Final Test Review
(Questions & Solutions)
2025
1
, I. Scope of Practice and Delegation
1. (Multiple Choice)
In Ohio, which procedure is typically within a dental hygienist’s scope of
practice under direct supervision of a dentist?
A. Administering local anesthesia (without additional certification)
B. Performing oral prophylaxis (scaling and polishing)
C. Executing restorative procedures such as drilling and filling
D. Fabricating temporary crowns
ANS: B
Rationale: In Ohio, a dental hygienist is permitted to perform oral
prophylaxis under direct supervision. More invasive procedures (e.g.,
restorative work or crown fabrication) must be performed by the dentist
or by personnel with the requisite advanced training and legal authority.
---
2. (Fill-in-the-Blank)
In Ohio, delegation of non‐clinical tasks—such as record-keeping or
instrument sterilization—to a dental assistant may occur under
__________ supervision.
ANS: indirect
Rationale: Non‐clinical tasks may be delegated under indirect
supervision, meaning the dentist need not be physically present but must
be available for consultation and oversight as required by Ohio
regulations.
---
3. (True/False)
True or False: In Ohio, a dental assistant may perform operative
2
, procedures independently if they have completed the required training.
ANS: False
Rationale: Ohio law mandates that dental assistants work under the
supervision of a licensed dentist; they are not authorized to perform
operative procedures entirely independently, even if appropriately
trained.
---
4. (Multiple Response)
Select all tasks that may be delegated by an Ohio dentist to a licensed
dental hygienist:
• A. Taking dental radiographs
• B. Applying topical fluoride treatments
• C. Placing sealants
• D. Administering local anesthesia (without additional certification)
ANSs: A, B, C
Rationale: In Ohio, under proper supervision, dental hygienists may
take radiographs, apply topical fluoride, and place sealants.
Administration of local anesthesia generally requires specialized
certification or must be performed directly by the dentist.
---
5. (Multiple Choice)
Which level of supervision in an Ohio dental office requires that the
supervising dentist be physically present in the operatory during the
procedure?
A. Indirect supervision
B. Direct supervision
C. General supervision
D. Deferred supervision
3