Delegated duties

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.