentarium for local anesthesia, including an aspirating syringe.
(6) Any other scaling or root planing instruments which he/she intends to use.
(f) The applicant shall offer to the patient the option of the administration of local anesthetic in the area(s) to be scaled, except that anesthesia shall not be administered to both mandibular quadrants of a patient during the same day.

Cal. Code Regs. Tit. 16, § 1082.1

Note: Authority cited: Section 1614, Business and Professions Code. Reference: Sections 1614 and 1766, Business and Professions Code.

Note: Authority cited: Section 1614, Business and Professions Code. Reference: Sections 1614 and 1766, Business and Professions Code.

1. Change without regulatory effect amending subsection (a) filed 9-11-89 pursuant to Section 100, Title 1, California Code of Regulations (Register 89, No. 37).
2. Amendment of subsection (d) filed 12-18-95; operative 1-17-95 (Register 95, No. 51).
3. Amendment of subsection (e)(2) filed 2-3-98; operative 3-5-98 (Register 98, No. 6).
4. Amendment of subsections (a) and (b), repealer of subsections (a)(1), (a)(2), (a)(4) and (a)(5), subsection renumbering, and amendment of newly designated subsection (a)(2) filed 4-29-99; operative 5-29-99 (Register 99, No. 18).
5. Amendment of subsections (a), (b)(2)(A), (c) and (f) and amendment of Note filed 2-6-2003; operative 3-8-2003 (Register 2003, No. 6).
6. Repealer filed 11-20-2024; operative 1/1/2025 (Register 2024, No. 47).