DCA02CA The California Dental Practice Act ____________________________________________________
1. Take impressions for diagnostic and opposing mod- els, bleaching trays, temporary crowns and bridges, and sports guards; 2. Apply non-aerosol and non-caustic topical agents; 3. Remove post-extraction and periodontal dressings; 4. Placement of elastic orthodontic separators; 5. Remove orthodontic separators; 6. Assist in the administration of nitrous oxide analge- sia or sedation; however, a dental assistant shall not start the administration of the gases and shall not adjust the flow of the gases unless instructed to do so by the dentist who shall be present at the patient’s chairside at the implementation of these instructions. This regulation shall not be construed to prevent any person from taking appropriate action in the event of a medical emergency. 7. Hold anterior matrices; 8. Remove sutures; 9. Take intra-oral measurements for orthodontic pro- cedures; 10. Seat adjusted retainers or headgears, including appro- priate instructions; 11. Check for loose bands;
CCR Section 1086. RDA Duties and Settings. (a) Unless specifically so provided by regulation, the prohibi- tions contained in section 1085 of these regulations apply to registered dental assistants. (b) A registered dental assistant may perform all functions which may be performed by a dental assistant. (c) Under general supervision, a registered dental assistant may perform the following duties: 1. Mouth-mirror inspection of the oral cavity, to include charting of obvious lesions, existing restorations and missing teeth; 2. Placement and removal of temporary sedative dress- ings. (d) A registered dental assistant may perform the following procedures under the direct supervision of a licensed dentist when done so pursuant to the order, control and full professional responsibility of the supervising dentist. Such procedures shall be checked and approved by the supervising dentist prior to dismissal of the patient from the office of said dentist. 1. Obtain endodontic cultures; 2. Dry canals, previously opened by the supervising dentist, with absorbent points; 3. Test pulp vitality; 4. Place bases and liners on sound dentin; 5. Remove excess cement from supragingival surfaces of teeth with a hand instrument or floss; 6. Size stainless steel crowns, temporary crowns and bands; 7. Fabrication of temporary crowns intra-orally; 8. Temporary cementation and removal of temporary crowns and removal of orthodontic bands; 9. Placement of orthodontic separators; 10. Placement and ligation of arch wires; 11. Placement of post-extraction and periodontal dress- ings; 12. Apply bleaching agents; 13. Activate bleaching agents with non-laser light-curing device; 14. Take bite registrations for diagnostic models for case study only; 15. Coronal polishing (Evidence of satisfactory comple- tion of a board-approved course of instruction in this function must be submitted to the board prior to any performance thereof). This procedure shall not be intended or interpreted as a complete oral prophylaxis (a procedure which can be performed only by a licensed dentist or registered dental hygienist). A licensed dentist or registered dental hygienist shall determine that the teeth to be polished are free of calculus or other extraneous
12. Remove arch wires; 13. Remove ligature ties;
14. Apply topical fluoride, after scaling and polishing by the supervising dentist or a registered dental hygienist; 15. Place and remove rubber dams; 16. Place, wedge and remove matrices; 17. Cure restorative or orthodontic materials in operative site with light-curing device. For the purpose of this section, a supervising licensed dentist is defined as a dentist whose patient is receiving the services of a dental assistant in the treatment facility and is under the direct control of said licensed dentist [1]. Direct supervision is defined as supervision of dental procedures based on instruc- tions given by a licensed dentist who must be physically present in the facility when the procedures are performed. REGISTERED DENTAL ASSISTANTS Registered dental assistants (RDAs) are Board-licensed pro- fessionals who may perform a greater range of duties than unlicensed dental assistants. Specific information pertaining to RDAs’ scope of practice can be found in CCR Section 1086, and general information regarding regulations pertain- ing to RDAs is located in CBPC Sections 1740–1777, which should be reviewed periodically to ensure self-compliance with the act [28].
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