30 Miss. Code. R. 2301-1.13 - BOARD REGULATION NUMBER 13-SUPERVISION AND DELEGATION OF DUTIES TO AUXILIARY PERSONNEL
Purpose: Pursuant to the provisions of Miss. Code Ann. §§ 73-9-3(i), 73-9-5(2), and 73-9-13, to define the type of supervision required for dental auxiliaries and to further determine procedures which require the professional judgment and skill of a dentist and which, as such, may not be delegated to auxiliary personnel.
1. Supervision of Dental Auxiliaries
A. Direct Supervision.
B. General Supervision.
2. Delegation of Duties to Dental Auxiliaries
The Board has determined that the following procedures may not be delegated to dental auxiliary personnel.
A. Periodontal screening and probing, or
subgingival exploration for hard and soft deposits and sulcular irrigations to
dental assistants and/or dental hygienists not licensed by the State of
Mississippi; may be performed by licensed Mississippi dental
hygienists.
B. The use of
ultrasonic and/or sonic instruments to dental assistants and/or dental
hygienists not licensed by the State of Mississippi; may be performed by
licensed Mississippi dental hygienists.
C. Pursuant to Miss. Code
Ann. §
73-9-3,
the removal of calcareous deposits with an instrument by anyone other than a
licensed Mississippi dental hygienist.
D. The taking of any impression of the human
mouth or oral structure that will be used in the restoration, repair, or
replacement of any natural or artificial teeth or for the fabrication or repair
of any dental appliance. The Board has further determined that impressions for
study models and opposing models, and the construction, adjustment, and
cementation of temporary crowns (temporary means crowns placed while permanent
restoration is being fabricated) do not require the professional judgment and
skill of a dentist and may be delegated to competent dental auxiliary personnel
in accordance with §
73-9-3.
E. The placement, cementation, or final
torquing of inlays, permanent crowns, fixed bridges, removable bridges, partial
dentures, full dentures, or implant abutments.
F. The equilibration or adjustment of
occlusion on natural or artificial dentition, restoration, or
sealants.
G. The activation or
adjustment of orthodontic appliances.
H. Injections of drugs, medication, or
anesthetics by those not authorized by Mississippi law and Rule
1.30 - Board Regulation 30 to
administer such agents; except, a Mississippi licensed dental hygienist may
administer local anesthetics under the supervision of a Mississippi licensed
dentist physically on the premises, upon meeting the following conditions:
1. The dental hygienist successfully
completes an ADA CODA-accredited course in the administration of local
anesthesia which includes didactic and clinical components covering block and
infiltration techniques.
2. The
dental hygienist successfully completes an examination in local anesthesia
administered by CDCA-WREB-CITA, or its successor examination, or other
substantially equivalent state or regional examination as determined by the
Board.
3. The dental hygienist
submits a complete application to the Board for certification to administer
local anesthesia with payment of a $50.00 initial certification fee. Renewal of
the certification shall occur on a biennial basis concurrent with license
renewal and shall be subject to the same conditions for renewal in Rule
1.37 - Board Regulation 37,
subsection "1". The fee for renewal shall be $25.00.
4. The Board issues the dental hygienist a
certification to administer local anesthesia upon verification of the dental
hygienist's compliance with subsections "1" through "3" above.
5. Administration of local anesthesia by the
dental hygienist shall be documented in the patient's record and include the
following:
a. Name and amount of local
anesthesia administered.
b. Date
and time that local anesthesia was administered.
c. Name of the dental hygienist that
administered the local anesthesia.
The authorization of the dental hygienist to administer local anesthesia shall not be interpreted to expand and/or amend the dental hygienist's scope of practice defined in Miss. Code Ann. § 73-9-5.
I. Performing pulp
capping, pulpotomy and other endodontic therapy.
J. Intraoral restorative
procedures.
K. Placement of any
subgingival medicated cords. However, the placement of periodontal treatment
agents may be performed by licensed Mississippi dental
hygienists.
Notes
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