CA Dental Hygiene Law & Ethics key terms
CA Dental Hygiene Law & Ethics · Get comfortable with the vocabulary.
- Dental Practice Act
- Related: Dental Hygiene Board of California, Practice of Dentistry, Unprofessional Conduct
California law in the Business and Professions Code that defines the practice of dentistry, creates the licensing boards, and grants authority to regulate dental professionals through rules, investigations, and discipline.
- Dental Hygiene Board of California
- Related: Dental Board of California, Registered Dental Hygienist in Alternative Practice, Biennial License Renewal
The state board within the Department of Consumer Affairs that licenses and disciplines registered dental hygienists, RDHAPs, and RDHEFs, and adopts regulations governing hygiene practice in California.
- Dental Board of California
- Related: Dental Hygiene Board of California, Citation and Fine, Revocation or Suspension
The regulatory board that licenses dentists and certain dental auxiliaries, interprets the Dental Practice Act, and investigates complaints and imposes discipline for violations within its jurisdiction.
- Practice of Dentistry
- Related: Scope of Practice, Dental Practice Act, Direct Supervision
The broad statutory category covering diagnosis, treatment planning, surgery, and procedures on teeth and associated tissues; hygienists may perform only the portions the Act expressly authorizes.
- California Code of Regulations, Title 16
- Related: Dental Practice Act, Standard Precautions
The compilation of rules adopted by the California dental boards to implement the Dental Practice Act, addressing topics such as supervision levels, infection control, recordkeeping, and license renewal.
- Citation and Fine
- Related: Revocation or Suspension, Unprofessional Conduct
An administrative enforcement tool that lets a board impose a monetary penalty and issue a public order for specified lesser violations without suspending or revoking the license.
- Revocation or Suspension
- Related: Citation and Fine, Unprofessional Conduct
Disciplinary outcomes in which a board withdraws a license entirely or removes the right to practice for a defined period, usually with conditions the licensee must meet before reinstatement.
- Scope of Practice
- Related: Direct Supervision, General Supervision, Practice of Dentistry
The set of duties a licensee may legally perform, defined by statute and regulation and limited both by the type of license held and the level of supervision required.
- Direct Supervision
- Related: General Supervision, Patient of Record, Local Anesthesia and Nitrous Oxide Certification
A supervision level in which the dentist has authorized the procedure, is physically present on the premises, and examines the patient as required before or after the hygienist's services.
- General Supervision
- Related: Direct Supervision, Patient of Record
A supervision level in which the dentist authorizes the procedure but need not be present in the office while it is performed, provided the patient is a patient of record with a current examination.
- Patient of Record
- Related: General Supervision, Scope of Practice
A person who has been examined and accepted for treatment by a licensed dentist, with a chart documenting the diagnosis and prescribed treatment that allows the hygienist to proceed.
- Registered Dental Hygienist in Alternative Practice
- Related: General Supervision, Interprofessional Referral, Scope of Practice
A specially licensed hygienist who may provide services without dentist supervision in approved settings such as patients' homes, schools, residential facilities, and designated shortage areas, with referral obligations when needed.
- Registered Dental Hygienist in Extended Functions
- Related: Scope of Practice, Direct Supervision
A hygienist with additional board-approved education and examination who may perform expanded procedures, such as certain restorative functions, under the supervision level set by regulation.
- Local Anesthesia and Nitrous Oxide Certification
- Related: Direct Supervision, Registered Dental Hygienist in Extended Functions
An additional authorization allowing a hygienist to administer local anesthesia or nitrous oxide-oxygen analgesia after completing approved coursework and examination, only under the required supervision.
- Biennial License Renewal
- Related: Continuing Education Requirement, Unprofessional Conduct
The requirement to renew a hygiene license every two years by filing an application, paying the required fee, and documenting completion of the continuing education required for the cycle.
- Continuing Education Requirement
- Related: Biennial License Renewal
Mandatory approved coursework completed during each renewal cycle, including specified subject areas such as infection control, that must be documented to keep an active California hygiene license.
- Unprofessional Conduct
- Related: Revocation or Suspension, Gross Negligence, Citation and Fine
Statutorily listed behavior that can lead to discipline, including fraud, gross negligence, practicing beyond scope, impairment, falsifying records, and failing to follow required infection control practices.
- Gross Negligence
- Related: Unprofessional Conduct, Negligence, Standard of Care
An extreme departure from the standard of care showing disregard for patient safety; it is a disciplinary ground before the licensing board and is distinct from ordinary negligence.
- Standard Precautions
- Related: Exposure Control Plan, Sterilization and Spore Testing
An infection control approach that treats all blood, body fluids, and potentially infectious material as infectious, requiring barriers, hand hygiene, and safe handling regardless of a patient's known status.
- Exposure Control Plan
- Related: Standard Precautions, Post-Exposure Management, Cal/OSHA
A written workplace plan required under the bloodborne pathogens standard describing vaccination, training, work practice controls, protective equipment, and post-exposure procedures for the dental office.
- Sterilization and Spore Testing
- Related: Standard Precautions, Exposure Control Plan
Using heat or chemical methods to destroy all microorganisms on instruments, verified by periodic biological monitoring with spore tests to confirm that sterilizers are working effectively.
- Post-Exposure Management
- Related: Exposure Control Plan, Standard Precautions
The protocol followed after an occupational exposure to blood or body fluids, including immediate washing, reporting the incident, evaluating the source, and medical follow-up such as testing or prophylaxis.
- Cal/OSHA
- Related: Exposure Control Plan, Post-Exposure Management
The state agency enforcing workplace safety rules in California dental offices, including the bloodborne pathogens standard, hazard communication, and injury and illness prevention program requirements.
- Informed Consent
- Related: Patient Autonomy, Therapeutic Communication
A patient's voluntary agreement to treatment after receiving and understanding the diagnosis, proposed procedure, material risks, benefits, alternatives, and the consequences of declining.
- Patient Autonomy
- Related: Informed Consent, Confidentiality
The ethical and legal principle that patients have the right to make their own healthcare decisions, including the right to decline or stop recommended treatment without coercion.
- Confidentiality
- Related: HIPAA Privacy Rule, Patient Access to Records
The duty to protect patient health information from unauthorized disclosure, arising from professional ethics, California's medical information law, and federal privacy regulations.
- Fiduciary Duty
- Related: Boundary Violation, Informed Consent
The obligation to act in the patient's best interest rather than one's own, placing loyalty, honesty, and avoidance of exploitation above personal or financial gain.
- Boundary Violation
- Related: Fiduciary Duty, Unprofessional Conduct
Behavior that exploits the power imbalance of the clinical relationship for the professional's benefit, such as inappropriate self-disclosure, gifts, romantic involvement, or dual relationships with patients.
- Negligence
- Related: Standard of Care, Malpractice, Gross Negligence
Failure to use the care a reasonably prudent clinician would use in similar circumstances that causes harm; the elements are duty, breach of duty, causation, and damages.
- Standard of Care
- Related: Negligence, Malpractice
The type and level of care a reasonably competent professional with similar training would provide under the same or similar circumstances, often shown through expert testimony and accepted guidelines.
- Malpractice
- Related: Negligence, Statute of Limitations
Professional negligence by a licensed healthcare provider that injures a patient, potentially creating civil liability in court as well as disciplinary exposure before the licensing board.
- Statute of Limitations
- Related: Malpractice, Negligence
The legal deadline for filing a malpractice claim, generally one year from discovery of the injury and no more than three years from the act, with special provisions for minors.
- Mandatory Reporting of Abuse and Neglect
- Related: Confidentiality, Unprofessional Conduct
The legal duty of dental professionals to report reasonable suspicion of child abuse or neglect, and of elder or dependent adult abuse, to designated agencies, with immunity for good-faith reports.
- Record Retention
- Related: Patient Access to Records, Confidentiality
The requirement to keep complete patient records for a set period after the last treatment date, longer for minors, so care can be documented, audited, or produced in legal proceedings.
- Patient Access to Records
- Related: Record Retention, HIPAA Privacy Rule
A patient's or authorized representative's right to obtain copies of dental records within the time required by law, subject to limited exceptions and permissible copying fees.
- HIPAA Privacy Rule
- Related: Confidentiality, Patient Access to Records
A federal regulation limiting how covered healthcare providers use and disclose protected health information and giving patients rights to access, amend, and receive an accounting of disclosures.
- Interprofessional Referral
- Related: Registered Dental Hygienist in Alternative Practice, Standard of Care
The professional obligation to refer patients for services beyond one's competence or legal scope and to communicate with other providers so care is coordinated rather than delayed.
- Therapeutic Communication
- Related: Informed Consent, Patient Autonomy
Patient-centered communication that builds trust through plain language, active listening, and respect for cultural background, supporting informed decisions and full disclosure of health information.