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(a)"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 has
(2)at least two years experience as a dental assistant;
and either
(A)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.
The agency certifies that legal counsel has reviewed
the adoption and found it to be a valid exercise of the agency's legal
authority.
Filed with the Office
of the Secretary of State on February 26, 2018
TRD-201800820 Tyler Vance
Interim Executive Director
State Board of Dental
Examiners
Effective date: March 18, 2018
Proposal publication date: October 13, 2017
For further information, please call: (512) 475-0977
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