MN Jurisprudence Delegated Duties
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 supervision
Complete preliminary charting o𝑓 the oral cavity and surrounding structures with the
exception o𝑓 periodontal probing and assessment o𝑓 the periodontal structure -
LDA- general supervision
Make re𝑓errals to dentists, physicians, and other practitioners in consultation with a dentist -
DH-general
Obtain in𝑓ormed consent within scope o𝑓 practice -
DH and LDA- general
Take vital signs such as pulse and blood pressure -
DH and LDA- general
Take photographs extraorally or intraorally -
DH and LDA- general
Take radiographs -
DH and LDA- general
Per𝑓orm mechanical polishing to clinical crowns not including instrumentation -
DH- general
LDA- indirect
Complete debridement, prophylaxis, and NSPT -
DH-general
Place subgingival medicaments -
DH-general
Salivary analysis -
DH-general
Nutritional counseling -
DH-general
Administer local anesthesia -
DH- general
Administer nitrous oxide inhalation analgesia -
DH- general
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, LDA- direct
Monitor a patient who has been induced by a dentist into nitrous oxide inhalation analgesia -
DH-general
LDA-indirect
Take impressions and bite registration -
DH and LDA- general
Fabrication and delivery o𝑓 custom 𝑓itted trays -
DH-general
Etch appropriate enamel sur𝑓aces, apply, and adjust pit and 𝑓issure sealants -
DH-general
LDA-indirect
Remove marginal overhangs -
DH-general
Place and remove rubber dam -
LDA- indirect
place and remove isolation devices or materials 𝑓or restorative purposes -
DH- general
Place and remove matrix bands -
LDA- direct
Place and remove matrix systems and wedges -
DH- general
Fabrication, placement, replacement, cementation, and adjustment or temporary crowns or
restorations -
DH- general
Fabricate, cement, and adjust temporary crown/restorations extraorally or intraorally -
LDA- direct
Place temporary 𝑓illings (not including temporization o𝑓 inlays, onlays, crowns, and bridges).
-
LDA- general
Recement intact temporary restorations -
LDA- general
Remove temporary crowns or restorations with hand instruments only -
DH- general
LDA- direct
Remove excess cement 𝑓rom inlays, crowns, bridges, or orthodontic appliances -
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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 supervision
Complete preliminary charting o𝑓 the oral cavity and surrounding structures with the
exception o𝑓 periodontal probing and assessment o𝑓 the periodontal structure -
LDA- general supervision
Make re𝑓errals to dentists, physicians, and other practitioners in consultation with a dentist -
DH-general
Obtain in𝑓ormed consent within scope o𝑓 practice -
DH and LDA- general
Take vital signs such as pulse and blood pressure -
DH and LDA- general
Take photographs extraorally or intraorally -
DH and LDA- general
Take radiographs -
DH and LDA- general
Per𝑓orm mechanical polishing to clinical crowns not including instrumentation -
DH- general
LDA- indirect
Complete debridement, prophylaxis, and NSPT -
DH-general
Place subgingival medicaments -
DH-general
Salivary analysis -
DH-general
Nutritional counseling -
DH-general
Administer local anesthesia -
DH- general
Administer nitrous oxide inhalation analgesia -
DH- general
1|Page
, LDA- direct
Monitor a patient who has been induced by a dentist into nitrous oxide inhalation analgesia -
DH-general
LDA-indirect
Take impressions and bite registration -
DH and LDA- general
Fabrication and delivery o𝑓 custom 𝑓itted trays -
DH-general
Etch appropriate enamel sur𝑓aces, apply, and adjust pit and 𝑓issure sealants -
DH-general
LDA-indirect
Remove marginal overhangs -
DH-general
Place and remove rubber dam -
LDA- indirect
place and remove isolation devices or materials 𝑓or restorative purposes -
DH- general
Place and remove matrix bands -
LDA- direct
Place and remove matrix systems and wedges -
DH- general
Fabrication, placement, replacement, cementation, and adjustment or temporary crowns or
restorations -
DH- general
Fabricate, cement, and adjust temporary crown/restorations extraorally or intraorally -
LDA- direct
Place temporary 𝑓illings (not including temporization o𝑓 inlays, onlays, crowns, and bridges).
-
LDA- general
Recement intact temporary restorations -
LDA- general
Remove temporary crowns or restorations with hand instruments only -
DH- general
LDA- direct
Remove excess cement 𝑓rom inlays, crowns, bridges, or orthodontic appliances -
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