Sec. 265.003. PERMITTED DUTIES  


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  • (a) A dental assistant who is not professionally licensed may be employed by and work in the office of a licensed and practicing dentist and perform one or more delegated dental acts under:

    (1) the direct supervision, direction, and responsibility of the dentist, including:

    (A) the application of a pit and fissure sealant;

    (B) coronal polishing, if the dental assistant holds a certificate under Section 265.006; and

    (C) the application of fluoride varnish; or

    (2) the general supervision, direction, and responsibility of the dentist, limited to:

    (A) the making of dental x-rays in compliance with Section 265.005; and

    (B) the provision of interim treatment of a minor emergency dental condition to an existing patient of the treating dentist.

    (a-1) A treating dentist who delegates the provision of interim treatment of a minor emergency dental condition to a dental assistant under Subsection (a)(2)(B) shall:

    (1) delegate the procedure orally or in writing before the dental assistant performs the procedure;

    (2) retain responsibility for the procedure; and

    (3) schedule a follow-up appointment with the patient within a reasonable time.

    (b) A dental assistant who applies a pit and fissure sealant under Subsection (a) may cleanse the occlusal and smooth surfaces of the teeth immediately before and for the sole purpose of preparing the tooth area for the placement of the pit and fissure sealant or orthodontic bonding resin. A procedure performed by a dental assistant under this subsection may not be billed as a prophylaxis.

Acts 1999, 76th Leg., ch. 388, Sec. 1, eff. Sept. 1, 1999. Amended by Acts 2001, 77th Leg., ch. 1470, Sec. 4.03, eff. Sept. 1, 2001; Acts 2003, 78th Leg., ch. 1144, Sec. 2, eff. June 20, 2003. Amended by: Acts 2009, 81st Leg., R.S., Ch. 476 , Sec. 4, eff. September 1, 2009.