Current through Register Vol. 50, No. 9, September 20, 2024
A. A person licensed to practice dentistry in
the State of Louisiana may delegate to any expanded duty dental assistant any
chairside dental act that said dentist deems reasonable, using sound
professional judgment. Such act must be performed properly and safely on the
patient and must be reversible in nature. Furthermore, the act must be under
the direct supervision of the treating dentist. However, a dentist may not
delegate to an expanded duty dental assistant:
1. periodontal screening and probing, or
subgingival exploration for hard and soft deposits and sulcular
irrigations;
2. the removal of
calculus, deposits or accretions from the natural and restored surfaces of
teeth or dental implants in the human mouth using hand, ultrasonic, sonic, or
air polishing instruments;
3. root
planing or the smoothing and polishing of roughened root surfaces using hand,
ultrasonic, or sonic instruments;
4. placement and removal of antimicrobial
agents;
5. comprehensive
examination or diagnosis and treatment planning;
6. a surgical or cutting procedure on hard or
soft tissue including laser and micro abrasion reduction of tooth
material;
7. the prescription of a
drug, medication, or work authorization;
8. the taking of an impression for a final
fixed or removable restoration or prosthesis;
9. the final placement and intraoral
adjustment of a fixed appliance;
10. the final placement and intraoral or
extraoral adjustment of a removable appliance;
11. the making of any intraoral occlusal
adjustment;
12. the performance of
direct pulp capping or pulpotomy;
13. the placement or finishing of any final
restoration;
14. the final
placement of orthodontic bands or brackets except in indirect bonding
procedures in which the dentist has either performed the final placement of the
brackets on the model or when the dentist has written a detailed prescription
to the laboratory for placement of the bracket;
15. the administration of a local anesthetic,
parenteral, intravenous (IV), inhalation sedative agent or any general
anesthetic agent.
B. The
delegating dentist shall remain responsible for any dental act performed by an
expanded duty dental assistant.
C.
Certified expanded duty dental assistants may not hold themselves out to the
public as authorized to practice dentistry or dental hygiene.
AUTHORITY NOTE:
Promulgated in accordance with
R.S.
37:760(8).
