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Restoration or Appliance Initially Form Size Orthodontic Arch Wires Place Arch Wires after Final Adjustment Approval by DDS Apply Topical Anesthetics/DentiPatch® Apply Topical Fluoride Expose Radiographs Write Laboratory Work Orders Write Prescriptions (Drugs) Remove Sututres Polish Dentures Take wax bites Monitors Pt.’s under Nitrous Oxide Oral Hygiene Instruction Polish Coronal Portion of Tooth –X6 Place Amalgam in Prep w/Carrier Take Pulse, Blood Pressure Temperature Place Ligature Wire or Lock Pins Insert Spacer Wires or Springs DAI DAII RDH X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X3 X X X1 X2 X2 X3 X4 X X X X X X X X X X1 X2 X2 X X3 X X4 X X5 X X X X X X X X X X X X X X X X X X X 1 – After satisfactory completion of ONE of the following: (1) the North Carolina radiography equivalency examination, (2) dental assisting school (an ADA-accredited program), (3) the Dental Assisting National Board examination (1-800-367-3262), or (4) classification as a DAII in North Carolina 2 – Exact words must be dictated by the dentist 3 – Extra-orally, upon instruction by the dentist and re-insertion by the dentist 4 – After completing a 7-hour Board-approved course in nitrous oxide-oxygen conscious sedation, unless included in ADA-accredited program (DAII) 5- After completing a 7-hour (3 hours didactic, 4 hours clinical) course in coronal polishing 6 – Use of a hand-held brush appropriate polishing agents OR a combination of a slowspeed hand piece (not to exceed 10,000 rpm) with an attached rubber cup or bristle brush and appropriate polishing agents.