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Ohio Laws and Rules
A licensed dentist may, in accordance with board rules, assign under his direct supervision and full responsibility basic remediable intra-oral tasks and/or procedures to basic qualified personnel.
(A) Basic remediable intra-oral tasks and/or procedures include the following, but do not include any advanced remediable intra-oral tasks and/or procedures as defined in agency level rule 4715 of the Administrative Code.
(1) Aspiration and retraction, excluding placement of gingival retraction materials.
(2) Intra-oral instrument transfer.
(3) Preliminary charting of missing and filled teeth.
(4) Elastomeric impressions for diagnostic models and models to be used for opposing models in the construction of appliances and restorations.
(5) Taking impressions for the construction of custom athletic mouth protectors/mouthguards, and trays for application of medicaments.
(6) Application of disclosing solutions.
(7) Caries susceptibility testing.
(8) Demonstration of oral hygiene procedures, including, but not limited to, use of toothbrushes and dental floss.
(9) Shade selection for fabrication of appliances or restorations.
(10) Application of topical anesthetics.
(11) Pulp testing.
(12) Fluoride application.
(13) Topical applications of desensitizing agents to teeth.
(14) Application and removal of periodontal dressings.
(15) Suture removal.
(16) Placement of rubber dam over preplaced clamp, and removal of clamp and rubber dam.
(17) Application of cavity varnish.
(18) Impression, fabrication, cementation and removal of provisional restorations, not to include palliative or sedative restorations.
(19) Preliminary selection and sizing of stainless steel crowns.
(20) Preliminary selection and sizing of orthodontic bands and arch wires.
(21) Checking for and removal of loose orthodontic bands and loose brackets.
(22) Intra-oral bite registrations for diagnostic model articulation, restorations, and appliances.
(23) Irrigation and drying of canals during endodontic procedures.
(24) Placement of medication in the pulp chamber(s) of teeth with non-vital pulp or instrumented root canals.
(25) Placement and removal of surgical dressings.
(26) Placement and removal of orthodontic arch wires, auxiliary arch wires, and ligation of same to orthodontic bands and/or brackets.
(27) Placement and removal of orthodontic separators and ties.
(28) Polymerization of light-activated restorative or bonding materials.
(29) All supportive services necessary to the maintenance of a hygienic practice environment, including, but not limited to, all sterilizing procedures.
(30) All supportive services or procedures necessary to protect the physical well-being of the patient during routine treatment procedures and during periods of emergencies, including, but not limited to:
(a) Physical positioning of the patient;
(b) Monitoring of vital signs;
(c) Assistance during administation of life-support activities; and
(d) Any other non-invasive procedures deemed necessary by the supervising dentist to maintain the health and safety of the patient.
(31) All non-invasive supportive services and procedures necessary to the gathering and maintaining of accurate and complete medical and dental history of the patient, including, but not limited to:
(a) Taking photographs;
(b) Recording patient treatment;
(c) Measurement of blood pressure and body temperature; and
(d) Other common tests deemed necessary by the supervising dentist.
(32) All extra-oral supportive laboratory procedures, including, but not limited to:
(a) Repair, construction and finishing of metallic and plastic prosthetic devices; and
(b) Compilation of radiographic data for interpretation by the dentist, i.e., tracings, etc.
(33) The preparation of materials, drugs and medications for use in dental procedures, including, but not limited to:
(a) Palliative materials;
(b) Impression materials; and
(c) Restorative materials.
(34) All patient education services, including, but not limited to:
(a) Progress reports;
(b) Consultations (oral or written);
(c) Oral hygiene instructions;
(d) Use of intra-oral hygiene devices:
(e) Normal nutrition information as it relates to dental health;
(f) Behavioral modification;
(g) Self adjustment of orthodontic appliances; and
(h) All other post-operative and post-insertion instructions, as deemed appropriate by the supervising dentist.
(35) All non-invasive supportive services normally utilized in conjunction with the treatment by the dentist of fascia pain or TMJ syndrome.
(36) Preparing the teeth for restorations or for the bonding of orthodontic brackets by treating the supragingival coronal surfaces of the teeth to be bonded with a conditioning or etching agent and by the placement of a bonding agent adhesive.
(37) Impressions for removable or fixed orthodontic appliances.
HISTORY: Replaces: 4715-3-01(N)(1), 4715-11-01, eff. 6-21-04
Rule promulgated under: RC 119.03
Rule authorized by: RC 4715.39
Rule Amplifies: 4715.39
R.C. 119.032 review dates: 02/14/2009
(A) A licensed dentist may assign to certified dental assistants under his direct supervision and full responsibility those basic remediable intra-oral dental tasks and/or procedures as defined in rule 4715-11-01 of the Administrative Code.
(B) A licensed dentist may assign to currently certified dental assistants under his direct supervision and full responsibility the following dental tasks and/or procedures in addition to those basic remediable intra-oral dental tasks and/or procedures as defined in rule 4715-11-01 of the Administrative Code:
(1) “Pit and fissure sealants” – The certified dental assistant may apply pit and fissure sealants if all the following requirements are met:
(a) The dental assistant has successfully completed a course in the application of sealants consisting of at least two hours of didactic instruction and six hours of clinical instruction through a program provided by an institution accredited by the American dental association commission on dental accreditation or a program provided by a sponsor of continuing education approved by the board; and
(b) The dentist evaluates the patient and designates the teeth and surfaces that will benefit from the application of sealant on the day the application is to be performed; and
(c) The dentist supervising the assistant has observed the assistant successfully apply at least six sealants; and
(d) The dentist supervising the assistant checks and approves the application of all sealants placed by the assistant before the patient leaves the location where the sealant application procedure is performed.
(2) “Coronal polishing” – The certified dental assistant may perform polishing of the enamel and restorations on the anatomical crowns of human teeth by utilizing only a combination of a polishing agent, a slow speed hand piece, a prophy angle and a rubber cup, if all the following requirements are met:
(a) The dental assistant receives a certificate from the board authorizing the assistant to engage in coronal polishing activities pursuant to completion of the education, training, assessment and examination requirements set forth in division (B) of 4715.39 of the Ohio Revised Code and board rule 4715-10-01 of the Administrative Code; and
(b) The polishing is performed only after the supervising dentist has evaluated the patient and any calculus detected on the teeth to be polished has been removed by a dentist or dental hygienist; and
(c) The dentist supervising the assistant supervises not more than two dental assistants engaging in polishing activities at any given time. Nothing in paragraph (B)(2) of this rule authorizes the mechanical removal of calculus or authorizes a certified dental assistant to perform a complete oral prophylaxis.
Replaces: 4715-11-02
Effective: 11/13/2006
R.C. 119.032 review dates: 08/01/2011
Promulgated Under: 119.03
Statutory Authority: 4715.39
Rule Amplifies: 4715.39
Prior Effective Dates: 9-28-04
A licensed dentist may assign to an expanded function dental auxiliary under his direct supervision and full responsibility the following tasks and/or procedures in addition to those basic remediable intra-oral dental tasks and/or procedures as defined in rule 4715-11-01 of the Administrative Code.
(A) “Advanced remediable intra-oral dental tasks and/or procedures” – all tasks and/or procedures involved in the art or placement of preventive or restorative materials limited to the following:
(1) Pit and fissure sealants;
(2) Amalgam restorative materials; and
(3) Non-metallic restorative materials, including direct-bonded restorative materials.
Effective: 10/09/2006
R.C. 119.032 review dates: 07/21/2006 and 06/01/2011
Promulgated Under: 119.03
Statutory Authority: 4715.03, 4715.39, 4715.66
Rule Amplifies: 4715.39, 4715.63
Prior Effective Dates: 4-9-77, 3-3-95, 6-21-04
(A) Each individual seeking to practice as an expanded function dental auxiliary shall register with the board in accordance with section 4715.62 of the Revised Code. An applicant for registration shall file with the secretary of the board a written application for registration, under oath, on a form the board shall prescribe and provide. An applicant shall include with the completed application all of the following:
(1) An application fee of twenty dollars;
(2) Proof satisfactory to the board that the applicant has successfully completed, at an educational institution accredited by the American dental association commission on dental accreditation or the higher learning commission of the north central association of colleges and schools, the education or training specified in rule 4715-11-04.1 of the Administrative Code. Proof of completion of the education or training may be evidenced by a diploma or certificate of graduation or completion that has been signed by an appropriate official of the accrediting institution that provided education or training;
(3) Proof satisfactory to the board that the applicant has passed an examination that meets the standards established in rule 4715-11-04.2 of the Administrative Code;
(4) Proof that the applicant holds current certification to perform basic life-support procedures, evidenced by documentation showing the successful completion of a basic life-support training course certified by either the American red cross or the American heart association.
(B) Registration as an expanded function dental auxiliary expires on the thirty-first day of December of the year following the year in which the registration occurs. An individual may renew a registration for subsequent two-year periods in accordance with the standard renewal procedures established under Chapter 4745. of the Revised Code by submitting both of the following to the secretary of the state dental board each time the individual seeks to renew a registration:
(1) A completed application for renewal, under oath, on a form the board shall prescribe and provide; and
(2) A renewal fee of twenty dollars.
(C) Paragraph (A) of this rule does not apply to any of the following:
(1) A dentist licensed under this chapter;
(2) A dental student who engages in any activities performed by expanded function dental auxiliaries as an integral part of a program of study leading to receipt of a license to practice as a dentist under this chapter;
(3) An expanded function dental auxiliary student when the student participates in an educational or training activity of an accredited education institution or a training program that does both of the following:
(a) Provides the education or training necessary to practice as an expanded function dental auxiliary; and
(b) Ensures that a dentist licensed under this chapter, or a dentist who holds a limited teaching license issued under this chapter, is physically present in the facility where the expanded function dental auxiliary performs clinical dental procedures on patients.
Effective: 10/09/2006
R.C. 119.032 review dates: 06/01/2011
Promulgated Under: 119.03
Statutory Authority: 4715.03, 4715.39, 4715.66
Rule Amplifies: 4715.39, 4715.61, 4715.62, 4715.63
(A) In order to register with the board as an expanded function dental auxiliary, an individual must complete an education or training course that meets all of the following requirements:
(1) The course is offered by an educational institution accredited by the American dental association commission on dental accreditation or the higher learning commission of the north central association of colleges and schools.
(2) The course contains didactic, preclinical and clinical components and includes training in all of the following areas:
(a) Nomenclature
(b) Caries classification
(c) Oral anatomy
(d) Dental morphology
(e) Periodontium
(f) Histology
(g) Basics of occlusion
(h) Ergonomics
(i) Instrumentation
(j) Pulp protection
(k) Dental materials
(l) Matrix and wedge techniques
(m) Temporization
(n) Amalgam placement and carving
(o) Polishing amalgams
(p) Non-metallic restorative material placement
(q) Non-metallic restorative material finishing and polishing
(r) Posterior amalgam and non-metallic restorations
(s) Pit and fissure sealant placement
(t) Rubber dam placement
(3) A dentist licensed under section 4715.10 of the Revised Code or a dentist holding a limited teaching license under section 4715.16 of the Revised Code is physically present in the facility when clinical procedures associated with the education or training of expanded function dental auxiliary are performed on patients.
(B) An unlicensed dentist who does not have a dental license under suspension or revocation by the board and who seeks to register with the board as an expanded function dental auxiliary may fulfill the requirements of paragraph (A) of this rule upon submission of proof of graduation from an accredited dental college as specified in section 4715.10 of the Revised Code.
(C) A dental student seeking to register with the board as an expanded function dental auxiliary may fulfill the requirements of paragraph (A) of this rule upon submission to the board proof that the dental student is currently enrolled in an accredited dental college and is considered by the dean of the college to have completed sufficient clinical training and be in good standing as a dental student.
(D) A graduate of an unaccredited dental college located outside the United States seeking to register with the board as an expanded function dental auxiliary may fulfill the requirements of paragraph (A) of this rule upon submission of proof that the individual has completed sufficient clinical training at an accredited dental college as evidenced by a letter signed by an appropriate official of the accredited college that provided the clinical training.
Effective: 10/09/2006
R.C. 119.032 review dates: 06/01/2011
Promulgated Under: 119.03
Statutory Authority: 4715.03, 4715.39, 4715.66
Rule Amplifies: 4715.39, 4715.62
(A) Each individual seeking to register with the board as an expanded function dental auxiliary must successfully pass the examination administered by the commission on dental testing in Ohio or an examination accepted by the board as an examination of competency to practice as an expanded function dental auxiliary.
(B) An examination may be accepted by the board only if the entity that administers the examination requires an individual to be one of the following as a condition of admission to the examination:
(1) An unlicensed dentist who has graduated from an accredited dental college, as specified in section 4715.10 of the Revised Code, and does not have a dental license under suspension or revocation by the board;
(2) A dental student who is enrolled in an accredited dental college, as specified in section 4715.10 of the Revised Code, and is considered by the dean of the college to be in good standing as a dental student;
(3) A graduate of an unaccredited dental college located outside the United States;
(4) A dental assistant who is certified by the dental assisting national board or the Ohio commission on dental assistant certification;
(5) A dental hygienist licensed under this chapter whose license is in good standing; or
(6) An unlicensed dental hygienist who has graduated from an accredited dental hygiene program, as specified in section 4715.21 of the Revised Code, and does not have a dental hygiene license under suspension or revocation by the board.
Effective: 10/09/2006
R.C. 119.032 review dates: 06/01/2011
Promulgated Under: 119.03
Statutory Authority: 4715.03, 4715.39, 4715.66
Rule Amplifies: 4715.39, 4715.62
(A) A dentist may utilize, under his direct supervision, no more than two expanded function dental auxiliaries at any given time. This restriction is independent of the limitation on the number of licensed dental hygienists who may be employed to perform the duties of a licensed dental hygienist as defined in sections 4715.22 and 4715.23 of the Revised Code.
(B) A dentist may utilize, under his direct supervision, those persons who qualified under previous board rules, to perform advanced remediable intra-oral dental tasks and/or procedures subject to the provisions outlined in rule 4715-11-03 of the Administrative Code.
(C) A licensed dentist who utilizes expanded function dental auxiliaries must maintain in his office a current record of the training received by said expanded function dental auxiliaries, and his certification that said persons are currently competent to perform the specific advanced remediable intra-oral dental tasks and/or procedures which said licensed dentist assigns to said expanded function dental auxiliaries. Such information shall be recorded on forms obtainable from the Ohio state dental board, a copy to be returned to the Ohio state dental board.
HISTORY: Replaces: 4715-11-04, eff. 6-21-04
Rule promulgated under: RC 119.03
Rule authorized by: RC 4715.03, 4715.39
Rule amplifies: RC 4715.39
R.C. 119.032 review dates: 02/14/2009
The following dental tasks and/or procedures shall not be delegated by any licensed dentists:
(A) Definitive diagnosis and treatment planning.
(B) The final placement of any fixed or removable appliances.
(C) The final removal of any fixed appliance.
(D) The therapeutic intra-oral adjustment of any fixed or removable appliance.
(E) Cutting procedures utilized in the preparation of the coronal or root portion of the tooth.
(F) Cutting procedures involving the supportive structures of the tooth.
(G) The placement of the final root canal filling.
(H) Final impressions of any tissue-bearing area, whether it be hard or soft tissue, upon which a prosthetic restoration is to be place. Taking of impressions for athletic mouthguards or similar appliances is not to be construed as a final impression.
(I) Occlusal registration procedures for any prosthetic restoration, whether it be fixed or removable.
(J) The final placement of prefabricated or cast restorations or crowns.
(K) Retraction of the gingival sulcus prior to the direct or indirect impression technique.
(L) Procedures utilizing light amplification by stimulated emission of radiation (LASER) technologies (excluding caries susceptibility testing devices).
(M) Any other dental tasks and/or procedures which are prohibited by law or agency-level 4715 rules of the Administrative Code.
HISTORY: Replaces: 4715-11-03, eff. 6-21-04
Rule promulgated under: RC 119.03
Rule authorized by: RC 4715.03, 4715.39
Rule amplifies: RC 4715.39
R.C. 119.032 review dates: 02/14/2009