2020 Colorado Revised Statutes
Title 12 - Professions And Occupations
Article 220. Dentists and Dental Hygienists
Section 12-220-506. Application of silver diamine fluoride by dental hygienists authorization - limitations - rules - subject to review - repeal.

(1) A dental hygienist may apply silver diamine fluoride if the dental hygienist:

1. Holds a license in good standing to practice dental hygiene in Colorado;

2. Has completed a postsecondary course or continuing education course developed atthe postsecondary level that satisfies the requirements established by the board by rule and that provides instruction on the use and limitations of applying silver diamine fluoride;

3. Is covered by professional liability insurance as required pursuant to sections 12-220307 and 13-64-301 (1)(a); and

4. Has a collaborative agreement with a dentist that describes the silver diamine fluoride protocols, any restrictions or limitations, follow-up and referral mechanisms, and any other requirements established by the board by rule.

(2) (a) If a supervising dentist authorizes the dental hygienist to perform the silver diamine fluoride application at a location other than the dentist's practice location, the dental hygienist shall provide the patient or the patient's representative with written notification that the application of silver diamine fluoride is being provided in collaboration with the supervising dentist. The dental hygienist shall include in the written notification the dentist's name, practice location address, and telephone number.

(b) A dental hygienist who applies silver diamine fluoride in collaboration with a supervising dentist utilizing telehealth by store-and-forward transfer shall notify the patient or the patient's representative of the patient's right to receive interactive communication with the distant dentist upon request. Communication with the distant dentist may occur either at the time of the consultation or within thirty days after the dental hygienist notifies the patient of the results of the consultation.

3. A dental hygienist who meets the requirements of subsections (1) and (2) of thissection may apply silver diamine fluoride under the direct or indirect supervision of a dentist or through telehealth supervision for purposes of communication with the dentist.

4. (a) The board shall promulgate rules to:

1. Define requirements for the education course required in subsection (1)(b) of thissection, including qualifications for entities offering the course and faculty oversight requirements; and

2. Address appropriate indications and limitations for the application of silver diaminefluoride by a dental hygienist.

(b) The board may establish additional requirements for the collaborative agreement required by subsection (1)(d) of this section.

(5) This section is repealed, effective September 1, 2021. Before the repeal, the application of silver diamine fluoride by dental hygienists is scheduled for review in accordance with section 24-34-104.

Source: L. 2020: Entire article amended with relocations, (HB 20-1056), ch. 64, p. 259, § 1, effective September 14.

Editor's note: This section is similar to former § 12-220-129 as it existed prior to 2020.