Pursuant to IAC 650--Chapters 10 & 20, dentists may delegate expanded function duties to licensed dental hygienists and registered dental assistants if the practitioner has completed board-approved training in the specific expanded function that will be delegated. Certain restrictions and limitations apply. Please refer to IAC 650--Chapters 10 & 20 for specific requirements.
Expanded functions are now divided into two categories, Level 1 and Level 2 expanded functions procedures.
Level 1 Expanded Functions
Registered dental assistants and licensed dental hygienists may choose to train in any of the Level 1 expanded functions procedures. It is not a requirement that training be completed in all level 1 procedures unless a practitioner chooses to do so. Practitioners may pick and choose in which of the Level 1 functions that they receive training.
Registered dental assistants and licensed dental hygienists who complete training in all Level 1 expanded functions are Certified Level 1 expanded functions providers. Registered dental assistants and licensed dental hygienists must be a Certified Level 1 provider prior to completing training in Level 2 expanded functions.
Level 2 Expanded Functions
Registered dental assistants and licensed dental hygienists who choose to complete training in Level 2 expanded functions must complete training in all Level 2 expanded functions procedures. Unlike Level 1 procedures, practitioners do not have the option to pick and choose the Level 2 procedures in which they complete training.
Registered dental assistants and licensed dental hygienists who complete training in Level 2 expanded functions are Certified Level 2 expanded functions providers. A dentist may delegate any of the Level 1 or Level 2 expanded function procedures to a registered dental assistant or licensed dental hygienists who is a certified Level 2 provider.
Expanded Functions Training Approval
Pursuant to IAC 650--Chapter 20, expanded function training shall be eligible if the training has been prior-approved by the Board. The training may include on-the-job training offered by a Iowa-licensed dentist. If you wish to submit an expanded functions training course for approval, you may find an expanded functions training approval request form here.
In order to be eligible for approval, expanded functions training courses must consist of the following:
1. An initial assessment to determine the base entry level of all participants in the program. At a minimum, participants must be currently certified by the Dental Assisting National Board or must have two (2) years of clinical dental assisting experience as a registered dental assistant;
2. A didactic component;
3. A laboratory component, if necessary;
4. A clinical component, which may be obtained under the personal supervision of the participant’s supervising dentist while the participant is concurrently enrolled in the training program; and
5. A post-course competency assessment at the conclusion of the training program.
Documentation of Expanded Functions Training
All expanded function training must be properly documented to ensure compliance with Board rules. Documentation of training must be maintained in the office of practice. The Board has developed a sample training documentation form.
Continuing education credit hours will be awarded for completion of courses as specified.
Frequently Asked Expanded Functions Questions
Expanded Functions Frequently Asked Questions - v. 4/29/2016
Expanded Functions Frequently Asked Clinical Questions - v. 1/26/2017
Expanded Functions Training Providers
The following providers have been approved to provide training in all Level 1 expanded functions. Approved expanded functions training courses are available to both dental assistants and dental hygienists who wish to train in expanded functions.
The Board has also approved courses that are available for in-office expanded functions training. You may download and use the resources for the didactic and clinical/lab components. The initial assessment and postcourse competency assessment must be developed by the dentist and be available in the dental office as part of the documentation of training for that particular course. The other reference(s) may be used as a supplement for the didactic component. Please note: These training materials and contact information for other training providers that have been approved for specific procedures will be provided on the pages detailing the information for each auxiliary type.
Approved Level 1 Expanded Functions Training Providers
David Davidson, D.D.S.
8573 Urbandale Ave
Urbandale, IA 50322
Impact Dental Training
5965 Merle Hay Road, Suite D
PO Box 434
Johnston, IA 50131
Tesene Dental Education, L.L.C.
Contact: Joseph Tesene, D.D.S.
Community College Program List
Des Moines Area Community College
Lori Brown, RDH, MSEd, CDA; Dental Programs Chairperson
2006 S Ankeny Blvd
Ankeny, IA 50021
Phone: 515-964-6312; Fax: 515-964-6602
Hawkeye Community College
Emily Boge, RDH, MPA, CDA; Program Director
1501 East Orange Road
Waterloo, IA 50704
Phone: 319-296-4302; Fax: 319-296-1674
Indian Hills Community College
Carol Sexton-White, RDH, CDA; Program Director
525 Grandview Avenue
Ottumwa, IA 52501
Phone: 641-683-5298; Fax: 641-683-5254
Iowa Valley Community College
Tamara Damman, RDA, BA, CDA; Program Director
3700 South Center Street
Marshalltown, IA 50158
Phone: 641-844-5794; Fax: 641-752-8149
Iowa Western Community College
Sarah Stream, RDA, CDA; Program Director
2700 College Road
Council Bluffs, IA 51502
Toll-free: 800-432-5852, X-3469
Or Sheri Splichal, Continuing Education
Kirkwood Community College
Kristee Malmberg, RDA, BS, CDA; Program Director
6301 Kirkwood Boulevard SW
Cedar Rapids, IA 52404
Phone: 319-398-5560; Fax: 319-398-1293
Northeast Iowa Community College
Dawn Klostermann, RDA, BA, CDA; Program Director
8342 NICC Drive
Peosta, IA 52068
Phone: 563-556-5110 ext. 227
Scott Community College
Barb Nichol, RDA, MA, CDA; Program Director
500 Belmont Road
Bettendorf, IA 52722
Phone: 563-441-4259; Fax: 563-441-4204
Western Iowa Tech Community College
Joni Miller, RDA, BS, CDA; Program Director
4647 Stone Avenue
Sioux City, IA 51102
Phone: 800-352-4649 ext. 3240
Vatterott College, Des Moines
Barbara Votrain, RDA, BS, CDA; Program Director
7000 Fleur Drive
Des Moines, IA 50321
Phone: 515-333-5752; Fax: 515-309-0366