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<regulation prefix="Regulation" num=".04" citation="COMAR 10.44.01.04" title_num="10" subtitle_num="44" chapter_num="01" heading="Dental Assistants Recognized as Qualified in Orthodontics.">
  <paragraph num="A.">
    <text>A dentist may use the services of a dental assistant to perform certain duties if the dental assistant:</text>
    <paragraph num="(1)">
      <text>Has successfully completed a Board-approved course of at least 35 hours related to Maryland orthodontic dental assisting; and</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Is certified by the Dental Assisting National Board in orthodontics or was recognized by the Board of Dental Examiners, on or before June 19, 1974, as a dental assistant qualified in orthodontics.</text>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>If a dental assistant meets the qualifications of §A of this regulation, a dentist may permit the dental assistant qualified in orthodontics to perform the following intraoral tasks, provided that the tasks are performed only in response to a specific instruction from and under direct supervision of a licensed dentist:</text>
    <paragraph num="(1)">
      <text>Taking impressions for study models or diagnostic casts;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Applying topical fluoride;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Preparing and fitting orthodontic bands;</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Etching;</text>
    </paragraph>
    <paragraph num="(5)">
      <text>Removing excess cement from around orthodontic bands;</text>
    </paragraph>
    <paragraph num="(6)">
      <text>Placing and removing arch wires;</text>
    </paragraph>
    <paragraph num="(7)">
      <text>Cementing of orthodontic bands, placement of bonded attachments, or the removal of cemented or bonded orthodontic bands and attachments:</text>
    </paragraph>
    <paragraph num="(8)">
      <text>Placing elastics and ligatures;</text>
    </paragraph>
    <paragraph num="(9)">
      <text>Selecting headgear;</text>
    </paragraph>
    <paragraph num="(10)">
      <text>Applying desensitizing agents;</text>
    </paragraph>
    <paragraph num="(11)">
      <text>Applying topical anesthesia;</text>
    </paragraph>
    <paragraph num="(12)">
      <text>Constructing athletic mouth guards on models;</text>
    </paragraph>
    <paragraph num="(13)">
      <text>Taking alginate impressions for intraoral appliances;</text>
    </paragraph>
    <paragraph num="(14)">
      <text>Curing by the use of halogen light; and</text>
    </paragraph>
    <paragraph num="(15)">
      <text>Any other duty approved by the Board.</text>
    </paragraph>
  </paragraph>
  <paragraph num="C.">
    <text>A dentist may not use the services of a dental assistant qualified in orthodontics to perform any of the following services on the basis that the dental assistant meets the qualifications of §A of this regulation:</text>
    <paragraph num="(1)">
      <text>Examination, diagnosis, and treatment planning;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Surgery on hard or soft tissues;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Oral prophylactic procedures, including scaling, root planing, and polishing of teeth with rotary instruments;</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Condensing, carving, or finishing any restoration;</text>
    </paragraph>
    <paragraph num="(5)">
      <text>Administering injectable local anesthesia;</text>
    </paragraph>
    <paragraph num="(6)">
      <text>Applying pit and fissure sealants;</text>
    </paragraph>
    <paragraph num="(7)">
      <text>Initiation of treatment at any time for the correction of malocclusions and malformations of the teeth or jaws;</text>
    </paragraph>
    <paragraph num="(8)">
      <text>Adjusting occlusion of natural teeth, restorations, or appliances;</text>
    </paragraph>
    <paragraph num="(9)">
      <text>Placing an initial surgical dressing;</text>
    </paragraph>
    <paragraph num="(10)">
      <text>Performing vitality tests;</text>
    </paragraph>
    <paragraph num="(11)">
      <text>Preparing temporary crowns;</text>
    </paragraph>
    <paragraph num="(12)">
      <text>Cementing temporary or permanent crowns or restorations;</text>
    </paragraph>
    <paragraph num="(13)">
      <text>Removing temporary crowns;</text>
    </paragraph>
    <paragraph num="(14)">
      <text>Placing or removing retraction cord;</text>
    </paragraph>
    <paragraph num="(15)">
      <text>Placing or removing a rubber dam;</text>
    </paragraph>
    <paragraph num="(16)">
      <text>Placing or removing a matrix band;</text>
    </paragraph>
    <paragraph num="(17)">
      <text>Preparing and fitting stainless steel crowns;</text>
    </paragraph>
    <paragraph num="(18)">
      <text>Drying a root canal;</text>
    </paragraph>
    <paragraph num="(19)">
      <text>Removing or placing a periodontal dressing; and</text>
    </paragraph>
    <paragraph num="(20)">
      <text>Adjusting prosthetic appliances.</text>
    </paragraph>
  </paragraph>
</regulation>