Dental Implantology Privilege Requirements: Health Policies and Standards Department Health Regulation Sector (2021)

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Dental Implantology

Privilege Requirements
Version 3
Issue date: 10/08/2021
Effective date: 10/08/2021

Health Policies and Standards Department


Health Regulation Sector (2021)
INTRODUCTION

Health Regulation Sector (HRS) forms an integral part of Dubai Health Authority (DHA) and is

mandated by DHA Law No. (6) of 2018 to undertake several functions including but not limited to:

Developing regulation, policy, standards, guidelines to improve quality and patient safety and

promote the growth and development of the health sector.

• Licensure and inspection of health facilities as well as healthcare professionals and ensuring

compliance to best practice.

• Managing patient complaints and assuring patient and physician rights are upheld.

• Managing health advertisement and marketing of healthcare products.

• Governing the use of narcotics, controlled and semi-controlled medications.

• Strengthening health tourism and assuring ongoing growth.

• Assuring management of health informatics, e-health and promoting innovation.

The Dental Implantology Privilege Requirements aims to fulfil the following overarching DHA

Strategic Objectives and Program within the Dubai Health Strategy (2016–2021):

• Objective 1: Position Dubai as a global medical destination by introducing a value-based,

comprehensive, integrated and high-quality service delivery system.

• Objective 2: Direct resources to ensure happy, healthy and safe environment for Dubai

population.

• Strategic Program 10: Excellence & Quality, which promotes excellence in healthcare service

delivery in Dubai while enhancing patient happiness, experience, satisfaction and trust.

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ACKNOWLEDGMENT

The Health Policy and Standards Department (HPSD) developed this Standard in collaboration

with Subject Matter Experts. HRS would like to acknowledge and thank these health professionals

for their dedication toward improving quality and safety of healthcare services in the Emirate of

Dubai.

Health Regulation Sector

Dubai Health Authority

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TABLE OF CONTENTS

INTRODUCTION ................................................................................................................................... 2

ACKNOWLEDGMENT .......................................................................................................................... 3

EXECUTIVE SUMMARY ....................................................................................................................... 5

DEFINITIONS ........................................................................................................................................ 6

ABBREVIATIONS ................................................................................................................................. 7

1. BACKGROUND............................................................................................................................. 8

2. SCOPE ........................................................................................................................................... 8

3. PURPOSE...................................................................................................................................... 9

4. APPLICABILITY ............................................................................................................................ 9

5. RECOMMENDATION ONE: HEALTHCARE PROFESSIONAL ELIGIBILITY CRITERIA .............. 9

6. RECOMMENDATION TWO: CRITERIA FOR IMPLANT TRAINING COURSE ACCEPTANCE .. 10

7. RECOMMENDATION THREE: HEALTH FACILITY APPLICATION PROCESS FOR


IMPLANTOLOGY TRAINING .............................................................................................................. 13

8. RECOMMENDATION FOUR: HEALTHCARE PROFESSIONAL APPLICATION PROCESS FOR


IMPLANTOLOGY PRIVILEGE .............................................................................................................. 14

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EXECUTIVE SUMMARY

Dubai Health Authority (DHA) is pleased to present the third version of the Dental Implantology

Privilege, which focuses on trainee eligibility criteria, implant training courses requirements and the

application process to avail a privilege to practice Dental Implantology in the Emirate of Dubai.

The purpose of this document is to assure provision of the highest level of safety and quality of

Dental Implantology services within DHA licensed health facilities at all times. The document is

developed to keep pace with the evolving healthcare needs and in alignment with current

international best practice. Dentist and Dental specialist are eligible to be privileged for dental

implantology by DHA except for Dental Radiology and Forensic Dentistry licensing categories.

The Dental Implantology Privilege is aligned with the following DHA documents:

• Continuing Professional Development Guideline

• DHA Health Facility Guidelines

• Guidelines for Clinical Training Facilities

• Guidelines for Patient Consent

• Guidelines For Medical Advertisement Content On Social Media

• Guidelines on Dental Infection Prevention and Safety

• Outpatient care Facilities Regulation

• Scope of Practice and Core Competencies for General Dentists and Dental Specialists.

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DEFINITIONS

Continuing Professional Development (CPD): are a range of learning activities through which

healthcare professionals maintain and develop their knowledge and skills throughout their career

to ensure that they retain their capacity to practice safely, effectively and legally within their

evolving scope of practice.

Dental Implant: is a cylindrical and/or tapered post, usually made of titanium that serves as a

substitute for the tooth root and provides a strong and sturdy foundation for one or more

replacement teeth.

Dental Implantology: is the branch of dental practice pertaining to the restoration and

maintenance of oral function, appearance and health of the patient through the replacement of

teeth and contiguous structures with endosseous dental implants and associated prosthetic

components.

License: A permission granted by an authority to practice a healthcare profession.

Position: The term describing the applicant/ healthcare professional designation, which consist

of Category, Title, and Specialty.

Privilege: is the approval endowed to licensed healthcare professionals by DHA to practice

certain procedures based on additional qualification or training.

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ABBREVIATIONS

CBT : Computer Based Testing

CME : Continuous Medical Education

CPD : Continuing Professional Development

DHA : Dubai Health Authority

HRS : Health Regulation Sector

PQR : Unified Healthcare Professional Qualification Requirements

UAE : United Arab Emirates

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1. BACKGROUND

Over the past decade, dental implantology has become an indispensable part of mainstream

dentistry and has aided dentists improve the quality of oral health and esthetics in patients. A

dental implant (endosseous implant or fixture) is a surgical component that interfaces with the

bone of the jaw or skull to anchor and support crowns, bridges, dentures and facial prosthesis.

The success or failure of dental implants primarily relates to the surgeon’s competencies,

individual receiving treatment, the extent to which medication affects osseo-integration, the

amount of stress placed on the implant and general health of surrounding tissues.

The risks and complications related to implant therapy can generally be divided into three areas,

namely the surgical risk (for example, excessive bleeding or nerve injury), risk that may occur in

the first three-six months (such as infection and failure to osseointegrate) and risk that may

occur over the longer term (such as peri-implantitis and mechanical failures). Thus, dentists

practising dental implantology require specialized knowledge, clinical skill-set and training in

the surgical, prosthetic and after care aspects of the treatment. Health Regulation Sector (HRS)

will assess and privilege dentists seeking to provide dental implantology services in Dubai

Health Authority (DHA) licensed health facilities.

2. SCOPE

2.1. To ensure provision of the highest levels of safety and quality of Dental Implantology

services in DHA licensed health facilities.

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3. PURPOSE

3.1. Ensure Dentists providing the Dental Implantology Service are trained adequately to

provide the service.

3.2. Ensure Dentists providing the Dental Implantology Service obtain the privilege from

DHA to provide this service.

3.3. Health Facilities providing Dental Implantology Courses are well equipped and have a

structured course to train Dentists.

4. APPLICABILITY

4.1. DHA licensed Health Facilities opting to conduct dental implantology training.

4.2. DHA licensed healthcare professionals and health facilities providing Dental

Implantology services.

5. RECOMMENDATION ONE: HEALTHCARE PROFESSIONAL ELIGIBILITY CRITERIA

5.1. The Healthcare Professional shall be licensed and permitted by DHA to provide

Implantology services.

5.2. DHA licensed General Dentist and Dental Specialists, except Dental Radiologists are

eligible to apply for dental implantology privilege.

5.3. Only Oral Surgeons, Oral and Maxillofacial Surgeons and Periodontists can perform

advanced surgeries related to dental implants e.g. sinus lift surgery and advanced bone

grafting.

5.4. The applicant shall provide one of the following:

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5.4.1. Proof of completion of a DHA recognized dental implantology course based

on the criteria set in this document.

5.4.2. Proof that dental Implantology treatment (surgical and prosthetic) was part

of their recognized post-graduate specialty program.

6. RECOMMENDATION TWO: CRITERIA FOR IMPLANT TRAINING COURSE ACCEPTANCE

6.1. Any implantology course inside or outside the United Arab Emirates (UAE) shall fulfil

the below criteria to be accepted by DHA and to ensure qualifying its trainees to apply

for the Dental Implantology privilege:

Table 1
Under DHA Outside DHA
Aspect Criteria
jurisdiction jurisdiction
Duration Multi-modular structured program
or certificate over a period of not ✓ ✓
less than 12 month.
Faculty Speakers: to be experienced and
✓ ✓
qualified in related field.

According to the
Clinical instructors: to be permitted (Professional
regulation in the
to practise implantology. license as
related jurisdiction
Implantologists)
Trainees Completed basic dental qualification
✓ ✓
(BDS, DDS) and Internship program.

Hold a valid professional license • New applicant: According to the
during hand-on component of the “Trainee” license. regulation in the
course • DHA Licensed related jurisdiction
professional: valid

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full time/part-
time license.

Curriculum Developed in
collaboration/Affiliation with dental
academic institution (courses
developed by individuals shall not be
accepted).
The course should be comprehensive
with both theoretical and practical
parts covering the following subjects
as minimum:
• Basics head and neck anatomy
• Principles of diagnosis and
treatment planning
✓ ✓
• Radiographic techniques and
interpretation
• Principles of surgical dental
implantology
• Principles of prosthetic dental
implantology
• Basics periodontology in relation
to implant dentistry
• Applied pharmacology
• Human disease relevant to implant
dentistry
• Medico legal aspects in dental
implantology treatment
Setting Academic
Clinical training conducted in a DHA licensed
institution
health facility or dental college health facility with
approved by

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“Implantology regulatory
Training service” authority
in the related
jurisdiction
Supervision According to the
ratio Supervisor: Trainee ratio of 1:1 for accreditation

practical component on patients system in the
related jurisdiction
Placed The course should cover placing a
dental minimum of 30 dental implants per
Implants trainee on multiple patients with
different complexities documented in
a signed logbook1:
• Single (anterior and posterior,
upper and lower jaws)
✓ ✓
• Multiple implants in a single jaw
(unilateral and bilateral, upper and
lower jaws)
• Full arch and full mouth
restorations.
• The surgical procedure could also
include bone graft and sinus lifting.
Consent The training facility should ensure
Form that all patients have signed an
informed consent form before
According to the
initiating the treatment and to ✓
regulation in the
mention that the offered service is a
related jurisdiction
part of training course. Continuity of
care and follow-up of patients shall
be maintained.

1
Must include patients’ details, replaced teeth number, implant type and diameter (implant reference tag) and
steps with dates of each. Documentation with intra-oral photographs & x-ray must also be maintained.
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7. RECOMMENDATION THREE: HEALTH FACILITY APPLICATION PROCESS FOR
IMPLANTOLOGY TRAINING

7.1. DHA licensed Health facilities opting to conduct Dental Implantology training (theory &

clinical) in their premises shall ensure the following:

7.1.1. Apply to for clinical training services if requirements from Table 1 are met.

7.1.2. Fill and submit application to Medical Education and Research Department

(MERD) - DHA to review the course details and curriculum.

7.1.3. Once the course approved from MERD, the health facility should apply via

the online licensing system (Sheryan) to add Clinical Training to the facility

license through “Amend Facility License service –Add-ons” service,

uploading all supportive documents and MERD approval

7.1.4. All submitted applications will be subject to on-site inspection before

obtaining final approval from HRS.

7.1.5. Once the Clinical Training service permission is issued, the health facility

must ensure that all trainees joining the training course are licensed under

the health facility as a “trainee” or “full/part time” dentist.

7.2. Training centre opting to conduct Dental Implantology Training (theory part only) in

Dubai while the clinical training is taking part outside the city shall ensure the following:

7.2.1. Fill and submit application to Medical Education and Research Department

(MERD) - DHA to review the course details and curriculum.

a. Both theoretical and clinical components of the course should be

submitted for MERD review.

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b. The applicant may require obtaining further approval from Knowledge

and Human Development Authority (KHDA).

8. RECOMMENDATION FOUR: HEALTHCARE PROFESSIONAL APPLICATION PROCESS FOR


IMPLANTOLOGY PRIVILEGE

8.1. Completing the approved Implantology course successfully does not allowed the

healthcare professional to practise Implantology. The healthcare professional will only

be entitled once the privilege is added to his/her license.

8.2. Application should be submitted via the online Licensing system (Sheryan) along with

valid Good Standing Certificate and a copy of recent Implantology Logbook (not older

than 2 years).

8.3. All professionals have to pass the required Computer Based Testing (CBT) assessment.

8.4. The training course certificate shall be verified along with other required documents.

8.5. Dentists who have a gap of their clinical implant practice and wish to obtain the licensed

privilege; must fulfil the Gap of practice requirement as set in the Unified Healthcare

Professional Qualification Requirements (PQR) document, which are as follows:

8.5.1. CME points required credits in implantology

8.5.2. Implantology logbook for at least 30 cases in approved training facilities under

direct supervision of a licensed Implantologists, which will be subject to DHA

review and approval.

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REFERENCES

1. American Board of Oral Implantology/Implant Dentistry (2019). Implant Dentistry

Available on: https://www.aboi.org/ (accessed 04/05/21).

2. Cremer Ucer (2012). Training Standards in Implant Dentistry. Association of Dental

Implantology, 1-8. Available on:

http://www.adi.org.uk/resources/guidelines_and_papers/training_standards/implant-

training-stds-jun-12.pdf (accessed 18/05/21).

3. Department of Health Abu Dhabi (2013). Standard for Implantology Privileging.

Available on:

https://www.haad.ae/HAAD/LinkClick.aspx?fileticket=xUHwAiFhCIE%3D&tabid=819

(accessed 25/05/21).

4. Pal A. (2016). Training Standards in Implant Dentistry, Faculty of General Dental

Practice’s (FGDP), 2, 1-13. Available on:

https://www.fgdp.org.uk/sites/fgdp.org.uk/files/docs/in-

practice/fgdp%20implant%20training%20standards%202016.pdf (accessed

25/05/21).

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