Hawaii Administrative Rules
Title 16 - DEPARTMENT OF COMMERCE AND CONSUMER AFFAIRS
Chapter 79 - DENTISTS AND DENTAL HYGIENISTS
Subchapter 7 - DENTAL ASSISTANTS AND LICENSED DENTAL HYGIENISTS
Section 16-79-69.5 - Prohibited duties of dental assistants
Current through August, 2024
A dental assistant shall not perform the following intra-oral functions or any other activity deemed to be irreversible as to cause change in the affected hard or soft tissues and is permanent or may require reconstructive or corrective procedures; and any other activity which represents the practice of dentistry and dental hygiene or requires the knowledge, skill, and training of a licensed dentist or licensed dental hygienist:
(1) Administering local anesthetic, sedation, or general anesthesia;
(2) Cementing, bonding, and adjusting any part of a prosthesis or appliance worn in the mouth;
(3) Cementing or re-cementing, finishing margins, performing a try-in, and adjusting the occlusion of any temporary or permanent fixed prosthetic restoration; or placing cement bases;
(4) Cementing bands and brackets, or activating any orthodontic appliance;
(5) Establishing occlusal vertical dimension, making bite registrations, and making face-bow transfers;
(6) Examining, diagnosing, or prescribing a treatment plan;
(7) Making final impressions, which would lead to the fabrication of any appliance or prosthesis which, when worn by the patient, would come in direct contact with hard or soft tissues with the exception of duties listed in section 16-79-69.1(a)(7);
(8) Performing any endodontic procedure to ream, file, irrigate, medicate, dry, try-in cores, or fill root canals; establishing the length of the tooth;
(9) Performing any surgical or cutting procedures on hard or soft tissues, extracting teeth, and suturing;
(10) Placing, condensing, carving, finishing, or adjusting the occlusion of final restorations; or placing cavity liners, medicaments, or pulp cap materials;
(11) Placing materials subgingivally, including but not limited to, prescriptive medicaments, retraction cords, and other devices used for tissue displacement;
(12) Prescribing medications or authorizing the fabrication of any restorative, prosthodontic, or orthodontic appliances;
(13) Testing pulp vitality; and
(14) Using of ultrasonic instruments and polishing natural or restored surfaces.
