Ala. Admin. Code r. 270-X-3-.10 - Duties Of Allied Dental Personnel
Allied dental personnel are dental hygienists, dental assistants and dental laboratory technicians.
Subject to the prohibition that no intra-oral procedure can be performed unless under the direct supervision of a duly licensed dentist as defined by Board rule, the following allied dental personnel may perform the following:
(1) Dental Laboratory
Technicians:
(a) No intra-oral duties are
allowable other than assisting the dentist in determining tooth
color.
(2) Dental
Assistants and Dental Hygienists:
(a)
Preliminary charting and inspection of the oral cavity. (Final examination and
diagnosis must be made by a dentist before treatment can be
instituted.)
(b) Apply topical
agents under direct supervision of the dentist.
1. Apply topical anesthetics.
2. Oxygenating Agents. (Excluding endodontic
therapy.)
3. Apply
anti-inflammatory agents.
4. Apply
astringents.
5. Desensitizing
agents.
6. Topical
fluoride.
7. Apply light-cured
medicinal bonding agents.
8. Apply
etchant materials.
(c)
Place and remove rubber dam.
(d)
Place and remove periodontal dressings.
(e) Place and remove alveolar socket
dressings.
(f) Construct and remove
with hand instruments only interim restorations. (Interim restorations being
any restoration placed while a more permanent restoration is being
completed.)
(g) Construct and place
temporary crowns (excluding stainless steel crowns placed with intentions of
reasonable permanency.)
(h) Contour
stainless steel or chrome crowns but cannot cement them.
(i) Pre-fit and pre-contour orthodontic
appliances either extra-orally or intra-orally for final adaptation by the
dentist.
(j) Remove excess cement
with hand instruments from around permanent dental restorations and orthodontic
appliances.
(k) Make impressions
for diagnostic casts or opposing casts.
(l) Place, wedge and remove matrices for
operative dentistry.
(m) Take and
record case history, blood pressure, pulse, and oral temperature.
(n) Remove intraoral sutures. (Excluding wire
sutures.)
(o) Make dental
radiographs or digital images.
(p)
Give oral hygiene instructions including plaque staining, flossing, brushing,
and caries susceptibility tests.
(q) Place cavity liners and bases. (Excluding
capping of exposed pulpal tissues.)
(r) Assist in the administering of N20 and
02.
(s) Insert into the mouth of
the patient wax models of dentures, partial dentures, or any other structures
and make adjustments outside the mouth of the patient to such wax models
pursuant to written or verbal instructions or directions from the dentist;
provided, however,
1. That the dental
hygienist or dental assistant may use these wax models of dentures, partial
dentures or any other structure to register the jaw relationships or occlusal
relationships of the patient, and
2. That before such wax models may be used
for the manufacture of dentures, partial dentures or other structures the
dentist shall personally consult with the patient, examine such wax models, and
make such additional adjustments as may be required.
(t) Insert into the mouth of the patient
dentures, partial dentures, removable orthodontic appliances, prostheses,
devices to treat sleep apnea or anti-snoring devices, or any other structures
and make adjustments outside the mouth of the patient to the dentures,
prostheses (fixed or removable), removable orthodontic appliances, prosthetic
appliances, bridges, or other structures pursuant to written or verbal
instructions or directions from the dentist; provided, however,
1. That before such prostheses (fixed or
removable), removable orthodontic appliances, or other structures are delivered
to the patient leaving the dental office with such removable orthodontic
appliances, prostheses (fixed or removable) or other structures the dentist
shall personally consult with the patient, examine such prostheses (fixed or
removable), removable orthodontic appliances, or other structures, and make
such additional adjustments as may be required; and
2. That final placement and cementation of
all fixed appliances, fixed prostheses and other fixed structures shall be
performed by the dentist.
(u) Apply reversible liners and bases to
prostheses, orthodontic appliances, or any other structures. However, the
dentist shall personally consult with the patient and examiner such liners and
bases, and make such additional adjustments as may be required.
(v) Place and remove gingival retraction
materials.
(w) Make final
impressions for removable and fixed prostheses, orthodontic appliances,
retainers, devices to treat sleep apnea or anti-snoring devices, and
medicament/whitening delivery trays. However, before said impressions may be
used for the manufacture of prostheses and appliances, the dentist shall
examine and approve such impressions for accuracy.
(x) Use laser and/or narrow band (light)
imaging technology for preliminary diagnostic purposes only with the dentist's
final examination and diagnosis.
(3) Dental Hygienists Only:
(a) Remove extrinsic stains, accretions, and
calcareous deposits from teeth.
(b)
Gingival curettage.
(c) Root
planing.
(d) Polish completed
restorations.
(e) Place Pit and
Fissure Sealant and polish and adjust sealant as needed.
(f) Place resorbable chlorhexidine
chips.
(g) Place topical or
sub-gingival antimicrobial or antibacterial agents.
(h) Periodontal probing.
(i) Bleaching of teeth.
Notes
Author: Board of Dental Examiners
Statutory Authority: Code of Ala. 1975, ยงยง 34-9-2, 34-9-6, 34-9-27, 34-9-43.
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