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(126th General Assembly)
(Substitute House Bill Number 311)
To amend section 4715.39 of the Revised Code to allow a dental assistant to apply pit and fissure sealants.
Be it enacted by the General Assembly of the State of Ohio:
That section 4715.39 of the Revised Code be amended to read as follows:
Sec. 4715.39. (A) The state dental board
that may be performed by dental assistants and other
individuals designated by the board as qualified personnel.
duties shall be defined in
rules adopted in
accordance with Chapter 119. of the Revised
Code. The rules
include training and practice standards for
personnel. The standards
and issuance of
a certificate. If the board
issues a certificate,
the recipient shall
display the certificate
in a conspicuous
location in any office in which the
perform the duties authorized by the certificate.
(B) A dental assistant may
clinical crowns of teeth if all of the following
requirements are met:
(1) The dental assistant's polishing activities are limited
to the use of
a rubber cup attached to a slow-speed rotary dental
hand piece to remove soft deposits that build up over time on the crowns of teeth.
(2) The polishing is performed only after a dentist has evaluated the patient and any calculus detected on the teeth to be polished has been removed by a dentist or dental hygienist.
(3) The dentist supervising the assistant supervises not
more than two
dental assistants engaging in polishing activities
at any given time.
(4) The dental assistant is certified by the dental
board or the Ohio commission on dental
(5) The dental assistant receives a certificate from the
the assistant to engage in the polishing
activities. The board
shall issue the
certificate if the
individual has successfully
completed training in the polishing of
clinical crowns through a program
accredited by the American dental association commission on
dental accreditation or equivalent training
approved by the board.
The training shall
include courses in basic dental anatomy and
control, followed by a course in coronal polishing that
preclinical, and clinical
training; any other
required by the board; and a skills assessment that
completion of standardized testing. The board shall adopt rules pursuant to division (A) of this section establishing standards for approval of this training.
(C) A dental assistant may apply pit and fissure sealants if all of the following requirements are met:
(1) A dentist evaluates the patient and designates the teeth and surfaces that will benefit from the application of sealant on the day the application is to be performed.
(2) The dental assistant is certified by the dental assisting national board or the Ohio commission on dental assistant certification.
(3) The dental assistant has successfully completed a course in the application of sealants consisting of at least two hours of didactic instruction and six hours of clinical instruction through a program provided by an institution accredited by the American dental association commission on dental accreditation or a program provided by a sponsor of continuing education approved by the board.
(4) The dentist supervising the assistant has observed the assistant successfully apply at least six sealants.
(5) The dentist supervising the assistant checks and approves the application of all sealants placed by the assistant before the patient leaves the location where the sealant application procedure is performed.
(D) Subject to this section and the applicable rules of the board, licensed dentists may
assign to dental assistants and other qualified personnel dental
procedures that do not
require the professional competence or
skill of the licensed
dentist, a dental hygienist, or an expanded function dental auxiliary as this section or the board by
dental assistants and other qualified
perform. The performance of dental procedures by
assistants and other qualified personnel shall be under direct
supervision and full
responsibility of the licensed dentist.
(D)(E) Nothing in this section shall be construed by rule of
state dental board or otherwise to do the following:
(1) Authorize dental assistants or other qualified
to engage in the
practice of dental hygiene as defined by sections
4715.23 of the Revised Code or to perform the duties
of a dental
hygienist, including the removal of calcarious
deposits, dental cement, or
accretions on the crowns and roots of teeth other than as authorized pursuant to this section;
(2) Authorize dental assistants or other qualified personnel to engage in the practice of an expanded function dental auxiliary as specified in section 4715.64 of the Revised Code or to perform the duties of an expanded function dental auxiliary other than as authorized pursuant to this section.
the assignment of any of the following:
(b) Treatment planning and prescription,
prescription for drugs and medicaments or
restorative, prosthodontic, or orthodontic
(c) Surgical procedures on hard or soft tissue of the
cavity, or any other intraoral procedure that contributes to
results in an irremediable alteration of the oral anatomy;
(d) The making of final impressions from which casts are
construct any dental restoration.
(E)(F) No dentist shall assign any dental assistant or other
individual acting in the capacity of qualified personnel to
any dental procedure that the assistant or other
individual is not authorized by this section or by board
rule to perform. No dental
assistant or other individual acting in the
capacity of qualified
personnel shall perform any dental
procedure other than in
accordance with this section and any applicable board rule or any dental
procedure that the
assistant or other individual is not authorized
by this section or by board rule to
SECTION 2. That existing section 4715.39 of the Revised Code is hereby repealed.