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Ohio Laws and Rules
(A) The dental hygienist may perform the following acts in the following manner; the performance of the following tasks and/or procedures may be delegated only to a licensed dental hygienist under the supervision of a licensed dentist:
(1) Removal of calcareous deposits or accretions from the crowns and roots of teeth.
(2) Periodontal scaling, root planing, and soft tissue curettage.
(3) Sulcular placement of prescribed materials.
(B) The dental hygienist may also perform the following tasks and/or procedures under the supervision of a licensed dentist:
(1) Polishing of the clinical crown(s) of teeth, including restorations;
(2) Pit and fissure sealants;
(3) Standard, diagnostic, radiologic procedures for the purpose of contributing to the provision of dental services.
(C) The dental hygienist may also perform bleaching of teeth under the direct supervision of a licensed dentist (excluding procedures that utilize light amplification by stimulated emission of radiation (LASER) technologies).
(D) A dental hygienist may administer intraoral block and infiltration local anesthesia to a patient under direct supervision of a dentist if, the following requirements are met:
(1) The dental hygienist has completed a board-approved course in the administration of local anesthesia which meets the requirements set forth in division (C) of 4715.231 of the Ohio Revised Code and is offered by a dental or dental hygiene program accredited by the American dental association commission on dental accreditation. The board-approved course may be offered as continuing education or as part of a curriculum for graduation from an accredited dental or dental hygiene program.
(2) Any dental hygienist who has met the educational requirements set forth in paragraph (D)(1) of this rule must take and pass the north east regional board of dental examiners, inc. local anesthesia examination or an equivalent examination approved by the board within eighteen months of the completion of the anesthesia training.
(3) The dental hygienist must be currently certified in cardiopulmonary resuscitation (CPR) through the American heart association or the American red cross.
(E) In performing basic remediable intra-oral dental tasks and/or procedures, the licensed dental hygienist is subject to those rules regulating basic qualified personnel. However, dental hygienists may engage in the following duties when the dentist is not physically present, subject to the limitations outlined in division (C) and (D) of section 4715.22 of the Revised Code, which must be adhered to when performing these duties:
(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) Application of topical anesthetics.
(10) Fluoride application.
(11) Topical applications of desensitizing agents to teeth.
(12) Application and removal of periodontal dressings.
(13) Intra-oral bite registrations for diagnostic model articulation.
(14) All supportive services necessary to the maintenance of a hygienic practice environment, including, but not limited to, all sterilizing procedures.
(15) 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.
(16) 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.
(17) All extra-oral supportive laboratory procedures, including, but not limited to:
(a) Repair, construction and finishing of metallic and plastic prosthetic devises; and
(b) Compilation of radiographic data for interpretation by the dentist, i.e., tracings, etc.
(18) The preparation of impression materials.
(19) 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.
(F) In performing advanced remediable restorative intra-oral dental tasks and/or procedures, the licensed dental hygienist is subject to those rules regulating expanded function dental auxiliaries.
(G) Following submission of documentation to the Ohio state dental board showing completion of eight hours of education presented by a board approved permanent sponsor on nitrous oxide-oxygen (N2O-O2) analgesia and sedation, the dental hygienist may, under the direct supervision of a licensed dentist, monitor nitrous oxide-oxygen (N2O-O2) within the limits of conscious sedation, while providing treatment, after a satisfactory induction phase has been administered by the dentist.
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
Rule Amplifies: 4715.22, 4715.23, 4715.39
Prior Effective Dates: 4-5-77; 4-1-90; 2-5-93; 7-25-93; 3-3-95; 4-5-99; 6-17-99; 5-15-03; 6-21-04
The Ohio state dental board will admit to examination only those persons who have graduated from a dental hygiene school or dental hygiene program which was accredited by the American dental association’s commission on dental accreditation at the time of graduation and who have met the requirements set forth in section 4715.21 of the Revised Code.
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
Rule Amplifies: 4715.20, 4715.21
Prior Effective Dates: 08-01-74; 4-5-99
(A) Applicants for licensure to practice dental hygiene as provided in section 4715.21 of the Revised Code, shall furnish satisfactory proof of the following on a form prescribed and provided by the state dental board:
(1) He is at least eighteen years of age; and
(2) He is of good moral character; and
(3) He is a graduate of an accredited school of dental hygiene; and
(4) He has successfully passed all parts of the examination given by the Joint commission on national dental examinations; and
(5) He provides evidence of successfully passing all components based on a conjunctive scoring method of one of the following regional board examinations: the North east regional board of dental examiners, inc. (NERB), the Central regional dental testing service, inc. (CRDTS), the Southern regional testing agency, inc. (SRTA), or the Western regional examining board (WREB).
(B) Applicants for licensure to practice dental hygiene as provided in section 4715.27 of the Revised Code, shall furnish satisfactory proof of the following on a form prescribed and provided by the state dental board:
(1) He is at least eighteen years of age; and
(2) He is of good moral character; and
(3) He is a graduate of an accredited school of dental hygiene; and
(4) He has successfully passed all parts of the examination given by the Joint commission on national dental examinations; and
(5) He holds a license in good standing from another state and has actively engaged in the legal and reputable practice of dental hygiene in another state or in the armed forces of the United States, the United States public health service, or the United States department of veterans’ affairs for five years immediately preceding application; and
(6) He proves to the satisfaction of the board that he intends to practice dental hygiene in this state.
(C) Each applicant for licensure to practice dental hygiene shall successfully pass a jurisprudence examination approved by the state dental board on the statute and rules governing the practice of dental hygiene in the state of Ohio.
HISTORY: Eff 5-15-03; Replaces: 4715-9-02.1, 4715-9-03, eff. 6-7-04
Rule promulgated under: RC 119.03
Rule authorized by: RC 4715.03
Rule amplifies: RC 4715.21, 4715.27
R.C. 119.032 review dates: 03/05/2009 and 03/01/2014
An application for a dental hygiene teaching certificate must be certified by the administrator of the dental hygiene school or program where the person is authorized to teach. The application shall contain a statement signed by the applicant as to his knowledge of the dental laws of the state. The certificate granted under the provisions of section 4715.27, of the Revised Code, shall be displayed in a conspicuous place in the institution.
R.C. 119.032 review dates: 03/05/2009 and 03/01/2014
Promulgated Under: 119.03
Statutory Authority: 4715.27
Rule Amplifies: 4715.27
Prior Effective Dates: DE-9-04, 4-5-99
(A) A dental hygienist may provide, for not more than fifteen consecutive business days, or no more than three consecutive weeks, dental hygiene services to a patient when the supervising dentist is not physically present at the location at which the services are provided if all of the following requirements are met:
(1) The dental hygienist has at least two years and a minimum of three thousand hours of experience in the practice of dental hygiene. This experience shall be documented on a form supplied by the board, with any necessary supporting information attached, and the form shall be maintained in the facility(s) where the dental hygienist is working.
(2) The dental hygienist has successfully completed a course approved by the state dental board in the identification and prevention of potential medical emergencies. This board approved course shall be taken through a permanent sponsor, shall be at least four hours in duration, and shall include, at a minimum, the following topics:
(a) Medical history;
(b) Recognition of common medical emergency situations;
(c) Office emergency protocols;
(d) Basic airway management;
(e) Prevention of emergency situations during dental appointments; and
(f) Recognition of symptoms, first aid treatment and possible outcomes for patients who exhibit bleeding injuries, cardiovascular disease, insulin reaction, diabetic coma, shock, syncope, epileptic seizures and allergic reactions.
Completion of this course shall be documented on a form supplied by the board, with all necessary supporting information attached, and the form shall be maintained in the facility(s) where the dental hygienist is working.
(3) The dental hygienist shall be currently certified in cardiopulmonary resuscitation (CPR) at all times while treating patients when the dentist is not physically present. This must be verified on a form supplied by the board, with all necessary supporting information attached, and the form shall be maintained in the facility(s) where the dental hygienist is working.
(4) The dental hygienist complies with written protocols for emergencies the supervising dentist establishes.
(5) The supervising dentist has evaluated the dental hygienist’s skills and has made a determination that the dental hygienist is competent to treat patients without the dentist being physically present. This determination shall be documented on a form supplied by the board, and the form shall be maintained at the facility(s) where the dental hygienist is working.
(6) The supervising dentist examined the patient not more than seven months prior to the date the dental hygienist provides the dental hygiene services to the patient.
(7) The dental hygienist complies with written protocols or written standing orders that the supervising dentist establishes, including an updated medical history.
(8) The supervising dentist completed and evaluated a medical and dental history of the patient not more than one year prior to the date the dental hygienist provides dental hygiene services to the patient, unless there has been a medically significant change in the patient’s medical history since the last appointment, and, except when the dental hygiene services are provided in a health care facility, the supervising dentist determines that the patient is in a medically stable condition.
(9) If the dental hygiene services are provided in a health care facility, a doctor of medicine and surgery or osteopathic medicine and surgery who holds a current certificate issued under Chapter 4731. of the Revised Code or a registered nurse licensed under Chapter 4723. of the Revised Code is present in the health care facility when the services are provided.
(10) In advance of the appointment for dental hygiene services, the patient is notified that the supervising dentist will be absent from the location and that the dental hygienist cannot diagnose the patient’s dental health care status. This notification must be documented in the patient record.
(B) A dental hygienist may provide dental hygiene services to a patient when the supervising dentist is not physically present at the location at which the services are provided if the services are provided as part of a dental hygiene program that is approved by the state dental board and all of the following requirements are met:
(1) The program is operated through a school district board of education or the governing board of an educational service center; the board of health of a city or general health district or the authority having the duties of a board of health under section 3709.05 of the Revised Code; a national, state, district, or local dental association; or any other public or private entity recognized and approved by the state dental board.
(2) The supervising dentist is employed by or a volunteer for, and the patients are referred by, the entity through which the program is operated.
(3) The services are performed after examination and diagnosis by the dentist and in accordance with the dentist’s written treatment plan for the procedures to be performed by the dental hygienist.
(C) The supervising dentist shall have no more than three dental hygienists treating patients when the dentist is not physically present.
(D) No person shall do either of the following:
(1) Practice dental hygiene in a manner that is separate or otherwise independent from the dental practice of a supervising dentist.
(2) Establish or maintain an office or practice that is primarily devoted to the provision of dental hygiene services.
(E) The following procedures may not be performed by a dental hygienist when the supervising dentist is not physically present:
(1) Procedures while the patient is anesthetized.
(2) Definitive subgingival curettage.
(3) Definitive root planing.
(4) Sulcular placement of prescribed materials.
(5) Shade selection for fabrication of appliances or restorations.
(6) Pulp testing.
(7) Suture removal.
(8) Placement of a rubber dam over preplaced clamp, and removal of clamp and rubber dam.
(9) Application of cavity varnish.
(10) Placement and removal of surgical dressings.
(11) Bleaching of teeth.
(12) The following orthodontic procedures:
(a) Preliminary selection and sizing of orthodontic bands and arch wires.
(b) Checking for and removal of loose orthodontic bands and loose brackets.
(c) Placement and removal of orthodontic arch wires, auxiliary arch wires, and ligation of same to orthodontic bands and/or brackets.
(d) Placement and removal of orthodontic separators and ties.
(13) The following endodontic procedures:
(a) Irrigation and drying of canals during endodontic procedures.
(b) Placement of medication in the pulp chamber(s) of teeth with non-vital pulp or instrumented root canals.
(14) The following restorative procedures:
(a) Impression, fabrication, cementation and removal of any provisional restorations.
(b) Preliminary selection and sizing of stainless steel crowns.
(c) Polymerization of light-activated restorative or bonding materials.
(15) The preparation of materials, drugs and medications for use in dental procedures, including, but not limited to:
(a) Palliative materials.
(b) Restorative materials.
(16) All non-invasive supportive services normally utilized in conjunction with the treatment by the dentist of fascia pain or TMJ syndrome.
(17) Intra-oral bite registrations for restorations and appliances.
(18) 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.
(19) Impressions for removable or fixed orthodontic appliances.
HISTORY: Eff 6-17-99; 4-4-02; 5-15-03
Rule promulgated under: RC 119.03
Rule authorized by: RC 4715.22, 4715.03
Rule amplifies: RC 4715.22
R.C. 119.032 review dates: 01/13/2003 and 05/14/2008