News

Dental assistants play a vital role in dental care, ensuring that clinics run efficiently and patients receive high-quality service. However, the tasks that a dental assistant can perform vary by state. These differences are defined under the "scope of practice" laws, which outline the procedures and duties dental assistants are legally allowed to carry out. Understanding these regulations is essential for dental assistants, employers, and pre-dental students planning their careers in this field.  

If you’ve been curious about what dental assistants are allowed to do in your state—or if you’re planning for a career in dentistry—this guide will help clarify the varying regulations and key responsibilities, as well as provide insights into how certifications and training can expand your opportunities.

What Is a Dental Assistant’s Scope of Practice?

A dental assistant’s scope of practice refers to the specific tasks and responsibilities they are authorized to perform under the law. These regulations are determined by each state and vary widely, from administrative duties to complex clinical tasks.  

Common Responsibilities for Dental Assistants Across Most States:

• Preparing patient rooms and sterilizing instruments.  
• Assisting dentists during procedures by handing over tools or suctioning fluids.  
• Taking and developing X-rays (in some states, certification may be required).  
• Educating patients on proper oral hygiene and post-treatment care.  
• Administrative duties, such as scheduling appointments or managing dental records.

These duties typically fall under the "basic" level, meaning they don’t require advanced certification or special instructions from a supervising dentist.

Why Does Scope of Practice Vary by State?

Different states have different laws governing the tasks dental assistants are allowed to perform. This variation exists because dental care standards and healthcare regulations are determined locally, rather than nationally. Some states offer more flexibility and allow dental assistants to perform advanced tasks with the right training or certifications, while others strictly limit their responsibilities.  

Factors influencing these differences include:

• Public safety regulations.  
• Local workforce needs in dentistry.  
• State policies on healthcare licensure and certifications.  
• Access to training programs in the state.

Understanding your state’s specific limitations is critical to avoiding liability issues, protecting patient safety, and expanding the services you can offer as a dental assistant.

Advanced Procedures Some Dental Assistants May Be Allowed to Perform

Depending on state regulations and your level of training, dental assistants may carry out advanced tasks. Below are some examples of possible additional duties:

• Administering Fluoride Treatments  

 Many states allow dental assistants to apply fluoride varnish or gel under the direct supervision of a licensed dentist.  

• Polishing Teeth  

 Known as coronal polishing, this task involves removing plaque and stains from teeth surfaces. Certification is typically required.  

• Placing Sealants  

 Dental assistants in some states can apply dental sealants, which are protective coatings for teeth, once they’ve completed certification programs.  

• Taking Impressions  

 This involves creating molds of patients' teeth for orthodontic procedures or dental appliances.  

• Administering Local Anesthesia  

 Highly regulated and only permissible in select states, dental assistants with advanced certifications may assist with the administration of anesthesia.  

• Expanded Functions Dental Assistants (EFDA)  

 Some states allow EFDA-certified dental assistants to perform restorative functions, such as placing temporary crowns or packing filling material into cavities.

If you aim to perform these advanced duties, pursuing education and certifications will be necessary in most cases.

State-by-State Examples of Scope of Practice

Here’s a breakdown of how different states regulate dental assisting roles:

1. California

California has strict regulations. Dental assistants may only perform basic tasks, but with additional certification, they can assist in X-rays or coronal polishing. Expanded Functions Dental Assistants (EFDA) are allowed to perform more advanced tasks such as placing sealants.  

2. Texas  

Texas offers flexibility. Dental assistants can assist with X-rays, fluoride application, and impressions after completing state approval processes. Advanced procedures are supervised. Certification in radiography is often mandated.  

3. New York  

New York is highly restrictive. Dental assistants are limited to preparing rooms, passing tools, and sterilizing equipment. Tasks such as X-rays or polishings are not permitted without special licensure.  

4. Florida  

Florida has one of the most extensive scopes of practice. Under supervision, dental assistants may apply sealants, take impressions, and engage in coronal polishing after certification.  

By knowing your state’s regulations, you can better prepare for career growth opportunities in dental assisting.

Why Certification & Training Matters

Although not all states require certification for dental assistants, acquiring one can broaden your scope of practice and make you a more competitive job candidate. Certifications often prove your readiness to perform advanced tasks safely and effectively.

Types of Certifications:

• Dental Assisting National Board (DANB) Certification  

 Earning a DANB credential, such as the Certified Dental Assistant (CDA) certification, can open doors to expanded duties in several states.  

• Radiology Certification  

 Many states require dental assistants to complete a radiology course before being allowed to assist with X-rays.  

• Expanded Functions Training  

 Completing an EFDA program allows assistants to undertake restorative functions in states that permit it.  

Benefits of Certification:

• Greater earning potential and job security.  
• Increased ability to perform clinical and technical tasks.  
• A clear path toward becoming a hygienist or pursuing other dental roles.

How to Research Your State’s Scope of Practice

It’s always best to verify scope of practice laws through trusted sources. Here’s how to find up-to-date information:

• Check your state’s Dental Board or Department of Health website.  
• Refer to professional organizations, such as the American Dental Assistants Association (ADAA) or Dental Assisting National Board (DANB).  
• Speak to your employer or review your office’s compliance policies.  
• Follow legislative updates on changes or expansions to dental assisting roles.

How to Stay Within Your Scope of Practice

To maintain professionalism and comply with regulations, follow these tips:

• Only perform tasks you are trained and certified to do.  
• Confirm the supervision requirements for every procedure.  
• Keep records of certifications and training.  
• Communicate effectively with supervising dentists if unsure about your role in specific procedures.
• Stay updated on continuing education opportunities to refine your skills and expand your scope of practice.  

Your Next Steps to Succeed as a Dental Assistant

Dental assistants play an indispensable role in delivering high-quality dental care. Understanding your state's scope of practice ensures both superior patient care and professional compliance. If you aspire to perform more advanced tasks and grow in your role, consider exploring certification options and staying informed about legal updates in your state.  

Want to take control of your future in dental assisting? Look into certifications and training programs that fit your career goals. A fulfilling and empowered career in dental care awaits you!

‍