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12/27/2017 Janet McCormick, MS
The Death Knell of Podiatry in Illinois? (W. David Herbert DPM)
As per dental hygienists practicing without supervision, I would truly like to know where that is? I'm thinking that somewhere in the background there is a "dental supervision" requirement, possibly similar to aesthetic spas where nurses and estheticians can perform high level peels etc. as long as they are "supervised by a physician." Many of these medial supervisors are not on site, but there is a responsibility there, and they must be within a set distance. And they are financially involved in some way.
I find it doubtful that dental hygienists would escape the supervision of dentists fully. The dental associations are very active in the legislative processes and watch it very closely. Dental hygienists have only been minimally trained to take impressions for crowns, bridge,, dentures, tho certified dental assistants have for years in their advanced training in CE courses - but they must still do it under supervision.
It has never been cost-effective to have a DH do impressions, etc. when they can make what they do for practices performing prophylaxis, etc.
Every state now has expanded practice dental hygienists who are trained to fill prepped areas, and even will finish the fillings, etc. for dentists. The training is through state dental association approved programs. But in these states, the dentists must do the actual prep and perform the bite adjustments.
I am curious who these dentruists are? Dental Lab technicians possibly? They are fully trained in the crown, bridge and denture processes - something similar to orthotists or pedorthists in podiatry - but unless things have changed for them, never did they go directly into public practice that I know of; however, I know little about their profession.
My point here was to show that podiatrists should become better organized if they wish to control their profession. Or, like dentists, re-organize it legislatively to be beneficial to them.
Janet McCormick, Frostproof, FL
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