SOLUTIONS
*General supervision - ✔✔The dentist has prior knowledge and has given consent for the procedures
being performed during which the dentist is NOT REQUIRE to be present in the dental office or on the
premises.
*Indirect - ✔✔The dentist is in the office, authorizes the procedures, and REMAINS IN OFFICE while the
procedures are being performed by the allied dental personnel.
Direct - ✔✔The dentist is in the dental office, personally diagnoses the condition to be treated,
personally authorizes the procedure, and before dismissal of the patient, EVALUATE PERFORMANCE of
the allied dental personnel. (DOUBLE CHECK WORK)
Personal - ✔✔The dentist is PERSONALLY OPERATING on a patient and authorizes the allied dental
personnel to aid in treatment by concurrently performing supportive procedures.
DT, DH or LDA must do these before administering nitrous - ✔✔Take a course with a minimum of *12
hrs* total comprised of didactic instruction, personally administering and managing at least *3*
individual supervised cases
Who can place sealants after completing a course by a school accredited by the commission on dental
accreditation (CODA)? - ✔✔DT, DH, LDA
*WHO can give LA after completing a course on LA from a school accredited by the Commission on
Dental Accreditation? - ✔✔DT and DH (not LDA)
*DH & LDA SHALL NOT take impressions and bite registrations for _____________ of fixed and
removable prosthesis? - ✔✔Final construction
*Before removal of bond material, a DA or LDA must successfully complete a course in the use of
____________ for the express purpose of the removal of bond material from teeth. - ✔✔rotary
instruments
Etch appropriate enamel surface, apply & adjust pit & fissure SEALANTS. - ✔✔DH - general
LDA - indirect
*Administer LA & N2O - ✔✔DH - General
*Monitor a patient on N2O - ✔✔DH - General
,LDA - Indirect
*Utilizing rotary instruments for the removal of bond material from teeth - ✔✔DH & LDA - direct
Performing any or all restorative procedures limited to placing, contouring, & adjusting amalgam, glass
ionomers, and Class I, II and V supra-gingiva composite restorations on primary & permanent teeth. -
✔✔DH & LDA - indirect
*Managing and removing IV lines, using NON invasive instrumentation under DDS supervision - ✔✔DH &
LDA- indirect
*Initiate & placing an IV line - ✔✔DH & LDA- direct
Administering any medications or agents into existing IV line - ✔✔Personal DH & LDA
*Perform preliminary charting of the oral cavity and surrounding structures to include case histories,
perform initial and periodic examinations and assessments to determine periodontal status, and
formulate a dental hygiene treatment plan in coordination with a dentist's treatment plan - ✔✔DH -
general
*Make referrals to DDS, MD & other practitioners in consultation with DDS. - ✔✔DH - general
*Complete prophy with SRP and polishing restorations - ✔✔DH - general
Dietary and nutritional counseling - ✔✔DH - general
*Fabricating, replacement, cementation and adjustment of INTACT temporary crowns or restorations -
✔✔DH - general
LDA - direct
*Remove overhangs - ✔✔DH - general
Complete preliminary charting of the oral cavity and surrounding structures with the EXCEPTION of
periodontal PROBING and assessment of the periodontal structure. - ✔✔LDA - general
Take photographs IOC & radiographs - ✔✔DH & LDA- general
Take vital signs - ✔✔DH & LDA- general
Place temporary fillings - ✔✔DH & LDA- general
*Cut arch wires, remove loose bands or brackets - ✔✔DH & LDA- general
*Take impressions and bite registrations - ✔✔DH & LDA- general
, *Place and remove ELASTIC ortho separators - ✔✔DH & LDA- general
*Deliver vacuum-formed ortho retainers - ✔✔DH & LDA- general
*Mechanical polishing clinical crowns (calculus must be removed by DDS or DH before polishing) -
✔✔DH - general
LDA - indirect
*Remove Excess CEMENT from inlays, crowns, bridges, ortho appliances with HAND INSTRUMENTS -
✔✔DH - general
LDA - indirect
Apply topical MEDS, bleaching agent, cavity varnishes & desensitizing agents - ✔✔DH-general
Apply topical fluoride (foam, gel, varnish) - ✔✔DH & LDA- general
Apply topical MEDS, bleaching agents & cavity varnish prescribed by DDS - ✔✔LDA - indirect
*Can a LDA or DH place a cavity liner or endo filler - ✔✔NO
*Place and remove rubber dam - ✔✔DH - general
LDA - indirect
*Preselect ortho bands - ✔✔DH - general
LDA - indirect
*Remove and replace ligature ties and EXISTING arch wires on orthodontic appliances. - ✔✔DH & LDA-
general
*Remove sutures & place and remove periodontal dressings - ✔✔DH - general
LDA - indirect
*Dry root canals with paper points
*Place cotton pellets and temp materials in endo openings. - ✔✔DH - general
LDA - indirect
*Place and remove matrix bands - ✔✔DH - general
LDA - direct