21 N.C. Admin. Code 16G.0103

Current through Register Vol. 39, No. 13, January 2, 2025

Section 16G .0103 - PROCEDURES PROHIBITED

Those procedures that require the professional education and skill of a dentist and shall not be delegated to a dental hygienist include:

(1) performing comprehensive examination, diagnosis, and treatment planning;

(2) performing surgical or cutting procedures on hard or soft tissues, including laser, air abrasion, or micro-abrasion procedures;

(3) placing or removing therapeutic sulcular nonresorbable agents;

(4) issuing prescription drugs, medications, or work authorizations;

(5) performing the final placement or intraoral adjustment of a fixed or removable appliance;

(6) performing intraoral occlusal adjustments that affect function, fit, or occlusion of any temporary or permanent restoration or appliance;

(7) performing direct pulp capping or pulpotomy;

(8) placing sutures;

(9) performing final placement or cementation of orthodontic bands or brackets;

(10) performing the placement or cementation of final restorations;

(11) administering any anesthetic by any route except the administration of:

(a) topically-applied agents intended to anesthetize only cutaneous tissue; or

(b) local anesthetics by dental hygienists certified in accordance with G.S. 90-221(a) and this Section, and administered under the direct supervision of a North Carolina licensed dentist;

(12) using a high-speed handpiece intraorally;

(13) performing cementation of endodontic posts;

(14) condensing Amalgam;

(15) using a transcutaneous electrical nerve stimulation (TENS) unit;

(16) applying formocresol;

(17) placing stainless steel crown on permanent or primary teeth;

(18) performing pulp vitality testing;

(19) performing curettage;

(20) placing periodontal or surgical dressing;

(21) performing oral brush biopsy;

(22) taking bite registration or elastometrics;

(23) placing eugenol wick in dry socket;

(24) fabricating or delivering sleep apnea appliance;

(25) removing, replacing, or torqueing either impression or prosthetic implant abutments; and

(26) administering any sedation or general anesthesia pharmacological agents, including drawing a dosage into a syringe.

21 N.C. Admin. Code 16G .0103

Authority G.S. 90-221(a); 90-223(b);
Eff. September 3, 1976;
Readopted Eff. September 26, 1977;
Amended Eff. August 1, 2016; August 1, 2008; August 1, 2000; May 1, 1989; March 1, 1985;
Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. January 9, 2018;
Amended Eff. July 1, 2022; September 1, 2020; April 1, 2018.

Authority G.S. 90-221(a); 90-223(b);
Eff. September 3, 1976;
Readopted Eff. September 26, 1977;
Amended Eff. March 1, 1985; May 1, 1989; August 1, 2000; August 1, 2008.

Amended by North Carolina Register Volume 31, Issue 05, September 1, 2016 effective 8/1/2016;
Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. January 9, 2018;

Amended by North Carolina Register Volume 32, Issue 21, May 1, 2018 effective 4/1/2018.

Amended by North Carolina Register Volume 35, Issue 07, October 1, 2020 effective 9/1/2020.

Amended by North Carolina Register Volume 37, Issue 03, August 1, 2022 effective 7/1/2022.