������������������������ �� �������������������� �������� ����� �� ��� ��� � � ���������� � ���� ������������ ��� ������� �� ��������� ��� ������ ������� �� ����� � ��� ����� �������� � ������� ���������� ��� ������ ��� ��� ��� ������� �������������������������� Oral Health Instruction √ Examination œ includes medical history / review Radiographs DH ( in line w/ perio assessment) Non controv ersial √ TBD- Proposed not to be allowed under general superv ision Non controv ersial Prophy laxis √ Non controv ersial Nutritional Counseling/ Dietary Analy sis Fabrication of Soft Occlusal Guard Fabrication of Athletic Mouthguard Fluoride Application Topical Fluoride Application Varnish Full Mouth Debridement √ Non controv ersial √ Non controv ersial √ Non controv ersial √ Non controv ersial √ Non controv ersial DH Palliativ e( Emergency)Tx of Dental Pain Pulp VitalityTesting √ TBD- Proposed to be excluded from OHP Scope of practice Non controv ersial √ Non controv ersial Application of Desensitiz ing Medicament/ Resin PreliminaryChartingof the Oral Cav ity Sealants √ Non controv ersial √ Non controv ersial DH TBD- Proposed to be added to OHP Scope of practice TBD- Proposed to be added to OHP Scope of practice TBD- Proposed to be excluded from OHP Scope of practice Space maintainer œ placement and remov al Renderinga diagnosis Note: All procedures allowed under general supervision unless otherwise noted 1 ������������������������ �� �������������������� �������� ����� �� ��� ��� � � ���������� � ���� ������������ ��� ������� �� ��������� ��� ������ ������� �� ����� � ��� ����� �������� � ������� ��������� ��� ������� �������������� Cav ityPreparation Class I Class II Class III Class IV Class V Restoration of PrimaryTeeth [ Anymaterial œ 9/ 5/ 08agreed] Class I Class II Class III Class IV Class V Restoration of Permanent Teeth [ Anymaterial œ 9/ 5/ 08agreed] Class I Class II Class III Class IV Class V Placement of TemporaryCrowns Placement of TemporaryRestorations Placement of Preformed Crowns Pulpotomies on Primary Teeth Direct Pulp Capping ( PrimaryTeeth) Note: All procedures allowed under general supervision unless otherwise noted 2 √ √ √ √ √ √ Non controv ersial √ √ √ √ √ Non controv ersial √ √ √ √ √ √ Non controv ersial √ Non controv ersial √ TBDœ Proposed to be added to OHP Scope of practice Non controv ersial √ Non controv ersial Non controv ersial Non controv ersial Non controv ersial Non controv ersial Non controv ersial Non controv ersial Non controv ersial Non controv ersial Non controv ersial Non controv ersial Non controv ersial Non controv ersial Non controv ersial Non controv ersial ������������������������ �� �������������������� �������� ����� �� ��� ��� � � ���������� � ���� ������������ ��� ������� �� ��������� ��� ������ ������� �� ����� � ��� ����� �������� Direct Pulp Capping ( Permanent Teeth) Indirect Pulp Capping ( PrimaryTeeth) Indirect Pulp Capping ( Permanent Teeth) Repair of Defectiv e Prosthetic Appliances œ � ������� √ Non controv ersial √ Non controv ersial √ Non controv ersial TBDœ - Complete dentures ( repair broken complete denture base and replace missing/ broken teeth) - Partial dentures ( repair resin denture base, repair cast framework,repair or replace broken clash, replace broken tooth, add tooth to existing partial denture,add clasp to existing partial denture) Recementingof Permanent Crowns Perio Maintenance DH Scaling/ Root Planing DH Behav ior Management House/ Extended Care FacilityVisit Hospital Visit √ Soft Tissue RelineChair side Soft Tissue Conditioning ARTtechnique √ √ Non controv ersial √ Non controv ersial Non controv ersial TBD- Proposed to be added to OHP Scope of practice Endo access openingemergency( openingof a permanent tooth for pulpal debridement and opening chamber) Note: All procedures allowed under general supervision unless otherwise noted TBD- Proposed to be excluded from OHP Scope of practice TBD- Proposed to be excluded from OHP Scope of practice TBD- Proposed to be excluded from OHP Scope of practice Pediatric restraints TBD- Proposed to be excluded from OHP Scope of practice Non controv ersial TBD- Proposed to be excluded from OHP Scope of practice 3 ������������������������ �� �������������������� �������� ����� �� ��� ��� � � ���������� � ���� ������������ ��� ������� �� ��������� ��� ������ ������� �� ����� � ��� ����� �������� � ������� ����� ��������������� Extractions ( PrimaryTeeth) soft tissue TBDœ proposed to allow71 1 1only partial bony complete bony Extractions ( Permanent Teeth) soft tissue partial bony complete bony Suture Placement Root Tip Remov al œ Suture Remov al √ √ √ DressingChange Brush Biopsies Tooth Reimplantation Non controv ersial Non controv ersial TBD- Proposed to be added to OHP Scope of practice TBD- Proposed to be excluded from OHP Scope of practice Incision &Drainage of Abscess Note: All procedures allowed under general supervision unless otherwise noted TBD- Proposed to be excluded from OHP Scope of practice TBD- Proposed to be excluded from OHP Scope of practice TBD- Proposed to be excluded from OHP Scope of practice TBDœproposed to allow71 40only ,not under general supervision TBD- Proposed to be excluded from OHP Scope of practice TBD- Proposed to be excluded from OHP Scope of practice TBD- Proposed to be excluded from OHP Scope of practice TBD- Proposed not to be allowed under general superv ision TBD- Proposed to be excluded from OHP Scope of practice œ but,if 71 40,could be mov ed to extraction TBD- Proposed not to be allowed under general supervision Non controv ersial 4 ������������������ �� �������������������� ���� ���� ����� �� ��� ��� � ���� ���� ����������� ���� ����� �� ������� ��� ������� � ���� ���� ��� ���� ������������ �� ��� ������ ������� DELIVERY MECHANISM ������� ��� ���� �� ����� �� ������� ��� � �� �� � ����� �� ��� � ���� Cephalexin Metronidaz ole Non controversial Non controversial Non controversial Non controversial Doxy cy line Az y thromy cin ��� � �� �� � ���������� ��� � �� Amoxicillin Clindamy cin Ery thromy cin ��� �� � �� � ����� � ��� Ibuprofin 800mg APAP ( Ty lenol) Ty lenol #3 Kenalogin Orabase] Naproxen ( Allev e) Ketorolac Celebrex Viscous Lidocaine Hy docodone/ APAP Tramadol �� �������� ��� � ���� � Nitrous Oxide Non controversial Non controversial Non controversial Non controversial Non controversial TBD Non controversial Non controversial Non controversial Non controversial Non controversial TBD TBD TBD - Proposed not to be allowed under general supervision Non controversial Non controversial Local Anesthetic Localiz ed Deliv eryof Antimicrobial Agents Peridex Rinse Chlorhexidine Rinse Fluoride Toothpaste/ Gels Fluoride Vitamins Smokingcessation medications Non controversial Non controversial Non controversial Non controversial TBD - Proposed to be added to OHP Scope of practice TBD - Proposed to be added to OHP Scope of practice Antifungal and those needed for medical emergencies Note: All procedures allowed under general supervision unless otherwise noted ������� 5 ������������������ �� �������������������� ���� ���� ����� �� ��� ��� � ���� ���� ����������� ���� ����� �� ������� ��� ������� � ���� ���� ��� ���� ������������ �� ��� ������ ������� DELIVERY MECHANISM ������� ��� ���� �� ����� �� ������� ���������� � ����� ��� ��� � �� �� � ����� ���� ��� � �� �� � ���� � �� ��� � ���� � ��� � �� �� � ���� ������� ��� � �� � �� ��� Nitrous Oxide � � � Note: All procedures allowed under general supervision unless otherwise noted 6 �������
© Copyright 2026 Paperzz