Regulatory and Advisory Agencies Chapter 22 Copyright © 2009, 2006 by Saunders, an imprint of Elsevier Inc. All rights reserved.

Regulatory and Regulatory and Advisory AgenciesAdvisory Agencies

Chapter 22Chapter 22

Copyright © 2009, 2006 by Saunders, an imprint of Elsevier Inc. All rights reserved.

Chapter 22Chapter 22

Lesson 22.1Lesson 22.1


Learning ObjectivesLearning Objectives

Pronounce, define, and spell the Key Terms.Pronounce, define, and spell the Key Terms. Explain the difference between regulations Explain the difference between regulations

and recommendations.and recommendations. Identify four professional sources of dental Identify four professional sources of dental

information.information. Name the premiere infection-control Name the premiere infection-control

educational organization in dentistry.educational organization in dentistry.(Cont’d)(Cont’d)



(Cont’d)(Cont’d)

Describe the role of the Centers for Disease Describe the role of the Centers for Disease Control and Prevention (CDC).Control and Prevention (CDC).

Describe the role of the Food and Drug Describe the role of the Food and Drug Administration (FDA) in relation to dentistry.Administration (FDA) in relation to dentistry.

Describe the role of the Environmental Describe the role of the Environmental Protection Agency (EPA) in relation to Protection Agency (EPA) in relation to dentistry.dentistry.(Cont’d)(Cont’d)




Explain a primary difference between the Explain a primary difference between the Occupational Safety and Health Occupational Safety and Health Administration (OSHA) and the National Administration (OSHA) and the National Institute for Occupational Safety and Health Institute for Occupational Safety and Health (NIOSH).(NIOSH).

Describe the role of the National Institutes of Describe the role of the National Institutes of Health (NIH).Health (NIH).

Describe the role of the National Institute of Describe the role of the National Institute of Dental and Craniofacial Research (NIDCR).Dental and Craniofacial Research (NIDCR).


Introduction Introduction

Several government agencies and professional Several government agencies and professional organizations have direct influence on dentistry, organizations have direct influence on dentistry,

infection control, infection control, and other healthcare-safety issues. and other healthcare-safety issues.

In addition to issuing recommendationsIn addition to issuing recommendations and and regulations, some have regulatory roles and others are regulations, some have regulatory roles and others are

advisory. advisory.

These agencies can serve as an excellent resource These agencies can serve as an excellent resource for information and educational materials.for information and educational materials.


Recommendations and RegulationsRecommendations and Regulations

Recommendations are made by individuals, groups, Recommendations are made by individuals, groups, or agencies that are advisory and have no authority or agencies that are advisory and have no authority with regard to enforcement. with regard to enforcement.

Regulations are made by groups or agencies that do Regulations are made by groups or agencies that do have the authority to enforce compliance with the have the authority to enforce compliance with the regulations. Enforcement penalties may include fines, regulations. Enforcement penalties may include fines, imprisonment, or suspension or revocation of imprisonment, or suspension or revocation of licenses. licenses.

Recommendations may be made by anyone, but Recommendations may be made by anyone, but regulations are made by governmental groups or regulations are made by governmental groups or licensing boards in towns, cities, counties, and states. licensing boards in towns, cities, counties, and states.


Fig. 22-1 Logo of the ADA.Fig. 22-1 Logo of the ADA. (Courtesy of the ADA.)(Courtesy of the ADA.)

Fig. 22-4 Logo of OSAP.Fig. 22-4 Logo of OSAP.(Courtesy Organization for Safety and (Courtesy Organization for Safety and

Asepsis Procedures.)Asepsis Procedures.)

Associations and OrganizationsAssociations and Organizations

The ADA is the professional organization The ADA is the professional organization for dentists. The ADA periodically for dentists. The ADA periodically updates its infection control updates its infection control recommendations as new scientific recommendations as new scientific information becomes available. information becomes available.

The Organization for Safety and Asepsis The Organization for Safety and Asepsis Procedures (OSAP) is a not-for-profit Procedures (OSAP) is a not-for-profit organization composed of dentists, organization composed of dentists, hygienists, dental assistants, government hygienists, dental assistants, government representatives, dental manufacturers, representatives, dental manufacturers, university professors, researchers, and university professors, researchers, and dental consultants. This organization is dental consultants. This organization is an excellent resource for information on an excellent resource for information on infection control, injury prevention, and infection control, injury prevention, and occupational-health issues.occupational-health issues.



Associations and OrganizationsAssociations and Organizations


State and local dental societies can help youState and local dental societies can help youcomply with regulatory issues in your specific comply with regulatory issues in your specific area. area.

National, state, and local dental-assisting National, state, and local dental-assisting societies can often answer questions and societies can often answer questions and provide opportunities for continuing dental provide opportunities for continuing dental education.education.


Government AgenciesGovernment Agencies

CDC CDC FDA FDA OSHA OSHA NIOSH NIOSH


Centers for Disease Control and Centers for Disease Control and PreventionPrevention

The CDC is recognized as the lead federal agency for The CDC is recognized as the lead federal agency for protecting the health and safety of people at home and abroad. protecting the health and safety of people at home and abroad.

The CDC bases its public-health recommendations on the The CDC bases its public-health recommendations on the highest-quality scientific data. highest-quality scientific data.

Infection-control procedures practiced in dentistry today are Infection-control procedures practiced in dentistry today are based on the Guidelines for Infection Control in Dental Health-based on the Guidelines for Infection Control in Dental Health-Care Settings, issued by the CDC.Care Settings, issued by the CDC.

The guidelines contain an Oral Health Services section that The guidelines contain an Oral Health Services section that concerns oral diseases, fluoride application, and infection concerns oral diseases, fluoride application, and infection control in dentistry.control in dentistry.

The CDC does not have the authority to make laws, but many The CDC does not have the authority to make laws, but many local, state, and federal agencies use CDC recommendations local, state, and federal agencies use CDC recommendations to formulate laws. to formulate laws.


Food and Drug AdministrationFood and Drug Administration

The FDA, a regulatory agency, is part of the U.S. The FDA, a regulatory agency, is part of the U.S. Department of Health and Human Services.Department of Health and Human Services.

The FDA regulates the manufacture and labeling of The FDA regulates the manufacture and labeling of medical devices (e.g., sterilizers, biologic and medical devices (e.g., sterilizers, biologic and chemical indicators, ultrasonic cleaners and cleaning chemical indicators, ultrasonic cleaners and cleaning solutions, liquid sterilants, gloves, masks, protective solutions, liquid sterilants, gloves, masks, protective eyewear, dental handpieces and instruments, dental eyewear, dental handpieces and instruments, dental chairs, and dental-unit lights). chairs, and dental-unit lights).

It also regulates antimicrobial handwashing products It also regulates antimicrobial handwashing products and mouth rinses.and mouth rinses.


Fig. 22-6 Overview of a dental operatory showing Fig. 22-6 Overview of a dental operatory showing items (items (arrowsarrows) regulated by the FDA.) regulated by the FDA.


Environmental Protection Agency Environmental Protection Agency (EPA)(EPA)

The EPA is a regulatory agency. The EPA is a regulatory agency. It ensures the safety and effectiveness of disinfectants.It ensures the safety and effectiveness of disinfectants. Manufacturers of disinfectants must submit information Manufacturers of disinfectants must submit information

about the safety and effectiveness of the product. about the safety and effectiveness of the product. If the claims meet the EPA criteria, the product receives If the claims meet the EPA criteria, the product receives

an EPA registration number that must appear on the an EPA registration number that must appear on the product label. product label.

The EPA regulates discharge and final treatment of The EPA regulates discharge and final treatment of waste materials (e.g., chemicals), as well as medical waste materials (e.g., chemicals), as well as medical waste after it leaves the dental office.waste after it leaves the dental office.


Occupational Safety and Health Occupational Safety and Health AdministrationAdministration

OSHA is a regulatory agency.OSHA is a regulatory agency. It protects workers against physical, chemical, and It protects workers against physical, chemical, and

infectious hazards in the workplace.infectious hazards in the workplace. It establishes protective standards, enforces those It establishes protective standards, enforces those

standards, and offers technical assistance and standards, and offers technical assistance and consultation programs.consultation programs.

OSHA is a federal agency, but 22 states administer OSHA is a federal agency, but 22 states administer their own state-operated OSHA programs. their own state-operated OSHA programs.

In states that administer their own OSHA programs, In states that administer their own OSHA programs, the state standards must be equivalent to or more the state standards must be equivalent to or more stringent than those of the federal agency. stringent than those of the federal agency.


National Institute for Occupational National Institute for Occupational Safety and HealthSafety and Health

NIOSH does not have regulatory authority.NIOSH does not have regulatory authority. It is responsible for conducting research and It is responsible for conducting research and

making recommendations for the prevention making recommendations for the prevention of work-related disease and injury. of work-related disease and injury.

NIOSH makes recommendations and NIOSH makes recommendations and disseminates information on preventing disseminates information on preventing workplace disease, injury, and disability.workplace disease, injury, and disability.

It provides training to professionals in the field It provides training to professionals in the field of occupational safety and health. of occupational safety and health.


Regulatory and Advisory Agencies Chapter 22 Copyright © 2009, 2006 by Saunders, an imprint of Elsevier Inc. All rights reserved.

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