graded A+
Perform preliminary charting of the oral cavity and surrounding structures to include
case histories, perform initial and periodic examinations and assessments to determine
periodontal status, and formulate a dental hygiene treatment plan in coordination with a
dentist's treatment plan. - DH - General
Complete preliminary charting of oral cavity and surrounding structures with exception
of periodontal probing and assessment of the periodontal structure. - LDA - General
Make referrals to dentists, physicians, and other practitioners in consultation with a
dentist. - DH - General
Obtain informed consent within scope of practice. - DH and LDA - General
Take vital signs such as pulse rate and blood pressure as directed by a dentist. - DH
and LDA - General
Take photographs extraorally and intraorally. - DH and LDA - General
Take radiographs. - DH and LDA - General
Perform mechanical polishing to clinical crowns not including instrumentation. Removal
of calculus by instrumentation must be done by the dentist or dental hygienist before
mechanical polishing. - DH - General
LDA - Indirect
Complete debridement, prophylaxis, and nonsurgical periodontal therapy. - DH -
General
Place subgingival medications. - DH - General
Salivary analysis and nutritional counseling. - DH - General
Administer local anesthesia. - DH - General
Administer nitrous oxide inhalation analgesia pursuant to the rule provisions. - DH -
General
LDA - Direct
Monitor a patient who has been induced by a dentist into nitrous oxide inhalation
analgesia. - DH - General
LDA - Indirect
Take impressions and a bite registration. - DH and LDA - General
Fabrication and delivery of custom fitted trays. - DH - General
Etch appropriate enamel surfaces, apply and adjust pit and fissure sealants. - DH -
General
LDA - Indirect
Remove marginal overhangs. - DH - General
Place and remove rubber dam. - LDA - Indirect
Place and remove isolation devices or materials for restorative purposes. - DH -
General
Place and remove matrix bands. - LDA - Direct
Place and remove matrix systems and wedges. - DH - General
, Fabrication, placement, replacement, cementation, and adjustment of temporary crowns
or restorations. - DH - General
Fabricate, cement, and adjust temporary crowns or restorations extraorally or
intraorally. - LDA - Direct
Place temporary fillings (not including temporization of inlays, onlays, crowns, and
bridges). - LDA - General
Recement intact temporary restorations. - LDA - General
Remove temporary crowns or restorations with hand instruments only. - DH - General
LDA - Direct
Remove excess cement from inlays, crowns, bridges, or orthodontic appliances (with
hand instruments only - LDA) - DH - General
LDA - Indirect
Polish restorations. - DH - General
Apply topical fluoride, including foam, gel, or varnish. - DH and LDA - General
Apply topical medications, including bleaching agents, cavity varnishes, and
desensitizing agents. - DH - General
Apply topical medications, including bleaching agents and cavity varnishes - as
prescribed by the dentist. - LDA - Indirect
Remove sutures. - DH - General
LDA - Indirect
Place nonsurgical retraction material for gingival displacement. - DH - General
LDA - Direct
Place and remove periodontal packs. - DH - General
LDA - Indirect
Dry root canals with paper points. - LDA - Indirect
Place cotton pellets and temporary restorative materials into endodontic openings. -
LDA - Indirect
Place and remove elastic orthodontic separators. - DH and LDA - General
Preselect orthodontic bands. - DH - General
LDA - Indirect
Etch appropriate enamel surfaces before bonding of orthodontic appliances by a dentist.
- DH and LDA - Direct
Attach prefit and preadjusted orthodontic appliances. - DH and LDA - Direct
Remove excess bond material from orthodontic appliances. - DH - General
LDA - Direct
Cut arch wires, remove loose bands, or remove loose brackets on orthodontic
appliances. - DH and LDA - General
Place initial arch wires on orthodontic appliances. A dentist must select and, if
necessary, adjust arch wires prior to placement. - DH and LDA - Indirect
Remove and replace ligature ties and existing arch wires on orthodontic appliances. -
DH and LDA - General
Remove fixed orthodontic bands and brackets. - DH and LDA - Direct
Remove bond material from teeth with rotary instruments after removal of orthodontic
appliances. - DH and LDA - Direct
Deliver vacuum-formed orthodontic retainers. - DH and LDA - General