Code of Massachusetts Regulations
234 CMR - BOARD OF REGISTRATION IN DENTISTRY
Title 234 CMR 5.00 - REQUIREMENTS FOR THE PRACTICE OF DENTISTRY, DENTAL HYGIENE, AND DENTAL ASSISTING
Section 5.11 - Delegable Procedures

DELEGATED DUTY

RDH

PHDH

EFDA

CA

FTDA

OJT

(1)

Review medical and dental history and consult when necessary with medical practitioner

G

WCA

G

G

G

G

(2)

Perform preliminary evaluation to determine needed dental hygiene services

G

WCA

N/A

N/A

N/A

N/A

(3)

Make referrals to dentists, physicians, and other practitioners in consultation with a dentist

G

WCA

N/A

N/A

N/A

N/A

(4)

Provide oral health instruction

G

WCA

G

G

G

D

(5)

Perform dietary screening for dental disease prevention and control

G

WCA

G

G

G

N/A

(6)

Conduct dental screenings

G

WCA

N/A

N/A

N/A

N/A

(7)

Record dental screenings

G

WCA

D

D

D

D

(8)

Expose radiographs

G

WCA

G

G

G

G

(9)

Evaluate radiographs for provision of dental hygiene services

G

WCA

N/A

N/A

N/A

N/A

(10)

Take intra-oral photographs

G

WCA

G

G

G

G

(11)

Perform and record charting of the oral cavity and surrounding structures, including but not limited to, existing dental restorations, lesions and periodontal probing depths

G

WCA

N/A

N/A

N/A

N/A

(12)

Record charting of the oral cavity and surrounding structures, including but not limited to, dental restorations, lesions and periodontal probing depths

G

WCA

D

D

D

D

(13)

Take and record vital signs

G

WCA

G

G

G

G

(14)

Perform minor emergency denture adjustments to eliminate pain and discomfort in nursing homes and other residential or long term care facilities

G

WCA

N/A

N/A

N/A

N/A

(15)

Perform pulp testing

D

N/A

N/A

N/A

N/A

N/A

(16)

Apply anti-cariogenic agents, including fluoride varnish

G

WCA

G

G

G

D

(17)

Apply topical anesthetic agents

G

WCA

G

G

G

D

(18)

Apply and adjust dental sealants

G

WCA

G

D

D

N/A

(19)

Take impressions for study casts, bite registrations, including for identification purposes, night guards, and custom fluoride and bleaching trays pursuant to a dentist's prescription or order

G

WCA

G

G

G

I

(20)

Take impressions for athletic mouth guards

G

WCA

G

G

G

I

(21)

Retract lips, cheek, tongue and other oral tissue parts

G

WCA

G

G

G

G

(22)

Irrigate and aspirate the oral cavity

G

WCA

G

G

G

G

(23)

Re-cement and adjust intact temporary restorations intra-orally

G

WCA

G

G

G

N/A

(24)

Place temporary restorations (not including temporization of inlays, on-lays, crowns, and bridges) to provide palliative treatment

G

WCA

G

G

G

I

(25)

Assist or monitor nitrous oxide analgesia

I

I

I

I

I

I

(26)

Place and remove gingival retraction materials

D

D

D

D

D

D

(27)

Apply cavity varnish, liner(s) and bonding agents

I

I

I

I

I

I

(28)

Apply desensitizing agents

G

WCA

G

D

D

D

(29)

Place restorative materials in tooth for condensation and finishing by the dentist

I

I

I

I

I

I

(30)

Remove temporary restorations with hand instruments

G

WCA

G

I

I

N/A

(31)

Place and remove wedges

G

WCA

G

D

D

I

(32)

Place and remove matrix bands

G

WCA

G

D

D

I

(33)

Place and remove dental dams

G

WCA

G

G

G

D

(34)

Place and remove periodontal dressings

G

WCA

G

G

G

N/A

(35)

Remove sutures

G

WCA

G

G

G

D

(36)

Removal of implant healing caps/cover screws for restorative procedures

I

I

I

I

I

I

(37)

Dry root canals with paper points

I

I

I

N/A

N/A

N/A

(38)

Place cotton pellets and temporary restorative materials into endodontic openings

G

WCA

G

D

D

D

(39)

Remove excess cement and bonding agents from bridges and appliances with hand instruments

G

WCA

G

D

D

I

(40)

Cement and remove temporary crowns and bridges

G

WCA

G

G

G

I

(41)

Insert and/or perform minor adjustment of night mouth guards, athletic mouth guards, and custom fluoride trays

G

WCA

G

G

G

I

(42)

Select and adapt stainless steel crowns or other preformed crown for insertion by dentist

I

I

I

I

I

I

(43)

Perform sub-gingival and supra-gingival scaling

G

WCA

N/A

N/A

N/A

N/A

(44)

Polish teeth, after dentist or dental hygienist has determined that teeth are free of calculus, with slow speed hand piece

G

WCA

G

G

G

N/A

(45)

Administer local anesthesia pursuant to 234 CMR 6.00

D

D

N/A

N/A

N/A

N/A

(46)

Perform gross debridement and/ or scaling and root planing

G

WCA

N/A

N/A

N/A

N/A

(47)

Prepare and perform oral cytological smears or studies

D

N/A

N/A

N/A

N/A

N/A

(48)

Use diagnostic and periodontic non-cutting lasers

D

N/A

N/A

N/A

N/A

N/A

(49)

Preliminarily fit crowns to check contacts, adjust occlusion on crowns inside the mouth

G

WCA

D

D

N/A

N/A

(50)

Place temporary soft liners in a removal prosthesis

G

WCA

D

D

I

N/A

(51)

Obtain endodontic cultures

D

N/A

D

D

I

N/A

(52)

Apply bleaching agents and activate with non-laser non-curing device

G

WCA

D

D

D

I

(53)

Fabricate provisional restorations intraorally

G

WCA

G

D

D

I

(54)

Place and condense amalgam restorations

D

N/A

D

N/A

N/A

N/A

(55)

Carve, contour, adjust amalgam restorations

D

N/A

D

N/A

N/A

N/A

(56)

Place and finish composite restorations

D

N/A

D

N/A

N/A

N/A

(57)

Adjust dentures on the tissue side to eliminate tissue irritation

G

WCA

G

N/A

N/A

N/A

(58)

Place temporary sedative restorations/fillings

G

WCA

G

I

N/A

N/A

(59)

Place Stainless Steel Crowns

D

D

D

I

I

N/A

(60)

Take impressions for orthodontic retainers

G

WCA

G

G

G

D

(61)

Preliminary intra-oral fit of bands

G

WCA

G

G

G

D

(62)

Preliminary oral fit of arch wire

G

WCA

G

G

G

D

(63)

Select size of headgear

G

WCA

G

G

G

D

(64)

Place and remove orthodontic separators

G

WCA

G

G

G

D

(65)

Place and remove orthodontic arch wires

G

WCA

G

G

G

D

(66)

Etch appropriate enamel surfaces before bonding of orthodontic appliances by a dentist

G

WCA

G

G

G

D

(67)

Place elastics and ligature wires

G

WCA

G

G

G

D

(68)

Remove fixed orthodontic appliances

G

WCA

G

G

G

D

(69)

Remove excess cement and bonding agents from orthodontic appliances with hand instruments

G

WCA

G

G

G

D

(70)

Perform minor emergency palliative orthodontic adjustments to eliminate pain and discomfort

G

WCA

G

G

G

I

(71)

Perform any other procedure approved by the Board