Hawaii Administrative Rules › Title 16 - DEPARTMENT OF COMMERCE AND CONSUMER AFFAIRS › Chapter 79 - DENTISTS AND DENTAL HYGIENISTS › Subchapter 7 - DENTAL ASSISTANTS AND LICENSED DENTAL HYGIENISTS › Section 16-79-69.1 - Allowable duties and training for a dental assistant

Current through June, 2024
(a)
				A dental assistant may perform the following supportive dental procedures under
				the direct supervision, direction, evaluation, and responsibility of a licensed
				dentist:
(1) Assisting the licensed dentist
				who is actually performing a dental procedure on the patient, that includes:
				preparing procedural trays/armamentaria set-ups; retracting a patient's oral
				tissues to maintain the field of operation during the dental procedure;
				removing debris, as is normally created and accumulated during or after
				operative procedures by the dentist; placing and removing the rubber dam;
				mixing dental materials; and transferring dental instruments or any other
				concept of four-handed dentistry the dentist requires to perform the
				procedure;
(2) Assisting the
				licensed dental hygienist in the performance of the duties of the dental
				hygienist; provided the assistance does not include procedures included in
				section 16-79-69.5 and section
				16-79-69.10;
(3) Collecting medical and dental histories,
				taking intra-oral and extra-oral photographs, and recording or charting
				clinical findings as dictated by the licensed dentist or dental
				hygienist;
(4) Completing
				prescription and authorization forms for drug or restorative, prosthodontic or
				orthodontic appliance for the supervising licensed dentist whereby the dentist
				signs the forms;
(5) Conducting
				mouth mirror supragingival inspections and reporting observations to the
				supervising licensed dentist; provided that this is not interpreted as an oral
				cancer screening;
(6) Exposing,
				processing, mounting, and labeling radiographs;
(7) Making impressions for study casts,
				opposing models, occlusal appliances (e.g., splints, bite guards), mouth
				guards, orthodontic retainers, and medicament trays;
(8) Making intra-oral measurements for
				orthodontic procedures, performing the preliminary selection and sizing of
				bands; checking for loose bands and bonded brackets; placing and removing
				orthodontic separators, ligature ties, and inter-arch elastics (i.e., chain
				elastics and rubber bands); fitting and removing head appliances; and removing
				arch wires;
(9) Measuring and
				recording vital signs;
(10)
				Monitoring the nitrous oxide/oxygen unit and reporting to the supervising
				dentist any adverse observations, provided the licensed dentist evaluates,
				initiates, and administers the sedation;
(11) Placing matrix retainers;
(12) Placing non-aerosol topical
				anesthetics;
(13) Relating
				pre-operative and post-operative instructions, and patient education in oral
				hygiene as instructed by the supervising licensed dentist or dental
				hygienist;
(14) Removing dressing
				and sutures;
(15) Removing excess
				supragingival cement after a licensed dentist has placed a permanent or
				temporary prosthetic restoration, appliance, or orthodontic bands with hand
				instruments; and
(16) Performing a
				try-in with any removable prosthetic or orthodontic appliance, provided the
				supervising licensed dentist makes the adjustments.