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Various tasks that dental assistants (DA) and dental hygienists (DH) can perform under direct or indirect supervision. It also includes emergency remediable tasks and requirements for administering local anesthesia in Florida. The tasks range from polishing amalgams to root planing and taking impressions for study models. The document also specifies which tasks can be performed by DAs who have received on-the-job training.
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Prepare a tooth with condition agents for placement of sealants or orthodontic appliances (DA) - ✓✓✓Direct Charting existing oral conditions (DA) - ✓✓✓Direct Packing and removing retraction cord w/o vasoconstrictors (DA) - ✓✓✓Direct Removing and re-cementing properly contoured and fitted loose bands (DA) - ✓✓✓Direct Place or remove temp restorations w/ non mechanical hand instruments (DA) - ✓✓✓Direct Polish amalgams, not changing contour only w/ slow speed handpiece (DA) - ✓✓✓Direct Polish clinical crowns (DA) - ✓✓✓Direct Remove excess cement from dental restorations & appliances w/ non-mechanical hand instruments only (DA) - ✓✓✓Direct Select & pre-size archwires as long as dentist makes final adjustment (DA) - ✓✓✓Direct Select & pre-size ortho bands, but not fit bands (DA) - ✓✓✓Direct Select prescribed extra oral appliances, does not include final adjustment (DA) - ✓✓✓Direct Cementing temp crown & bridges w/ temp cement (DA) - ✓✓✓Direct Fabricating temp crowns & bridges intraorally (w/o adj occl) (DA) - ✓✓✓Direct Inserting & removing alveolar dressings (DA) - ✓✓✓Direct Monitoring Nitrous Oxide (DA) - ✓✓✓Direct Making Impressions for study models to fabricate ortho retainers (DA) - ✓✓✓Direct Taking impressions for and delivery of at-home bleaching trays (DA) - ✓✓✓Direct Taking impression for passive appliance, occlusal guards, space maintainers and protective mouth guards (DA) - ✓✓✓Direct
Changing Bleach pellets (DA) - ✓✓✓Direct, who received on-the-job training Applying topical anesthetics & anti-inflammatory agents which are not applied by aerosol or jet spray (DA) - ✓✓✓Direct, who received on-the-job training Removing excess cement from ortho appliances with hand instruments (DA) - ✓✓✓Indirect, who received on-the-job training Taking/recording pts vital signs (DA) - ✓✓✓Indirect, who received on-the-job training Irrigation and evacuation of debris (But not endo) (DA) - ✓✓✓Indirect, who received on- the-job training Placing/removing cotton rolls (DA) - ✓✓✓Indirect, who received on-the-job training Retracting lips, cheeks, tongue (DA) - ✓✓✓Indirect, who received on-the-job training Making impressions for study casts which are NOT being made for the purpose of fabricating any intro-oral appliances, restorations or ortho appliances (DA) - ✓✓✓Indirect Making impressions to be used for creating opposing models or the fabrication of bleaching stents, at home topical fluoride trays, and surgical stents for palatal coverage (DA) - ✓✓✓Indirect Applying cavity liners, varnishes or bases (DA) - ✓✓✓Indirect Applying topical fluorides, including fluoride varnishes (DA) - ✓✓✓Indirect Applying sealants (DA) - ✓✓✓Indirect Placing/removing matrices (DA) - ✓✓✓Indirect Placing/removing rubber dams (DA) - ✓✓✓Indirect Placing/removing perio dressings (DA) - ✓✓✓Indirect Removing surgical dressings (DA) - ✓✓✓Indirect Placing/removing prescribed pre-treatment separators (DA) - ✓✓✓Indirect Positioning & exposing x-rays (DA) - ✓✓✓Indirect Removing sutures (DA) - ✓✓✓Indirect
Irrigation of debris (but no endo) (DH) - ✓✓✓General, who received training in pre- licensure ed or on-the-job Fabricating temp and crown and bridge in the lab (DH) - ✓✓✓General, who received training in pre-licensure ed or on-the-job Applying fluoride varnishes (DH) - ✓✓✓No supervision OHI (DH) - ✓✓✓No supervision Applying topical fluoride (DH) - ✓✓✓General Polishing restorations,which is not for the purpose of changing the existing contour of the tooth and only with: burnishers, slow-speed hand pieces, rubber cups, and bristle brushes (DH) - ✓✓✓General Polishing clinical crowns of the teeth which is not for the purpose of changing the existing contour of the teeth and only using: slow-speed hand pieces, bristle brushes, rubber cups, porte polishers and air-abrasive polishers (DH) - ✓✓✓General Applied sealants (DH) - ✓✓✓General (diff from doc) Placing/removing prescribed pre-treatment separators (DH) - ✓✓✓General (different from doc) Making impressions for bleaching trays, fluoride trays, surgical stents to provide palatal coverage (DH) - ✓✓✓Indirect Taking impressions for and delivery of at home bleaching trays (DH) - ✓✓✓Indirect Taking impressions for passive appliances (mouth guards, space maintainers) (DH) - ✓✓✓Indirect Monitor/remove in-office bleaching materials after bleach placement by dentist (DH) - ✓✓✓Indirect (diff from doc) Cementing temp crown and bridge with temp cement (DH) - ✓✓✓Indirect (diff from doc) Marginating restorations w/ finishing burs, green stones and/or burlew wheels w. slow- speed rotary instruments, which are not for the purpose of changing existing contours or occlusion (DH) - ✓✓✓Indirect (diff from doc) Monitoring Nitrous Oxide, turn off nitrous (DH) - ✓✓✓Indirect (diff from doc) Applying cavity liners, varnishes & bases (DH) - ✓✓✓Indirect
Placing subgingival chlorhexidine & doxycycline or minocycline (DH) - ✓✓✓Indirect Placing/removing rubber dams (DH) - ✓✓✓Indirect Placing/removing matrices (DH) - ✓✓✓Indirect Root planing (DH) - ✓✓✓Indirect Removal of excess remaining bonding adhesive or cement following ortho appliance removal w/slow speed rotary intrument, hand instruments or ultrasonic (DH) - ✓✓✓Indirect Securing/unsecuring arch wires by attaching or removing the fastening device (DH) - ✓✓✓Indirect Taking impressions for study casts which are not being made for the purpose of fabricating any intro-oral appliances, restorations or ortho appliances (DH) - ✓✓✓Indirect Fabricating temp crowns or bridges intra orally, not to include adjustment of occlusion (DH) - ✓✓✓Direct Removing and re-cementing properly fitting loose bands (DH) - ✓✓✓Direct Changing bleach pellets in the internal bleaching process of non-vital, endo treated teeth after the placement of a rubber dam (DH) - ✓✓✓Direct, who received on-the-job training Fabricating temp crowns or bridges intra-orally (w/o adju occlusion) (DH) - ✓✓✓Direct Gingival curettage (DH) - ✓✓✓Direct Inserting or removing post op osteitis dressings (DH) - ✓✓✓Direct Packing/removing retraction cord (No vasoconstictor) (DH) - ✓✓✓Direct Selecting & pre-sizing ortho bands, including the selection of the proper size band for a tooth to be banded which does not include or involve any adapting, contouring, trimming or cementing, or otherwise modifying the band material such that it would constitute fitting the band - ✓✓✓Direct Selecting prescribed extra oral appl (DH) - ✓✓✓Direct Selecting and pre-sizing arch-wires prescribed by the pts dentist (DH) - ✓✓✓Direct