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Connecticut State Dental Association

Regulations (State & Federal)

State Regulations

Dental Practice Act
Connecticut General Statutes: Chapter 379 - Dentistry

    Dental Hygiene Practice Act
    Connecticut General Statues: Chapter 379a - Dental Hygienists

    Dental Assistants New Legislation (Effective October 1, 2016) Mercury Amalgam
    Best management practices (BMP’s) replace the October 23, 2003 BMP’s for mercury amalgam and are intended to help dental practitioners comply with the requirements of Sections 22a-616(d) and 22a-622 of the Connecticut General Statutes (CGS) concerning the management of amalgam. 

      Water Fluoridation in Connecticut
      Fluoridation became a law in Connecticut on May 18, 1965, initiated by Public Act 156. Public Water Systems (PWSs) serving 50,000 or more were required to begin fluoridation on January 1, 1967, and PWSs serving 20,000 to 49,999 people were required to begin fluoridation on October 1, 1967.

      The amount of fluoride in many drinking water supplies is changed to a level to help reduce tooth decay and promote good oral health. Research studies have shown that water fluoridation is safe, effective and the best way to improve oral health in a community.

      HHS Fluoride Announcement

      Infection Control in Dental Practices and Regulatory Response
      The Department of Public Health is authorized under Connecticut General Statutes, 19a‐14(10)(11) to investigate complaints against health care practitioners. The Dental Practice Act which is defined in Chapter 379 of the Connecticut General Statutes allows the Department and the Board to seek disciplinary action under Section 20‐114 for “incompetence or negligent conduct toward a patient”.

      Public Act No. 16-66: An Act Concerning Various Revisions to the Public Health Statute includes language about Infection Control. “Failure to adhere to the most recent version of the National Centers for Disease Control and Prevention guidelines for infection control in dental care settings,” which has been established by the Dental Commission as the standard, is grounds for disciplinary action against a dentist’s license. Of particular interest is the addition of the sterilization of hand pieces in-between patients. This and other requirements can be found in the National Centers for Disease Control and Prevention guidelines, which was updated in September 2016.

      To review the National Centers for Disease Control and Prevention guidelines, click here.

      Checklists from the "CDC Summary of Infection Prevention Practices in Dental Settings: Basic Expectations for Safe Care": 

      Patient Access to Medical Records
      Frequently Asked Questions on Patient Access to Medical Records according to the provisions of the Connecticut General Statutes. 

      State Inspections of Dental Facilities and X-ray Machines
      The CT Department of Energy and Environmental Protection (DEEP) has shared this information regarding their state inspection process of dental x-ray operations. The information is provided in hopes that the DEEP, in tandem with the CSDA, can enhance mutual effectiveness, communicate regulatory requirements, and maintain low dose and high quality dental imaging. If you have any additional questions, please feel free to contact the CT DEEP Radiation Division at 860.424.3029.

      Permit to Administer Dental Anesthesia and Conscious Sedation
      Connecticut Department of Public Health guidelines for obtaining dental anesthesia and conscious sedation permit.

      Prescription Monitoring Program
      The prescription monitoring program collects prescription data for Schedule II through Schedule V drugs into a central database, the Connecticut Prescription Monitoring and Reporting System (CPMRS), which can then be used by providers and pharmacists in the active treatment of their patients.

      Backflow Prevention and the Connecticut Dental Office
       (PDF Version)
      The Connecticut Department of Public Health (DPH) requires all Connecticut dental offices to have backflow prevention devices installed. Furthermore, those devices can (and have been) the subject of inspections by local water utility companies. It is important for you as a Connecticut dentist to understand what is required prior to being inspected.

      What is a backflow prevention device? Quite simply, a backflow prevention device is used to use to prevent back-siphon age of contaminated fluids into the public water supply. 

      What specifically does Connecticut require? The CT DPH Fact Sheet on Backflow Prevention at Dental offices (link below) provides information on State requirements. However, it is important to note that a local water utility always has the option of having policies that are more stringent than the State's requirements.

      How can I find out what's required in my area? If you are unsure about the backflow prevention device requirements in your area, please contact your local water utility company. The links to some of the larger water utilities in the State are listed below. 

      Useful references:

      Various CT Water Utility Companies (yours may not be listed):

      Mobile Dental Providers
      In response to questions regarding the credentials of mobile dental programs offering to provide oral health services to children in school settings, the CSDA and the Department of Public Health have reissued a letter to school administrators highlighting questions to be asked in order to assess the appropriateness of protocols in place by the mobile dental program. Click here to review the letter sent to school superintendents, principles, and school nurses in Connecticut. 

      Non-Covered Services 
      Dental insurance does not provide coverage (or payment) for all dental services you receive. If you have dental insurance and receive services or procedures that are not covered benefits under your dental insurance plan or policy, the services or procedures might not be offered at a discounted rate. Click here for the sign .

      Federal Regulations

      Section 1557 of the Patient Protection and Affordable Care Act
      The Office for Civil Rights has issued a final rule that prohibits health care entities that receive certain federal financial assistance, including Medicaid and CHIP, from discriminating based on race, color, national origin, sex, age or disability. According to ADA’s Health Policy Institute, 42% of dentists across the country were enrolled in Medicaid programs in 2014, and will therefore be subject to this rule. 

      The rule, which goes into effect July 18 and implements Section 1557 of the Affordable Care Act, requires the affected parties by October 16 to post taglines in multiple languages and nondiscrimination notices in their offices, on their websites and in significant publications and communications. The ADA provides a number of resources, including a checklist, Q&A and sample documents for dental practices, free of charge only to ADA members to help them comply with this rule at Read more in ADA News.

      Recommended Infection Control Practices for Dentistry
      Developed by CDC staff in collaboration with a working group of infection control experts, the document contains a review of the scientific evidence regarding dental infection control issues as well as consensus, evidence-based recommendations.

      Checklists from the "CDC Summary of Infection Prevention Practices in Dental Settings: Basic Expectations for Safe Care": 

      OSHA Guide for Medical & Dental Offices
      State plans establish guidelines and standards to promote worker safety and health that apply to every workplace in the United States, including medical and dental offices. A glimpse of the most frequently found hazards in medical and dental offices.

      The Americans with Disabilities Act
      The Americans with Disabilities Act of 1990 is a wide-ranging civil rights law that prohibits, under certain circumstances, discrimination based on disability. This link will take you to the American Dental Association's Americans with Disabilities Act Q&A. It is important to note that ALL practicing dentists are affected by this law, since dental offices are considered public accommodations under the Act

      Electronic Health Records 
      An electronic health record (EHR) is a digital version of a paper chart that contains all of a patient’s medical history from one practice. An EHR is mostly used by providers for diagnosis and treatment.


      The Office for Civil Rights enforces the HIPAA Privacy Rule, which protects the privacy of individually identifiable health information; the HIPAA Security Rule, which sets national standards for the security of electronic protected health information; the HIPAA Breach Notification Rule, which requires covered entities and business associates to provide notification following a breach of unsecured protected health information; and the confidentiality provisions of the Patient Safety Rule, which protect identifiable information being used to analyze patient safety events and improve patient safety.