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ThearticleDisciplinaryActionsAssociatedwiththeAdministration

ofLocalAnestheticsagainstDentistsandDentalHygienistsiswrittenby
JoAnnC.Scofield,MarylouE.Guttmann,JaniceP.DeWaldandPatriciaR.
Campbell.TheauthorsuseLogostotheinformthereaderaboutthehistory
andproblemsofdentalhygienistandhowtheyshouldbeabletoadminister
localanesthetics.
Thefirstpieceofimportantofevidencebroughtupbythisarticleis
"forexample93%ofthedentist/employerswhorespondedreportedthatthe
schedulesranmoresmoothly,80%reportedthatanesthesiawasadministered
topatientsthatneededitonaregularbasis,and75%patientsfeltmore
comfortabletakinganesthesia."Thisquoteprovesthatanesthesiahelps
patientsrelaxatthedoctorsofficeandlet'sthedentistdotheirjobmore
easily.
Anotherexampleoflogosarethemapsandchartsthathavebeen
insertedintothearticletoshowwhichstatesallowthedentalhygienistto
carryoutanesthesiaandtheageofstatutedentalhygienistgivinganesthesia
ineachstate.Figure1isbasedontheyearof2003,inthatyearlessthan15
statesdidn'tallowdentalhygienisttogiveanesthesiatopatients.Thisgoesto
showthatmorestateshavetrustinthehygienisttoadministeranesthesia
correctandefficiently.Table1isbasedontheyear2003aswell,thebar
graphshowsthat33statescurrentlyhadstatestatutesthatpermitteddental
hygieniststoadministerlocalanesthetics.Only12ofthe33statesauthorized
hygieniststoadministerlocalanesthetics20yearsagoormore.From1972to

2003theyhada21statejumptoallowinghygienisttocarryoutanesthesia
responsibilities.
Nextastudyisusedtoprovethathygienistshouldbeallowedtogive
theanestheticIn1972,theForsythDentalCenterconducteda25week
courseofstudytoeducateaselectgroupof10recentdentalhygiene
graduatesinadvancedskills,suchasthedeliveryoflocal
anesthetics.Therewasan86%successrateforobtainingadequateblock
anesthesiaanda97%successrateforinfiltrationanesthesia.Thisstudy
revealedthat,following17,472administrationsofalocalanesthetic,only
threecasesofshorttermparesthesiawerereported.Inaddition,the
supervising
dentisthadtointerveneonly1%ofthetimeinordertoachieveanacceptable
levelofanesthesiaforthepatient.Byimplementingthiscasestudyinthe
articlethewritersaretryingtoshowthereadersstatisticsofhygienist
administeringanesthesia,theyretryingtoconvincethereaderthatdental
hygienistshouldbeallowedtoshowcasethisintheirrangeofabilities.The
dentistonlyhadtointervene1%ofthetimeonthecombinedstudies.More
successesarereportedthanfailures.
Inconclusion,themeansofgettingthepointacrossthatdental
hygienistsshouldbeabletoadministerlocalanestheticarethattheauthors
usefactualinformationthroughmaps,graphsandotherstudiestopersuade
thereadersofthatbyallowingdentalhygieniststodeliveranesthesiato
patientsdomoreharmthangood.MorethanhalfofAmericain2003allowed
hygienisttodothis,theybelieveditwasintheirscopeofpracticeitis

believedthatiftheythoughtallowingdentalhygienisttogiveanesthesiawas
ahighrisk,itwouldhaveneverhavetakenplace.

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