Chapter 2. Facilities and Staffing


What is the advantage of using expanded function dental auxiliaries?teamwork

Studies have demonstrated that certain dental procedures generally performed by dentist can be delegated to specially trained dental auxiliaries. These studies also demonstrated that while the number of services provided per dental team increased, the quality of care was not adversely affected when the duties were delegated to trained dental auxiliaries. Auxiliaries with this special training are commonly referred to as expanded function dental auxiliaries (EFDA). Maximum use of EFDAs is encouraged as they are proven to provide quality dental services in a cost effective manner.

Common duties that can be performed by EFDAs are:

  • Polishing the coronal surfaces of teeth with a rubber cup or brush as part of oral prophylaxis to remove stains;
  • Remove temporary crowns and clean tooth for final cementation;
  • Place temporary restorative material in teeth providing that the patient is checked
    by a dentist before and after the procedure is performed;
  • Placing and removing rubber dams;
  • Place and remove matrix retainers for alloy and composite restorations including the placement of wedges;
  • Applying cavity liners and bases;
  • Placing and condensing and carving amalgam restorations providing that the patient is checked by a dentist before and after the procedure is performed;
  • Polish amalgam restorations with a slow speed hand piece;
  • Placing and finishing composite resin restorations and/or sealant material or both; and
  • Making impressions for study models.


Find your state dental board external link

What an EFDA is allowed to do varies by state dental practice acts so before employing EFDAs in your practice you must review the dental practice act for your state to determine what procedures are permissible.




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