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5/31/2018 » 6/3/2018
2018 OSAP Annual Conference

FAQ - Regulatory Processes - 2016
FAQ - Regulatory Processes - 2016



According to the NEW CDC guidelines - it states that all DHCP need TB screening and additional immunizations if born past 1957 - does these mean the dentist is responsible for the cost of these immunizations. I am not including HEP B - employer is responsible for Hep B.

The 2003 CDC guidelines for infection control in dentistry states as follows:

Immunization Programs
DHCP are at risk for exposure to, and possible infection with, infectious organisms. Immunizations substantially reduce both the number of DHCP susceptible to these diseases and the potential for disease transmission to other DHCP and patients (5,17). Thus, immunizations are an essential part of prevention and infection-control programs for DHCP, and a comprehensive immunization policy should be implemented for all dental health-care facilities (17,18). The Advisory Committee on Immunization Practices (ACIP) provides national guidelines for immunization of HCP, which includes DHCP (17). Dental practice immunization policies should incorporate current state and federal regulations as well as recommendations from the U.S. Public Health Service and professional organizations (17) (Appendix B). 1

The new CDC Summary document also states:

1. Current CDC recommendations for immunizations, evaluation, and followup are available. There is a written policy regarding immunizing DHCP, including a list of all required and recommended immunizations for DHCP (e.g., hepatitis B, MMR (measles, mumps, and rubella) varicella (chickenpox), Tdap (tetanus, diphtheria, pertussis) 2

OSHA promulgates requirements regarding the hepatitis B vaccine whereby the employer is expected to pay for the hepatitis B vaccine. 3

With the guidelines document, the CDC has issued guidelines/recommendations. Some states have adopted these guidelines/recommendations as part of their regulatory code, and as such it can be an enforceable requirement. It is suggested that you contact your state dental board or state public health agency to find out further about the requirements in your state.


1)     Kohn WG, Collins AS, Cleveland JL, Harte JA, Eklund KJ, Malvitz DM, Centers for Disease Control and Prevention (CDC). Guidelines for infection control in dental health-care settings—2003. MMWR Recomm Rep 2003;52(RR-17):1-61.    Accessed on April 25, 2016.

2)     Centers for Disease Control and Prevention. Summary of Infection Prevention Practices in Dental Settings: Basic Expectations for Safe Care. Atlanta, GA: US Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Division of Oral Health; March 2016    Accessed on April 25, 2016]

3)     US Department of Labor – Occupational Safety and Health Administration. OSHA Fact Sheet - Hepatitis B Vaccination Protection.   Accessed in April 25, 2016.





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