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The delegated duties for dental hygienists (dh) and dental assistants (lda) in minnesota, providing a comprehensive overview of procedures they are authorized to perform. It details the scope of practice for each profession, including tasks that can be performed under general supervision, direct supervision, or personal supervision. The document serves as a valuable resource for dental hygiene and assistant students, helping them understand their roles and responsibilities within the dental team.
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Perform preliminary charting of oral cavity and surrounding structures including case histories, initial and periodic examinations, determine perio status, formulate dental hygiene treatment, coordinate with dentist for treatment plan ✔✔DH General supervison
Complete preliminary charting of the oral cavity and surrounding structures with the exception of periodontal probing and assessment of perio structure ✔✔LDA General Supervison
Obtain informed consent within scope of practice. ✔✔DH/LDA general
Take photographs intra orally and extra orally ✔✔DH/LDA general
Who can perform a dietary analysis ✔✔DDS/DH
Take vital signs such as pulse rate, blood pressure as directed by dentist ✔✔DH/LDA general
Make referrals to the DDS,physicians and other practitioners in consultation with dentist ✔✔D/H general
Complete prophy to include scaling, root planning, polishing of restorations ✔✔DH general
Dietary analysis, salivary analysis, and preparation of smears for dental health purposes ✔✔DH general
Replacement cementation and adjustment of intact temporary restorations extra orally or intra orally ✔✔DH general
Re-cement intact temporary restorations ✔✔DH/LDA general
Place temporary fillings ( not including inlays onlays, crowns, and bridges, ✔✔DH/LDA general
Cut arch wires, remove loose bands,or remove loose brackets on ortho appliances ✔✔DH/LDA general
Perform restorative procedure limited to placing contouring and adjusting amalgam restoration, glass ionomers and supra gingival composite restoration class I & V where the margins are entirely within the enamel on permanent/primary teeth and placing contouring and adjusting supra gingival composite restorations class II &V on primary teeth ✔✔DH/LDA Indirect
Remove marginal overhangs ✔✔DH General
Place and remove matrix bands ✔✔DH/LDA Direct
Fabricate cement and adjust temporary restorations extra orally or intra orally ✔✔DH/LDA Direct
Remove temporary restorative with hand instruments only ✔✔DH/LDA Direct
Etch appropriate enamel surfaces before bonding of orthodontic appliances by a dentist ✔✔DH/LDA Direct
Perform mechanical polish to clinical crown not including instrumentation. Removal of calculus by instrumentation must be done by the DDS or DH before mechanical polishing ✔✔DH General
LDA Indirect
Take Radiographs ✔✔DH General
LDA General
Remove excess cement from inlays, crowns, bridges, and orthodontic appliances with hand instruments only ✔✔DH General
LDA Indirect
Apply topical medications such as but not limited to topical fluoride, bleaching agents, and cavity,varnishes in appropriate dosages or quanities as prescribed by a dentist ✔✔DH General
LDA Indirect
Take impressions for casts and appropriate bite registrations ✔✔DH General
LDA General
Deliver vacuum formed orthodontic retainers ✔✔DH General
LDA General
Remove sutures ✔✔DH General
LDA Indirect
Place and remove periodontal packs ✔✔DH General
LDA Indirect
Dry root canals with paper point ✔✔DH General
LDA Indirect
Place cotton pellets and temporary restorative materials into endodontic openings ✔✔DH General
LDA Indirect
Maintain and remove intravenous lines under supervision of dentist holding a valid general anesthesia or moderate sedation certificate ✔✔DH Indirect
LDA Indirect
Monitor a patient during each phase of general anesthesia or moderate sedation certificate ✔✔DH Indirect
LDA Indirect
Initiate and place and intravenous infusion line in preparation for intravenous medication and sedation under supervision of dentist holding a valid general anesthesia or moderate sedation certificate ✔✔DH Direct
LDA Direct
Concurrently perform supportive services if the dentist holds a valid general anesthesia or moderate sedation certificate is personally treating a patient and authorizes the allied dental personnel to aid in treatment including the administration of medications into an existing intravenous line and enteral agent or emergency medication in an emergent situation. ✔✔DH Personal
LDA Personal
Place non surgical retraction material for gingival displacement ✔✔DH Direct