Section 390.1050 Dental Care Services

Section 390

Section 390.1050 Dental Care

Services

a)         Every facility shall have an advisory dentist. The advisory

dentist shall have a contractual relationship to the facility, setting forth

the preventive and therapeutic oral health services to be provided to residents.

(B)

b)         There shall be education and training in the maintenance of

oral health which includes a dental hygiene program that includes imparting

information regarding nutrition and diet control measures to residents and staff;

instruction of residents and staff in living units in proper oral hygiene

methods; and instruction of parents or surrogates in the maintenance of proper

oral hygiene, where appropriate (as in the case of residents leaving the

facility). (B)

c)         There shall be comprehensive diagnostic services for all

residents (diagnostic for residents from birth to two years of age only if

medically indicated) which include a complete extra and intra oral examination utilizing

all diagnostic aids necessary to properly evaluate the residents' oral condition

within a period of one month following admission unless examined within six

months before admission and results received by facility with the results of said

examination entered in the resident's dental record as a separate part of the

resident's permanent medical chart. (B)

d)         There shall be comprehensive treatment services for all

residents which include, but are not limited to the following: (B)

1)         Provision for dental treatment

2)         Provision for emergency treatment on a 24 hour, seven days a

week basis, by a qualified dentist.

3)         A recall system that will assure that each resident is

reexamined at specified intervals in accordance with their needs, but at least

annually. Needed dental treatment shall be provided.

e)         The direct care staff shall receive in-service education at

least annually. This will be provided by the dentist or he may utilize a dental

hygienist

week basis, by a qualified dentist.

3)         A recall system that will assure that each resident is

reexamined at specified intervals in accordance with their needs, but at least

annually. Needed dental treatment shall be provided.

e)         The direct care staff shall receive in-service education at

least annually. This will be provided by the dentist or he may utilize a dental

hygienist. (B)

1)         Direct care staff shall be educated in ultrasonic and manual

denture and partial denture cleaning techniques.

2)         Direct care staff shall be educated in proper brushing and

oral health care for residents who are unable to care for their own health.

3)         Direct care staff shall be educated in examining the mouth in

order to recognize abnormal conditions for necessary referral.

4)         Direct care staff shall be educated regarding nutrition and

diet control measures and the effect on dental health.

5)         Supplemental dental training films shall be included with any

other health training films seen on a rotating basis.

f)         The facility's dental program shall provide for proper daily

personal dental hygiene care which includes, but is not limited to, the

following: (B)

1)         Assistance in cleaning the mouth with electric or hand brush

if resident is unable to do so.

2)         Proper cleaning of dentures and partials.

g)         The dental program shall provide for inservice education to

residents and staff under direction of dental staff including, but not limited

to, the following: (B)

1)         Information regarding nutrition and diet control measures

which are dental health oriented.

2)         Instruction in proper oral hygiene methods.

3)         Instruction concerning the importance of maintenance of proper

oral hygiene and where appropriate including family members or surrogates (as

in the case of residents leaving the long-term care facility)

d

to, the following: (B)

1)         Information regarding nutrition and diet control measures

which are dental health oriented.

2)         Instruction in proper oral hygiene methods.

3)         Instruction concerning the importance of maintenance of proper

oral hygiene and where appropriate including family members or surrogates (as

in the case of residents leaving the long-term care facility).

h)         Each facility shall have a denture and dental prosthesis

marking system which takes into account the identification marking system

contained in Section 49 of the Illinois Dental Practice Act (Ill. Rev. Stat.,

1987, ch. 111, par. 2349). Policies and Procedures shall be written and

contained in the facility's Policies and Procedure Manual. It shall include, at

a minimum, provisions for: (B)

1)         Marking individual dentures or dental prosthesis, if not

marked prior to admission to the facility, within ten days of admittance; and

2)         Individually marked denture cups for denture storage at night.