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LEGISLATIVE NEWS

Texas Administrative Code
TITLE 22 EXAMINING BOARDS
PART 5 STATE BOARD OF DENTAL EXAMINERS
CHAPTER 115 EXTENSION OF DUTIES OF AUXILIARY PERSONNEL--DENTAL HYGIENE
RULE §115.2 Permitted Duties

(a) In addition to the duties that a dentist may delegate pursuant to the Dental Practice Act and Board Rules, a Texas-licensed dental hygienist (hygienist) may perform the following services and procedures in the dental office of his/her supervising Texas-licensed dentist (dentist) or dentists who are legally engaged in the practice of dentistry in this state or under the supervision of a supervising dentist in an alternate setting:

   (1) remove accumulated matter, tartar, deposits, accretions, or stains, other than mottled enamel stains, from the natural and restored surface of exposed human teeth and restorations in the human mouth;

   (2) smooth roughened root surfaces;

   (3) polish exposed human teeth, restorations in the human mouth, or roughened root surfaces;

   (4) topically apply drugs to the surface tissues of the human mouth or the exposed surface of human teeth;

   (5) make dental x-rays; and

   (6) apply pit and fissure sealants.

     (A) dental hygienists who graduated from a dental or dental hygiene school accredited by the Commission on Dental Accreditation of the American Dental Association after December 31, 1980 may do so without obtaining a certificate from the SBDE;

     (B) dental hygienists who graduated from a dental or dental hygiene school accredited by the Commission on Dental Accreditation of the American Dental Association before December 31, 1980, must obtain certification from the SBDE to apply sealants. Certification to apply pit and fissure sealants in Texas may be obtained by submitting a written request to the SBDE accompanied by proof of course completion.

   (7) monitor patients receiving nitrous oxide/oxygen inhalation conscious sedation only after obtaining certification issued by the State Board of Dental Examiners and only under the direct supervision of a Texas licensed dentist. Certification may be obtained by successful completion of a board-approved course, that includes examination, on the monitoring of the administration of nitrous oxide.

(b) Dental hygienists may use lasers in the practice of dental hygiene under the direct supervision of a dentist, so long as they do not perform any procedure that is irreversible or involves the intentional cutting of soft or hard tissue.

   (1) Prior to using a laser for non-diagnostic purposes, dental hygienists must complete no less than twelve hours of in-person continuing education in laser utilization specific to the procedures to be performed by the dental hygienist using the laser. Three of the twelve required hours must include clinical simulation laser training similar to the procedures to be performed by the dental hygienist. The continuing education must be provided by an educational course provider recognized by the Board. Dental hygienists must maintain documentation of the satisfactory completion of the required continuing education courses.

   (2) Use of lasers by dental hygienists must be in accordance with the minimum standard of care and limited to the dental hygienist's scope of practice.

   (3) A dentist who supervises a dental hygienist in the use of lasers must have laser education and training sufficient to adequately supervise the dental hygienist, including but not limited to meeting the continuing education requirements required of dental hygienists in subsection (b)(1) of this section. Pursuant to §258.003 of the Dental Practice Act, the delegating dentist is responsible for all dental acts delegated to the dental hygienist, including the use of lasers.

   (4) The dental hygienist must comply with the Dental Practice Act and Board Rules in the use of lasers. The dental hygienist may be subject to disciplinary action for any act that violates the Dental Practice Act or Board Rules.


Source Note: The provisions of this §115.2 adopted to be effective January 1, 1976; amended to be effective April 18, 1979, 4 TexReg 1209; amended to be effective October 10, 1979, 4 TexReg 3502; amended to be effective October 11, 1979, 4 TexReg 3502; amended to be effective June 12, 1980, 5 TexReg 2187; amended to be effective April 19, 1984, 9 TexReg 1947; amended to be effective September 1, 1986, 11 TexReg 3349; amended to be effective February 1, 1988, 12 TexReg 4473; amended to be effective January 5, 1990, 14 TexReg 6756; amended to be effective February 21, 1990, 15 TexReg 707; amended to be effective July 17, 1990, 15 TexReg 3804; amended to beeffective February 20, 1992, 17 TexReg 1095; amended to be effective March 18, 1997, 22 TexReg 2495; amended to be effective July 10, 2001, 26 TexReg 5004; amended to be effective February 25, 2007, 32 TexReg 627; amended to be effective June 23, 2015, 40 TexReg 3818

TEX HY-PAC

In 1978, the TDHA voted to support the formation of Texas Dental Hygienists’ Political Action Committee (Tex Hy-Pac). Its purpose is to encourage dental hygienists and other interested persons to inform legislators of current dental hygiene issues. This voluntary, non-profit committee supports the goals of TDHA, but operates independently and autonomously.  Tex Hy-Pac is not affiliated with any one political party but supports candidates who have demonstrated an interest in excellence in dental hygiene, and to persuade other candidates to hear our voice. This committee donates money to endorse candidates, provides information to hygienists on current legislative issues including those candidates whose views are consistent with a positive impact for dental hygiene.  The synergy of dozens and hundreds of dental hygienists working together is what it takes for our collective voice to be heard.


Mail your donations to:

TX HYPAC
7006 Lake Mead Blvd.
Arlington, TX 76016


To find out more about what bills are before our Legislature: http://www.capitol.state.tx.us/



Last Updated Aug 2, 2015