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Government Gazette Staatskoerant REPUBLIC OF SOUTH AFRICA REPUBLIEK VAN SUID-AFRIKA Regulation Gazette No. 10038 Regulasiekoerant Vol. 580 Pretoria, 17 October Oktober 2013 No. 36944 N.B. The Government Printing Works will not be held responsible for the quality of Hard Copies or Electronic Files submitted for publication purposes AIDS HELPLINE: 0800-0123-22 Prevention is the cure 305204 A 36944 1

2 No. 36944 GOVERNMENT GAZETTE, 17 OCTOBER 2013 IMPORTANT NOTICE The Government Printing Works will not be held responsible for faxed documents not received due to errors on the fax machine or faxes received which are unclear or incomplete. Please be advised that an OK slip, received from a fax machine, will not be accepted as proof that documents were received by the GPW for printing. If documents are faxed to the GPW it will be the sender s responsibility to phone and confirm that the documents were received in good order. Furthermore the Government Printing Works will also not be held responsible for cancellations and amendments which have not been done on original documents received from clients. No. CONTENTS INHOUD Page No. Gazette No. GOVERNMENT NOTICE Health, Department of Government Notice R. 800 Health Professions Act (56/1974): Regulations defining the scope of the profession of oral hygiene... 3 36944

STAATSKOERANT, 17 OKTOBER 2013 No. 36944 3 GOVERNMENT NOTICE DEPARTMENT OF HEALTH No. R. 800 17 October 2013 HEALTH PROFESSIONS COUNCIL OF SOUTH AFRICA REGULATIONS DEFINING THE SCOPE OF THE PROFESSION OF ORAL HYGIENE The Minister of Health has, in terms of section 33 (1) read with section 61(5) of the Health Professions Act, 1974 (Act No. 56 of 1974), and on the recommendations of the Health Professions Council of South Africa, made the regulations in the Schedule. SCHEDULE Definitions 1. In these regulations the "Act" means the Health Professions Act, 1974 (Act 56 of 1974), and any expression to which a meaning has been assigned in the Act shall bear that meaning, and unless the context otherwise dictates- "board" mearis the Professional Board for Dental Therapy and Oral Hygiene established in terms of section 15 (1) of the Act ; "oral hygiene" means the profession of a person registered as an oral hygienist in terms of the Act; "oral hygienist" means a person registered as such in terms of the Act;

4 No. 36944 GOVERNMENT GAZETTE, 17 OCTOBER 2013 Scope of the profession of oral hygiene 2. The following acts are hereby specified as acts which shall, for the purposes of the application of the Act, be deemed to be acts pertaining to the profession of oral hygiene: (1) developing, implementing and evaluating oral health promotion programmes; (2) (a) assessment: (i) assessing a patient by means of an interview and an oral clinical examination; performing analogue and digital radiography and taking clinical photographs; making impressions, cast, trim and polishing study casts; (b) diagnosis and treatment plan: making dental hygiene diagnosis and developing appropriate treatment plan within the scope of the profession of oral hygienist; (c) education and preventive Care: (i) advising and educating patients about oral self care practices including mechanical and chemotherapeutic plaque control, nutritional counselling and tobacco cessation; advising vitamins about the dietary supplements, fluoride tablets, mouth rinses and other anti-microbial agents; applying topical agents such as caries-preventive agents, remineralising agents, tooth-desensitising agents, surface anaesthetics and plaque-controlling agents;

STAATSKOERANT, 17 OKTOBER 2013 No. 36944 5 (iv) (v) (vi) applying pit and fissure sealants; performing scaling and root debridement, scaling of implants and polishing of teeth: making of a study cast to produce protective vacuum formed mouth guard; (d) therapeutic Care: (i) (iv) placing and removing rubber dam and matrix bands, applying minimally invasive procedures such as traumatic restorative techniques (ART) and sealant restorations; treating dentine hypersensitivity and cervical abrasion lesions with glass ionomer cement; polishing and racenteur overhanging restorations; applying topical anaesthesia; (e) cosmetic Care: applying vital tooth bleaching (whitening) techniques and procedures, (3) assisting dental therapists, dentists, dental specialists in the performance of basic and advanced clinical procedures. (4) performing the following supportive clinical procedures as prescribed by dentists and dental specialists: (a) periodontics: (i) (iv) taking cytological smears; splinting mobile teeth; applying and removing periodontal packs; removing surgical sutures;

6 No. 36944 GOVERNMENT GAZETTE, 17 OCTOBER 2013 (b) conservative Dentistry and Prosthodontics: (I) placing temporary restorations as an emergency measure; performing temporary cementing of inlays, crowns and bridges; and placing soft linings in dentures as tissue conditioners. (c) orthodontics (I) (iv) (v) performing cephalometric tracings; relieving trauma caused by intra-and extra-oral appliances, such as the cutting of distal ends of arch wires; taking impressions, cast and trim study and primary work models; placing pre-activated orthodontic appliances, removing of orthodontic attachments and bands (placing and removing elastics and ligature wires, placing and activating arch wires); re-cementing orthodontic retainers. Performance of professional act by a student in oral hygiene 3. A student in oral hygiene shall only perform acts, referred to in regulation 2 of the regulations, under the supervision of a dental specialist, dentist, dental therapist, or oral hygienist Conditions of practice by oral hygienist 4. A registered oral hygienist may only practice independently, his or her profession: (1) after serving a period of at least one year under the control and supervision of a registered dentist, dental therapist or another oral hygienist, and with approval of the Board;

STAATSKOERANT, 17 OKTOBER 2013 No. 36944 7 (2) after obtaining any of the qualifications in oral hygiene approved by the Board, and if obtained prior to 2001, must have also obtained a further qualification in expanded clinical functions in oral hygiene offered by any of the examining authorities approved by the Board; and (3) after successfully completing a First Aid Level 3 training at a training institution approved by the Health and Welfare SETA. Repeal 5. The regulations published under Government Notice R1150 in Government Gazette 21736 of 17 November 2000 are hereby repealed. Short title 6. Regulations Defining the Scope of Oral Hygiene, made in terms of the Health Professions Act, 1974 (Act No. 56 of 1974). E: SOALEDI, MP O HEALTH

8 No. 36944 GOVERNMENT GAZETTE, 17 OCTOBER 2013 Printed by and obtainable from the Government Printer, Bosman Street, Private Bag X85, Pretoria, 0001 Publications: Tel: (012) 334-4508, 334-4509, 334-4510 Advertisements: Tel: (012) 334-4673, 334-4674, 334-4504 Subscriptions: Tel: (012) 334-4735, 334-4736, 334-4737 Cape Town Branch: Tel: (021) 465-7531 Gedruk deur en verkrygbaar by die Staatsdrukker, Bosmanstraat, Privaatsak X85, Pretoria, 0001 Publikasies: Tel: (012) 334-4508, 334-4509, 334-4510 Advertensies: Tel: (012) 334-4673, 334-4674, 334-4504 Subskripsies: Tel: (012) 334-4735, 334-4736, 334-4737 Kaapstad-tak: Tel: (021) 465-7531 36944 1