Category Archives: Education

NM Oral Health Advisory Council Covers Topics Important to Improving Oral Health & Access at Recent Meeting

Members of the New Mexico Oral Health Advisory (NMOHAC) brought to light many items impacting the oral health of New Mexican’s at its most recent meeting.  The NMOHAC is comprised of dental healthcare providers, state officials and others committed to improving oral health and access to dental services in New Mexico.

Chair of NM Dental Board Predicts at Least One Year for Dental Bill Regulations to Go Into Effect – While Governor Susana Martinez signed HB 187 a bill to amend the NM Dental Health Care Act into law on April 7, the NM Dental Board has yet to review and begin drafting regulations that make the provisions in HB 187 a reality, according to Jessica Brewster, DDS current chair of the NM Dental Board.  Hygienists and others at the meeting expressed concerns that a year was too long. They felt that some provisions could be enacted sooner and shouldn’t be held up by other more complex provisions.  Dr. Brewster agreed to look into whether the regulations could be enacted in sections so that less complex provisions could be finalized and enacted before other provisions.

Provisions of HB 187 include:

  • Slightly expanding dental hygienist scope of practice to allow hygienists to provide anesthetic services without the supervision of a dentist and allows hygienists to assess for sealants.
  • Creating a community dental health coordinator (CDHC) who are not providers, and can only provide prevention awareness information and can transport patients to dentists.
  • Creates an opportunity for dental assistants and dental hygienists to with additional training provide additional services beyond their scope under the in-person supervision of a dentist.
  • Allows for a temporary 3-day public service licensure for out-of-state dentists and hygienists to participate in charity dental service events such as Mission of Mercy.

Exciting New Changes for UNM’s Dental Programs

  • UNM’s dental services and dental hygiene divisions are now under their own new dental department, the UNM Department of Dental Medicine.  Previously they were housed under the UNM Department of Surgery.
  • New Facility for UNM Dental Residency Program opened its new state of the art training and clinical facility late in August located near UNM Hospital.
    • After completing their one-year residency, most of UNM’s residency program’s graduates stay in the state and practice in the area of public health.

HB 187 Regulations Will Determine if NY Medical Center Can Place Dental Residents in NM –  For a number of years the Lutheran Medical Center based in New York has wanted to place dental residents in New Mexico.  The medical center and others including the NM Primary Care Association argue that allowing these residents to practice in NM would increase access to dental services in our state and hope that the regulations in HB 187 will allow this to happen.   While HB 187 allows dental residents to obtain a 12-month temporary public service licensure to practice in NM, the law states that the dental residents must be “in a residency program in the state.”  The sticking point is how to define “a residency program in the state.”  Must it be like UNM’s dental residency program or would a dental resident practicing in the state meet this requirement?  Some expressed concerns about whether there would be enough NM licensed dentists who are trained to appropriately supervise out-of-state residents who are practicing in rural and remote parts of our state.

State and Bernalillo County to Apply for CDC Community Transformation Grant – This grant would provide communities with funds to pursue and provide clinical health prevention programs in their communities.  If awarded, the NM Office of Oral Health hopes to use some of the grant funding to support its oral health prevention programs for elementary school-age and adolescent children.

New Curriculum Guidelines Published by AAPHD Offer States a Model for Training Dental Therapists

The American Association of Public Health Dentistry (AAPHD) recently published a compelling series of papers that established curriculum guidelines for the training of a new workforce model, dental therapists.

AAPHD is the nation’s largest membership organization of dentists, dental hygienists and others committing to improving the oral health of the public.  It believes that adding dental therapists as members of the dental team may help meet growing U.S. oral health needs, particularly among underserved populations.  The papers are the work of an academic panel whose 11 members were selected for their expertise, experience and in-depth knowledge of dental education.

For New Mexico, one of the states that is pursuing the dental therapist model, this means we have a template on which to build an education program that would produce quality dental providers who can meet the needs of our remote and underserved population.

This compelling series of papers also includes the following:

  • Principles on which a dental therapy program should be based;
  • Recommended length of training programs;
  • Competencies required for graduates; and
  • General curriculum content of such programs.

The proposed model curriculum is based on a two-year, post-secondary training program.  The panel reviewed the course of study for dental therapists in programs already in the United States (Minnesota and the Alaska Native Tribal Health Consortium/University of Washington program) and throughout the world.  The dental therapist designation is a professional, accredited position in 55 countries.

The entire collection of papers is available online and will be published in a special issue, June 2011 issue of peer-reviewed Journal of Public Health Dentistry.

In a guest editorial introduction to the special issue, panel convener Caswell Evans Jr., DDS, MPH, Associate Dean for Prevention and Public Health Sciences at the University of Illinois at Chicago, noted that the absence of a nationally recognized program of study for dental therapists could result in a “patchwork of responsibilities and varying scopes of practice for dental therapists that could lead to confusion by the public.”

The panel’s proposed curriculum should help to answer questions about the training and education for dental therapists and will likely become a model for other states, including New Mexico.

In addition, AAPHD President Diane Brunson, RDH, MPH, said that the recommendations will help establish “a career path for entering the profession to best serve the oral health needs of all populations.”

“We believe that the expert panel recommendations, used as a model to build on, will assure that curricula from school to school and state to state are consistent, of high quality and will pave the way for national accrediting,” she added.