1. Level of Supervision Answer DA & RDH- Placing or removing temporary
restora- tions with non-mechanical hand instruments only
Answer Direct - DA; General - RDH
2. Level of Supervision DA & RDH- Polishing dental restorations & clinical
crowns of the teeth when not for the purpose of changing the existing contour
of the tooth and only with the following burnishers, slow-speed handpieces,
rubber cups, bristle brushes, & porte polishers
Answer Direct - DA; General - RDH
3. Level of Supervision DA & RDH- Removing excess cement from dental
restorations and appliances with non-mechanical hand instruments only (ad-
ditionally ultra-sonic scalers for RDH only)
Answer Direct - DA; General - RDH
4. Level of Supervision DA & RDH- Cementing temporary crowns and bridges
with temporary cement
Answer Direct - DA; Indirect - RDH
5. Level of Supervision DA - Monitor the administration of nitrous-oxide oxy-
gen making adjustments only during the administration and turning it off at
the completion of dental procedure
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,Answer Direct
6. Level of Supervision DA & RDH- Selecting and pre-sizing orthodontic
bands, including the selection of the proper size band for a tooth to be
banded which does not include or involve adapting, contouring, trimming, or
otherwise modifying the band material
Answer Direct
7. Level of Supervision Answer DA & RDH- Selecting and pre-sizing
archwires pre- scribed by the patient's dentist so long as the dentist
makes all final ad- justments to bend, arch form determination, and
symmetry prior to final placement
Answer Direct
8. Level of Supervision Answer DA & RDH- Selecting prescribed extra-oral
appliances by pre-selected or pre-measurement which does not include final
fit adjust- ment
Answer Direct
9. Level of Supervision Answer DA & RDH- Preparing a tooth surface by
applying conditioning agents for orthodontic appliances by conditioning or
placing of sealant materials which does not include placing brackets
Answer Direct
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, 10. Level of Supervision Answer DA & RDH- Using appropriate implements
for pre- liminary charting of existing restorations and missing teeth and a
visual assessment of existing oral conditions Answer Direct - DA; General -
RDH
11. Level of Supervision Answer DA & RDH- Fabricating temporary crowns or
bridges intra-orally which shall not include any adjustment of occlusion to
the appli- ance or existing dentition Answer Direct
12. Level of Supervision Answer DA & RDH- Packing and removing
retraction cord, so long as it does not contain vasoactive chemicals and is
used solely for restorative dental procedures Answer Direct
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