Ohio Administrative Code|Rule 4715-9-01 | Permissible practices of a dental hygienist.

                                                
(A) The dental hygienist may perform the
		  following tasks and/or procedures under the direct supervision of a licensed
		  dentist if the dental hygienist has completed the requirements set forth in
		  sections 4715.23, 4715.39, and 4715.231 of the Revised Code and board rules.
		  The dental hygienist must have completed a basic life-support training course
		  certified by the American heart association, the American red cross or the
		  American safety and health institute and remain current at all times when
		  performing the following tasks and/or procedures:
(1) Administration of
			 intraoral block and infiltration local anesthesia - Upon completion of the
			 requirements set forth in sections 4715.23 and 4715.231 of the Revised Code and
			 rule 4715-9-01.1 of the Administrative Code, a licensed dental hygienist may
			 administer intraoral block and infiltration local anesthesia.
(2) Administration (initiate, adjust,
			 monitor, and terminate) of nitrous oxide-oxygen (N2O-O2)
			 minimal sedation - Upon completion of the requirements set forth in section
			 4715.23 of the Revised Code and rule 4715-9-01.2 of the Administrative Code, a
			 licensed dental hygienist may administer N2O-O2
			 minimal sedation while providing treatment if the following requirements are
			 met:
(a) The supervising dentist has evaluated the patient and
				prescribed the use of N2O-O2 minimal sedation.
(b) The supervising dentist must approve the use of N2O-O2
				minimal sedation immediately prior to each instance of
				administration.
(c) The dental hygienist shall not administer N2O-O2
				minimal sedation to more than one patient at a time.
(d) The dental hygienist shall physically remain with the patient
				at all times.
(e) The supervising dentist approves the discharge of the
				patient.
(3) Monitoring nitrous
			 oxide-oxygen (N2O-O2) minimal sedation - Upon completion of the
			 requirements set forth in sections 4715.23 and 4715.39 of the Revised Code and
			 rule 4715-9-01.3 of the Administrative Code, a licensed dental hygienist may
			 monitor N2O-O2 minimal sedation while providing treatment if
			 the following requirements are met:
(a) A satisfactory initiation phase has been administered by the
				dentist.
(b) The dental hygienist shall not monitor more than one patient
				at a time.
(c) The dental hygienist shall physically remain with the patient
				at all times.
(d) The dental hygienist must document the supervising
				dentist's approval for discharge of the patient.
(e) The dental hygienist, who is qualified to only monitor
				N2O-O2 minimal sedation, shall not under any
				circumstances administer, adjust, or terminate N2O-O2
				minimal sedation.
The completion of all requirements for paragraphs
		  (A)(1) to (A)(3) of this rule shall be documented on a form supplied by the
		  board, with all supporting information attached. This form shall be maintained
		  in the facility(s) where the dental hygienist is working.
(B) The dental hygienist may perform the
		  following tasks and/or procedures which may be delegated only to a licensed
		  dental hygienist under the supervision of a licensed dentist:
(1) Removal of calcareous
			 deposits or accretions from the crowns and roots of teeth.
(2) Periodontal scaling,
			 root planing, and soft tissue curettage.
(3) Sulcular placement of
			 prescribed materials.
(4) Bleaching of teeth
			 (excluding procedures that utilize light amplification by stimulated emission
			 of radiation (LASER) technologies).
(C) The dental hygienist may also perform
		  the following tasks and/or procedures under the supervision of a licensed
		  dentist:
(1) Polishing of the
			 clinical crown(s) of teeth, including restorations.
(2) Pit and fissure
			 sealants.
(3) Standard, diagnostic,
			 radiologic procedures for the purpose of contributing to the provision of
			 dental services.
(D) In performing advanced remediable
		  restorative intra-oral dental tasks and/or procedures, the licensed dental
		  hygienist is subject to sections 4715.61 to 4715.66 of the Revised Code and
		  agency level rules regulating expanded function dental
		  auxiliaries.
(E) In performing basic remediable intra-oral and extra-oral
		  dental tasks and/or procedures, the licensed dental hygienist is subject to
		  those rules regulating basic qualified personnel. However, dental hygienists
		  may engage in the following duties when the dentist is not physically present,
		  subject to the limitations outlined in divisions (C) and (D) of section 4715.22
		  of the Revised Code, which must be adhered to when performing these
		  duties:
(1) Aspiration and
			 retraction, excluding placement of gingival retraction materials.
(2) Intra-oral instrument
			 transfer.
(3) Preliminary charting
			 of missing and filled teeth.
(4) Elastomeric
			 impressions for diagnostic models and models to be used for opposing models in
			 the construction of appliances and restorations.
(5) Taking impressions
			 for the construction of custom athletic mouth protectors/mouthguards, and trays
			 for application of medicaments.
(6) Application of
			 disclosing solutions.
(7) Caries susceptibility
			 testing.
(8) Demonstration of oral
			 hygiene procedures, including, but not limited to, use of toothbrushes and
			 dental floss.
(9) Application of
			 topical anesthetics.
(10) Fluoride
			 application.
(11) Application of fluoride varnish.
(12) Topical applications of desensitizing
			 agents to teeth.
(13) Application and removal of
			 periodontal dressings.
(14) Intra-oral bite registrations for
			 diagnostic model articulation.
(15) Recementation of temporary crowns or the recementation
			 of crowns with temporary cement.
(16) All supportive services necessary to
			 the maintenance of a hygienic practice environment, including, but not limited
			 to, all sterilizing procedures.
(17) All supportive services or procedures
			 necessary to protect the physical well-being of the patient during routine
			 treatment procedures and during periods of emergencies, including, but not
			 limited to:
(a) Physical positioning of the patient;
(b) Monitoring of vital signs;
(c) Assistance during administration of life-support activities;
				and
(d) Any other non-invasive procedures deemed necessary by the
				supervising dentist to maintain the health and safety of the
				patient.
(18) All non-invasive supportive services
			 and procedures necessary to the gathering and maintaining of accurate and
			 complete medical and dental history of the patient, including but not limited
			 to:
(a) Taking photographs;
(b) Recording patient treatment;
(c) Measurement of blood pressure and body temperature;
				and
(d) Other common tests deemed necessary by the supervising
				dentist.
(19) All extra-oral supportive laboratory
			 procedures, including, but not limited to:
(a) Repair, construction and finishing of metallic and plastic
				prosthetic devises; and
(b) Compilation of radiographic data for interpretation by the
				dentist, i.e., tracings, etc.
(20) The preparation of impression
			 materials.
(21) All patient education services,
			 including, but not limited to:
(a) Progress reports;
(b) Consultations (oral or written);
(c) Oral hygiene instructions;
(d) Use of intra-oral hygiene devices;
(e) Normal nutrition information as it relates to dental
				health;
(f) Behavioral modification;
(g) Self adjustment of orthodontic appliances;
(h) "General
				nonmedical nutrition information" which is defined as nutrition
				information for the purpose of maintaining good oral health, including but not
				limited to:
(i) Principles of good nutrition and food
				  preparation;
(ii) Food to be included in the normal daily
				  diet;
(iii) Essential nutrients needed by the body;
(iv) Recommended amounts of the essential
				  nutrients;
(v) Actions of nutrients on the body;
(vi) Effects of deficiencies of excesses of nutrients;
				  or
(vii) Food and supplements that are good sources of essential
				  nutrients.
(i) All other post-operative and post-insertion
				instructions, as deemed appropriate by the supervising dentist.


Last updated October 1, 2021 at 3:46 PM