(A) Basic qualified personnel must be trained directly via an employer/dentist, via in-office training, and/or via a planned sequence of instruction in an educational institution.
(B) Under the direct supervision of the licensed dentist, the basic qualified personnel may perform basic remediable intra-oral and extra-oral tasks and/or procedures including the following, but do not include any advanced remediable intra-oral tasks and/or procedures as defined in rule 4715-11-04 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 and detection.
(8) Periodontal susceptibility and detection (excluding procedures that enter the gingival sulcus: eg. periodontal probing paper points).
(9) Demonstration of oral hygiene procedures, including, but not limited to, use of toothbrushes and dental floss.
(10) Shade selection for fabrication of appliances or restorations.
(11) Application of topical anesthetics.
(12) Pulp testing.
(13) Fluoride application.
(14) Topical applications of desensitizing agents to teeth.
(15) Application and removal of periodontal dressings.
(16) Suture removal.
(17) Placement of rubber dam over preplaced clamp, and removal of clamp and rubber dam.
(18) Application of cavity varnish.
(19) Impression, fabrication, cementation and removal of provisional restorations, not to include palliative or sedative restorations.
(20) Preliminary selection and sizing of stainless steel crowns.
(21) Preliminary selection and sizing of orthodontic bands and arch wires.
(22) Checking for and removal of loose orthodontic bands and loose brackets.
(23) Intra-oral bite registrations for diagnostic model articulation, restorations, and appliances.
(24) Irrigation and drying of canals during endodontic procedures.
(25) Placement of medication in the pulp chamber(s) of teeth with non-vital pulp or instrumented root canals.
(26) Placement and removal of surgical dressings.
(27) Placement and removal of orthodontic arch wires, auxiliary arch wires, and ligation of same to orthodontic bands and/or brackets.
(28) Placement and removal of orthodontic separators and ties.
(29) Polymerization of light-activated restorative or bonding materials.
(30) All supportive services necessary to the maintenance of a hygienic practice environment, including, but not limited to, all sterilizing procedures.
(31) 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 administration 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.
(32) 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.
(33) 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.
(34) 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.
(35) 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.
(36) All non-invasive supportive services normally utilized in conjunction with the treatment by the dentist of fascia pain or TMJ syndrome.
(37) 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.
(38) Impressions for removable or fixed orthodontic appliances.
(39) Nitrous oxide-oxygen (N2O-O2) minimal sedation monitoring - A dental assistant may monitor N2O-O2 minimal sedation as defined in rule 4715-3-01 of the Administrative Code if all of the following requirements are met:
(a) The dental assistant must be at least eighteen years of age.
(b) The dental assistant has at least two years and three thousand hours of experience in the practice of dental assisting.
(c) The dental assistant has completed a basic life-support training course certified by the American heart association, the American red cross, or the American safety and health institute, and remains current at all times when monitoring N2O-O2 minimal sedation.
(d) The dental assistant has successfully completed a six-hour course in N2O-O2 minimal sedation monitoring as defined in rule 4715-11-02.1 of the Administrative Code. A certificate, documenting successful completion of the course, must be provided to the dental assistant by the permanent sponsor within ten days. This original certificate or a copy must be maintained in the office(s) wherein the dental assistant is employed. The course must be taken through a permanent sponsor.
(e) Under no circumstances may the dental assistant administer, adjust, or terminate N2O-O2 minimal sedation.
(f) The dental assistant shall not monitor more than one patient at a time.
(g) The dental assistant shall physically remain with the patient at all times.
(h) The supervising dentist approves discharge of the patient.
(i) Nothing in this rule shall be construed to allow the dental assistant to administer N2O-O2 minimal sedation.
R.C. 119.032 review dates: 02/14/2014 and 04/01/2019
Promulgated Under: 119.03
Statutory Authority: 4715.39
Rule Amplifies: 4715.39
Prior Effective Dates: 4-5-77, 4-7-00, 4-12-02, 6-21-04, 4-7-05, 7-6-06, 5-22-09, 12-24-10