22 Tex. Admin. Code § 114.5 - Coronal Polishing
(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
(2) has at least two years experience as a
dental assistant; and either
(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.
Notes
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