A dental hygienist may engage in public
health practice rendering all services provided in subsection 6.1.(c) of this
section allowed under general supervision and as provided below:
(a) The dental hygienist shall submit
application to the Board for Public Health Practice. The application fee shall
be equal to the fees charged for expanded duties certificates.
(b) The dental hygienist shall have two years
and three thousand hours of clinical dental hygiene experience.
(c) The dental hygienist shall, in addition
to the twenty hours required for dental hygiene licensure, complete six hours
of continuing education during each continuing education cycle which must
include three hours in medical emergencies and three hours in general public
(d) The dental
hygienist and supervising dentist shall submit an annual report to the Board of
(e) The dental
hygienist, in cooperation with the supervising dentist, shall have a written
plan for referral, recording conditions that should be called to the attention
of the dentist.
(f) A licensed
dentist may not supervise more than four dental hygienists engaged in public
utilized for oral prophylaxis, sealant placement, or both, shall have adequate
lighting, suction and isolation of teeth.
(h) The dental hygienist may engage in public
health practice, consistent with conditions outlined above, in the following
settings; hospitals, schools, correctional facilities, jails, community
clinics, long term care facilities, nursing homes, home health agencies, group
homes, state institutions under the Department of Health and Human Resources,
public health facilities, homebound settings and accredited dental hygiene
applications and reporting forms shall be provided by the Board.
The following procedures may be performed
by a dental hygienist with no supervision of a licensed dentist:
(1) Dental health education;
(2) Nutritional counseling;
(3) Preparing a generalized oral screening
with subsequent referral to a dentist;
(4) Applying flouride;
(5) Charting existing restorations and
medical and dental histories;
Recording periodontal findings ; and
(8) Complete dental prophylaxis, which may
include supra- and subgingival scaling of teeth and polishing of coronal and/or
exposed surfaces of teeth. The dental hygienist and a licensed dentist shall
attempt to reach a collaborative agreement regarding such treatment. If such an
agreement cannot be reached then the dental hygienist shall have a written
order from a licensed dentist prescribing such treatment.
No person shall do any of the following:
(1) Practice dental hygiene in a manner that
is separate or otherwise independent from a supervising dentist:
(2) Establish or maintain an office or
practice that is primarily devoted to the provision of dental hygiene services;
(3) Administer local anesthesia
under public health practice permit.