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Overview of Regional and State Dental Hygiene Clinical Examinations

Overview of Regional and State Dental Hygiene Clinical Examinations

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March 2012 7Treatment Selection RequirementsCITACRDTSNERB *SRTAWREBC<strong>and</strong>idate must select6-8 teeth upon whichthe c<strong>and</strong>idate willdesignate twelve (12)surfaces <strong>of</strong> explorerdetectablesubgingivalcalculus for removal.Four <strong>of</strong> the teeth <strong>and</strong>at least 8 surfacesmust be in posteriorteeth; four <strong>of</strong> theseposterior surfacesmust be interproximal.Selected teeth musthave at least oneapproximating toothwithin a 2mm distance.Prohibitedtreatment selections (if inthe areas <strong>of</strong> selectedtreatment): Grade III furcations ormobility Severely decayed orfractured teeth Ortho brackets orbonded retainers Implants Partially erupted 3 rdmolars Retained deciduousteethC<strong>and</strong>idate must select6-10 teeth, includingno more than 3anteriors, with at least14 surfaces <strong>of</strong>qualifying subgingivalcalculus.Of the 14 qualifyingsurfaces, at least 9must be on posteriorteeth, <strong>and</strong> <strong>of</strong> those, atleast 3 surfaces mustbe on molars.Prohibitedtreatment selections (if inthe areas <strong>of</strong> selectedtreatment): Grade III or IVfurcations Grade III mobility Class IV periodontaldisease Ortho brackets orbonded retainers Implants Partially erupted 3 rdmolars Retained deciduousteeth C<strong>and</strong>idate must select6-10 permanent teethwith 12 surfaces <strong>of</strong>subgingival calculus. Of the 12 surfaces, 8must be on posteriors;5 must beinterproximal surfaces.Three <strong>of</strong> theseinterproximal surfacesmust be on molars. All posterior teeth musthave at least oneapproximatingposterior tooth within2mm distance. Selection must includethree pockets <strong>of</strong> 4mm<strong>of</strong> greater, each on adifferent tooth.NERB stronglydiscourages treatmentselections including: Probing depths >6mm Class III furcations ormobility Ortho brackets Faulty restorations Gross caries Implants Partially erupted 3 rdmolars Retained deciduousteeth Extensive veneersC<strong>and</strong>idate must selectone full quadrant <strong>and</strong>up to 4 additional teethwith a minimum <strong>of</strong> 12surfaces <strong>of</strong> qualifyingsubgingival calculus.The selected quadrantmust contain at least 6natural teeth; at leastone tooth in thequadrant must be apermanent molar withat least 1 proximalcontact.Of the 12 surfaces, amaximum <strong>of</strong> 6 can beon anterior teeth; aminimum <strong>of</strong> 5 onproximal posteriors<strong>and</strong> a minimum <strong>of</strong> 3must be on molars.C<strong>and</strong>idates areencouraged to avoidchoosing teeth withexcessive decay.C<strong>and</strong>idate must selectone full quadrant <strong>and</strong>up to 4 additionalteeth, including 1molar with a proximalcontact <strong>and</strong> at least 6natural teeth.Selection must includea minimum <strong>of</strong> 12surfaces <strong>of</strong> qualifyingsubgingival calculus. At least 3 <strong>of</strong> the 12surfaces must be onmolars; 5 surfaces onposteriors; no morethan 4 <strong>of</strong> the 12 maybe on maxillaryanteriors.Prohibitedtreatment selections (if inthe areas <strong>of</strong> selectedtreatment): Probing depths >6mm Class III furcations;Class III mobilityOrtho b<strong>and</strong>sOverhanging margins;temp. or faultysubgingivalrestorationsGross cariesCrowns with roughsubgingival marginsThis summary is intended for general comparison only. For specific exam protocol, procedure, requirements <strong>and</strong> forms, please refer to thecomplete C<strong>and</strong>idate’s Manual for each examination or contact the agency responsible for the administration <strong>of</strong> the examination.

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