4715-11-01 Dentists may supervise dental auxiliaries, basic qualified personnel, certified assistants, expanded function dental auxiliary.

(A) Dental auxiliaries

(1) A licensed dentist may, in accordance with board rules, assign under the dentist's personal supervision and full responsibility, the concurrent performance of supportive procedures, to include assisting with the administration of drugs, medications, and inhalation anesthetic agents, including nitrous oxide-oxygen (N2O-O2 ) minimal sedation.

(2) A licensed dentist shall not delegate parenteral injections for the administration of drugs, including local anesthetic agents, to dental auxiliaries unless they are appropriately licensed in the state of Ohio.

(B) Basic qualified personnel

(1) A licensed dentist may, in accordance with board rules, assign under the dentist's direct supervision and full responsibility, basic remediable intra-oral and extra-oral tasks and/or procedures to basic qualified personnel.

(2) A licensed dentist may utilize, under the dentist's direct supervision and full responsibility, no more than one basic qualified personnel appropriately trained as set forth in paragraph (A)(40) of rule 4715-11-02 of the Administrative Code in the monitoring of N2O-O2 minimal sedation, at any given time. This restriction is independent of the limitation on the number of licensed dental hygienists appropriately trained as set forth in paragraph (A)(2) of rule 4715-9-01 of the Administrative Code who may be employed to perform the administration of N2O-O2 minimal sedation.

(3) A licensed dentist may, in accordance with board rules, assign under the dentist's personal supervision and full responsibility, the concurrent performance of supportive procedures, to include assisting with the administration of drugs, medications, and inhalation anesthetic agents, including N2O-O2 minimal sedation to basic qualified personnel.

(4) A licensed dentist must maintain in the office a record of the training received by dental assistants who wish to perform the monitoring of N2O-O2 minimal sedation as set forth in paragraph (A)(40) of rule 4715-11-02 of the Administrative Code.

(C) Certified assistant

(1) A licensed dentist may, in accordance with board rules, assign under the dentist's direct supervision and full responsibility, basic remediable intra-oral and extra-oral tasks and/or procedures to currently certified assistants.

(2) A licensed dentist may utilize, under the dentist's direct supervision and full responsibility, no more than one certified assistant appropriately trained as set forth in paragraph (A)(40) of rule 4715-11-02 of the Administrative Code in the monitoring of N2O-O2 minimal sedation, at any given time. This restriction is independent of the limitation on the number of licensed dental hygienists appropriately trained as set forth in paragraph (A)(2) of rule 4715-9-01 of the Administrative Code who may be employed to perform the administration of N2O-O2 minimal sedation.

(3) A licensed dentist may, in accordance with board rules, assign under the dentist's direct supervision and full responsibility, the following dental tasks and procedures in addition to those basic remediable intra-oral and extra-oral dental tasks and/or procedures defined in rule 4715-11-02 of the Administrative Code to appropriately trained certified assistants pursuant to rule 4715-11-03 of the Administrative Code:

(a) Application of pit and fissure sealants; and

(b) Coronal polishing activities.

(4) A licensed dentist may utilize, under the dentist's direct supervision and full responsibility, no more than two certified assistants appropriately trained as set forth in rule 4715-11-03.1 of the Administrative Code to perform coronal polishing activities, 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.

(5) A licensed dentist must maintain in the office a record of the training received by certified assistants who wish to perform the monitoring of N2O-O2 minimal sedation as set forth in paragraph (A)(40) of rule 4715-11-02 of the Administrative Code.

(D) Expanded function dental auxiliary

(1) A licensed dentist may, in accordance with board rules, assign under the dentist's direct supervision and full responsibility, basic remediable intra-oral and extra-oral tasks and/or procedures to currently registered expanded function dental auxiliary.

(2) A licensed dentist may utilize, under the dentist's direct supervision and full responsibility, no more than one expanded function dental auxiliary appropriately trained as set forth in paragraph (A)(40) of rule 4715-11-02 of the Administrative Code in the monitoring of N2 O-O2 minimal sedation, at any given time. This restriction is independent of the limitation on the number of licensed dental hygienists appropriately trained as set forth in paragraph (A)(2) of rule 4715-9-01 of the Administrative Code who may be employed to perform the administration of N2O-O2 minimal sedation.

(3) A licensed dentist may utilize, under the dentist's 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.

(4) A licensed dentist may, in accordance with board rules, assign under the dentist's direct supervision and full responsibility the following dental tasks and/or procedures in addition to those basic remediable intra-oral and extra-oral dental tasks and/or procedures defined in rule 4715-11-02 of the Administrative Code to registered expanded function dental auxiliaries:

(a) Advanced remediable intra-oral and extra-oral tasks and/or procedures, with consideration of the soft tissues, involved in the art or placement of preventative or restorative materials limited to the following:

(i) Application of pit and fissure sealants;

(ii) Amalgam restorative materials; and

(iii) Non-metallic restorative materials, including direct-bonded restorative materials.

(5) A licensed dentist must maintain in the office a current record of the training received by expanded function dental auxiliaries who wish to perform the monitoring of N2O-O2 minimal sedation as set forth in paragraph (A)(40) of rule 4715-11-02 of the Administrative Code.

Effective: 9/12/2016
Five Year Review (FYR) Dates: 06/24/2016 and 08/01/2021
Promulgated Under: 119.03
Statutory Authority: 4715.03, 4715.39, 4715.66
Rule Amplifies: 4715.39, 4715.64
Prior Effective Dates: 12/24/2010