Perform preliminary charting of the oral cavity and surrounding structures to include case histories, perform initial and periodic examinations and assessments to determine periodontal status, and formulate a dental hygiene treatment plan in coordination
DH - general
Complete preliminary charting of oral cavity and surrounding structures w/ exception of perio probing and assessment of the perio structure
LDA- general
Make referrals to dentists, physicians, and other practitioners in consultation with a dentist.
DH - general
Obtain informed consent within scope of practice
DH, LDA- general
Take vital signs such as pulse rate and blood pressure as directed by a dentist.
DH, LDA- general
Take photographs extraorally and intraorally
DH, LDA- general
Take radiographs
DH, LDA- general
Perform mechanical polishing to clinical crowns not including instrumentation. Removal of calculus by instrumentation must be done by the dentist or dental hygienist before mechanical polishing.
DH-general
LDA- Indirect
Complete debridement, prophylaxis, and non surgical periodontal therapy
DH- general
Place subgingival medicaments
DH- general
Salivary analysis
DH- general
Nutritional counseling
DH- general
Administer local anesthesia
DH - general
Administer nitrous oxide inhalation analgesia pursuant to the rule provisions
DH- General
LDA- direct
Monitor a patient who has been induced by a dentist into nitrous oxide inhalation analgesia
DH- general
LDA- indirect
Take impressions and a bite registration
DH- general
LDA - general
Fabrication and delivery of custom fitted trays
DH- general
Etch appropriate enamel surfaces, apply and adjust pit and fissure sealants
DH-general
LDA- Indirect
Remove marginal overhangs
DH - general
Place and remove rubber dam
LDA- indirect
Place and remove isolation devices or materials for restorative purposes
DH- general
Place and remove matrix bands- LDA
place and remove matrix systems and wedges- DH
DH- general
LDA- direct
Fabrication, placement, replacement, cementation, and adjustment of temporary crowns or restorations.
DH- general
Fabricate, cement, and adjust temporary crowns/restorations extraorally and intraorally.
LDA- direct
Place temporary fillings (not including temporization of inlays, onlays, crowns, and bridges).
LDA- general
Recement intact temporary restorations
LDA- general
Remove temporary crowns or restorations with hand instruments only
DH- general
LDA- direct
Remove excess cement from inlays, crowns, bridges, or orthodontic appliances (with hand instruments only- LDA).
DH- general
LDA- indirect
Polish restorations
DH- general
Apply topical fluoride, including foam, gel, or varnish.
DH, LDA- general
Apply topical medications, including bleaching agents, cavity varnishes, and desensitizing agents
DH- general
Apply topical medications, including bleaching agents and cavity varnishes- as prescribed by dentist.
LDA- indirect
Remove sutures
DH- general
LDA- indirect
Place nonsurgical retraction material for gingival displacement.
DH- general
LDA- direct
Place and remove periodontal dressings
DH- general
LDA- indirect
Dry root canals with paper points
LDA- indirect
Place cotton pellets and temporary restorative materials into endodontic openings
LDA- indirect
Place and remove elastic orthodontic separators
DH, LDA- general
Preselect orthodontic bands
DH-general
LDA- Indirect
Etch appropriate enamel surfaces before bonding of orthodontic appliances by a dentist.
DH, LDA- direct
Attach prefit and preadjusted orthodontic appliances
DH, LDA- direct
Remove excess bond material from orthodontic appliances.
DH - general
LDA - direct
Cut arch wires, remove loose bands, or remove loose brackets on orthodontic appliances.
DH: General supervision
LDA: General supervision
Place initial arch wires on orthodontic appliances. A dentist must select and, if necessary, adjust arch wires prior to placement.
DH, LDA- indirect
Remove and replace ligature ties and arch wires on orthodontic appliances
DH-general
LDA- General
Remove fixed orthodontic bands and brackets
DH, LDA- direct
Remove bond material from teeth with rotary instruments after removal of orthodontic appliances.
DH, LDA - direct
Deliver vacuum-formed orthodontic retainers.
DH, LDA- general
Maintain and remove intravenous lines under supervision of dentist holding a valid general anesthesia or moderate sedation certificate
DH: Indirect supervision
LDA: Indirect supervision
Monitor a patient during each phase of general anesthesia or moderate sedation using noninvasive instrumentation under supervision of dentist holding a valid general anesthesia or moderate sedation certificate
DH, LDA - indirect
Initiate and place an intravenous line in preparation for intravenous medications and sedation under supervision of dentist holding a valid general anesthesia or moderate sedation certificate.
DH, LDA- direct
Concurrently perform supportive services if the dentist holds a valid general anesthesia or moderate sedation certificate, is personally treating a patient, and authorizes the allied dental personnel to aid in treatment including the administration of med
DH, LDA - personal
Perform restorative procedures limited to: placing, contouring, and adjusting amalgam
restorations and glass ionomers; adapting and cementing stainless steel crowns; and placing,
contouring, and adjusting class I, II, & V supragingival composite restorati
DH, LDA- indirect
General supervision
The dentist has prior knowledge and has given consent for the procedures being performed during which the dentist is not required to be present in the dental office or on premises
Indirect supervision
The dentist is in the office, authorizes the procedures, and remains in the office while the procedures are being performed by the allied dental personnel.
Direct supervision
The dentist is in the office, personally diagnoses the condition to be treated, personally authorizes the procedure, and before dismissal of the patient, evaluated the performance of the allied dental personel.
Personal supervision
The dentist is personally operating on a patient and authorizes the allied dental personnel to aid treatment by concurrently performing a supportive procedure.