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Indiana Professional Licensing Agency

PLA > Professions > Indiana State Board of Dentistry > Dental Assistants Dental Assistants

The Administrative Rules that will allow dental assistants to apply medicaments for the control or prevention of dental caries and to polish the coronal surface of teeth under the direct supervision of a licensed dentist will go into effect on January 2, 2011.   In order for a dental assistant to perform these functions they will need to comply with the requirements listed below.   There will be no license, certificate or permit issued by the Indiana State Board of Dentistry. 

NEW RULES FOR DENTAL ASSISTANTS

828 IAC 6-1-1 Caries prevention
Authority: IC 25-14-1-13
Affected: IC 25-14-1-23

     Sec. 1. (a) A dental assistant who has been employed in a dental practice for a minimum of one (1) year or has graduated from a program accredited by the Commission on Dental Accreditation of the American Dental Association and who has completed the requirements in subsection (b) may apply medicaments for the control or prevention of dental caries under the direct supervision of a licensed dentist.
    
     (b) A dental assistant may not apply medicaments for the control or prevention of dental caries until satisfactory completion of an educational program or curriculum accredited by the Commission on Dental Accreditation of the American Dental Association or approved by the board in the following order that includes, at a minimum:

     (1) Nine (9) hours of didactic instruction covering the following subject areas:
        (A) Ethics and jurisprudence.
        (B) Reasons for fluoride.
        (C) Systemic fluoride.
        (D) Topical fluoride.
        (E) Toxicity of fluoride.
        (F) Fluoride application.
        (G) Infection control.
     (2) Two (2) hours of laboratory work, including a mannequin and two (2) live patients, in topical fluoride applications.
     (3) Clinical competency demonstrated on a minimum of five (5) patients under the direct observation of an Indiana dentist or dental hygienist whose license is in good standing and an affidavit certifying the competency signed by the supervising dentist and a copy given to the employee.
     (4) Upon receipt of the affidavit, signed by the supervising dentist, the education program shall issue a certificate of completion to be publicly displayed in the dental office.
(State Board of Dentistry; 828 IAC 6-1-1)

828 IAC 6-1-2 Coronal polishing
Authority: IC 25-14-1-13
Affected: IC 25-14-1-23

     Sec. 2. (a) A dental assistant who has been employed in a dental practice for a minimum of one (1) year or has graduated from a program accredited by the Commission on Dental Accreditation of the American Dental Association and who has completed the requirements in subsection (b) may polish the coronal surface of teeth under the direct supervision of a licensed dentist.

     (b) A dental assistant may not polish the coronal surface of teeth until satisfactory completion of an educational program or curriculum accredited by the Commission on Dental Accreditation of the American Dental Association or approved by the board in the following order that includes, at a minimum:

     (1) Five (5) hours of didactic instruction covering the following subject areas:
        (A) Ethics and jurisprudence.
        (B) Plaque and material alba.
        (C) Intrinsic and extrinsic stain.
        (D) Abrasive agents.
        (E) Use of a slow speed hand piece, prophy cup, and occlusal polishing brush.
        (F) Theory of selective polishing.
        (G) Infection control.
     (2) Two (2) hours of laboratory work, including a mannequin and two (2) live patients, in the use of a slow speed hand piece, prophy cup, and occlusal polishing brush and hand dexterity.
     (3) Clinical competency demonstrated on a minimum of five (5) patients under the direct observation of an Indiana dentist or dental hygienist whose license is in good standing and an affidavit certifying the competency signed by the supervising dentist and a copy given to the employee.
     (4) Upon receipt of the affidavit, signed by the supervising dentist, the educational program shall issue a certificate of completion to be publicly displayed in the dental office.
(State Board of Dentistry; 828 IAC 6-1-2)

828 IAC 6-1-3 Verification of education by supervising dentist
Authority: IC 25-14-1-13
Affected: IC 25-14-1-23

     Sec. 3. (a) Before permitting a dental assistant to apply medicaments for the control or prevention of dental caries, the supervising dentist shall verify that the dental assistant has completed the educational requirements for caries prevention set forth in section 1 of this rule.

     (b) Before permitting a dental assistant to polish the coronal surface of teeth, the supervising dentist shall verify that the dental assistant has completed the educational requirements for coronal polishing set forth in section 2 of this rule.

     (c) The following shall be publicly displayed in the dental office:
     (1) Documentation that a dental assistant has completed the educational requirements to:
        (A) apply medicaments for the control and prevention of dental caries; or
        (B) polish the coronal surface of teeth.
     (2) The certificate of completion.
 (State Board of Dentistry; 828 IAC 6-1-3)

828 IAC 6-1-4 Limitation on procedures
Authority: IC 25-14-1-13
Affected: IC 25-13-1; IC 25-14-1-23

     Sec. 4. Except for the procedures described in sections 1 and 2 of this rule, procedures allocated to a licensed dental hygienist under IC 25-13-1 may not be delegated to a dental assistant.
(State Board of Dentistry; 828 IAC 6-1-4)

828 IAC 6-1-5 Requirements for out-of-state programs
Authority: IC 25-14-1-13
Affected: IC 25-14-1-23

     Sec. 5. (a) A dental assistant who has completed an out-of-state dental assisting program accredited by the Commission on Dental Accreditation of the American Dental Association or an out-of-state continuing education program with the equivalent hours and curriculum as stated in sections 1 and 2 of this rule, to apply medicaments for the control or prevention of dental caries or to polish the coronal surface of teeth, must provide a syllabus of course work successfully completed by the applicant.

     (b) The course work must be equal to or greater than the requirements specified in sections 1 and 2 of this rule.

     (c) If the out-of-state curriculum is less than the Indiana requirements to apply medicaments for the control or prevention of dental caries or to polish the coronal surface of teeth, then the dental assistant must complete the laboratory work and clinical competency portion of section 1 of this rule at a board approved course in Indiana and obtain a certificate of completion from the educational program. The dental assistant shall display the diploma from the program accredited by the Commission on Dental
Accreditation of the American Dental Association or certificate of completion from the board approved course.