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As part of the dental assistant job description, dental assistants may provide both clinical and administrative support in a dental office working along side dentists, dental hygienists and dental technicians.

In Ontario, there are both Level I and Level II dental assistants. Level I assistants are chairside assistants, while Level II assistants do chairside skills and intra-oral skills.

ODAA SKILLS CHART

LEVEL I CERTIFIED DENTAL ASSISTANT SKILLS

  • Preparation of the treatment/clinical area
  • Cleaning and Sterilization of instruments and handpieces
  • Passing instruments to the dentist or hygienist (Single and Two handed technique)
  • Proper use of High Volume Evacuator within the Oral Cavity
  • Preparation of Restorative Materials 
  • Perform simple laboratory procedures such as the pouring and trimming of study models
  • Maintains supplies and equipment (stocks and replenishes supplies)
  • Monitors Inventory
  • Assesses emergency situations, aware of emergency protocols, knowledge of First Aid, CPR
  • Assists in maintaining emergency drug kits 
  • Ability to interpret Material Safety Data Sheets
  • Conducts spore/biological indicator tests
  • Recording data on patient’s record or chart as directed DDS 
  • Patient and community education on oral health (extra-oral)
  • Other extra-oral duties as required by the dentist 
  • Instruction in care and maintenance of pre-fitted appliances
  • Expose, process and mount radiographs as specified by HARP 
  • Obtains Vital Signs

LEVEL II INTRA-ORAL DENTAL ASSISTANT SKILLS (with NDAEB certificate)

  • Includes, but not limited to all duties of CERTIFIED Level I Dental Assistants as listed above 
  • Mechanical polishing of the coronal portion of the teeth 
  • Placement and removal of rubber dam
  • Taking of preliminary impressions of teeth for study models 
  • Topical application of anti-cariogenic agents
  • Oral hygiene instruction with an intra-oral component
  • Dietary counseling relative to dentistry
  • Application of materials topically to prepare the surface of the teeth for pit and fissure sealants
  • Application of pit and fissure sealants
  • Application of topical anaesthetics
  • Application of desensitizing agents
  • Whitening of the coronal portion of the teeth using tray-based systems; including the application of a liquid dam if required for these tray-based systems
  • Polishing restorations
  • Oral irrigation 
The following skills cannot be performed by Level II Dental Assistants in Ontario at this time as they are Controlled Acts.
  • Application of Matrices and Wedges
  • Application of Treatment Liners

 PREVENTIVE DENTAL ASSISTANT SKILLS (PDA)

(Listed with RCDSO prior to January 1, 2000)

  • Includes, but not limited to all duties of CERTIFIED Level I Dental Assistants as listed above
  • Chairside Dental Assisting (Level I)
  • Mechanical polishing of the coronal portion of the teeth 
  • Placement and removal of rubber dam
  • Taking of preliminary impression of teeth for study models
  • Topical application of anti-cariogenic agents
  • Oral hygiene instruction with an intra-oral component

DENTAL RECEPTIONIST/FRONT DESK ADMINISTRATIVE ASSISTANTS

  • Patient reception and dismissal
  • Appointment book control and maintain recall system 
  • Block out times for reserved emergency and new appointments
  • Maintaining and controlling business area
  • Handle all incoming calls promptly and efficiently
  • Patient follow-up treatment calls
  • Public relations
  • Bookkeeping
  • Managing receivables and payables
  • Prepare and balance bank deposits on daily basis
  • Age and prepare outstanding account statements
  • Maintaining financial records
  • Incoming mail, invoices, packing slips and statements (forward to appropriate person for verification and/or payment)
  • Maintaining file system
  • Ordering and receiving supplies

TREATMENT COORDINATOR SKILLS

  • Performs required part of consultation
  • Reviews medical history and explains office policies and procedures
  • Makes a definite financial agreement with each patient/parent in accordance with the financial policies of the office. Prepares financial agreement form for each patient
  • Monitors patient progress through each treatment
  • Sends the patient records for consultation with appropriate specialists as required
  • Co-ordinates goodwill program
  • Helps to co-ordinate practice building and public relations efforts with patients, parents and referring professionals
  • Print and proofread patient correspondence
  • Keeps treatment acceptance rate within practice goals
  • Ensures the follow-up of "will-advise" and mail-in referrals
  • Educates patients with respect to appointments and financial obligations

For more information on dental assistant skills and job descriptions, see Code of Ethics and Why is certification important?

Click here to view the Canadian Dental Assisting Legal Scope of Practice by Province.




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