(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)meets the education requirements
in subsection (c) of this section.
[(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)To perform coronal polishing,
a dental assistant must have either:
(1)graduated from a dental assisting program accredited
by the Commission on Dental Accreditation of the American Dental Association
(CODA) that includes specific didactic course work and clinical training
in coronal polishing; or
(2)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 CODA. A dental assistant must have at least one-year experience
as a dental assistant before applying to a CODA program to obtain
coronal polishing education. The education must include courses on:
(A)oral anatomy and tooth morphology relating to retention
of plaque and stain;
(B)indications, contraindications, and complications
of coronal polishing;
(C)principles of coronal polishing, including armamentarium,
operator and patient positioning, technique, and polishing agents;
(D)infection control procedures;
(E)polishing coronal surfaces of teeth; and
(F)jurisprudence relating to coronal polishing.
(d)[(c)] The delegated duty
of polishing by a dental assistant may not be billed as a prophylaxis.
(e)[(d)] Coronal polishing must
be in accordance with the minimum standard of care and limited to
the dental assistant's scope of practice.
(f)[(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 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 March 8, 2024
TRD-202401070 Lauren
Studdard
General Counsel
State Board of Dental Examiners
Earliest possible date of adoption: April 21, 2024
For further information, please call: (512) 305-8910
|
