UPDATED: November 25, 2020:
GUIDANCE FROM October 8, 2020 BOARD MEETING
The Nevada State Board of Dental Examiners (“NSBDE”), at its October
8, 2020 board telephone conference meeting, voted to:
1. approve the CDC’s interim
dental settings guidelines (updated August 28, 2020) pursuant to NAC
with modifications to allow for the use of N95 or equivalent respirator masks;
approve the CDC’s interim dental
settings guidelines (updated August 4, 2020).
This means that, per NAC 631.178, licensed dentists and dental
hygienists in Nevada “shall comply” with the CDC’s guidance for dental
settings, which now include the CDC’s August 28, 2020 interim dental settings
guidelines with modifications that allow the use of N95 or equivalent respirator
URL LINK TO CDC
The full text of the
CDC interim dental settings guidelines (updated August 28, 2020) can be found
SUMMARY OF RECENT
- In areas with moderate
to substantial community transmission, during patient encounters with patients not suspected of SARS-CoV-2 infection, CDC recommends that dental healthcare
o Wear eye protection in
addition to their facemask to ensure the eyes, nose, and mouth are all
protected from exposure to respiratory secretions during patient care
encounters, including those
where splashes and sprays are not anticipated.
o Use an N95 respirator or
a respirator that offers an equivalent or higher level of protection during
aerosol generating procedures.
- Added language that
protective eyewear (e.g., safety glasses, trauma glasses) with gaps between glasses and the face likely do not protect eyes from all splashes and sprays.
- Included additional
guidance on physical distancing and how to respond to SARS-CoV-2 exposures among DHCP and others.
UPDATED: September 16, 2020:
QUESTIONS FOR CDC CLARIFICATION?
At the June 3, 2020, the CDC COCA (Clinician Outreach and
Communication Activity) call regarding "Guidance for Dental Setting During
the COVID-19 Response", COCA advised that you may email your questions to COCA@CDC.gov .
You may also wish to visit CDC's COVID-19 website at www. CDC.
gov/COVID-19 for more information.
You can also find the CDC Releases Interim Reopening
Guidance for Dental Settings updated on August 28, 2020, at https://www.cdc.gov/oralhealth/infectioncontrol/statement-COVID.html
UPDATED: July 16, 2020:
NEW COVID GUIDANCE FROM JULY 14 BOARD MEETING
The NSBDE, at its July 14, 2020 board telephone conference
meeting, voted in favor of motions to
approve the CDC’s interim dental settings
guidelines (updated June 17, 2020) pursuant to NAC 631.178; and
to no longer follow the “Guidance for Dental
Services in Nevada” DHHS memorandum that it had previously adopted at the April
30, 2020 board meeting.
This means that, per NAC 631.178, licensed
dentists and dental hygienists in Nevada “shall comply” with the CDC’s guidance
for dental settings, which now include the CDC’s June 17, 2020 interim dental
URL LINK TO CDC GUIDANCE
The full text of the CDC interim dental
settings guidelines (updated June 17, 2020) can be found at:https://www.cdc.gov/coronavirus/2019-ncov/hcp/dental-settings.html
LOCATION OF POPULAR TOPICS IN CDC GUIDANCE
all of the
CDC interim dental settings
important, the board’s staff has fielded repeated
questions on particular topics, including:
- considerations for the use of aerosol generating procedures,
use of personal
protective equipment (PPE), and
- the monitoring and management of dental healthcare personnel.
The following PDF of the full text of the CDC guidelines (updated June 17,2020) includes
highlighted text that addresses these three popular topics: LINK TO CDC GUIDELINES W/ HIGHLIGHTED TOPICS
UPDATED: April 30, 2020:
At the Thursday, April 30, 2020 NSBDE Telephone Conference Meeting, the NSBDE voted to adopt certain portions of the “Guidance for Dental Services in Nevada” memorandum issued by the Nevada Department of Health and Human Services. These new regulations will take effect on Monday, May 4, 2020, and can be found at the link below:
**Please direct questions concerning the DHHS Memo to Dr.
Antonina Capurro, DMD, M.P.H, MBA Nevada State Dental Health Officer**
Department of Human Health Services
4150 Technology Way, Suite 300
Carson City, NV 89706
(775) 684-4200 Fax (775) 687-7570
UPDATED: April 29, 2020:
Update to Dental Licensees:
There is conflicting information being disseminated to licensees from various entities and
organizations. The mission of the NSBDE is to safeguard the health, safety and welfare of the citizens of Nevada by
regulating the practice of dentistry in the State of Nevada. Please be advised that the NSBDE is the only
entity in the State regulating the practice of dentistry, dental hygiene and
dental therapy. The practice of
dentistry is regulated by Nevada Revised Statutes and Nevada Administrative
Code 631. NAC 631.178 states dentists
“shall comply” with CDC guidelines. The
current CDC guideline issued on April 27, 2020 is available at the following
link and states:
Procedures, Surgeries, and Non-urgent Dental Visits
Services should be limited
to emergency visits only during this period of the pandemic. These actions help
staff and patients stay safe, preserve personal protective equipment and
patient care supplies, and expand available health system capacity.
Based on the current
guidelines dated April 27, 2020 please postpone elective procedures, surgeries
and non-urgent dental visits. As this
situation is fluid, we anticipate the CDC guidelines to be revised in the near
future to incorporate recommendations for resuming non-emergency dental
UPDATED: April 13, 2020:
For Your Information:
- Interim infection prevention and control guidance for dental settings during the COVID-19 response as recommended by the Centers for Disease Control and Prevention
- If emergency dental treatment is medically needed for a patient with known or suspected COVID-19, airborne infection precautions and parameters should be strongly considered
treatment for dental emergencies, customary infection control protocols should
continue to be followed (i.e., weekly biological spore testing of sterilizers,
updating sterilization logs with tests dates & results, etc)
UPDATED: April 08, 2020:
The NDA has organized a response team to help equip our hospitals and
urgent care facilities with PPE's. If you have a surplus that you could
spare please contact them using the form attached. Thank you all for
helping us care for Nevadans!
PPE Surplus Form
UPDATED: April 02, 2020:
Dear Nevada Dental Practitioners:
As an update to our most recent statement concerning the practice of dentistry in the State of Nevada during the Coronavirus
pandemic, we direct all practitioners to the Declaration of Emergency Directive 010 Stay at Home Order (“Directive 010”)
issued by The State of Nevada, Executive Department (which includes Governor Sisolak) on March 31, 2020.
Directive 010 extends Governor Sisolak’s March 12,
2020 Declaration of Emergency from April 16, 2020 to April 30, 2020. Therefore,
in continued alignment with Governor Sisolak’s direction as set forth in
Directive 010, the Board supports the postponement of elective dental
procedures until at least April 30, 2020 per the prior mandate given to all
essential businesses in Directive 003 that they “must adopt COVID-19 risk
mitigation measures that reduce the risk of community disease spread” in order
to continue operating during the Coronavirus pandemic.
Additionally, many of you have inquired about the
ability to practice teledentistry during this time. Please note that at the
Board’s July 19, 2019 public meeting, the Board passed a motion finding that
telehealth is within the scope of NRS 631.215, which defines the practice of
dentistry in the State of Nevada. The Board also voted to create a regulation
to address and define telehealth as it relates to the practice of dentistry in
the State of Nevada. While such a regulation has yet to be created and adopted,
the Board has already concluded that practitioners may practice in
teledentistry. Therefore, pending the creation and adoption of such a
regulation, practitioners would be subject to at least the same substantive measures
and practices required of them as though they were treating a patient in
Thank you for your time and attention to these
important matters. We remain committed to weathering this storm with you and
hope the best for your practices as you follow the Board’s recommendations, as
well as any guidelines, recommendations, and any mandates from national, state,
and local governments.
For those who may require Continuing Education extensions we have provided a link below:
Continuing Education Extension Form
Please fill out and return to the Board for review.
UPDATED: March 27, 2020:
Dear Nevada State Dental Practitioners:
accept our sincerest apologies for having to cancel the meeting scheduled for March
26, 2020. We are working diligently to resolve the teleconferencing issues
experienced and appreciate your patience as we try to effectively conduct
business during this difficult time. We know you are frustrated and anxious about
how to maintain your practices and assure you that we are committed to providing you with
information to guide you in doing so. In
this regard, and knowing that you are awaiting direction from the Board, we
direct all practitioners to the
Declaration of Emergency for COVID-19 Directive 003 (“Directive 003”) issued by The State of Nevada, Executive Department
(which includes Governor Sisolak), a copy of which can be found here:
should note the following important provisions of Directive 003:
4: An Essential Licensed Business [which includes a dental office per Governor
Sisolak] . . . is encouraged to continue operation, but must adopt COVID-19
risk mitigation measures that reduce the risk of community disease spread . . .
[;] and . . .
11: This Directive [shall] remain in effect until April 16, 2020,
unless renewed by a [subsequent] Directive promulgated pursuant to the March
12, 2020 Declaration of Emergency to facilitate the State’s response to the
alignment with Governor Sisolak’s direction as set forth in Directive 003, the
Board supports the postponement of elective dental procedures until at least
April 16, 2020 per the mandate given to all essential businesses that they
“must adopt COVID-19 risk mitigation measures that reduce the risk of community
disease spread” in order to continue operating during the Coronavirus pandemic.
addition to the foregoing, the Board further reminds practitioners that the
State of Nevada, Department of Health and Human Services, issued a Memorandum
on March 24, 2020, a copy of which is attached, which states, in relevant part:
the practice of dentistry is considered an essential service in the State of
Nevada, all routine, non-essential dental procedures/surgeries in Nevada should
be postponed for public health and safety from the date of this Notice. The
situation is evolving and is subject to change at the discretion of the
Governor and Nevada Chief Medical Officer. Non-compliance may be viewed as
unprofessional conduct which is subject to disciplinary action by the Nevada
State Board of Dental Examiners.
to any of you who would like to make public comment at an upcoming public
meeting regarding issues relating to the current Coronavirus pandemic, we
encourage you to submit such public comment in writing. Doing so will help
ensure order at the meeting and allow everyone’s voice to be heard. Note that we will not schedule a public
meeting until we are certain that the technology available can accommodate
Board thanks each of you who has diligently and thoughtfully followed our
recommendations and those of other national, state, and local governments. We
are concerned for you and your practices but believe that, together, we can
play an important part in stopping the spread of COVID-19 and get back to work!
Posted March 16, 2020:
The Board recognizes that Governor Sisolak
recently issued a state of emergency regarding COVID-19 for Nevada. The
Board is committed to protecting consumers, applicants and licensees regarding
the spread of the Coronavirus. We are working closely with state and
federal agencies and monitoring the Governor's office to determine the best
course of action.
current national emergency regarding the COVID-19 disease and its causative
agent, SARS-CoV-2, the Board would like to remind the public that all Nevada dental
offices are required by law to follow the latest CDC recommendations for cross
contamination and infection control which are the most stringent of
recommendations. These rules, regulations, and guidelines specifically
define the "Universal or Standard Precautions" which make the dental
offices in Nevada among the safest medical facilities anywhere. The
Board wishes to assure the public that we have
the utmost concern for our collective patients and fellow Nevadans. We want the
public to know that we as a profession will continue to monitor this pandemic
and make specific recommendations as necessary to ensure the continued safety
of our patients, assuring the public health of our population and maintaining
the public trust.
will continue to monitor and make recommendations as new information and
regulatory changes are made. Please use
the following links to ensure the most up to date information.
The Nevada State
Board of Dental Examiners concurs with ADA (American Dental Association) that
our healthcare practitioners do their part to mitigate the spread of
Covid-19 by recommending that our dental healthcare providers postpone elective
procedures for the next two weeks.
Precautions and Measures:
masks and appropriate PPEs are required. As a reminder face masks are single use and
disposable and should be changed between patients or when soiled during a
procedure. Current recommendations for certain
procedures do not require a Level 3 mask.
Keeping in consideration the supply and demand of PPEs, the ADA website
has suggested the following concerning masks:
Level 1 mask recommended
where there may be low exposure to fluid, spray and/or aerosol is produced such
as exams, evaluations, orthodontic visits, operators cleaning or similar
where there may be low to moderate
exposure to fluid, spray and/or aerosols are produced
such as sealant placement, simple restorative or composite procedures,
endodontics or similar procedures.*
where there may be exposure to moderate to heavy exposure amounts of fluid, spray and/or aerosols are produced such as ultrasonic scalers and similar equipment, crown and bridge preparation, complex oral surgery, implant placement and similar procedures.*
* recommendations taken from the ADA’s website. Please visit their website
The Board would like to recommend that all
manufacturers' use recommendations are followed to prevent off-label usage
of their products.
If you have recently returned from a
country which is under a travel restriction, the CDC recommends you self-quarantine for 14 days immediately upon returning home from the affected area.
We have official recommendations that
groupings should not be more than 10 people. Consider
staggering appointments to reduce the groupings.
you have recently returned from a country with a Level 3 travel health notice,
the Centers for Disease Control and Prevention (CDC) recommend
that you stay at home for a period of 14 days. The start of the
self-quarantine should begin on the date that you returned from an affected
information regarding the recommendations to self-quarantine is available at
the websites of the
Board is aware of numerous cancellations of continuing education events and
meetings. The Board accepts live
webinars as alternative
sources for in-person
meetings. Live webinars that are
AGD PACE, ADA CERP, ADHA and any national recognized associations of dental or medical specialist are accepted.
Live webinars that do not have such certification must be approved prior
to their broadcast. If you need more
time to complete your continuing education requirements, a waiver form will be
available. Details of the form will be
available in the next few weeks.
Board will be ready to mobilize dental offices in Nevada to serve as
screening/testing centers if they should be called upon to do so by the
Governor given that dental offices in Nevada are already at or above national
recommendations for infection control.
The Board is aware of temporary suspension of
licensure examinations due to COVID-19. The Board will be continuing all
current licensure requirements at this time.
Information concerning the COVID virus may be found at: