Ohio Admin. Code 4715-9-01 - Permissible practices of a dental hygienist
(A) The dental hygienist may perform the
following tasks and/or procedures under the direct supervision of a licensed
dentist if the dental hygienist has completed the requirements set forth in
sections 4715.23,
4715.39, and
4715.231 of the Revised Code and
board rules. The dental hygienist must have 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 remain current at all
times when performing the following tasks and/or procedures:
(1) Administration of intraoral block and
infiltration local anesthesia - Upon completion of the requirements set forth
in sections 4715.23 and
4715.231 of the Revised Code and
rule 4715-9-01.1 of the
Administrative Code, a licensed dental hygienist may administer intraoral block
and infiltration local anesthesia.
(2) Administration (initiate, adjust,
monitor, and terminate) of nitrous oxide-oxygen
(N2O-O2) minimal sedation - Upon
completion of the requirements set forth in section
4715.23 of the Revised Code and
rule 4715-9-01.2 of the
Administrative Code, a licensed dental hygienist may administer
N2O-O2 minimal sedation while
providing treatment if the following requirements are met:
(a) The supervising dentist has evaluated the
patient and prescribed the use of
N2O-O2 minimal sedation.
(b) The
supervising dentist must approve the use of
N2O-O2 minimal sedation
immediately prior to each instance of administration.
(c) The dental hygienist shall not administer
N2O-O2 minimal sedation to more
than one patient at a time.
(d)
The dental hygienist shall physically remain with the patient at all
times.
(e) The supervising dentist
approves the discharge of the patient.
(3) Monitoring nitrous oxide-oxygen
(N2O-O2) minimal sedation - Upon
completion of the requirements set forth in sections
4715.23 and
4715.39 of the Revised Code and
rule 4715-9-01.3 of the
Administrative Code, a licensed dental hygienist may monitor
N2O-O2 minimal sedation while
providing treatment if the following requirements are met:
(a) A satisfactory initiation phase has been
administered by the dentist.
(b)
The dental hygienist shall not monitor more than one patient at a
time.
(c) The dental hygienist
shall physically remain with the patient at all times.
(d) The dental hygienist must document the
supervising dentist's approval for discharge of the patient.
(e) The dental hygienist, who is qualified to
only monitor N2O-O2 minimal
sedation, shall not under any circumstances administer, adjust, or terminate
N2O-O2 minimal sedation.
The completion of all requirements for paragraphs (A)(1) to (A)(3) of this rule shall be documented on a form supplied by the board, with all supporting information attached. This form shall be maintained in the facility(s) where the dental hygienist is working.
(B) The dental hygienist
may perform the following tasks and/or procedures which may be delegated only
to a licensed dental hygienist under the supervision of a licensed dentist:
(1) Removal of calcareous deposits or
accretions from the crowns and roots of teeth.
(2) Periodontal scaling, root planing, and
soft tissue curettage.
(3) Sulcular
placement of prescribed materials.
(4) Bleaching of teeth (excluding procedures
that utilize light amplification by stimulated emission of radiation (LASER)
technologies).
(C) The
dental hygienist may also perform the following tasks and/or procedures under
the supervision of a licensed dentist:
(1)
Polishing of the clinical crown(s) of teeth, including restorations.
(2) Pit and fissure sealants.
(3) Standard, diagnostic, radiologic
procedures for the purpose of contributing to the provision of dental
services.
(D) In
performing advanced remediable restorative intra-oral dental tasks and/or
procedures, the licensed dental hygienist is subject to sections
4715.61 to
4715.66 of the Revised Code and
agency level rules regulating expanded function dental auxiliaries.
(E) In performing basic remediable intra-oral
and extra-oral dental tasks and/or procedures, the licensed dental hygienist is
subject to those rules regulating basic qualified personnel. However, dental
hygienists may engage in the following duties when the dentist is not
physically present, subject to the limitations outlined in divisions (C) and
(D) of section 4715.22 of the Revised Code,
which must be adhered to when performing these duties:
(11)(12) Topical
applications of desensitizing agents to teeth.
(12)(13) Application and
removal of periodontal dressings.
(13)
(14) Intra-oral bite
registrations for diagnostic model articulation.
(14)
(16) All supportive services necessary to the
maintenance of a hygienic practice environment, including, but not limited to,
all sterilizing procedures.
(15)
(17) 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:
(16)
(18) 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:
(17)
(19)
All extra-oral supportive laboratory procedures, including, but not limited to:
(18)
(20)
The preparation of impression materials.
(19)
(21) All patient education services, including, but
not limited to:
(h)
(i) All other
post-operative and post-insertion instructions, as deemed appropriate by the
supervising dentist.
(1) Aspiration and retraction, excluding
placement of gingival retraction materials.
(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 testing.
(8)
Demonstration of oral hygiene procedures, including, but not limited to, use of
toothbrushes and dental floss.
(9)
Application of topical anesthetics.
(10) Fluoride application.
(11)
Application of
fluoride varnish.
(15)
Recementation of
temporary crowns or the recementation of crowns with temporary
cement.
(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.
(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.
(a) Repair, construction and finishing of
metallic and plastic prosthetic devises; and
(b) Compilation of radiographic data for
interpretation by the dentist, i.e., tracings, etc.
(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)
"General
nonmedical nutrition information" which is defined as nutrition information for
the purpose of maintaining good oral health, including but not limited
to:
(i)
Principles of good nutrition and food preparation;
(ii)
Food to be
included in the normal daily diet;
(iii)
Essential
nutrients needed by the body;
(iv)
Recommended
amounts of the essential nutrients;
(v)
Actions of
nutrients on the body;
(vi)
Effects of deficiencies of excesses of
nutrients;or
(vii)
Food and supplements that are good sources of essential
nutrients.
Notes
Promulgated Under: 119.03
Statutory Authority: 4715.03, 4715.39
Rule Amplifies: 4715.22, 4715.23, 4715.231, 4715.39
Prior Effective Dates: 04/05/1977, 04/01/1990, 02/05/1993, 07/25/1993, 03/03/1995, 04/05/1999, 06/17/1999, 05/15/2003, 06/21/2004, 10/09/2006, 12/24/2010, 09/12/2016
Promulgated Under: 119.03
Statutory Authority: 4715.03, 4715.39
Rule Amplifies: 4715.22, 4715.23, 4715.231, 4715.39
Prior Effective Dates: 04-05-77, 04-01-90, 02-05-93, 07-25-93, 03-03-95, 04-05-99, 06-17-99, 05-15-03, 06-21-04, 10-09-06, 12/24/10
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