Current through Register Vol. 48, No. 39, March 25, 2024
Subpart 1.
Principal procedures under general supervision.
A dental hygienist may, under general supervision, as defined
in part 3100.0100, subpart 21, item D:
A. perform preliminary charting of the oral
cavity and surrounding structures, including case histories; perform initial
and periodic examinations and assessments to determine periodontal status; and
create a dental hygiene treatment plan in coordination with a dentist's
treatment plan;
B. obtain informed
consent, according to part
3100.9600, subpart 9, for
treatments authorized by the supervising dentist pursuant to the dental
hygienists scope of practice;
C.
take photographs extraorally or intraorally;
D. take vital signs, including pulse rate and
blood pressure;
E. make referrals
to dentists, physicians, and other practitioners in consultation with a
dentist;
F. complete debridement,
prophylaxis, and nonsurgical periodontal therapy;
G. etch enamel surfaces and apply and adjust
pit and fissure sealants;
H.
administer local anesthesia. Before administering local anesthesia, a dental
hygienist must have successfully completed a didactic and clinical program
sponsored by a dental or dental hygiene school accredited by the Commission on
Dental Accreditation, resulting in the dental hygienist becoming clinically
competent in the administration of local anesthesia;
I. administer nitrous oxide inhalation
analgesia according to part 3100.3600, subpart 14;
J. take radiographs;
K. apply topical medications, including
topical fluoride, bleaching agents, cavity varnishes, and desensitizing
agents;
L. place subgingival
medicaments;
M. take impressions
and bite registration;
N. fabricate
and deliver custom fitted trays;
O.
provide nutritional counseling;
P.
perform salivary analysis;
Q. remove
marginal overhangs;
R. remove
sutures;
S. place and remove
periodontal dressings;
T. place and
remove devices or materials for isolation purposes;
U. polish restorations;
V. remove excess cement from inlays, crowns,
bridges, or orthodontic appliances;
W. fabricate, place, replace, cement, and
adjust temporary crowns or restorations;
X. remove temporary crowns or restorations
with hand instruments only;
Y.
place and remove matrix systems and wedges; and
Z. place nonsurgical retraction material for
gingival displacement. Before placing nonsurgical retraction material, a dental
hygienist must have successfully completed a course in nonsurgical retraction
material for gingival displacement at a school accredited by the Commission on
Dental Accreditation.
Subp.
2.
Restorative procedures under indirect supervision.
A dental hygienist may perform restorative procedures
pursuant to Minnesota Statutes, section 150A.10, subdivision 4, and under
indirect supervision, as defined in part 3100.0100, subpart 21, item C, if the
dental hygienist has:
A. successfully
graduated from a Minnesota dental hygiene program accredited by the Commission
on Dental Accreditation that included training for restorative procedures and
received a restorative procedures certificate from the program; or
B. successfully completed a board-approved
course on restorative procedures and received a restorative procedures
certificate from the course sponsor.
Subp. 2a.
Orthodontic procedures under
general, indirect, or direct supervision.
If a dental hygienist has fulfilled the requirements of item
A, subitems (1), (2), or (3), the dental hygienist may perform the procedures
listed in item B under the level of supervision indicated, as defined in part
3100.0100, subpart 21, items B, C, and D.
A. A dental hygienist must have:
(1) been granted a Minnesota dental hygiene
license from the board prior to September 1, 2019;
(2) successfully graduated from a Minnesota
dental hygiene program accredited by the Commission on Dental Accreditation
after September 1, 2019, that included training for orthodontic procedures and
received an orthodontic procedures certificate from the program; or
(3) successfully completed a board-approved
course comprised of orthodontic procedures and received an orthodontic
procedures certificate from the course sponsor.
B. The dental hygienist may perform the
following procedures under:
(1) general
supervision:
(a) cut arch wires on orthodontic
appliances;
(b) remove loose bands
on orthodontic appliances;
(c)
remove loose brackets on orthodontic appliances;
(d) remove excess bond material from
orthodontic appliances;
(e)
preselect orthodontic bands;
(f)
place and remove elastic orthodontic separators; and
(g) remove and place ligature ties and remove
and replace existing arch wires on orthodontic appliances;
(2) indirect supervision: place initial arch
wires on orthodontic appliances. A dentist must select and, if necessary,
adjust arch wires prior to placement;
(3) direct supervision:
(a) etch enamel surfaces before bonding of
orthodontic appliances by a dentist;
(b) remove bond material from teeth with
rotary instruments after removal of orthodontic appliances;
(c) attach prefit and preadjusted orthodontic
appliances; and
(d) remove fixed
orthodontic bands and brackets.
Subp. 2b.
Sedation monitoring and
intravenous procedures under indirect, direct, or personal supervision.
If a dental hygienist has successfully completed
board-approved allied dental personnel courses comprised of intravenous access
and general anesthesia and moderate sedation training and is certified by the
board, the dental hygienist may perform the following procedures under either
indirect, direct, or personal supervision, as defined in part 3100.0100,
subpart 21, items A, B, and C, for a dentist who holds a valid general
anesthesia or moderate sedation certificate:
A. indirect supervision:
(1) maintain and remove intravenous
lines;
(2) monitor a patient during
preoperative, intraoperative, and postoperative phases of general anesthesia or
moderate sedation using noninvasive instrumentation, including pulse oximeters,
electrocardiograms, blood pressures monitors, and capnography;
B. direct supervision: initiate
and place an intravenous line in preparation for intravenous medications and
sedation;
C. personal supervision:
aid in the physical management of medications, including the preparation and
administration of medications into an existing intravenous line.
Subp. 3.
Other procedures
prohibited.
A dental hygienist must not perform any dental treatment or
procedure on patient's not authorized by this chapter.
Statutory Authority: MS s
150A.04;
150A.06;
150A.08;
150A.10;
150A.11;
214.06
