Ohio Administrative Code › Title 4715 - State Dental Board › Chapter 4715-11 - Qualified Personnel › Section 4715-11-02 - Basic qualified personnel; functions

Current through all regulations passed and filed through July 1, 2024
(A) Basic qualified personnel must be trained
			 directly via an employer/dentist, via in-office training, and/or via a planned
			 sequence of instruction in an educational institution.
(B) Under the direct supervision of the
			 licensed dentist, the basic qualified personnel may perform basic remediable
			 intra-oral and extra-oral tasks and/or procedures including the following, but
			 do not include any advanced remediable intra-oral tasks and/or procedures as
			 defined in rule
			 4715-11-04
			 of the Administrative Code.
(1) Aspiration
			 and retraction.
(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 and detection.
(8)
			 Periodontal susceptibility and detection (excluding procedures that enter the
			 gingival sulcus: eg. periodontal probing paper points).
(9) Demonstration of oral hygiene procedures,
			 including, but not limited to, use of toothbrushes and dental floss.
(10) Shade selection for fabrication of
			 appliances or restorations.
(11)
			 Application of topical anesthetics.
(12) Pulp testing.
(13) Fluoride application.
(14) Topical applications of desensitizing
			 agents to teeth.
(15) Application
			 and removal of periodontal dressings.
(16) Suture removal.
(17) Placement of rubber dam over preplaced
			 clamp, and removal of clamp and rubber dam.
(18) Application of cavity varnish.
(19) Impression, fabrication, cementation and
			 removal of provisional restorations, not to include palliative or sedative
			 restorations.
(20)
									Retraction of the gingival tissue prior to the final
			 impression which is performed by the licensed, supervising
			 dentist.
(21) Preliminary selection and sizing of stainless
			 steel crowns.
(22) Preliminary selection and sizing of orthodontic
			 bands and arch wires.
(23) Checking for and
			 removal of loose orthodontic bands and loose brackets.
(24)
			 Intra-oral bite registrations for diagnostic model articulation, restorations,
			 and appliances.
(25) Irrigation and drying of canals during endodontic
			 procedures.
(26) Placement of medication in the pulp chamber(s) of
			 teeth with non-vital pulp or instrumented root canals.
(27)
			 Placement and removal of surgical dressings.
(28) Placement and
			 removal of orthodontic arch wires, auxiliary arch wires, and ligation of same
			 to orthodontic bands and/or brackets.
(29) Placement and
			 removal of orthodontic separators and ties.
(30) Polymerization
			 of light-activated restorative or bonding materials.
(31) All supportive
			 services necessary to the maintenance of a hygienic practice environment,
			 including, but not limited to, all sterilizing procedures.
(32)
			 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.
(33) 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.
(34)
			 All extra-oral supportive laboratory procedures, including, but not limited to:
(a) Repair, construction and finishing of
			 metallic and plastic prosthetic devices; and
(b) Compilation of radiographic data for
			 interpretation by the dentist, i.e., tracings, etc.
(35)
			 The preparation of materials, drugs and medications for use in dental
			 procedures, including, but not limited to:
(a)
			 Palliative materials;
(b)
			 Impression materials; and
(c)
			 Restorative materials.
(36) 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.
(37) All non-invasive
			 supportive services normally utilized in conjunction with the treatment by the
			 dentist of fascia pain or TMJ syndrome.
(38) 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.
(39) Impressions for removable or fixed orthodontic
			 appliances.
(40) Nitrous oxide-oxygen (N2O-O2) minimal sedation
			 monitoring - A dental assistant may monitor
			 N2O-O2 minimal sedation as
			 defined in rule
			 4715-3-01 of the
			 Administrative Code if all of the following requirements are met:
(a) The dental assistant must be at least
			 eighteen years of age.
(b) The
			 dental assistant has at least two years and three thousand hours of experience
			 in the practice of dental assisting.
(c) The dental assistant has completed a
			 basic life-support training course certified by the American heart association,
			 the American red cross, or the American safety and health institute, and
			 remains current at all times when monitoring N2
			 O-O2 minimal sedation.
(d) The dental assistant has successfully
			 completed a six-hour course in
			 N2O-O2 minimal sedation
			 monitoring as defined in rule
			 4715-11-02.1 of the
			 Administrative Code. A certificate, documenting successful completion of the
			 course, must be provided to the dental assistant by the permanent sponsor
			 within ten days. This original certificate or a copy must be maintained in the
			 office(s) wherein the dental assistant is employed. The course must be taken
			 through a permanent sponsor.
(e)
			 Under no circumstances may the dental assistant administer, adjust, or
			 terminate N2O-O2 minimal
			 sedation.
(f) The dental assistant
			 shall not monitor more than one patient at a time.
(g) The dental assistant shall physically
			 remain with the patient at all times.
(h) The supervising dentist approves
			 discharge of the patient.
(i)
			 Nothing in this rule shall be construed to allow the dental assistant to
			 administer N2O-O2 minimal
			 sedation.