| Registered Dental Assistants (RDAs)
COMDA examines and licenses
Registered Dental Assistants (RDAs). This page contains
information about RDAs with regard to Qualification
and Examination for Licensure and Allowable Duties/Frequently
Asked Questions.
For information about required
and prohibited conduct, click here, and for information
about license renewal and maintenance, click
here. For a publication of all laws and
regulations in Word format governing dental auxiliaries,
please return to the main page.
Sections 1076, 1077, 1081, and
1081.1 are the regulations governing the RDA examination
and licensure process, which are contained in that
publication.
The application and examination
forms on this page contain all of the requirements
that an applicant for RDA examination and licensure
must complete. Generally, all applicants for
RDA examination and licensure must have:
(1) graduated from a Board-approved
RDA educational program of a minimum of 720 hours
(approximately 8 months); or,
(2) completed at least 12 months
of satisfactory paid work experience as a dental
assistant with a dentist licensed in one of the states
in the United States; or
(3) completed a California Department
of Education approved 4-month educational program,
and 8 months of work experience with a dentist(s)
licensed in one of the states of the United States.
(4) successful completion of
Board-approved courses in coronal polishing and radiation
safety before a license will be issued. Click
here for a list of approved programs.
Applicants must successfully
pass a State written examination and a hands-on practical
examination performed on a typodont.
COMDA administers the Registered
Dental Assistant (RDA) Practical and Written Examinations. Once
you file your Application, you will be sent information
on how to separately pay for and schedule the required
computerized written examination. You will
then be able to schedule the written examination
at your convenience. See below for information
about taking the practical examination.
Licensure
Examination results are normally
mailed about 4 weeks after the LAST exam date in
the examination cycle.
Candidates for RDA licensure
must provide proof of successful completion of Board-approved
courses in coronal polishing and radiation safety
before a license will be issued. Click
here for a list of approved courses.
In addition, a license can NOT
be issued until COMDA receives fingerprint clearances
from both the Department of Justice and Federal Bureau
of Identification. This process can take 60
days or more. If an applicant has a criminal
history, arrest report and court records must be
obtained and investigated before a decision is made
to issue or deny the license.
Once this process is completed
and an applicant is found to be qualified for licensure,
a pocket identification card and wall certificate
are issued. There is no license fee required
for the initial license other than the initial application
and examination fees.
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, which are 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.
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.
May auxiliaries use slow
or high-speed handpieces? The use of
an slow-speed or high-speed handpieces by auxiliaries
is not specifically prohibited by law or regulation,
except that (1) those certified to perform coronal
polishing are limited to using "an appropriation
rotary instrument with rubber cap or brush and
a polishing agent" (Regulation Section 1067(h);
and (2) the procedure is not intended to cut hard
or soft tissue.
However, law also prohibits
dental personnel from performing any service which
they are not competent to perform, or which is not
in accordance with customs and standards of the dental
profession, as provided in Section 1684 of the Dental
Practice Act:
"1684. In addition
to other acts constituting unprofessional conduct
under this chapter, it is unprofessional conduct
for a person licensed under this chapter to perform,
or hold himself or herself out as able to perform,
professional services beyond the scope of his or
her license and field or fields of competence as
established by his or her education, experience,
training, or any combination thereof. This
includes, but is not limited to, the use of any instrument
or device in a manner that is not in accordance with
the customary standards and practices of the dental
profession..."
Therefore, it is up to the practitioner and his or her employer to assure that
the above requirements are fully met before using a device to avoid disciplinary
and/or criminal action.
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 about
the RDA Application or Examinations, or to request
that an application be sent to you, if your last name begins with A-M, you can also email. If your name begins with N-Z, you can email. |