§18374. Dental hygienist

1.  Scope of practice; direct supervision.  A dental hygienist and faculty dental hygienist may perform the following procedures under the direct supervision of a dentist:

A. Administer local anesthesia or nitrous oxide analgesia, as long as the dental hygienist or faculty dental hygienist has authority to administer the relevant medication pursuant to section 18345, subsection 2, paragraph D or E;   [PL 2015, c. 429, §21 (NEW).]

B. Irrigate and dry root canals;   [PL 2015, c. 429, §21 (NEW).]

C. Record readings with a digital caries detector and report them to the dentist for interpretation and evaluation;   [PL 2015, c. 429, §21 (NEW).]

D. Remove socket dressings;   [PL 2015, c. 429, §21 (NEW).]

E. Take cytological smears as requested by the dentist; and   [PL 2015, c. 429, §21 (NEW).]

F. Obtain impressions for nightguards and occlusal splints .   [PL 2017, c. 388, §18 (AMD).]

[PL 2017, c. 388, §18 (AMD).]

2.  Scope of practice; general supervision.  A dental hygienist and faculty dental hygienist may perform under the general supervision of a dentist all of the activities that may be delegated to an unlicensed person pursuant to section 18371, subsection 3, except the activities in section 18371, subsection 3, paragraph C, subparagraphs (6), (17) and (19). A dental hygienist and faculty dental hygienist may also perform the following procedures under the general supervision of a dentist:

A. Prescribe, dispense or administer anticavity toothpastes or topical gels with 1.1% or less sodium fluoride and oral rinses with 0.05%, 0.2%, 0.44% or 0.5% sodium fluoride, as well as chlorhexidine gluconate oral rinse;   [PL 2015, c. 429, §21 (NEW).]

B. [PL 2017, c. 388, §19 (RP).]

C. Apply desensitizing agents to teeth;   [PL 2015, c. 429, §21 (NEW).]

D. Apply fluoride to control caries;   [PL 2015, c. 429, §21 (NEW).]

E. [PL 2017, c. 388, §19 (RP).]

F. Apply sealants;   [PL 2017, c. 388, §19 (AMD).]

G. [PL 2017, c. 388, §19 (RP).]

H. [PL 2017, c. 388, §19 (RP).]

I. [PL 2017, c. 388, §19 (RP).]

J. Expose and process radiographs;   [PL 2015, c. 429, §21 (NEW).]

K. [PL 2017, c. 388, §19 (RP).]

L. [PL 2017, c. 388, §19 (RP).]

M. [PL 2017, c. 388, §19 (RP).]

N. [PL 2017, c. 388, §19 (RP).]

O. Interview patients and record complete medical and dental histories;   [PL 2015, c. 429, §21 (NEW).]

P. [PL 2017, c. 388, §19 (RP).]

Q. [PL 2017, c. 388, §19 (RP).]

R. Obtain bacterial sampling when treatment is planned by the dentist;   [PL 2015, c. 429, §21 (NEW).]

S. Perform all procedures necessary for a complete prophylaxis, including root planing;   [PL 2015, c. 429, §21 (NEW).]

T. [PL 2017, c. 388, §19 (RP).]

U. Perform complete periodontal and dental restorative charting;   [PL 2015, c. 429, §21 (NEW).]

V. [PL 2017, c. 388, §19 (RP).]

W. [PL 2017, c. 388, §19 (RP).]

X. Perform oral inspections, recording all conditions that should be called to the attention of the dentist;   [PL 2015, c. 429, §21 (NEW).]

Y. Perform postoperative irrigation of surgical sites;   [PL 2015, c. 429, §21 (NEW).]

Z. [PL 2017, c. 388, §19 (RP).]

AA. [PL 2017, c. 388, §19 (RP).]

BB. [PL 2017, c. 388, §19 (RP).]

CC. Place and remove gingival retraction cord without vasoconstrictor;   [PL 2015, c. 429, §21 (NEW).]

DD. [PL 2017, c. 388, §19 (RP).]

EE. [PL 2017, c. 388, §19 (RP).]

FF. [PL 2017, c. 388, §19 (RP).]

GG. Place localized delivery of chemotherapeutic agents when treatment is planned by the dentist;   [PL 2015, c. 429, §21 (NEW).]

HH. [PL 2017, c. 388, §19 (RP).]

II. [PL 2017, c. 388, §19 (RP).]

JJ. Place temporary restorations as an emergency procedure, as long as the patient is informed of the temporary nature of the restoration;   [PL 2015, c. 429, §21 (NEW).]

KK. [PL 2017, c. 388, §19 (RP).]

LL. Prepare tooth sites and surfaces with a rubber cup and pumice for banding or bonding of orthodontic brackets. This procedure may not be interpreted as a preparation for restorative material;   [PL 2015, c. 429, §21 (NEW).]

MM. [PL 2017, c. 388, §19 (RP).]

NN. [PL 2017, c. 388, §19 (RP).]

OO. [PL 2017, c. 388, §19 (RP).]

PP. [PL 2017, c. 388, §19 (RP).]

QQ. [PL 2017, c. 388, §19 (RP).]

RR. [PL 2017, c. 388, §19 (RP).]

SS. [PL 2017, c. 388, §19 (RP).]

TT. Smooth and polish amalgam restorations; and   [PL 2017, c. 388, §19 (AMD).]

UU. [PL 2017, c. 388, §19 (RP).]

VV. Obtain impressions for study casts, athletic mouth guards, custom trays, bleaching trays, fluoride trays, opposing models, retainers and stents.   [PL 2017, c. 388, §19 (AMD).]

WW. [PL 2017, c. 388, §19 (RP).]

XX. [PL 2017, c. 388, §19 (RP).]

YY. [PL 2017, c. 388, §19 (RP).]

[PL 2017, c. 388, §19 (AMD).]

3.  Limitation.  An individual with a faculty dental hygienist license may provide the services described in this section only as part of the education program for which the license was issued by the board.

[PL 2015, c. 429, §21 (NEW).]

SECTION HISTORY

PL 2015, c. 429, §21 (NEW). PL 2017, c. 388, §§18, 19 (AMD).