Dental Assistants - Expanded Functions


Delegation

Pursuant to IAC 650--Chapter 20, dentists may delegate expanded function duties to registered dental assistants if the assistant has completed board-approved training in the specific expanded function that will be delegated. Certain restrictions and limitations apply. Please refer to IAC 650--Chapter 20 for specific requirements.


Eligibility Requirements

In order to be eligible to complete training in expanded functions, a dental assistant must qualify based on what of the following:

      1.   Be a graduate of an ADA-accredited dental assistant program; or
      2.   Be currently certified by the Dental Assisting National Board (DANB); or
      3.   Have at least one year of clinical practice as a registered dental assistant; or
      4.   Have at least one year of clinical practice as a dental assistant in a state that does not require registration.


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 by the dentist in the office of practice. The Board has developed a sample training documentation form.

As a reminder, like all intraoral duties performed by registered dental assistants, expanded function duties must be performed under the direct supervision of a licensed dentist. Direct supervision means the dentist has delegated the task and is present in the treatment facility.


Level 1 Expanded Functions

Level 1 procedures include:

      1.   Taking occlusal registrations;
      2.   Placement and removal of gingival retraction;
      3.   Fabrication and removal of provisional restorations;
      4.   Applying cavity liners and bases, desensitizing agents, and bonding systems;
      5.   Placement and removal of dry socket medication;
      6.   Placement of periodontal dressings;
      7.   Testing pulp vitality;
      8.   Monitoring of nitrous oxide inhalation analgesia;
      9.   Taking final impressions;
     10.  Removal of adhesives (hand instrumentation only*); and
     11.  Preliminary charting of existing dental restorations and teeth.

Registered dental assistants who complete training in all Level 1 expanded functions are Certified Level 1 expanded functions providers.  Registered dental assistants must be a Certified Level 1 provider prior to completing training in Level 2 expanded functions.

*For the purposes of this chapter (IAC 650--Chapter 20), the removal of adhesives by hand instrumentation does not constitute the removal of “hard natural or synthetic material.”


Level 2 Expanded Functions

A dentist may delegate any of the Level 1 or Level 2 expanded function procedures to a registered dental assistant who is a certified Level 2 provider.  Registered dental assistants must successfully complete training for all Level 2 expanded function procedures before becoming certified Level 2 providers.

Level 2 procedures include:

      1.   Placement and shaping of amalgam following preparation of a tooth by a dentist;
      2.   Placement and shaping of composite following preparation of a tooth by a dentist;
      3.   Forming and placement of stainless steel crowns;
      4.   Taking records for the fabrication of dentures and partial dentures; and
      5.   Tissue conditioning (soft reline only).

Approved training program: 

University of Iowa College of Dentistry
Contact: Penni Ryan
801  Newton ROAD
Iowa City IA 52242
Phone: 319-335-7166; Fax: 319-335-7155
Email: penni-ryan@uiowa.edu
www.dentistry.uiowa.edu/ce


Expanded Functions Course Resource List

Board-approved courses are available for expanded function training. You may download and use these 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.  Some of the approved courses are available in two formats, .html and .pdf. If you wish to download or print the courses for future use, the .pdf format is useful. When both formats are offered, you can select the format you prefer.

Continuing education credit hours will be awarded for completion of courses as specified.


1. Taking Occlusal Registrations:

Access approved on-the-job training course for use in the dental office: Appropriate Occlusal Registrations

Suggested reference to supplement didactic component:
Dawson, E.F.; Center for Advanced Dental Study, 111 2nd Ave. NE, Suite 1109, St. Peters, Fl. 33701-3443

Approved training programs: 

Lifepoint Dental Partners
110 SE Grant St. #101
Ankeny, IA 50021
Phone: 515-965-1800 Fax: 888-278-0530
leanns@lifepointdental.com

Midwest Dental
Contact: Linda Aschtgen, CDA, RDA, EFDA
680 Hehli Way
Mondovi, WI 54755
815-742-0476
laschtgen@midwest-dental.com


2. Placement & Removal of Gingival Retraction:

Approved on-the-job training course not available to date.

Suggested references to supplement didactic component:
Miller, Michael, DDS; Reality, The Information Source for Esthetic Dentistry, The Techniques, Volume 1, p. 31-33.

Phinney, Donna J., Halstead, Judy H.: Delmar’s Handbook of Assisting, p. 406-407.

Approved training programs: 

Lifepoint Dental Partners
110 SE Grant St. #101
Ankeny, IA 50021
Phone: 515-965-1800 Fax: 888-278-0530
leanns@lifepointdental.com

Midwest Dental
Contact: Linda Aschtgen, CDA, RDA, EFDA
680 Hehli Way
Mondovi, WI 54755
815-742-0476
laschtgen@midwest-dental.com


3. Fabrication and Removal of Provisional Restorations:

Board rules, which prohibit the delegation and removal of synthetic material, apply to permanent materials and do not prohibit the removal of temporary cement. In addition to those provisional restorations mentioned in the course materials, orthodontic brackets and bands are also included in the definition of a provisional appliance when referring to this Fabrication and Removal of Provisional Restoration course of study. Successful completion of the portion of this course that refers to the removal of supragingival temporary cement will authorize dental assistants to perform this function.

Download the approved on-the-job training course: Making Preliminary Adaptation of Temporary Crowns

Suggested references to supplement didactic component:
Phinney, Donna J., Halstead, Judy H.: Delmar’s Handbook of Assisting, p. 408-411.

Strupp, William; 2370 Sunset Pt. Rd., Clearwater, Fl. 33675-1423

Gordon Christensen tape, “Simple Temporary Restorations.”

Approved training programs: 

Lifepoint Dental Partners
110 SE Grant St. #101
Ankeny, IA 50021
Phone: 515-965-1800 Fax: 888-278-0530
leanns@lifepointdental.com

Midwest Dental
Contact: Linda Aschtgen, CDA, RDA, EFDA
680 Hehli Way
Mondovi, WI 54755
815-742-0476
laschtgen@midwest-dental.com


4. Applying Cavity Liners and Bases, Desensitizing Agents and Bonding Systems

Approved training programs: 

Lifepoint Dental Partners
110 SE Grant St. #101
Ankeny, IA 50021
Phone: 515-965-1800 Fax: 888-278-0530
leanns@lifepointdental.com

Midwest Dental
Contact: Linda Aschtgen, CDA, RDA, EFDA
680 Hehli Way
Mondovi, WI 54755
815-742-0476
laschtgen@midwest-dental.com


5. Placement and Removal of Dry Socket Medication:

Suggested reference to supplement didactic component:
Phinney, Donna J., Halstead, Judy H.: Delmar’s Handbook of Assisting, p. 286.

Approved training programs: 

Lifepoint Dental Partners
110 SE Grant St. #101
Ankeny, IA 50021
Phone: 515-965-1800 Fax: 888-278-0530
leanns@lifepointdental.com

Midwest Dental
Contact: Linda Aschtgen, CDA, RDA, EFDA
680 Hehli Way
Mondovi, WI 54755
815-742-0476
laschtgen@midwest-dental.com


6. Placement of Periodontal Dressings:

Access the approved on-the-job training course for use in the dental office: Application of Periodontal Dressings

Approved training programs: 

Lifepoint Dental Partners
110 SE Grant St. #101
Ankeny, IA 50021
Phone: 515-965-1800 Fax: 888-278-0530
leanns@lifepointdental.com

Midwest Dental
Contact: Linda Aschtgen, CDA, RDA, EFDA
680 Hehli Way
Mondovi, WI 54755
815-742-0476
laschtgen@midwest-dental.com


7. Testing Pulp Vitality:

Suggested reference to supplement didactic component:
Robinson, D. & Bird, D.: Ehrlich and Torres Essentials of Dental Assisting, Third Edition, p. 423-424.

Approved training programs: 

Lifepoint Dental Partners
110 SE Grant St. #101
Ankeny, IA 50021
Phone: 515-965-1800 Fax: 888-278-0530
leanns@lifepointdental.com

Midwest Dental
Contact: Linda Aschtgen, CDA, RDA, EFDA
680 Hehli Way
Mondovi, WI 54755
815-742-0476
laschtgen@midwest-dental.com


8. Monitoring Nitrous Oxide:

Approved training programs: 

​University of Iowa College of Dentistry
call the Center for Conferences at the University of Iowa at 800-551-9029.

Lifepoint Dental Partners
110 SE Grant St. #101
Ankeny, IA 50021
Phone: 515-965-1800 Fax: 888-278-0530
leanns@lifepointdental.com


9. Taking Final Impressions:

Access the approved on-the-job training course for use in the dental office: Final Impressions

Suggested references to supplement didactic component:
Miller, Michael, DDS; Reality, The Information Source for Esthetic Dentistry, The Techniques, Volume 1, p. 30-40.

Phinney, Donna J., Halstead, Judy H.: Delmar’s Handbook of Assisting, p. 234-236.

Approved training programs: 

Lifepoint Dental Partners
110 SE Grant St. #101
Ankeny, IA 50021
Phone: 515-965-1800 Fax: 888-278-0530
leanns@lifepointdental.com

Midwest Dental
Contact: Linda Aschtgen, CDA, RDA, EFDA
680 Hehli Way
Mondovi, WI 54755
815-742-0476
laschtgen@midwest-dental.com


10. Removal of Adhesives (hand instrumentation only):

 


11. Preliminary Charting of Existing Dental Restorations and Teeth:

 


 

Printed from the website on January 22, 2018 at 8:02am.