(a)[The following term, when used in this section,
shall have the following meaning, unless the context clearly indicates
otherwise:] "Coronal polishing" means the removal of plaque
and extrinsic stain from exposed natural and restored tooth surfaces
using an appropriate rotary instrument with rubber cup or brush and
polishing agent. This includes the use of a toothbrush.
(b)A Texas-licensed dentist may delegate coronal polishing
to a dental assistant if the dental assistant:
(1)works under the direct supervision of the licensed
dentist; and
(2)has at least two years experience as a dental
assistant; and either [is certified pursuant to subsection
(d) of this section.]
(A)has completed a minimum of eight
(8) hours of clinical and didactic education in coronal polishing
taken through a dental school, dental hygiene school, or dental assisting
program accredited by the Commission on Dental Accreditation of the
American Dental Association and approved by the Board. The education
must include courses on:
(i)oral anatomy and tooth morphology relating to retention
of plaque and stain;
(ii)indications, contraindications, and complications
of coronal polishing;
(iii)principles of coronal polishing, including armamentarium,
operator and patient positioning, technique, and polishing agents;
(iv)infection control procedures;
(v)polishing coronal surfaces of teeth; and
(vi)jurisprudence relating to coronal polishing; or
(B)has either:
(i)graduated from a dental assisting program accredited
by the Commission on Dental Accreditation of the American Dental Association
and approved by the board that includes specific didactic course work
and clinical training in coronal polishing; or
(ii)received certification of completion of requirements
specified by the Dental Assisting National Board and approved by the
Board.
(c)The delegated duty of polishing by a dental assistant
may not be billed as a prophylaxis.
(d)Coronal polishing must be in accordance
with the minimum standard of care and limited to the dental assistant's
scope of practice.
(e)The dental assistant must comply
with the Dental Practice Act and Board Rules in the act of coronal
polishing. Pursuant to §258.003 of the Dental Practice Act, the
delegating dentist is responsible for all dental acts delegated to
a dental assistant, including coronal polishing.
[(d)A dental assistant seeking certification
under this section must:]
[(1)pay an application fee set by board rule; and]
[(2)on a form prescribed by the Board, provide proof
that the applicant has:]
[(A)at least two years experience as a dental assistant;
and either]
[(B)completed a minimum of eight (8) hours of clinical
and didactic education in coronal polishing taken through a dental
school, dental hygiene school, or dental assisting program accredited
by the Commission on Dental Accreditation of the American Dental Association
and approved by the Board. The education must include courses on:]
[(i)oral anatomy and tooth morphology relating to
retention of plaque and stain;]
[(ii)indications, contraindications, and complications
of coronal polishing;]
[(iii)principles of coronal polishing, including armamentarium,
operator and patient positioning, technique, and polishing agents;]
[(iv)infection control procedures;]
[(v)polishing coronal surfaces of teeth; and]
[(vi)jurisprudence relating to coronal polishing;
or]
[(C)present proof to the Board that the assistant
has either:]
[(i)graduated from a dental assisting program accredited
by the Commission on Dental Accreditation of the American Dental Association
and approved by the board that includes specific didactic course work
and clinical training in coronal polishing; or]
[(ii)received certification of completion of requirements
specified by the Dental Assisting National Board and approved by the
Board.]
The agency certifies that legal counsel
has reviewed the proposal and found it to be within the state agency's
legal authority to adopt.
Filed with the Office
of the Secretary of State on September 29, 2017
TRD-201703951 Kelly Parker
Executive Director
State Board of Dental Examiners
Earliest possible date of adoption: November 12, 2017
For further information, please call: (512) 475-0977
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