justicedao/ipfs_state_laws huggingface dataset:
818-038-0010 Authorization to Practice (1) A dental therapist may practice dental therapy only under the supervision of a dentist and pursuant to a collaborative agreement with the dentist that outlines the supervision logistics and requirements for the dental therapist ’ s practice. (2) A dental therapist shall dedicate at least 51 percent of the dental therapist ’ s practice to patients who represent underserved populations, as defined by the Oregon Health Authority by rule, or patients located in dental care health professional shortage areas, as determined by the authority. (3) A dental therapist may perform the procedures listed in OAR 818-038-0020 so long as the procedures were included in the dental therapist’s education program or the dental therapist has received additional training in the procedure through a Board approved course. Statutory/Other Authority: ORS 679 & ORS 679.621 Statutes/Other Implemented: ORS 679.621 & ORS 679.600 History: OBD 1-2022, adopt filed 06/21/2022, effective 07/01/2022
818-038-0022 Additional Functions of Dental Therapists In addition to functions set forth in ORS 679.010, a dental therapist may perform the following functions under the indirect supervision of a licensed dentist: (1) Upon successful completion of a course in intravenous access or phlebotomy approved by the Board, a dental therapist may initiate an intravenous (IV) infusion line for a patient being prepared for IV medications, sedation, or general anesthesia under the indirect supervision of a dentist holding the appropriate anesthesia permit. (2) Upon successful completion of a course in intravenous access or phlebotomy approved by the Board, a dental therapist may perform a phlebotomy blood draw under the indirect supervision of a dentist. Products obtained through a phlebotomy blood draw may only be used by the dentist, to treat a condition that is within the scope of the practice of dentistry. Statutory/Other Authority: ORS 679 Statutes/Other Implemented: ORS 679.600 History: OBD 1-2024, adopt filed 03/08/2024, effective 05/01/2024
818-038-0025 Prohibited Acts A dental therapist may not: (1) Place or Restore Dental Implants or any other soft tissue surgery except as described in 818-038-0020. (2) Prescribe any drugs, unless permitted by ORS 679.010. (3) Use the behavior management techniques of Hand Over Mouth (HOM) or Hand Over Mouth Airway Restriction (HOMAR) on any patient. (4) Perform any dental therapy procedure unless it is documented in the collaborative agreement and rendered under appropriate Oregon Licensed Dentist supervision. (5) Operate a hard or soft tissue Laser. (6) Treat a patient under moderate, deep or general anesthesia. (7) Order a computerized tomography scan. Statutory/Other Authority: ORS 679, ORS 679.603 & ORS 679.010 Statutes/Other Implemented: ORS 679.603 & ORS 679.010 History: OBD 1-2022, adopt filed 06/21/2022, effective 07/01/2022
818-038-0030 Collaborative Agreements (1) A dentist may supervise and enter into collaborative agreements with up to three dental therapists at any one time. (2) A dental therapist may enter into a collaborative agreement with more than one dentist if each collaborative agreement includes the same supervision and requirements of scope of practice. (3) The collaborative agreement must include at least the following information: (a) The level of supervision required for each procedure performed by the dental therapist; (b) Circumstances under which the prior knowledge and consent of the dentist is required to allow the dental therapist to provide a certain service or perform a certain procedure; (c) The practice settings in which the dental therapist may provide care; (d) Any limitation on the care the dental therapist may provide; (e) Patient age-specific and procedure-specific practice protocols, including case selection criteria, assessment guidelines and imaging frequency; (f) Procedures for creating and maintaining dental records for patients treated by the dental therapist; (g) Guidelines for the management of medical emergencies in each of the practice settings in which the dental therapist provides care; (h) A quality assurance plan for monitoring care provided by the dental therapist, including chart review, patient care review and referral follow-up; (i) Protocols for the dispensation and administration of drugs by the dental therapist, (as described in ORS 679.621) including circumstances under which the dental therapist may dispense and administer drugs; (j) Criteria for the provision of care to patients with specific medical conditions or complex medical histories, including any requirements for consultation with the dentist prior to the provision of care; and (k) Protocols for when a patient requires treatment outside the dental therapist’s scope of practice (in accordance with ORS 679.618), including for referral of the patient for evaluation and treatment by the dentist, a physician licensed under ORS chapter 677, a nurse practitioner licensed under ORS 678.375 to 678.390 or other licensed health care provider. (4) In addition to the information described in subsection (3) of this section, a collaborative agreement must include a provision that requires the dental therapist to consult with a dentist if the dental therapist intends to perform an irreversible surgical procedure under general supervision on a patient who has a severe systemic disease. Severe systemic disease is defined as ASA III. Statutory/Other Authority: ORS 679 & ORS 679.618 Statutes/Other Implemented: ORS 679.618 & ORS 679.621 History: OBD 1-2022, adopt filed 06/21/2022, effective 07/01/2022
818-038-0035 Record Keeping (1) A dental therapist shall annually submit a signed copy of their collaborative agreement (s) to the Oregon Board of Dentistry. If the collaborative agreement(s) are revised in between annual submissions, a signed and dated copy of the revised collaborative agreement(s) must be submitted to the board as soon as practicable after the revision is made. (2) The annual submission of the collaborative agreement shall coincide with the license renewal period between August 1 and September 30 each year. (3) A dental therapist shall purchase and maintain liability insurance. Statutory/Other Authority: ORS 679 Statutes/Other Implemented: ORS 679.618 & ORS 679.624 History: OBD 1-2022, adopt filed 06/21/2022, effective 07/01/2022
818-042-0010 Definitions (1) “Dental Assistant” means a person who, under the supervision of a dentist, renders assistance to a dentist, dental hygienist, dental therapist or another dental assistant or renders assistance under the supervision of a dental hygienist providing dental hygiene services. (2) “Expanded Function Dental Assistant” means a dental assistant certified by the Board to perform expanded function duties. (3) “Expanded Function Orthodontic Assistant” means a dental assistant certified by the Board to perform expanded orthodontic function duties. (4) “Direct Supervision” means supervision requiring that a dentist diagnose the condition to be treated, that a dentist authorize the procedure to be performed, and that a dentist remain in the dental treatment room while the procedures are performed. (5) “Indirect Supervision” means supervision requiring that a dentist authorize the procedures and that a dentist be on the premises while the procedures are performed. (6) “General Supervision” means supervision requiring that a dentist authorize the procedures, but not requiring that a dentist be present when the authorized procedures are performed. The authorized procedures may also be performed at a place other than the usual place of practice of the dentist. (7) “Dental Assisting National Board (DANB)” is recognized by the Board as an acceptable testing agency for administering dental assistant examinations for certifications. Statutory/Other Authority: ORS 679 & 680 Statutes/Other Implemented: ORS 679.025(2)(j), 679.250(7) & ORS 679.600 History: OBD 2-2024, amend filed 10/28/2024, effective 01/01/2025 OBD 3-2023, minor correction filed 07/11/2023, effective 07/11/2023 OBD 1-2022, amend filed 06/21/2022, effective 07/01/2022 OBD 1-2004, f. 5-27-04, cert. ef. 6-1-04 OBD 9-1999, f. 8-10-99, cert. ef. 1-1-00
818-042-0020 Dentist, Dental Therapist and Dental Hygienist Responsibility (1) A dentist is responsible for assuring that a dental assistant has been properly trained, has demonstrated proficiency, and is supervised in all the duties the assistant performs in the dental office. Unless otherwise specified, dental assistants shall work under indirect supervision in the dental office. (2) A dental hygienist who works under general supervision may supervise dental assistants in the dental office if the dental assistants are rendering assistance to the dental hygienist in providing dental hygiene services and the dentist is not in the office to provide indirect supervision. A dental hygienist with an Expanded Practice Permit may hire and supervise dental assistants who will render assistance to the dental hygienist in providing dental hygiene services. (3) A dental therapist who works under general supervision may supervise dental assistants in the dental office if the dental assistants are rendering assistance to the dental therapist in providing dental therapy services. (4) The supervising licensee is responsible for assuring that all required licenses, permits or certificates are current and posted in a conspicuous place. (5) Dental assistants who are in compliance with written training and screening protocols adopted by the Board may perform oral health screenings under general supervision. (6) Dental assistants may take physical impressions and digital scans. Statutory/Other Authority: ORS 679 & 680 Statutes/Other Implemented: ORS 679.025(2)(j), 679.250(7) & ORS 679.600 History: OBD 1-2024, amend filed 03/08/2024, effective 05/01/2024 OBD 1-2022, amend filed 06/21/2022, effective 07/01/2022 OBD 2-2016, f. 11-2-16, cert. ef. 3-1-17 OBD 2-2012, f. 6-14-12, cert. ef. 7-1-12 OBD 1-2004, f. 5-27-04, cert. ef. 6-1-04 OBD 9-1999, f. 8-10-99, cert. ef. 1-1-00
818-042-0030 Infection Control The supervising dentist shall be responsible for assuring that dental assistants are trained in infection control, bloodborne pathogens and universal precautions, exposure control, personal protective equipment, infectious waste disposal, Hepatitis B and C and post exposure follow-up. Statutory/Other Authority: ORS 679 Statutes/Other Implemented: ORS 679.140 History: OBD 9-1999, f. 8-10-99, cert. ef. 1-1-00
818-042-0050 Taking of X-Rays — Exposing of Radiographic Images (1) A Licensee may authorize the following persons to place films/sensors, adjust equipment preparatory to exposing films/sensors, and expose the films and create the images under general supervision: (a) A dental assistant certified by the Board in radiologic proficiency; or (b) A radiologic technologist licensed by the Oregon Board of Medical Imaging and certified by the Oregon Board of Dentistry (OBD) who has completed ten (10) clock hours in a Board approved dental radiology course. (2) A licensee may authorize a dental assistant who has completed a course of instruction approved by the Oregon Board of Dentistry, and who has passed the written Dental Radiation Health and Safety Examination administered by the Dental Assisting National Board, or comparable exam administered by any other testing entity authorized by the Board, or other comparable requirements approved by the Oregon Board of Dentistry to place films/sensors, adjust equipment preparatory to exposing films/sensors, and expose the films and create the images under the indirect supervision of a dentist, dental therapist, dental hygienist, or dental assistant who holds an Oregon Radiologic Proficiency Certificate. The dental assistant must submit within six months, certification by an Oregon licensed dentist , dental therapist or dental hygienist that the assistant is proficient to take radiographic images. (3) A dental therapist may not order a computerized tomography scan Statutory/Other Authority: ORS 679 Statutes/Other Implemented: ORS 679.025(2)(j), 679.250(7) & ORS 679.603 History: OBD 1-2022, amend filed 06/21/2022, effective 07/01/2022 OBD 2-2019, amend filed 10/29/2019, effective 01/01/2020 OBD 2-2018, amend filed 10/04/2018, effective 01/01/2019 OBD 2-2016, f. 11-2-16, cert. ef. 3-1-17 OBD 3-2015, f. 9-8-15, cert. ef. 10-1-15 OBD 1-2014, f. 7-2-14, cert. ef. 8-1-14 OBD 4-2011, f. & cert. ef. 11-15-11 OBD 4-2004, f. 11-23-04 cert. ef. 12-1-04 OBD 2-2003, f. 7-14-03 cert. ef. 7-18-03 OBD 9-1999, f. 8-10-99, cert. ef. 1-1-00
818-042-0060 Certification — Radiologic Proficiency (1) The Board may certify a dental assistant in radiologic proficiency by credential in accordance with OAR 818-042-0120, or if the assistant: (2) Submits an application on a form approved by the Board, pays the application fee and: (a) Completes a course of instruction approved by the Oregon Board of Dentistry, in accordance with OAR 333-106-0055 or submits evidence that the Oregon Health Authority, Center for Health Protection, Radiation Protection Services recognizes that the equivalent training has been successfully completed; (b) Passes the written Dental Radiation Health and Safety Examination administered by the Dental Assisting National Board, Inc. (DANB), or comparable exam administered by any other testing entity authorized by the Board, or other comparable requirements approved by the Oregon Board of Dentistry; and (c) Certification by an Oregon licensee that the assistant is proficient to take radiographs. Statutory/Other Authority: ORS 679 Statutes/Other Implemented: ORS 679.020, 679.025, 679.250 & ORS 679.600 History: OBD 1-2022, amend filed 06/21/2022, effective 07/01/2022 OBD 2-2018, amend filed 10/04/2018, effective 01/01/2019 OBD 1-2014, f. 7-2-14, cert. ef. 8-1-14 OBD 3-2013, f. 10-24-13, cert. ef. 1-1-14 OBD 4-2011, f. & cert. ef. 11-15-11 OBD 3-2007, f. & cert. ef. 11-30-07 OBD 3-2005, f. 10-26-05, cert. ef. 11-1-05 OBD 4-2004, f. 11-23-04 cert. ef. 12-1-04 OBD 2-2003, f. 7-14-03 cert. ef. 7-18-03 OBD 9-1999, f. 8-10-99, cert. ef. 1-1-00
818-042-0070 Expanded Function Dental Assistants (EFDA) The following duties are considered Expanded Function Duties and may be performed only after the dental assistant complies with the requirements of 818-042-0080: (1) Polish the coronal surfaces of teeth with a brush or rubber cup as part of oral prophylaxis to remove stains providing the patient is checked by a dentist or dental hygienist after the procedure is performed, prior to discharge; (2) Remove temporary crowns for final cementation and clean teeth for final cementation; (3) Preliminarily fit crowns to check contacts or to adjust occlusion outside the mouth; (4) Place temporary restorative material in teeth providing that the patient is checked by a dentist before and after the procedure is performed; (5) Place and remove matrix retainers for any type of direct restorations; (6) Polish amalgam or composite surfaces with a slow speed hand piece; (7) Remove excess supragingival cement from crowns, bridges, bands or brackets with hand instruments providing that the patient is checked by a dentist after the procedure is performed; (8) Fabricate temporary crowns, and fixed partial dentures (bridges) and temporarily cement the temporary crown or fixed partial dentures (bridges). The cemented crown or fixed partial dentures (bridge) must be examined and approved by the dentist prior to the patient being released; (9) Under general supervision, when the dentist is not available and the patient is in discomfort, an EFDA may recement a temporary crown or recement a permanent crown with temporary cement for a patient of record providing that the patient is rescheduled for follow-up care by a licensed dentist as soon as is reasonably appropriate. Statutory/Other Authority: ORS 679 & 680 Statutes/Other Implemented: ORS 679.020, 679.025 & 679.250 History: OBD 2-2019, amend filed 10/29/2019, effective 01/01/2020 OBD 2-2016, f. 11-2-16, cert. ef. 3-1-17 OBD 3-2015, f. 9-8-15, cert. ef. 10-1-15 OBD 2-2009, f. 10-21-09, cert. ef. 11-1-09 OBD 3-2005, f. 10-26-05, cert. ef. 11-1-05 OBD 1-2004, f. 5-27-04, cert. ef. 6-1-04 OBD 9-1999, f. 8-10-99, cert. ef. 1-1-00
818-042-0080 Certification — Expanded Function Dental Assistant (EFDA) The Board may certify a dental assistant as an expanded function assistant: (1) By credential in accordance with OAR 818-042-0120, or (2) If the assistant submits a completed application, pays the fee and provides evidence of; (a) Certification of Radiologic Proficiency (OAR 818-042-0060); and satisfactory completion of a course of instruction in a program accredited by the Commission on Dental Accreditation; or (b) Certification of Radiologic Proficiency (OAR 818-042-0060); and passage of the Oregon Expanded Functions with Infection Control examination, or equivalent successor examinations, administered by the Dental Assisting National Board, Inc. (DANB), or any other testing entity authorized by the Board, or prior passage of the Certified Dental Assistant examination or Infection Control Examination and passage of the Oregon Expanded Functions General Dental Assisting exam, or equivalent successor examinations, administered by DANB or any other testing entity authorized by the Board; and certification by an Oregon licensed dentist that the applicant has successfully removed supra-gingival excess cement from four (4) crowns and/or fixed partial dentures (bridges) with hand instruments; placed temporary restorative material in three (3) teeth; preliminarily fitted four (4) crowns to check contacts or to adjust occlusion outside the mouth; removed four (4) temporary crowns for final cementation and cleaned teeth for final cementation; fabricated four (4) temporary crowns and/or fixed partial dentures (bridges) and temporarily cemented the crowns and/or fixed partial dentures (bridges); polished the coronal surfaces of teeth with a brush or rubber cup as part of oral prophylaxis in six (6) patients; placed matrix bands on four (4) teeth prepared for Class II restorations. The dental assistant must submit within six months’ certification by a licensed dentist that the dental assistant is proficient to perform all the expanded function duties in subsection (b). If no expanded function certificate is issued within the six months, the dental assistant is no longer able to continue to perform expanded function duties until EFDA certification is achieved. Statutory/Other Authority: ORS 679 Statutes/Other Implemented: ORS 679.250(7) History: OBD 2-2025, amend filed 10/27/2025, effective 12/01/2025 OBD 1-2025, temporary amend filed 06/16/2025, effective 07/01/2025 through 12/27/2025 OBD 2-2024, amend filed 10/28/2024, effective 01/01/2025 OBD 2-2019, amend filed 10/29/2019, effective 01/01/2020 OBD 2-2009, f. 10-21-09, cert. ef. 11-1-09 OBD 1-2004, f. 5-27-04, cert. ef. 6-1-04 OBD 8-2000, f. 6-22-00, cert. ef. 6-29-00 OBD 10-1999(Temp), f. 12-2-99, cert. ef. 1-1-00 thru 6-28-00 OBD 9-1999, f. 8-10-99, cert. ef. 1-1-00
818-042-0090 Additional Functions of EFDAs Upon successful completion of a course of instruction in a program accredited by the Commission on Dental Accreditation of the American Dental Association, or other course of instruction approved by the Board, a certified Expanded Function Dental Assistant may perform the following functions under the indirect supervision of a licensee providing that the procedure is checked by the licensee prior to the patient being dismissed: (1) Apply pit and fissure sealants provided the patient is examined before the sealants are placed. The sealants must be placed within 45 days of the procedure being authorized by a licensee. (2) Apply temporary soft relines to complete dentures for the purpose of tissue conditioning. (3) Place retraction material subgingivally. Statutory/Other Authority: ORS 679 Statutes/Other Implemented: ORS 679.025(2)(j), 679.250(7) & ORS 679.600 History: OBD 1-2022, amend filed 06/21/2022, effective 07/01/2022 OBD 1-2019, minor correction filed 01/04/2019, effective 01/04/2019 OBD 3-2018, minor correction filed 10/22/2018, effective 10/22/2018 OBD 2-2018, amend filed 10/04/2018, effective 01/01/2019 OBD 3-2015, f. 9-8-15, cert. ef. 10-1-15 OBD 1-2014, f. 7-2-14, cert. ef. 8-1-14 OBD 1-2013, f. 5-15-13, cert. ef. 7-1-13 OBD 15-2001, f. 12-7-01, cert. ef. 1-1-02 OBD 9-1999, f. 8-10-99, cert. ef. 1-1-00
818-042-0095 Restorative Functions of Dental Assistants (1) The Board shall issue a Restorative Functions Certificate (RFC) to a dental assistant who holds an Oregon EFDA Certificate, and has successfully completed: (a) A Board approved curriculum from a program accredited by the Commission on Dental Accreditation of the American Dental Association or other course of instruction approved by the Board, and successfully passed the CDCA-WREB-CITA’s Dental Hygiene Restorative Examination or other equivalent examinations approved by the Board within the last five years, or (b) If successful passage of the CDCA-WREB-CITA’s Dental Hygiene Restorative Examination or other equivalent examinations approved by the Board occurred over five years from the date of application, the applicant must submit verification from another state or jurisdiction where the applicant is legally authorized to perform restorative functions and certification from the supervising dentist of successful completion of at least 25 restorative procedures within the immediate five years from the date of application. (2) A dental assistant may perform the placement and finishing of direct restorations, except gold foil, under the indirect supervision of a licensed dentist, after the supervising dentist has prepared the tooth (teeth) for restoration(s): (a) These functions can only be performed after the patient has given informed consent for the procedure and informed consent for the placement of the restoration by a Restorative Functions dental assistant. (b) Before the patient is released, the final restoration(s) shall be checked by a dentist and documented in the chart. Statutory/Other Authority: ORS 679 Statutes/Other Implemented: ORS 679.010 & 679.250(7) History: OBD 2-2024, amend filed 10/28/2024, effective 01/01/2025 OBD 2-2019, amend filed 10/29/2019, effective 01/01/2020 OBD 2-2018, amend filed 10/04/2018, effective 01/01/2019 OBD 1-2013, f. 5-15-13, cert. ef. 7-1-13 OBD 1-2008, f. 11-10-08, cert. ef. 12-1-08 OBD 3-2007, f. & cert. ef. 11-30-07
818-042-0096 Local Anesthesia Functions of Dental Assistants (1) The Board shall issue a Local Anesthesia Functions Certificate (LAFC) to a dental assistant who holds an Oregon EFDA Certificate, and has successfully completed a Board approved curriculum from a program accredited by the Commission on Dental Accreditation of the American Dental Association or other course of instruction approved by the Board. (2) The Board shall issue a Local Anesthesia Functions Certificate (LAFC) to a dental assistant who holds an Oregon Certified Anesthesia Dental Assistant Certificate, and has successfully completed a Board approved curriculum from a program accredited by the Commission on Dental Accreditation of the American Dental Association or other course of instruction approved by the Board. (3) A dental assistant may administer local anesthetic agents and local anesthetic reversal agents under the indirect supervision of a licensed dentist. Local anesthetic reversal agents shall not be used on children less than 6 years of age or weighing less than 33 pounds. Statutory/Other Authority: ORS 679 & ORS 679.500 Statutes/Other Implemented: ORS 679.500 History: OBD 2-2025, amend filed 10/27/2025, effective 12/01/2025 OBD 2-2024, adopt filed 10/28/2024, effective 01/01/2025