More than 100 dental hygienists from 36 towns around the state are expected at the Statehouse on Wednesday where they will be asking legislators to approve the licensing of mid-level dental practitioners.
Bills to license registered dental practitioners were introduced last year and were carried over to this year's session.
House Bill 2157 and Senate Bill 197 would allow hygienists with 18-months additional training to, among other things:
- permanently fill teeth,
- extract teeth,
- repair dentures, and
- temporarily crown teeth.
This will be the fourth legislative session that supporters of the bills have pushed the idea of licensing mid-level practitioners, which they say is the best solution to the problem faced by many Kansans of inadequate access to oral health care. The supporters say they are gaining steam.
"Momentum for this effort is building here in Kansas and across the country," said Christie Appelhanz, director for the Kansas Dental Project coalition. “More than 50 organizations across the state support Registered Dental Practitioners, representing a wide variety of Kansans. We welcome support from any group that recognizes that mid-level dental providers will help us grow the state’s economy and meet the increasing demand for dental care."
But dentists remain firmly opposed to the bills as currently written, said Kevin Robertson, executive director of the Kansas Dental Association.
"A maximum 18-month training is simply not adequate for a dental hygienist to learn restorative dental surgical procedures, science, anatomy and emergency treatments should complications arise during treatment while these (mid-level providers) are treating patients without dentist backup anywhere in the state – perhaps in clinics with limited or no medical support," Robertson said.
Related coverage: Kansas' Oral Health Care Provider Shortage
→ Bill considered that would allow dentists to have more practice locations (2/18/14)
→ Statehouse push made for mid-level dental practitioners (2/12/14)
→ Americans for Prosperity joins effort to license mid-level dental providers (1/8/14)
→ Kansas Medicaid program still lags nation in oral health care for kids (11/12/13)
→ Kansas dental program for children on hold because of KanCare MCO (11/11/13)
→ Dental mediation effort ends without compromise (11/4/13)
→ Disputing parties enter formal mediation over mid-level dental providers (10/3/13)
→ Pew report cites need for mid-level dental providers (6/25/13)
→ Dentist groups announce scholarships for dentists going to rural areas (2/7/13)
→ Advocates for mid-level dental providers meet with legislators (2/6/13)
→ Bill to license mid-level dental providers introduced (1/29/13)
→ Regents will hear proposal to train mid-level dental practitioners (10/17/12)
→ Dentist shortage proposal not funded in Regents' recommended budget (9/20/12)
→ Report questions economic viability of mid-level dental providers (7/26/12)
→ Task force recommends building state's first dental school (6/21/12)
→ Dentists shouldn't fear mid-level dental care, expert says (4/20/12)
→ No consensus on how to end ‘dental deserts’ (4/9/12)
→ Worldwide review says mid-level dental providers give good care (4/10/12)
→ Bill to increase dental care access given initial approval in Senate (3/15/12)
→ New caucus told of oral health success in southeast Kansas (3/8/12)
→ More Kansans head to ER for dental care (2/29/12)
→ Dental association says new program will increase access in rural areas (2/2/12)
→ ‘Turf battle’ continues over dental practitioner bill (1/30/12)
→ Summit to focus on training plan for mid-level dental practitioners (11/29/11)
→ Between a hygienist and a dentist, a hard sell (10/26/11)
→ Political fight continues over mid-level dental practitioners (10/11/11)
→ Better prevention would help solve dentist shortage, advocate says (7/22/11)
→ Dentists: Practitioner bill flawed (3/9/11)
→ Videos detail shortage of Kansas dental providers (12/8/10)
→ Slow going in efforts to solve state’s dentist shortage (8/30/10)
→ Safety-net clinics filling gap in dental services to low-income Kansans (8/30/10)
→ Replacing town’s only dentist ‘hardest’ project ever (8/30/10)
→ Progress made on oral health, but problems remain (1/14/09)
→ Funding bill contains seed money for 'dental hubs' (5/4/07)
→ Increasing access aim of oral health coalition (12/21/06)
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