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This special section provides information on the MDA Expanded Function Dental Assistant program. It strives to bring awareness to the launch of the MDA Restorative II curriculum, as well as answer some


frequently asked questions. For questions about the MDA EFDA Program, contact Mandy Lewis at the


MDA, or visit www.MOEFDA.org, where you can find detailed information and register for courses.


EXPANDED FUNCTION PERMITS // Functions delegable to a dental assistant possessing a Board-issued permit to perform expanded func- tions are divided into five categories: Restorative I, Restorative II, Removable Prosthodontics, Fixed Prosthodontics and Orthodontics. The list below is from the Missouri Dental Board General Rules, Chapter 2. You may access these from www.modental.org/practiceact or www.sos.mo.gov/ adrules/csr/current/20csr/20c2110-2.pdf (the Expanded Functions Rule begins on page 10; this list is on page 11). Each MDA Expanded Functions curriculum provides didactic and clinical training in these skills.


Restorative I  Sizing and cementing of prefabricated crowns;  Placing, condensing, and carving amalgam for Class I, V and VI restorations;


 Placing composite for Class I, V and VI restorations;  Minor palliative care of dental emergencies (place sedative filling)


Restorative II  Sizing and cementing of prefabricated crowns;  Placing, condensing, carving and finishing amalgam for Class I, II, III, IV, V and VI restorations;


 Placing and finishing composite for Class I, II, III, IV, V and VI restorations;


 Minor palliative care of dental emergencies (place sedative filling)


Orthodontics  Preliminary bending of archwire;  Removal of orthodontic bands and bonds;  Final cementation of any permanent appliance or prosthesis;  Making impressions for the fabrication of any removable or fixed prosthesis/appliance;


 Placement and cementation of orthodontic brackets and/or bands


Beginning February 28, 2013, a change affecting the Missouri dental assisting rule (specifically Expanded Functions) went into effect. Two significant aspects of the rule change affecting the EFDA program were 1) the passing of Restorative II (allowing properly trained and permitted) EFDAs to place and carve all classes of amalgam and composite restorations; and, 2) making mandatory that assistants who have been certified in any expanded functions now have to receive a permit from the Dental Board in order to be delegated


expanded functions procedures. >>> In addition to completing the application and paying the $10 fee (per permit), the expanded function assistant will be required to submit a copy of their course completion certificate (for each course). Once assistants have the Board- issued expanded functions permit, it must be displayed in plain view in any facility where the dental assistant will be providing expanded


functions prior to delegation of expanded functions to that dental assistant. >>> Every expanded functions permit issued by the Board shall be renewed every five years. In order to renew an expanded functions permit, the dental assistant must complete 16 hours of CE and must have BLS certification, which can count toward this total. Go to www.modental.org/efda_regulations to find information about the permit process and links to download the Dental Board forms necessary to complete to obtain your EFDA permit(s).


36 focus | SEP/OCT 2014 | ISSUE 5


Prosthodontics (Fixed)  Place retraction cord in preparation for fixed prosthodontic impressions;


 Extra-oral adjustments of fixed prosthesis;  Extra-oral adjustments of removable prosthesis during and after insertion;


 Final cementation of any permanent appliance or prosthesis;  Making impressions for the fabrication of any removable or fixed prosthesis/appliance


Prosthodontics (Removable)  Placement of temporary soft liners in a removable prosthesis;  Extra-oral adjustments of removable prosthesis during and after insertion;


 Minor palliative care of dental emergencies (place sedative filling);  Making impressions for the fabrication of any removable or fixed prosthesis/appliance


Expanded Function courses, whether provided by the MDA or by CODA-accredited dental assisting programs, must provide teaching on the skills listed for each of the five categories. Five total courses are offered according to the category.


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