W. Va. Code R. § 5-13-4 - Expanded duties of Dental Assistants

Current through Register Vol. XXXIX, No. 11, March 18, 2022

4.1.
(a) The following duties and/or intra-oral tasks may be assigned by a licensed dentist to a dental hygienist and/or assistant in the licensed dentist's employment, provided that under no circumstances can an assistant use a power-driven instrument of any type intra-orally except as specifically set forth hereinafter:
(1) Placing, exposing, developing, and mounting dental radiographs;
(2) Placing and removing rubber dams;
(3) Charting existing restorations and missing teeth;
(4) Holding and removing materials, trays, strips, and sutures previously placed in the patient's mouth by the dentist;
(5) Removing excess cement from coronal surfaces of teeth without the use of rotating, power-driven or scaling instruments;
(6) Taking impressions for study cast and pouring models;
(7) Recording medical and dental histories for interpretation by the supervising dentist;
(8) Providing pre- and post-treatment instructions:
(9) Viewing the oral cavity and reporting the symptoms/problems to the supervising dentist;
(10) Performing pulp vitality testing (thermal or electrical) wit ha final evaluation by the supervising dentist;
(11) Inserting and adjusting athletic mouth guards and bleaching trays with a final evaluation by the supervising dentist;
(12) Removing periodontal dressings with a final evaluation by the supervising dentist;
(13) Placing and removing matrices after a final evaluation by the supervising dentist;
(14) Applying topical anesthetic agents with prior approval by the supervising dentist;
(15) Applying topical a nticariogenic agents after successful completion of a board-approved course and examination and with prior approval of the supervising dentist;
(16) Applying pit and fissure sealants after successful completion of a board-approved course and examination and with a final evaluation by the supervising dentist;
(17) Applying cavity liners and bases with a final evaluation by the supervising dentist;
(18) Removing soft tissue dressings with a final evaluation by the supervising dentist;
(19) Fabricating and cementing temporary crowns and bridges with a final evaluation by the supervising dentist;
(20) Placing and removing temporary restorations by a non power-driven method with a final evaluation by the supervising dentist;
(21) Taking intra- and extra-oral photographs;
(22) Chemical conditioning of the tooth to accept a restoration and/or bracket by topical application after successful completion of a board-approved course and examination;
(23) Using a power-driven hand piece with rubber cup and/or brush only for preparing a tooth for accepting a restoration and/or appliance, which shall in no way be represented to the patient as a prohylaxis, after successful completion of a board-approved course and examination;
(24) Placing retraction cords for crown impressions after successful completion of a board-approved course and examination and with prior approval of the supervising dentist;
(25) Taking final impressions for fixed or removable prosthesis and/or appliance with a final evaluation by the supervising dentist;
(26) Checking for loose orthodontic appliances with a final evaluation by the supervising dentist;
(27) Taking orthodontic measurements with a final evaluation by the supervising dentist;
(28) Fitting bands and brackets prior to final cementation and/or bonding by the supervising dentist;
(29) Bending archwires with a final evaluation by the supervising dentist at the time of placement;
(30) Placing or removing temporary space maintainers, orthodontic separating devices, ligatures, brackets and bands with a final evaluation by the supervising dentist at the time of placement or removal, after completion of a board-approved course and examination;
(31) Removing loose or broken bands, brackets or archwires when directed by the supervising dentist;
(32) Visually monitoring a nitrous oxide analgesia unit. A dental assistant or hygienist must successfully complete a board-approved course, and examination, and maintain current certification with the American Red Cross' or the American Heart Association's Cardio-Pulmonary Resuscitation (CPR) program to perform this duty.
(b) A dental assistant who has completed two years and at least three thousand hours of clinical experience in a dental office, as attested to by the supervising dentist, and who has a restorative expanded duties or orthodontic expanded duties certificate issued by the Board, and has successfully completed a coronal polishing course approved by the Board, may apply to the Board for a certificate to perform supragingival and coronal polishing on children under 21 years of age using a slow speed hand piece with a rubber cup.

Notes

W. Va. Code R. § 5-13-4

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