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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