HIGHRegulatoryTier 1

Missouri Pushes New Dental Assistant Role Into Periodontal Care

SourceDecisions in DentistryTier 1Clinical & Visual

By Kristen Pratt Machado

Originally at decisionsindentistry.com

Summary & scoring by The Bell Brief (Dr. Jennifer Bell) using the Drill-Down Protocol (Drill-Down Score) — not the original publisher.

Why it matters for dental

Missouri's proposed rule would let oral preventive assistants perform periodontal probing and supragingival scaling—tasks that historically required hygienists—directly affecting practice staffing costs, delegation protocols, and liability exposure for owners and periodontists.

Key points

  • The rule expands the scope of unlicensed or minimally licensed dental assistants into periodontal procedures currently restricted to RDHs.
  • Impacts: owners and DSOs in Missouri must update job descriptions, competency checklists, and malpractice coverage if the rule passes.
  • Specialists and general dentists who rely on hygienist revenue may see lower per-procedure costs but face new oversight and documentation requirements.
  • The change is framed as an access initiative; clinics with high Medicaid or rural patient loads will be the first to pilot the new role.

Who should care

OwnerDSOSpecialistStaff

Read the original on Decisions in Dentistry

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