Colorado Dental Board: News


Next Steps for Sleep Apnea Discussions

The Colorado Dental Board would like to thank everyone who participated in the recent Stakeholder Meetings related to sleep apnea. The meetings were well attended and a diverse and healthy number of stakeholder input was submitted and considered throughout the process. While the Committee has concluded its third committee/stakeholder meeting, and has prepared the attached DRAFT set of rules for the Colorado Dental Board's and your consideration, we are far from making any final decision on this important issue. There are still upcoming opportunities to engage on this subject. At its next scheduled meeting, the Colorado Dental Board will consider the DRAFT set of rules and all stakeholder input to date:

Thursday, May 4, 2017, 8 a.m. 
1560 Broadway, Denver, Colorado
Conference Room 110D
Download the Sleep Apnea DRAFT Rules

The Colorado Dental Board will discuss next steps, including the upcoming Colorado Medical Board Meeting on Thursday, May 18, where that Board will consider the same information, since both Boards continue to collaborate on this matter. In preparation for these next meetings, we will submit all written comments to date for consideration, along with any new comments you may have in response to the DRAFT set of rules. If you have new comments and feedback to share with the Colorado Dental Board, please email them by 5 p.m. on Thursday, April 27, to maulid.miskell@state.co.us.

Thank you for participating in this process and helping the Boards clarify this important issue. If you have any questions, please send an email to maulid.miskell@state.co.us.


Sleep Apnea Stakeholder Meeting Recordings

The Colorado Dental Board's Sleep Apnea Committee held three stakeholder meetings to discuss issues related​ to preliminary recommendations on DRAFT rules​ ​regarding sleep apnea. 

The meetings were open to the public and many interested parties participated. Stakeholder input is crucial to achieving the Department’s missions of consumer protection and effective licensure and enforcement, without unnecessary impediment to the economic market. 

All of the Stakeholder Meetings were recorded and are available below:

The Committee is completing its recommendations on a ​draft set of rules​. ​The Committee's recommendations will be provided to the Board and the Board will decide if and how it will proceed with rulemaking after it considers the Committee's recommendations and all stakeholder input​.​ The Board will continue to collaborate with the Colorado Medical Board throughout this process until an outcome is reached.

The Board will make its decision at​ the next scheduled full Board Meeting​:

Thursday, May 4, 2017, 8 a.m.
Conference Room 110D
1560 Broadway, Denver, CO


Interim Therapeutic Restorations: Latest Update

Training Information

The Community College of Denver (CCD) Dental Hygiene School, which is accredited by the Commission on Dental Accreditation (CODA), developed an 8-hour Interim Therapeutic Restorations (ITR) continuing education course that runs from 8 a.m. until 5 p.m. and takes place at its Lowry campus. Didactic training will occur from 8 a.m. until noon, and hands-on training will occur from 1 p.m. until 5 p.m. The cost to participate in ITR training is $350 per person. Breakfast, lunch, and snacks will be provided. Dental hygienists interested in this training should visit www.ccd.edu/continuing-education for more information, including how to sign up for it. 

  • December 8-9, 2016: CCD held the first ITR training in Colorado for invited individuals covered under a grant from the Caring for Colorado Foundation. The training took place at the Community College of Denver, Health Sciences Building and Dental Hygiene.
  • January 6, 2017: CCD has a training scheduled on January 6, 2017 that is now full. 
  • Summer 2017: CCD plans to offer another training in Summer 2017. Please check back for updates and a finalized date.

Application: Download the Application for Approval to Place Interim Therapeutic Restorations (ITR)

Background: On June 5, 2015, Governor Hickenlooper signed House Bill 15-1309 (HB15-1309) Concerning the Placement of Interim Therapeutic Restorations by Dental Hygienists. The new law expands the dental hygienists' Scope of Practice by allowing them to place interim therapeutic restorations under the supervision of a dentist after completing appropriate coursework and applying for and obtaining a permit from the Colorado Dental Board.

Webinar

On May 17, 2016, the Colorado Dental Board held an educational webinar regarding the newly expanded Scope of Practice for dental hygienists interested in performing interim therapeutic restorations. The recording is now available and includes the Q&A portion of the webinar.

We also encourage all dentists and dental hygienists to read Rule XXV, in order to fully understand the requirements for dental hygienists interested in performing interim therapeutic restorations. The Rule went into effect June 30, 2016.

Questions: Please contact the Colorado Dental Board at dora_dentalboard@state.co.us.


Training on Opioid Prescribing Available

For dentists prescribing/dispensing opioids, the Colorado Dental Board recommends completing a continuing education course titled “The Opioid Crisis: Best Practices in Dentistry (for oral surgeons and dentists)”. The training program was developed by the Center for Health, Work & Environment at the Colorado School of Public Health in partnership with the Colorado Consortium for Prescription Drug Abuse Prevention and with input from several interested stakeholders. This 1-hour online, self-paced course will provide information to help you understand the significance of the opioid epidemic, understand the role of dentists, learn best practices and strategies for preventing prescription drug diversion and abuse, and identify tools and resources.

To access the training:

Opioid Prescribing Policy

Effective July 24, 2014: The Board adopted a policy for the prescribing and dispensing of opioids, part of a collaborative effort with the Quad-Regulator Boards as one part of a statewide solution to reduce prescription drug abuse and misuse. The Quad-Regulator Boards include the Colorado Medical Board, the Colorado State Board of Nursing, the Colorado Board of Pharmacy, and the Colorado State Board of Dental Examiners, facilitated by the Nurse-Physician Advisory Task Force for Colorado Healthcare (NPATCH). Other boards that license prescribers of controlled substances also adopted the policy, including the State Board of Optometry and the Colorado Podiatry Board, while the State Board of Veterinary Medicine endorsed the policy.

The development of a joint policy by multiple regulatory boards is a first. For that reason, the policy was drafted through an open process that allowed for full consideration of stakeholder views through multiple public meetings held from February to July 2014. 

View the Opioid Policy unanimously adopted by the Quad-Regulators and other boards:


Free Access to PainNET System for Colorado Providers

The Colorado Department of Health Care Policy and Financing (HCPF) worked with the vendor of its Project ECHO Pain Management Program, Community Health Center, to expand access to the program website known as PainNET.

The PainNet website is an online learning community that aims to improve pain care expertise among primary care providers. The website is also available to other Health First Colorado (Colorado’s Medicaid Program) primary care medical providers (PCMPs) for free.

The PainNET learning community enables PCMPs to develop expertise to treat patients with complex chronic pain through a combination of archived Project ECHO Pain case presentations, resource libraries, community forums and expert consultations. Providers and specialists are able to communicate through discussion boards, chat rooms and direct messaging.

This is a great resource for Colorado providers to access resources that can increase their knowledge on how to manage chronic pain more effectively.

Learn More About PainNET


Legislation Affects Fee Sharing

On March 9, 2016, Governor John Hickenlooper signed Senate Bill 16-009 Concerning the Sharing of Professional Dental Fees. Under current law, a licensed dentist or dental hygienist may face disciplinary action by the Colorado Dental Board for sharing professional fees with anyone except those with whom he or she is lawfully associated in the practice of dentistry or dental hygiene. The only exception is when a dentist or dental hygienist is paying an independent advertising or marketing agent for advertising or marketing services.

The law added a second exception to this prohibition by also allowing dentists and dental hygienists to contract for business management services or pay a royalty in accordance with a franchise agreement. The law became effective August 10, 2016. If you have questions, please contact the Colorado Dental Board at dora_dentalboard@state.co.us.


Delegated Access Training Video

Watch this video and learn how to create and activate a delegate account on the PDMP. Any prescriber or pharmacist can now have up to three trained delegates who can access the PDMP on your behalf. This will help you and your staff utilize the PDMP more frequently to get the most complete medical history possible. Don't miss the opportunity to establish delegates in your practice and use the PDMP more than ever. Take five and view the YouTube video.


New CE Requirements

New continuing education requirements are now in place! Every licensed dentist or licensed dental hygienist must now complete 30 hours of Board approved continuing education during the two years preceding the next renewal period, which ends February 28, 2018. All licensed dentists, dentists with an academic license, and licensed dental hygienists who are renewing an active license must meet these new requirements. Licensees can start accumulating Board approved CE hours on or after March 1, 2016 and they must be completed by February 28, 2018 in order to apply them to the 2018 renewal period.  

We will conduct additional outreach and education on the new requirements in 2016. Currently, anyone interested in learning about the detailed requirements should review Rule III(G), including the types of continuing education that are accepted.

If you have questions, please contact the Colorado Dental Board staff at dora_dentalboard@state.co.us.


HB15-1309 Expands Dental Hygienist Scope of Practice

On June 5, 2015, Governor Hickenlooper signed House Bill 15-1309 (HB15-1309) Concerning the Placement of Interim Therapeutic Restorations by Dental Hygienists. The new law expands the dental hygienists' Scope of Practice by allowing them to place interim therapeutic restorations under the supervision of a dentist after completing appropriate coursework and applying for and obtaining a permit from the Colorado Dental Board (Board). The new law went into effect on August 5, 2015 and we have started the implementation process.

ITR Advisory Committee
The law first requires the establishment of an Interim Therapeutic Restorations Advisory Committee (ITRAC) to help the Board develop uniform standards for consistent training for dental hygienists performing interim therapeutic restorations. The ITRAC must complete its work before the Board can create an application process and issue permits.

On August 31,2015, Dickey Lee Hullinghorst, Speaker of the Colorado House of Representatives, and Bill Cadman, President of the Colorado Senate, jointly appointed the following individuals to serve on the HB15-1309 Interim Therapeutic Restorations Advisory Committee (ITRAC):

  • Dr. Bill Bailey as a representative from an accredited dental school in Colorado
  • Dr. Dan Wilson  as a dentist with a faculty appointment at an accredited dental school in Colorado
  • Elsa Eccles as a representative from a dental hygiene school in Colorado
  • Michelle Hoffer as a faculty member from a dental hygiene school in Colorado
  • Dr. Jeff Kahl as a representative from a statewide association of dentists
  • Deb Astroph as a representative from a statewide association of dental hygienists
  • Jo Donlin as a representative from the Division of Professions and Occupations in the Department of Regulatory Agencies

The ITRAC held its first meeting on September 29, 2015. Committee members met on the following scheduled dates and times to ensure their recommendations were submitted to the Dental Board by December 3, 2015:

  • Tuesday, October 13, 2015, 1560 Broadway, Room 110A, 1:45 - 4:00 p.m.
  • Friday, October 30, 2015, Conference Call/Webinar, Set up for public at 1560 Broadway, Room 110A, 1:30 - 3:00 p.m.

The ITRAC approved its training standards at the 10/30/15 meeting and its Final Report was submitted to the Colorado Dental Board on 12/3/2015. The Final Report also includes the meeting minutes for the ITRAC. The Dental Board will consider the ITRAC's recommended uniform standards for consistent training for dental hygienists performing interim therapeutic restorations at a Rulemaking Hearing scheduled to occur on April 28, 2016 at 8:30 a.m. in Conference Room 110D at 1560 Broadway, Denver, CO 80202. This meeting is open to the public and all interested parties are welcome to attend. 

Medicaid Reimbursement
The law also specifies that Medicaid will reimburse for ITRs if funding is available, and the reimbursement will extend to ITR placements in accordance with the transmission of medical or dental information to be reviewed by a dentist at a later time.

Timeline for Implementation
The following dates provide a preliminary timeline for how DPO will ensure HB15-1309 is implemented efficiently and meets the legislative intent to increase access to dental care.

  • 9/4/15 - Deadline for ITRAC appointments
  • 10/4/15 - Latest possible date for first ITRAC meeting to convene
  • 12/3/15 - ITRAC’s recommendations due to Board
  • 1/20/16 - Board meeting to consider ITRAC's recommended uniform standards
  • 2/2/16 - Stakeholder meeting to receive input on recommendations and upcoming rules
  • 2/24/16 - Board meeting to consider draft rules to implement uniform standards
  • 4/28/16 - Rulemaking hearing to adopt permanent rules
  • Week of 5/16/16 - Webinar to provide education about new rules
  • 6/30/16 - Anticipated effective date of new rules
  • 7/1/16 - Permit application available on Board website

Further Information and Questions
Please be sure to check this page for updates on the implementation process. If you have questions or need additional information, please email dora_dentalboard@state.co.us.


Amalgam Separator Requirement for Denver Metro Area

The Metro Wastewater Reclamation District (Metro District), which includes most of the Denver metro and surrounding suburban areas, has implemented new amalgam control requirements for dental offices in its service area. Dental offices served by the Metro District will be required to implement Best Management Practices (BMPs) for placement, removal and disposal of dental amalgam by February 19, 2015. These dental offices will also be required to install amalgam separators by August 19, 2015. 

The Metro District's requirements and certification forms for the Amalgam Program can be found on the Metro District's website: www.metrowastewater.com. Exemptions from these requirements can be requested from the Metro District for dental offices that never place or remove amalgam or teeth containing amalgam. 

For questions concerning the Metro District's Amalgam Control Program, please contact Lori Maag at 303-286-3434 or via email at lmaag@mwrd.dst.co.us; or Pat Dowell at 303-286-3267 or via email at pdowell@mwrd.dst.co.us.


Dental Amalgam Effluent Guideline

The United States Environmental Protection Agency (EPA) has released that the Dental Amalgam Effluent Guideline is to be published soon in the Federal Register. It is available at http://water.epa.gov/scitech/wastetech/guide/dental/. Once published, comments will be accepted for at least 60 days.