X

Choose Appropriate Assistant Classification: See descriptions below  {{classification}} Dental Assistant Classifications: EFDA - Expanded Function Dental Assistant: dental assistant that has been trained in approved courses of expanded functions CDA - Certified Dental Assistant: DANB Certified Dental Assistant LDA - Licensed Dental Assistant: dental assistant that is licensed within the state that they work RDA - Licensed Dental Assistant: dental assistant that is registered within the state that they work DA - Dental Assistant: individual performing dental assisting duties that is not Certified, Licensed or Registered FTDA - Formally Trained Dental Assistant (MA only): dental assistant that has graduated from an approved school or program OJTDA - On-the-Job Trained Dental Assistant (MA only): dental assistant that has been trained on-the-job by a licensed dentist Category of Service Delegable Procedure Assistant Name: {{Assistant_Name}} Diagnostic Expose radiographs Do you delegate these procedures to your assistant? Diagnostic Perform mouth mirror inspection of the oral cavity X YesX No Diagnostic Chart existing restoration or conditions X YesX No Diagnostic Evaluate radiographs for diagnostic quality X YesX No Diagnostic Expose radiographs X YesX No Diagnostic Process radiographs X YesX No Diagnostic Mount and label dental radiographs X YesX No Diagnostic Identify intraoral anatomy X YesX No Preventive Application of varnishes X YesX No Preventive Application of fluorides X YesX No Preventive Application of sealants X YesX No Preventive Preventive education and Oral Hygiene Instruction X YesX No Preventive Coronal polishing X YesX No Crown and Bridge Remove cement from supragingival surfaces X YesX No Crown and Bridge Remove temporaries and cements X YesX No Crown and Bridge Preliminary Impressions X YesX No Crown and Bridge Final Impresions X YesX No Crown and Bridge Placement/removal of retraction cords X YesX No Crown and Bridge Fabricate and place temporaries X YesX No Crown and Bridge Tryin and placement of permanent crowns X YesX No Crown and Bridge Adjustment of permanent crown X YesX No Restorative Use of highspeed handpiece intraorally X YesX No Restorative Place restorative material for condensation by dentist X YesX No Restorative Place and carve restorations X YesX No Restorative Place, cure, and finish composite resin restorations X YesX No Restorative Place liners and bases X YesX No Restorative Size and fit Stainless Steel Crowns X YesX No Restorative Place and remove matrix bands/wedges X YesX No Restorative Preparation of teeth for bonding X YesX No Restorative Adjustment of restorations intraorally X YesX No Orthodontics Size and place orthodontic bands and brackets X YesX No Orthodontics Tie in archwires X YesX No Orthodontics Place orthodontic separators X YesX No Orthodontics Monitor and respond to post-surgical bleeding X YesX No Surgery Remove sutures X YesX No Surgery Place post-extraction dressings X YesX No Surgery Remove post-extraction dressings X YesX No Surgery Give post operative instructions X YesX No Periodontics Perform placement of periodontal dressings X YesX No Periodontics Removal of periodontal dressings X YesX No Periodontics Place Local Antibiotic in pockets X YesX No Endodontics Perform vitality tests X YesX No Endodontics Dry Canals X YesX No Endodontics Identify features of rotary instruments X YesX No Endodontics Place/remove temporary fillings X YesX No Prosthetics Clean and polish removable appliances X YesX No Prosthetics Inserting or adjusting temporary appliances X YesX No Prosthetics Inserting and adjusting permanent appliances X YesX No Prosthetics Final Impresions X YesX No Prosthetics Wax rims X YesX No Prosthetics Records X YesX No Prosthetics Wax Tryin X YesX No General Using the concepts of four-handed dentistry, assist with basic restorative procedures, including prosthodontics and restorative dentistry X YesX No General Using0the concepts of four-handed dentistry, assist with basic intraoral surgical procedures, including extractions, periodontics, endodontics and implants X YesX No General Pour, trim, and evaluate the quality of diagnostic casts X YesX No General Pre and post-op instructions X YesX No General Sterilization/disinfection procedures X YesX No General Biological monitoring of sterilizers X YesX No General Knowledge of all dental materials X YesX No General Select and manipulate gypsums and waxes X YesX No General Perform routine maintenance on equipment X YesX No General Apply effective communication X YesX No General Phone in prescriptions at the direction of the dentist X YesX No General Receive, prepare patients for treatment (seating, napkin) X YesX No General Transfer dental instruments X YesX No General Demonstrate knowledge of ethics, jurisprudence, HIPAA, OSHA, patient confidentiality X YesX No General Complete lab authorization forms X YesX No General Take and record vital signs X YesX No General Monitor vital signs X YesX No General Prepare procedure trays X YesX No General Maintaining the field of operation through retraction, suction, irrigation, drying, placing/removing cotton rolls X YesX No General Apply topical anesthetic to the injection site X YesX No General Demonstrate understanding of CDC and Prevention Guidelines X YesX No General Monitor nitrous oxide/oxygen analgesia X YesX No General Maintain emergency kit X YesX No General Recognize/respond to basic medical emergencies X YesX No General Recognize/respond to basic dental emergencies X YesX No General Fabricate custom trays to include impression and bleaching trays and mouthguards X YesX No General Placement and supervision of whitening agents X YesX No General Place and remove dental dam X YesX No

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