; (5) develop and maintain a system that provides close supervision of community health aides and community health practitioners; (6) develop a system under which the work of community health aides and community health practitioners is reviewed and evaluated to ensure the provision of quality health care, health promotion, and disease prevention services; and (7) ensure that— (A) pulpal therapy (not including pulpotomies on deciduous teeth) or extraction of adult teeth can be performed by a dental health aide therapist only after consultation with a licensed dentist who determines that the procedure is a medical emergency that cannot be resolved with palliative treatment; and (B) dental health aide therapists are strictly prohibited from performing all other oral or jaw surgeries, subject to the condition that uncomplicated extractions shall not be considered oral surgery under this section. (c) Program review (1) Neutral panel (A) Establishment The Secretary, acting through the Service, shall establish a neutral panel to carry out the study under paragraph (2). (B) Membership Members of the neutral panel shall be appointed by the Secretary from among clinicians, economists, community practitioners, oral epidemiologists, and Alaska Natives. (2) Study (A) In general The neutral panel established under paragraph (1) shall conduct a study of the dental health aide therapist services provided by the Community Health Aide Program under this section to ensure that the quality of care provided through those services is adequate and appropriate. (B) Parameters of study The Secretary, in consultation with interested parties, including professional dental organizations, shall develop the parameters of the study. (C) Inclusions The study shall include a determination by the neutral panel with respect to— (i) the ability of the dental health aide therapist services under this section to address the dental care needs of Alaska Natives