313.045 Administrative regulations governing dental assistants. (1) The board shall promulgate administrative regulations in accordance with KRS Chapter 13A to define registration requirements, duties, training, and standards of practice that may be performed by a dental assistant who has a minimum of one (1) year of dental office experience. (2) The board shall approve the instructor and the courses of study for approving duties, training, and standards of practice that may be performed by a registered dental assistant. (3) A registered dental assistant shall practice under the supervision, order, control, and full responsibility of a dentist licensed under this chapter. (4) The registration for each registered dental assistant shall be continuously displayed in a conspicuous place in the office of the licensee. (5) Supervising dentists shall only assign to registered dental assistants procedures that do not require the professional competence of a licensed dentist or a licensed dental hygienist. (6) Registered dental assistant services may include coronal polishing, a cosmetic procedure that is not essential to therapeutic oral prophylaxis, if the following criteria are observed: (a) Polishing activities are limited to the use of a rubber cap attached to a slow- speed rotary dental handpiece; (b) The assistant has received a certificate from the board's approved instructor that ensures the assistant has successfully completed a dental assisting course developed by the board and a committee of dental educators from the Kentucky institutions of dental education accredited by the Council on Dental Accreditation; and (c) The dental assisting course includes basic dental assisting and coronal polishing instruction that includes didactic, preclinical, clinical training, and competency testing. (7) Registered dental assistant services shall not include the following: (a) The practice of dental hygiene or the performance of the duties of a licensed dental hygienist that require the use of any instrumentation which may elicit the removal of calcareous deposits or accretions on the crowns and roots of teeth; (b) Diagnosis; (c) Treatment planning and prescription, including prescriptions for drugs or medicaments, or authorization for restorative, prosthodontic, or orthodontic appliances; (d) Surgical procedures on hard or soft tissues of the oral cavity, or any other intaoral procedure that contributes to or results in an irreversible alteration of the oral anatomy; and (e) The making of final impressions from which casts are made to construct any dental restoration. (8) A licensed dentist may delegate the taking of radiographs to registered dental assistants who have completed a board-approved course in radiography technique and safety. The course completion certificate shall be maintained by the supervising dentist and be made available to the board upon request. Effective: July 15, 2010 History: Repealed and reenacted 2010 Ky. Acts ch. 85, sec. 8, effective July 15, 2010. - - Created 1964 Ky. Acts ch. 12, sec. 6.