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<section article="gho" article_name="Health Occupations" number="4-301.1" title_number="4" title_name="Dentistry" subtitle_number="3" subtitle_name="Licensing">
  <level label="a">
    <level label="1">
      <text>A dental assistant may assist a licensed dentist in providing the following intraoral procedures under the direct supervision of a licensed dentist without being certified by the Board:</text>
      <level label="i">
        <text>Rinsing and aspiration of the oral cavity;</text>
      </level>
      <level label="ii">
        <text>Retraction of the lips, cheeks, tongue, and flaps;</text>
      </level>
      <level label="iii">
        <text>Placement and removal of materials for the isolation of the dentition, provided that the material is not retained by the dentition;</text>
      </level>
      <level label="iv">
        <text>Instructing on oral hygiene;</text>
      </level>
      <level label="v">
        <text>Taking impressions for study models or diagnostic casts;</text>
      </level>
      <level label="vi">
        <text>Constructing athletic mouth guards on models;</text>
      </level>
      <level label="vii">
        <text>Applying topical anesthesia;</text>
      </level>
      <level label="viii">
        <text>Curing by the use of halogen light;</text>
      </level>
      <level label="ix">
        <text>Checking for loose bands; and</text>
      </level>
      <level label="x">
        <text>Any other procedure that the Board authorizes by a rule or regulation.</text>
      </level>
    </level>
    <level label="2">
      <text>A dental assistant may assist in performing intraoral photography, other than conventional or digital X–ray, under the general supervision of a licensed dentist who reviews the photography and authorizes the treatment plan without being certified by the Board.</text>
    </level>
  </level>
  <level label="b">
    <level label="1">
      <text>Except for an individual licensed as a dentist or a dental hygienist under this title, an individual shall be certified by the Board as an expanded function dental assistant authorized to perform at least one of the following intraoral procedures before the individual may perform the intraoral procedure in the State:</text>
      <level label="i">
        <text>Assisting in orthodontic procedures authorized by the Board in regulation;</text>
      </level>
      <level label="ii">
        <text>Placing dental sealants;</text>
      </level>
      <level label="iii">
        <text>Coronal polishing only to remove stain or biofilm:</text>
        <level label="1">
          <text>In connection with a dental prophylaxis:</text>
        </level>
        <level label="A">
          <text>As determined necessary and appropriate, secondary to the more complex dental procedures of a dental prophylaxis, such as removal of hard and soft deposits and stain of the tooth crown, root surfaces, and periodontal pocket; and</text>
        </level>
        <level label="B">
          <text>If applicable, in consultation with the treating dental hygienist; or</text>
        </level>
        <level label="2">
          <text>Before a dentist performs an esthetic or cementation procedure;</text>
        </level>
      </level>
      <level label="iv">
        <text>Applying silver diamine fluoride;</text>
      </level>
      <level label="v">
        <text>Monitoring nitrous oxide by observing a patient:</text>
        <level label="1">
          <text>During the flow of nitrous oxide;</text>
        </level>
        <level label="2">
          <text>During the reduction of the flow of nitrous oxide;</text>
        </level>
        <level label="3">
          <text>During the shutting off of equipment controlling the flow of nitrous oxide; and</text>
        </level>
        <level label="4">
          <text>At all times in between the start of the flow of nitrous oxide until the nitrous oxide has been terminated and the patient has fully awoken and is coherent; or</text>
        </level>
      </level>
      <level label="vi">
        <text>Additional intraoral procedures authorized by the Board in regulations.</text>
      </level>
    </level>
    <level label="2">
      <text>A dental assistant who is certified by the Board to perform an intraoral procedure listed in paragraph (1) of this subsection may perform the intraoral procedure listed in paragraph (1) of this subsection if a licensed dentist:</text>
      <level label="i">
        <text>Gives the expanded function dental assistant specific instructions to perform the intraoral procedure; and</text>
      </level>
      <level label="ii">
        <text>Directly supervises the expanded function dental assistant performing the intraoral procedure.</text>
      </level>
    </level>
  </level>
</section>
