Illinois law allows remote dental screenings and some first exams, while requiring in-person exams for certain treatments and higher-risk care.
Illinois-licensed dentists may use remote visits for some screenings, consultations, and first exams, but certain treatments and higher-risk care require an in-person exam.
After emergency care, an initial screening, or a remote exam, dentists must direct patients to appropriate in-person care.
Before remote care, dentists must get and record patient consent and explain its limits; providers must share contact details and cannot require patients to give up review or complaint rights.
With a dentist's live remote exam and approval, hygienists may provide limited services, including cleanings, fluoride treatment, and ordered X-rays; remote cleanings are capped at two before an in-person dentist exam.
Illinois-licensed dentists may use teledentistry for specified screenings, consultations, and initial examinations. These provisions cover patients receiving teledentistry from Illinois-licensed dentists; some first exams for new patients may be remote if the dentist reviews their history and verifies their identity and location in Illinois. Remote first exams are not allowed for orthodontic, sleep apnea, or snoring care, or for functional or cosmetic tooth replacement or treatment. An in-person exam must happen immediately before care that cannot be reversed or that otherwise raises risk to the patient. For ongoing dentist-patient relationships, dentists must direct patients to be seen in person at least once a year.
Dentists must direct patients to appropriate in-person care after specified remote services. This applies to patients who receive teledentistry care or screening under this section. The direction applies after emergency care, an initial screening, or a teledentistry examination.
Dentists must obtain and document consent, explain remote care's limits, and provide contact details; providers cannot require patients to give up review or complaint rights. These provisions apply to dentists and dental hygienists providing teledentistry services. Before remote care, dentists must explain its alternatives, capabilities, and limits, including that it is not equivalent to an in-person exam and the dentist is not physically present. Providers must give patients their names, direct phone numbers, and physical practice addresses.
Dental hygienists may provide specified services remotely only with dentist supervision and authorization. This covers licensed dental hygienists providing services to patients of record; allowed services include cleanings, fluoride treatment, and X-rays ordered by the supervising dentist. A dentist must examine, diagnose, and authorize the procedures using real-time communication. Hygienists may perform no more than two remote cleanings before an in-person dentist exam and may not use local anesthetics or nitrous oxide during those cleanings.
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