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Unlicensed dental assistants are not licensed
by COMDA or the Board, but they are subject to certain
laws governing their conduct.
For a publication of all laws
and regulations governing dental auxiliaries, please
go back to the main
page.
Section 1085 is the regulation
governing the duties that unlicensed dental assistants
are allowed to perform. Unless a specific duty
is listed in that regulations, the dental assistant
is NOT allowed to perform that duty..
A dental assistant may
only expose radiographs after successful completion
of a board-approved radiation safety course. For
a list of courses, click here.
Dental assistants with certain
experience or educational backgrounds may qualify
to apply for RDA licensure. Click
here for more information.
Allowable Duties/Frequently
Asked Questions
Law and regulation specifically
define the duties that each category of auxiliary
is allowed to perform, the level of dentist supervision
required, and the settings in which the duties may
be performed. It is a criminal offense to perform
illegal functions, as well as grounds for license
discipline of both the person performing the illegal
function and any person who aid or abets such illegal
activity.
The duties that RDAs are allowed
to performed are specified in Section 1086 of the
regulations, which is contained in COMDA's publication
of laws and regulations, available on the main
page.
Following are frequently asked
questions about allowable duties:
May auxiliaries bleach teeth? Dental
Board regulations were changed effective February
23, 2000, to allow RDA's, under direct supervision,
to apply bleaching agents, and to activate bleaching
agents with a non-laser light-curing device. Unlicensed
dental assistants are not allowed to perform this
duty.
Who may place fluoride varnishes? A
fluoride varnish is considered a non-toxic topical
agent, and can therefore be placed by an unlicensed
dental assistant, as well as all categories of licensed
auxiliaries.
Who may perform coronal polishing,
and when? Is coronal polishing considered
an oral prophylaxis? An unlicensed dental
assistant may not perform coronal polishing. Only
a licensed RDA may perform coronal polishing, AFTER
successful completion of a Board-approved course
and submission of certification thereof to COMDA.
A licensed dentist or registered
dental hygienist must determine that the teeth to
be polished are free of calculus or other extraneous
material PRIOR to coronal polishing.
Coronal polishing may not be
intended or interpreted as a complete oral prophylaxis,
which is a procedure which can be performed only
by a licensed dentist or registered dental hygienist.
An oral prophylaxis is defined
in Regulation Section 1067(g) as:
"Oral prophylaxis'
means the preventive dental procedures including
complete removal of explorer-detectable calculus,
soft deposits, plaque, stains, and the smoothing
of unattached tooth surfaces. The objective
of this treatment shall be creation of an environment
in which hard and soft tissues can be maintained
in good health by the patient."
May an auxiliary administer
anesthesia, or insert or remove IV lines? No
auxiliary may insert IV lines, administer anesthesia
and medicines via the IV, and or remove IV lines,
unless the person possesses another license (such
as R.N. or L.V.N.) that allows them to perform
such duties.
While Regulation Section 1085
allows DA's to perform such basic supportive procedures
as extra-oral duties, the "extra-oral" duties
of inserting IV lines, administering anesthesia,
or removing such lines do not meet the definition
of a "basic supportive procedure", which
is defined in Regulation Section 1067(l) as:
"Basic supportive dental
procedures' means fundamental duties or functions
which may be performed by an unlicensed dental assistant
under the supervision of a licensed dentist because
of their technically elementary characteristics,
complete reversibility and inability to precipitate
potentially hazardous conditions for the patient
being treated."
For specific questions not answered
on this site, you can also email. |