DDS survey response 08

EMPLOYERS OF RDA’S SURVEY RESPONSES 2008

1,243 surveys were given to current RDA employers in Michigan.
144 surveys were completed and returned for an 11.6% response.

Would you like your RDA to be able to place and condense light cured resin composites if they satisfied an educational requirement?
144 Dentists responded
54% Yes 
26% No 
15% Maybe 
3%  Not applicable 
2%  No response 
 
Would you allow your RDA to administer anesthesia with appropriate education?
144 Dentists responded
53% Yes  
23% No 
19% Maybe 
2% Not applicable 
3% No response 

If You would not allow your RDA to administer anesthesia, why?

 

Too much risk and patient acceptance

 

Ed. Abilities of dental assistant would need to be upgraded to the same background minimum of RDH.

Would support infiltration only

 

Only in cases where there are access to care issues

 

Not blocks, but yes to infiltration

 

Concern about parasthesia

 

Liability

 

Unable to perform expanded functions for Dept of Corrections

Complications, bruising, discomfort following injections

 

Too many dental emergencies can occur

 

Would need real patient experience

 

Legal, malpractice liability

 

Concerns about patient acceptance

 

To much liability/Malpractice Insurance

 

Patients are more comfortable w/doctor doing this

 

Not enough education

 

Important function that the Dr. needs to keep doing

 

Mandibular block would require a solid knowledge of anatomy

This is an area that patients are very apprehensive about

Patient behavior, pediatric

 

Would agree to infiltration, reservations under block

 

Would need to go to dental school and take the boards

 

Blocks are to technique sensitive

 

Endo practice and treet teeth with hyperemic pulps requiring great expertise to anesthetize.

 What Original RDA Functions Are You Currently Delegating To Your RDA?
144 Surveys received from dentists
141 Dentists completed this section
3 Dentists did not reply in this section

55% Place and remove rubber dam.
66% Place and remove temporary fillings
94% Remove excess cement
77% Remove sutures
79% Apply fluoride and sealants
87% Perform mouth mirror inspections
87% Size temporary crowns and bands
42% Place and remove periodontal dressings
91% Temporarily cement and remove temporary crowns and bands
64% Polish specific teeth before procedures requiring acid etch

What Newer RDA Functions Implemented In 2003 Requiring Additional Education Are You Delegating To Your RDA?

144 surveys received
133 Dentists completed this section
11 Dentists did not reply in this section

35% Perform pulp vitality testing
80% Place and remove matrices and wedges
56% Apply cavity liners and bases
71% Place and pack non-epinephrine retraction cord
44%bDry endodontic canals with absorbent points
28% Etch and place adhesive prior to placement of ortho brackets
71% Monitor and assist in the administration of nitrous oxide
76% Apply desensitizing agents
97% Take impressions for orthodontic appliances, mouth guards, bite splints and bleaching trays
52% Place, condense, and carve amalgam restorations
50% Take final impressions for indirect restorations

If you are delegating the newer RDA functions, do you feel your office is more productive and efficient?
144 Dentists responded
88% Yes  
2% No    
10% No response  

In what ways is your office more productive since implementation of the newer RDA functions?


Can begin another patient and get more done

 

 

 

 

More efficient scheduling

 

 

 

 

Better use of Doctors time

 

 

 

 

Better patient flow

 

 

 

 

Less chair time by Dr, more efficient

 

 

 

 

Better time management and patient flow

 

 

 

 

Better use of office time

 

 

 

 

Able to accommodate more procedures/patients   

 

 

 

 

Frees me up

 

 

 

 

Takes up less doctor time

 

 

 

 

Can do Hygiene checks and move on to another operative patient

 

 

 

Frees me up to do emergency exams, hygiene checks and see other patients

 

 

 

I Can be more productive in another room

 

 

 

 

Saves time and frees me up to do other things

 

 

 

 

I am able to do more

 

 

 

 

I have confidence in her abilities

 

 

 

 

I can see other patients

 

 

 

 

Can overlap treatment and see more patients

 

 

 

 

public clinic more productive, RDA places amalgam

 

 

 

 

allows asst to have more involvement in pt treatment, higher degree of satisfaction

 

 

 

improved flexibility in patient care and scheduling, improved patient access to providers

 

 

 

productivity the same, efficiency improved

 

 

 

 

speeds up the process of quality of care

 

 

 

 

Minimally streamlining procedures

 

 

 

 

We are able to see more patients with the RDA's placing restorations
along with other functions
Better time management

 

 

 

 

The more each person can do, the more flexibility we have in scheduling and treating patients

 

 

Procedure time is cut in half for me and productivity is up

 

 

 

Availability to perform other tasks

 

 

 

 

frees up Dr. to continue providing treatment for additional patients

 

 

 

Giving more chairside time for the doctors

 

 

 

 

My office is more productive, assistants can place restoration or temp crown

 

 

 

Able to double book against other treatments

 

 

 

 

We can see more patients and our time is used more efficiently

 

 

 

Assistant can do jobs I used to do leaving me more time to treat others

 

 

 

Assistant can take imp for bleaching/mouth guards while other assistant is with me

 

 

 

Many duties I previously did are being performed very well by the RDA

 

 

 

Able to finish temp crown

 

 

 

 

Able to administer other patients care while the RDA is doing her duties, more patients can be seen

 

 

anything that  frees my time has the potential to make me more productive

 

 

 

I can run a separate RDA schedule for patients needing the newer RDA functions

 

 

 

Many times the assistant needs an assistant to perform some duties

 

 

 

Assistant taking impressions for indirect restorations and making the provisional allows me to
do other procedures

 

With a projected shortage of DDS the expansion of the RDA training will be an important and
timely solution to the shortage problem

I'm able to give better attention and care to patients

 

 

 

 

 

 

 

 

 

 

 

 

 

 What additional functions would you like your RDA to be able to perform?

Anesthesia in certain places

 

Place blockout dam for in office bleaching

 

Coronal polishing after scaling

 

Palliative treatment of dry socket

 

Placement of orthodontic brackets, cure, cement

 

Administer nitrous oxide

 

Rubber cup polish of teeth

 

Try in indirect restorations

 

Mark occlusion

 

Jaw relations

 

Obturating root canal systems

 

Composites - light cured resins

 

finishing and polishing composites

 

Placing sutures

 

Loading gutta percha

 

Final cement single crowns under supervision

 

Denture adjustments

 

Supra gingival prohy

 

Anesthesia, if an LPN can give an injection why can't an RDA?

Final impressions for dentures, partials and jaw relations

Chairside whitening

 

Infiltration anesthesia

 

Anterior resins

 

Remove and place ortho wires, elastics with direct supervision

Adjust occlusal guards

 

Use Velscope

 

placing sealants under general supervision, no Dr. present

present

Bleaching procedures

 

Deliver bleaching trays

 

Use low speed rotary handpiece to remove orthodontic bonding adhesive after braces

Polish all teeth after prophy, post SC/RP

 

Perio charting

 

Perio probing

 

Denture and partial impressions

 

Pedo rubber cup

 

Border moulding

 

Try in and adjust permanent restoration prior to cementation