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Scope of practice is changing in dentistry: 7 updates to know

Source
Becker's Dental + DSO Review
Author
Ariana Portalatin

Summary and scoring by The Bell Brief (Dr. Jennifer Bell) using the Drill-Down Protocol. Not the original publisher.

Why it matters for dental

State-by-state scope-of-practice changes alter delegation rules, supervision requirements, and allowable tasks for hygienists and assistants—directly affecting scheduling, staffing models, and billing compliance for practices and DSOs in those states.

Key points

  1. 01

    Missouri Dental Hygienists’ Association and a licensed hygienist sued to block a Missouri Register rule that would add a new periodontal permit category for dental assistants.

  2. 02

    Alabama, North Dakota, Florida, and Virginia each added or expanded delegable clinical tasks for dental assistants, including coronal polishing, sealants, implant component removal, and supragingival scaling after 1,800 clinical hours.

  3. 03

    Washington and South Carolina authorized dental assistants to apply silver diamine fluoride or conduct oral screenings in school-based programs under dentist supervision.

  4. 04

    Delaware Senate Bill 283, Connecticut House Bill 5140, and Idaho House Bill 805 each propose or enact expansions allowing hygienists to dispense agents, supervise assistants, provide direct-access prophylaxis, or deliver in-home care without prior dentist examination.

Who should care

  • Owner
  • DSO
  • Staff

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Becker's Dental + DSO Review

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