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IL SB3211

IL SB3211
TELEDENTISTRY EXAMINATIONS


summary

Introduced
02/02/2026
In Committee
05/21/2026
Crossed Over
05/20/2026
Passed
08/21/2026
Dead
Signed/Enacted/Adopted
08/21/2026

Introduced Session

104th General Assembly

Bill Summary

Amends the Illinois Dental Practice Act. Makes changes concerning the definition of "patient of record", both for the Act and for the provisions concerning teledentistry. Defines "synchronous". Specifies that a dentist may delegate dental services using teledentistry to an Illinois-licensed dental hygienist. Provides that a dental hygienist may perform oral prophylaxis procedures; may apply fluoride treatments, but not any product used for the remineralization of teeth, including, but not limited to, silver diamine fluoride; and may process x-rays, as ordered by the supervising dentist, on a patient of record if an Illinois-licensed dentist has examined, diagnosed, and authorized such procedures using synchronous systems. Provides that a person is limited to 2 oral prophylaxis procedures performed by a licensed dental hygienist using teledentistry until an in-person examination by a licensed dentist has been completed. Provides that local anesthetics and nitrous oxide may not be used during an oral prophylaxis procedure in a teledentistry service by a dental hygienist. Sets forth requirements for the informed consent form. Provides that an initial screening may only be provided using teledentistry by an Illinois-licensed dentist to assess suitability of the patient for treatment at a dental facility or for certain conditions that present immediate harm or discomfort to the patient for which treatment cannot be postponed. Provides that a provider of dental services rendering care or providing a screening through teledentistry (instead of rendering emergent care or conducting an initial consultation through teledentistry) must direct the patient to receive appropriate in-person care after the provision of teledentistry services. Provides that an initial examination may be provided using teledentistry but shall only be conducted for the purpose of providing a consultation for specific services or for treating or assessing acute pain, infection, injury, or any intraoral or perioral condition that presents immediate harm or discomfort that cannot be postponed. Provides that an initial examination for new patients, excluding patients seeking orthodontic, sleep apnea, or snoring treatment or the functional and cosmetic replacement or treatment of teeth, may be conducted through teledentistry. Provides that an initial examination for orthodontia, sleep apnea, or snoring treatment or the functional and cosmetic replacement or treatment of teeth shall be performed in person only. Provides that in-person clinical examination shall be performed immediately before providing or authorizing services or treatments to patients that are not reversible or that otherwise result in an increased risk to the patient. Provides that, for ongoing dentist-patient relationships, dentists shall direct patients to be seen in person at least annually. Provides that nothing in the provisions shall be construed to expand the scope of practice for dental hygienists or establish independent hygiene practice. Makes other changes.

AI Summary

This bill amends the Illinois Dental Practice Act to expand the use of teledentistry, which is the use of telehealth systems in dentistry for diagnosis, treatment planning, care, and education delivery using real-time (synchronous) or recorded (asynchronous) communication. Key provisions include defining "synchronous" as a real-time, two-way interaction between a patient and dentist using audiovisual technology, and allowing Illinois-licensed dental hygienists to perform certain services via teledentistry under a supervising dentist's authority, such as oral prophylaxis (teeth cleaning) and fluoride treatments, with limitations on the number of teledentistry cleanings a patient can receive before an in-person exam and prohibiting local anesthetics or nitrous oxide during hygienist-provided teledentistry cleanings. The bill also clarifies that initial screenings and examinations can be conducted via teledentistry for specific purposes, such as assessing suitability for facility treatment, addressing acute pain or immediate harm, or for consultations, but certain treatments like orthodontia, sleep apnea, or snoring treatment, and functional or cosmetic tooth replacement, require an in-person examination, and dentists must ensure patients are seen in person at least annually for ongoing relationships, while also emphasizing that this expansion does not broaden the scope of practice for dental hygienists or establish independent hygiene practice.

Committee Categories

Health and Social Services, Labor and Employment

Sponsors (27)

Last Action

Public Act . . . . . . . . . 104-0845 (on 08/21/2026)

Bill Topics

Health
  • ‐ Regulation of Doctors and Health Facilities
  • ‐ Regulation of Health-Related Occupations and Services

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