State Requirements
All States
ALABAMA:
Dentists: 20 CE hours (10 hours can be taken online or through correspondence) – due by December 31st every year.
Dental Hygienists: 12 CE hours (6 hours can be taken online or through correspondence) – due by September 30th every year.
ALASKA:
Dentists: 28 CE hours (14 hours can be taken online or through correspondence) – due by 12/31 on even-numbered years (ex. 2008).
Dental Hygienists: 14 CE hours (7 can be taken online or through correspondence) – due by 12/13 on odd-numbered years (ex. 2009)
ARIZONA:
Dentists: 72 CE hours (24 hours can be taken online or through correspondence) required every three years – each dentist has individual license expiration date.
Dental Hygienists: 54 CE hours (24 hours can be taken online or through correspondence) required every three years – each dental hygienist has individual license expiration date.
ARKANSAS:
Dentists: 50 CE hours - all CE can be taken online (except CPR recertification, which is required and needs to be in a classroom) – due every two years by 12/31 of even years (ex. 2008).
Dental Hygienists: 40 CE hours all CE can be taken online (except CPR recertification, which is required and needs to be in a classroom) – due every two years by 12/31 of even years (ex. 2008).
Registered Dental Assistants: 2 CE hours due every two years.
CALIFORNIA:
Dentists: 50 CE hours (25 hours can be taken online or through correspondence – required courses are: 2 hours of California Infection Control, 2 hours of California Dental Practice Act, and CPR is required in the classroom) required every two years – due by individuals birthday, every other year.
Dental Hygienist: 25 CE hours (12 can be taken online or through correspondence required courses are: 2 hours of California Infection Control, 2 hours of California Dental Practice Act, and CPR is required in the classroom) required every two years – due by individuals birthday, every other year.
Registered Dental Assistants: 25 CE hours (required courses are: 2 hours of California Infection Control, 2 hours of California Dental Practice Act, and CPR is required in the classroom) required every two years – due by individuals birthday, every other year.
COLORADO:
No CE requirements for the state.
CONNECTICUT:
Dentists: 25 CE hours (all can be taken online) – due every two years on individuals birthday, starting 10/2/2007.
Dental Hygienists: 16 CE hours required (none can be taken online) - due every two years on individuals birthday, starting 10/2/2007.
DELAWARE:
Dentists: 50 CE hours (20 hours can be taken online or through correspondence, and 10 of these 20 have to be testing hours) – due every two years by 3/1. Each individual has their assigned expiration year.
Dental Hygienists: 25 CE hours (10 hours can be taken online or through correspondence, and 5 of these 10 must be testing hours) - due every two years by 3/1. Each individual has their assigned expiration year.
FLORIDA:
Dentists: 30 CE hours (all can be taken online, except CPR which is required and must be taken in a classroom). Required courses are: 2 hrs of Medical Errors, 1 hour of HIV Review, 1 hour of Domestic Violence, and CPR (in classroom). Due every two years on 3/1, on even-numbered years (ex. 2008).
Dental Hygienists: 24 CE hours (all can be taken online, except CPR which is required and must be taken in a classroom). Required courses are: 2 hrs of Medical Errors, 1 hour of HIV Review, 1 hour of Domestic Violence, and CPR (in classroom). Due every two years on 3/1, on even-numbered years (ex. 2008).
GEORGIA:
Dentists: 40 CE hours (all can be taken online, except CPR, worth 4 hours, which must be taken in a classroom through American Red Cross) – due every two years on 12/31 of odd-numbered years (ex. 2009).
Dental Hygienists: 40 CE hours (all can be taken online, except CPR, worth 4 hours, which must be taken in a classroom through American Red Cross) – due every two years on 12/31 of odd-numbered years (ex. 2009).
HAWAII:
Dentists: 32 CE hours (16 hours can be taken online or through correspondence) – due every two years on 12/31 on odd-numbered years (ex. 2009).
Dental Hygienists: 32 CE Hours (10 hours can be taken online or through correspondence) – due every two years on 12/31 on odd-numbered years (ex. 2009).
IOWA:
Dentists: 30 CE hours (12 hours can be taken online or through correspondence) – due every two years on 6/30 on even-numbered years (ex. 2008).
Dental Hygienists: 20 CE Hours (12 can be taken online or through correspondence) – due every two years on 6/30 on odd-numbered years (ex. 2009).
Registered Dental Assistants: 20 CE Hours (12 can be taken online or through correspondence) – due every two years on 6/30 on odd-numbered years (ex. 2009).
IDAHO:
Dentists: 15 CE hours (all credits can be taken online or through correspondence) – due every year, each individual has their own expiration date.
Dental Hygienists: 12 CE hours (all credits can be taken online or through correspondence) – due every year, each individual has their own expiration date.
ILLINOIS:
Dentists: 32 CE hours (16 hours can be taken online or through correspondence) – due every two years by 9/30 on even-numbered years (ex. 2008).
Dental Hygienists: 24 CE hours (12 hours can be taken online or through correspondence) – due every two years by 9/30 on even-numbered years (ex. 2008).
INDIANA:
Dentists: 20 CE hours (10 hours can be taken online or through correspondence). Required course is CPR (must be completed in a classroom) – due every two years, each individual’s renewal date is on their birthday, on even-numbered years (ex. 2008).
Dental Hygienists: 14 CE hours (7 hours can be taken online or through correspondence). Required course is CPR (must be completed in a classroom) - due every two years, each individual’s renewal date is on their birthday, on even-numbered years (ex. 2008).
KANSAS:
Dentists: 60 CE hours (all credits can be taken online or through correspondence) – due every two years on 12/1 of even-numbered years (ex. 2008).
Dental Hygienists: 30 CE hours (all credits can be taken online or through correspondence) – due every two years on 12/1 of even-numbered years (ex. 2008).
KENTUCKY:
Dentists: 30 CE hours (10 hours can be taken online or through correspondence) – Required courses are: 1 hour of Infection Control and 1 hour of HIV/AIDS. Due every two years on 12/1 on odd numbered years (ex. 2007).
Dental Hygienists: 30 CE hours (10 hours can be taken online or through correspondence) – Required courses are: 1 hour of Infection Control and 1 hour of HIV/AIDS. Due every two years on 12/1 on even-numbered years (ex. 2008).
LOUISIANA:
Dentists: 40 CE hours (20 hours can be taken online or through correspondence), and CPR must be taken in a classroom. Due every two years on 12/31.
Dental Hygienist: 20 CE hours (10 hours can be taken online or through correspondence), and CPR must be taken in a classroom. Due every two years on 12/31.
MAINE:
Dentists: 40 CE hours (10 hours can be taken online or through correspondence) – CPR is mandatory every two years. Due 12/31 on even-numbered years (ex. 2008).
Dental Hygienists: 30 CE hours (5 hours can be taken online or through correspondence) – CPR is mandatory every two years. Due 12/31 on odd-numbered years (ex. 2009).
MARYLAND:
Dentists: 30 CE hours (15 hours can be taken on line or through correspondence) - required course is 1 hour of Infectious Disease Control. Due every two years, after 12/31.
Dental Hygienist: 30 CE hours (15 hours can be taken on line or through correspondence) – required course is 1 hour of Infectious Disease Control. Due every two years, after 12/31.
MASSACHUSETTS:
Dentists: 40 CE hours (8 hours can be taken online or through correspondence), due December 31st, every two years.
Dental Hygienists: 20 CE hours (4 hours can be taken online or through correspondence), due December 31st, every two years.
MICHIGAN:
Dentists: 60 CE hours (20 hours can be taken online or through correspondence) – Due every 3 years.
Dental Hygienists: 36 CE hours (12 hours can be taken online or through correspondence) - Due every 3 years.
Registered Dental Assistants: 36 CE hours (12 hours can be taken online or through correspondence) - Due every 3 years.
MINNESOTA:
Dentists: 50 CE hours – due every two years.
Dental Hygienists: 25 CE hours – due every two years.
Registered Dental Assistants: 25 CE hours – due every two years.
MISSISSIPPI:
Dentists: 40 CE hours (all hours can be taken online except CPR, which is required in a classroom) – due by 11/1 on odd-numbered years (ex. 2009)
Dental Hygienists: 20 CE hours (all hours can be taken online except CPR, which is required in a classroom) - due by 11/1 on even-numbered years (ex. 2008).
Registered Dental Assistants: 12 CE hours due every two years.
MISSOURI:
Dentists: 50 CE hours (all hours can be taken online or through correspondence) – Required course is Nitrous Oxide Sedation in Dental Offices, and 40 of the CE hours have to be knowledge and skills in treatment, health and safety of individual patient. Due every two years on even-numbered years (ex. 2008).
Dental Hygienists: 25 CE hours (all hours can be taken online or through correspondence) - Required course is Nitrous Oxide Sedation in Dental Offices. Due every two years on even-numbered years (ex. 2008).
MONTANA:
Dentists: 60 CE hours (cannot be taken online) due every three years. Each individual has their own expiration date.
Dental Assistants: 36 CE hours (cannot be taken online) due every three years. Each individual has their own expiration date.
NORTH CAROLINA:
Dentists: 15 CE hours (3 hours can be done online or through correspondence) – due every three years. Each individual has their own expiration date.
Dental Hygienists: 6 CE hours (2 hours can be done online or through correspondence) – due every three years. Each individual has their own expiration date.
NORTH DAKOTA:
Dentists: 20 CE hours (6 hours can be taken in a classroom or through correspondence) – Due on 7/1 on even-numbered years (ex. 2008).
Dental Hygienists: 15 CE hours (6 hours can be taken in a classroom or through correspondence) – Due on 7/1 on odd-numbered years (ex. 2009).
Registered Dental Assistants: 8 CE hours required.
NEBRASKA:
Dentists: 32 CE hours (10 hours can be done online or through correspondence) – due every two years, on odd-numbered years (ex. 2009).
Dental Hygienists: 32 CE hours (10 hours can be done online or through correspondence) – due every two years, on odd-numbered years (ex. 2009).
NEW HAMPHIRE:
Dentists: 40 CE hours (8 hours can be taken online or through correspondence) – due every two years.
Dental Hygienists: 20 CE hours (4 hours can be taken online or through correspondence) – due every two years.
NEW JERSEY:
Dentists: 40 CE hours (8 hours can be taken online or through correspondence) – due every two years by 10/31 on odd-numbered years (ex. 2009)
Dental Hygienists: 20 CE hours (4 hours can be taken online or through correspondence) required course is: Nitrous Oxide refresher – due every two years on 1/1 on even-numbered years (ex. 2008)
Registered Dental Assistants: 10 CE hours due every two years.
NEVADA:
Dentists: 20 CE hours (6 hours can be taken online or through correspondence) – due every year.
Dental Hygienists: 15 CE hours (6 hours can be taken online or through correspondence) – due every year.
NEW MEXICO:
Dentists: 60 CE hours (30 hours can be taken online) – due every 3 years by 6/30 – each individual has their own expiration year.
Dental Hygienists: 45 CE hours (22 hours can be taken online) – due every 3 years by 6/30 – each individual has their own expiration year.
Registered Dental Assistants: 30 CE hours (15 hours can be taken online) – due every 3 years by 6/30 – each individual has their own expiration year.
NEW YORK:
Dentists: 45 CE hours (15 hours can be taken online or through correspondence) – Required course is "Infection Control" – due every 3 years. Each individual has their own expiration date.
Dental Hygienists: 24 CE hours (10 hours can be taken online or through correspondence) – Required course is "Infection Control" – due every 3 years. Each individual has their own expiration date.
OHIO:
Dentists: 40 CE hours, including 7 hours of Substance Abuse and 7 hours of Infection Control – due every two years.
Dental Hygienists: 12 CE hours – due every two years.
OKLAHOMA:
Dentists: 60 CE hours – Required courses are: 3 hours of Medical Emergency, and 2 hours of Patient Management. Due every 3 years, each individual has their own expiration date.
Dental Assistants: 40 CE hours – Required courses are: 3 hours of Medical Emergency, and 2 hours of Patient Management. Due every 3 years, each individual has their own expiration date.
OREGON:
Dentists: 40 CE hours (all credits can be taken online) – due every two years on 3/31 – expiration year varies per individual.
Dental Hygienists: 24 CE hours (all credits can be taken online) – due every two years on 9/30 – expiration year varies per individual.
PENNSYLVANIA:
Dentists: 30 CE hours (15 can be taken online or through correspondence) due every two years.
Dental Hygienists: 20 CE hours due every two years.
Registered Dental Assistants: 10 CE hours due every two years.
RHODE ISLAND:
Dentists: 60 CE hours (6 hours can be taken online or through correspondence) – due every 3 years.
Dental Hygienists: 30 CE hours – due every 3 years.
SOUTH CAROLINA:
Dentists: 14 CE hours (all CE hours can be taken online or through correspondence) – due every year by 3/1.
Dental Hygienists: 7 CE hours (all CE hours can be taken online or through correspondence) – due every year by 3/1.
SOUTH DAKOTA:
Dentists: 100 CE hours (75 hours can be taken online or through correspondence) – due every 5 years, date is different for every individual.
Dental Hygienists: 75 CE hours (50 hours can be taken online or through correspondence) – due every 5 years, date is different for every individual. Required course: 5 hours of Radiography.
Registered Dental Assistants: 60 CE hours required every 5 years.
TENNESEE:
Dentists: 40 CE hours (all hours can be taken online or through correspondence) – Required to take 2 hours of Chemical Dependency – due every two years on individuals birth month.
Dental Hygienists: 30 CE hours (all hours can be taken online or through correspondence) – Required to take 2 hours of Chemical Dependency – due every two years on individuals birth month.
Registered Dental Assistant: 24 CE hours (all can be taken online or through correspondence) - Required to take 2 hours of Chemical Dependency – due every two years on individuals birth month.
TEXAS:
Dentists: 12 CE hours (4 hours can be taken online or through correspondence – CPR must be taken in a classroom) – due every year, each individual has their own expiration day. every year for Dentist and Hygienist.
Dental Hygienists: 15 CE hours (4 hours can be taken online or through correspondence – CPR must be taken in a classroom) – due every year, each individual has their own expiration day.
Registered Dental Assistants: 15 CE hours (4 hours can be taken online or through correspondence – CPR must be taken in a classroom) – due every year, each individual has their own expiration day.
UTAH:
Dentists: 30 CE hours (all CE can be taken online or through correspondence – courses must be Clinical and not Practice Management) – due 5/31 of even-numbered years.
Dental Hygienists: 30 CE hours (all CE can be taken online or through correspondence – courses must be Clinical and not Practice Management) – due 5/31 of even-numbered years. .
VIRGINIA:
Dentists: 15 CE hours (all hours can be taken online or through correspondence, CPR refresher is required) – due 3/31 every year.
Dental Hygienists: 15 CE hours (all hours can be taken online or through correspondence, CPR refresher is required) – due 3/31 every year.
VERMONT:
Dentists: 40 CE hours (all hours can be taken online or through correspondence) – Due every two years on 9/30 on odd-numbered years (ex. 2009).
Dental Hygienists: 40 CE hours (all hours can be taken online or through correspondence) – Due every two years on 9/30 on odd-numbered years (ex. 2009).
WASHINGTON:
Dentists: 21 CE hours (all hours can be taken online or through correspondence – required courses are: HIV/Aids Review is required only one time) – due every year, dates are different for every individual.
Dental Hygienists: 15 CE hours (all hours can be taken online or through correspondence – required courses are: HIV/Aids Review is required only one time) – due every year, dates are different for every individual.
WISCONSIN:
Dentists: No CE requirements
Dental Hygienists: No CE requirements.
WEST VIRGINIA:
Dentists: 35 CE hours (17 hours can be taken online or through correspondence) – due every two years.
Dental Hygienists: 20 CE hours (10 hours can be taken online or through correspondence) – due every two years.
WYOMING:
Dentists: No CE hours for renewal. Only CPR is mandatory
Dental Hygienists: No CE requirements.
X-Rays Help Predict Permanent Bone Damage From Bisphosphonates
Article Date: 09 May 2009 - 2:00 PDT
Breast cancer patients, individuals at risk for osteoporosis and those undergoing certain types of bone cancer therapies often take drugs containing bisphosphonates. These drugs have been found to place people at risk for developing osteonecrosis of the jaws (a rotting of the jaw bones). Dentists, as well as oncologists, are now using X-rays to detect "ghost sockets" in patients that take these drugs and when these sockets are found, it signals that the jawbone is not healing the right way. Early detection of these ghost sockets can help the patient avoid permanent damage to their jawbone, according to an article in the March/April 2009 issue of General Dentistry, the Academy of General Dentistry's (AGD) clinical, peer-reviewed journal.
A ghost socket occurs when the jawbone is not healing and repairing itself the right way. "The good news is that even though these ghost sockets may occur, by using radiographic techniques we can see that the soft tissue above these sockets can still heal," according to Kishore Shetty, DDS, MS, MRCS, lead author of the report. Dr. Shetty states these findings are important news to learn about because early prevention and detection can halt permanent damage from happening to a patient's jawbone.
In 2006, about 191 million prescriptions of oral bisphosphonates worldwide were written. The National Osteoporosis Foundation estimates that nearly 44 million people in the United States are at risk for developing osteoporosis. Currently, approximately 10 million Americans suffer from the disease.
Bisphosphonates are a family of drugs used to prevent and treat osteoporosis, multiple myeloma, Paget's disease (bone cancers), and bone metastasis from other cancers. These drugs can bond to bone surfaces and prevent osteoclasts (cells that break down bone) from doing their job. Other cells are still working trying to form bone, but it may turn out to be less healthy bone leading to the ghost-like appearance on X-rays.
"Healthy bones can easily regenerate," says Dr. Shetty. "But, because jawbones have rapid cell turnover, they can fail to heal properly in patients taking any of the bisphosphonate drugs. It's very important for patients to know about complications from dental surgery or extractions. Since these drugs linger in the bone indefinitely, they may upset the cell balance in how the jaws regenerate and remove unhealthy bone."
According to AGD spokesperson Carolyn Taggart-Burns, DDS, FAGD, patients who are taking bisphosphonates should inform their dentist to prevent complications from dental surgical procedures.
"Widespread use of bisphosphonates to prevent or treat early osteoporosis in relatively young women and the likelihood of long-term use is a cause for concern," says Dr. Taggart-Burns.
Drs. Shetty and Taggart-Burns agree that, "how bisphosphonates interfere with healing after dental surgery is still unclear and further research will be needed. It is imperative that the public understands there is no present treatment or cure for this problem."
Source:
Stefanie Schroeder
Academy of General Dentistry
No Clear Winner Among Fillings For Childhood Cavities
Article Date: 29 Apr 2009 - 2:00 PDT
So far, there is a not a clear winner among the types of fillings used to repair childhood cavities, according to a new review.
In fact, there are so few useful studies on the topic that there is not enough evidence "to make any recommendations about which filling material to use," said Veerasamy Yengopal, who led the review.
Yengopal, an oral health expert at South Africa's University of Witswatersrand, said it was "disappointing" that there have been few comparisons of dental fillings for children, given "remarkable advances in dental restorative materials over the last 10 years."
"Oral health professionals need to make astute decisions about the type of restorative material they choose to best manage their patients," Yengopal said, since the type of material used in the fillings could affect how long the filling lasts, how well it looks in the child's mouth and whether it causes any pain.
Joel Berg, D.D.S., chair of pediatric dentistry at the University of Washington and a spokesperson for the American Academy of Pediatric Dentists, said high-level studies of dental fillings could be hard to come by, since filling manufacturers change their products from year to year.
"Manufacturers replace their products so frequently; by the time that outcome and controlled data can be collected on a product, it might not be on the market any longer," said Berg.
The review appears in the latest issue of The Cochrane Library, a publication of The Cochrane Collaboration, an international organization that evaluates medical research. Systematic reviews like this one draw evidence-based conclusions about medical practice after considering both the content and quality of existing medical trials on a topic.
Healthy primary dentition or "baby" teeth serve many purposes before they are lost, the Cochrane reviewers noted. Baby teeth act as placeholders and spacers for the primary dentition, and they help children chew nutritious foods such as raw vegetables and fruit. Children with untreated cavities might experience teasing about their appearance or bad breath, and they could have trouble speaking if teeth decay and fall out prematurely, according to Yengopal and colleagues.
The three studies examined by the reviewers included 81 children between the ages of 4 and 9 years old. In each study, the children had at least one cavity on each side of their mouth filled with a different material, so that researchers could compare different fillings for one person. The materials included a metal-mercury amalgam, a resin-modified glass composite filling and a filling that combines a plastic-ceramic material with elements of the glass filling.
The researchers found no significant differences among the materials, whether in terms of how well the materials lasted or whether the children were free from tooth pain at the end of the studies.
"This lack of useful evidence from a consumer point of view means that we cannot make any recommendations about which filling material was best to use to achieve a particular outcome," Yengopal said.
None of the studies in the review compared the usefulness of fillings to pulling the teeth or "watchful waiting" of the cavities. Nevertheless, if a child has cavities, "many of these will go beyond the tooth," to infect the gums and face, said Berg. "Treating a caries lesion can get rid of the disease before it can progress and become dangerous over time."
The authors said that measures to prevent caries, such as sealants, were beyond the scope of the review.
The Cochrane Collaboration is an international nonprofit, independent organization that produces and disseminates systematic reviews of health care interventions and promotes the search for evidence in the form of clinical trials and other studies of interventions.
Yengopal V, et al. Dental fillings for the treatment of caries in the primary dentition. The Cochrane Database of Systematic Reviews 2009, Issue 2.
Source: Health Behavior News Service
Dental Protection - Tools For Improvement
Dental Protection is using its vast experience from many years of protecting the dental team to increase the value of reading its Annual Review. Working with almost 54,000 members in 70 countries and territories worldwide provides a unique perspective on the way that problems can arise in dentistry. Dental Protection has assembled some of that information to create a series of practical tools that can be adopted by dentists and dental care professionals everywhere to improve all aspects of the care and treatment that they provide.
Called Tools for improvement, this years' Annual Review takes a look at the tools for quality improvement, suggests ways to prioritise our time and effort to maximum advantage, and applies these principles to a variety of clinical and non-clinical situations to illustrate their practical use. Tools for Improvement joins the growing library of risk management content that is available to members in a variety of media formats. As an additional benefit, members can also obtain three hours verifiable CPD online after reading this year's publication.
Kevin Lewis, Director of Dental Protection, said, "At all stages in our professional career, and in all areas of our professional life we encounter opportunities for improvement. Sometimes adversity can be the stimulus, while on other occasions we simply want to get better or to become more successful. In dentistry we are continually confronted with new techniques, new materials, new equipment and new technology, all of which can challenge our existing way of doing things. When faced with these multiple pressures and opportunities the greatest benefits will come when we continually seek to identify suitable areas for improvement that are relevant to us, and then choose the right tools for development, applied at the right time and in the right way. The best routes will not necessarily be the same for all of us.
With the global economy in turmoil and the investment market in a parlous state, there has never been a better time for the profession to review the quality of the service it provides. Surprising benefits can often accrue from investing a little time in reviewing the way we work. The process can also help to improve team productivity and increase patient demand."
Source
Medical Protection Society
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