Ohio State Requirements

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Radiography Requirements

To legally operate dental x-ray equipment and perform dental radiographic procedures in Ohio, a dental assistant must meet the requirements shown below.

  • Radiography Requirements

    A dental assistant must be state certified as a Dental Assistant Radiographer. To obtain this certification, one must:

    1a.  Hold a current national DANB Certified Dental Assistant (CDA) certification, or

    1b.  Complete an Ohio Board-approved training course in dental radiography, including a clinical section,

    Note: The DALE Foundation's DANB RHS Review Course meets this requirement. See instructions below.*

    or 

    1c.  Hold a certification from the Ohio Commission on Dental Assistant Certification, or

    1d.  Hold a license, certificate, or other credential issued by another state that the Ohio State Dental Board deems equivalent to Ohio’s standards for dental assistant radiographer certification, AND

    2.  Apply to the Ohio State Dental Board for certification as a Dental Assistant Radiographer. (Proof of immunity to or immunization against the hepatitis B virus is required.)

    *Instructions for completing option 1b using the DALE Foundation's DANB RHS Review Course:

    A. Purchase and complete the DALE Foundation's online DANB RHS Review course. The Ohio State Dental Board requires a minimum of 75% on the post-course assessment.

    B. Within 60 days of successfully completing the DANB RHS Review course, submit the completed Affidavit of Ohio Clinical Radiography Training form and a $40 processing fee to the DALE Foundation. Forms may be submitted via email, mail or fax as noted at the bottom of the form. The DALE Foundation accepts credit card, check or money order.

    C. Approximately 3-4 weeks after submitting the completed form and payment, the DALE Foundation will send an email notification to the candidate informing him or her that the Ohio Clinical Radiography Training form has been processed and the Ohio State Dental Board has been notified that the education and clinical components of Ohio's dental radiography requirements have been met.

    D. Contact the Ohio State Dental Board to complete the Ohio dental assistant radiographer certificate application process. It is the candidate's responsibility to read and comply with the current laws and guidelines provided by the Ohio State Dental Board. Candidates should retain a copy of the DALE Foundation email from step 1.b.C. and submit it to the Ohio State Dental Board along with the application. Visit http://www.dental.ohio.gov/forms/darapp.pdf.

    Learn more about DANB's Certified Dental Assistant (CDA) certification

Dental Assisting Job Titles and Requirements for Each Level

  • Basic Qualified Personnel (BQP)

    Basic Qualified Personnel must be trained directly via an employer/dentist, via a planned sequence of instruction in an educational institution or via in-office training.

    Monitor Nitrous Oxide-Oxygen (N2O-O2 ) Minimal Sedation: A dental assistant working at the basic qualified personnel (BQP) level may monitor nitrous oxide-oxygen (N2O-O2 ) minimal sedation if he or she

    1. Is at least 18 years of age, AND

    2. Has completed a basic life-support training course and remains current at all times when monitoring N2O-O2, AND

    3a. Has successfully completed a six-hour course in N2O-O2 monitoring and an exam provided by an Ohio State Dental Board-approved permanent sponsor, or

    3b. Has graduated on or after 1/1/10 from a CODA-accredited dental assisting program that included equivalent training, or

    3c. Holds a current credential issued by another state for the monitoring of N2O-O2 and received training that was substantially equivalent to the Ohio training requirements, AND

    4. Has at least two years of active practice and at least 3,000 hours of experience in the practice of dental assisting.

    NOTE: All dental health care workers in Ohio must show evidence of immunity to or immunization against the hepatitis B virus, unless a waiver has been granted.

  • DANB Certified Dental Assistant or OCDAC Certified Ohio Dental Assistant

    The Ohio State Dental Board recognizes the following two dental assisting certifications:

    1. DANB Certified Dental Assistant (CDA) certification, or

    2. Certified Ohio Dental Assistant certification administered by the Ohio Commission on Dental Assistant Certification (OCDAC)

    Current holders of either of these certifications may qualify to perform placement of pit and fissure sealants and to earn a state certificate in coronal polishing by meeting additional requirements.

    Coronal Polishing: In order to receive a certificate from the Ohio State Dental Board permitting the dental assistant to perform coronal polishing procedures, a holder of DANB CDA certification or OCDAC certification must:

    1.  Successfully complete an Ohio Board-approved training program in coronal polishing, AND

    2.  Successfully pass standardized testing immediately following successful completion of a skills assessment component of an approved training program, or pass DANB's Coronal Polish (CP) exam, AND

    3.  Apply to the Ohio State Dental Board for certification to perform coronal polishing.

    Pit and Fissure Sealants: Holders of DANB CDA certification or OCDAC certification may perform pit and fissure sealants upon successfully completing a course containing a minimum of two hours of didactic instruction and six hours of clinical instruction. In addition, the supervising dentist must observe the assistant successfully apply at least six sealants.

    NOTE: All dental health care workers in Ohio must show evidence of immunity to or immunization against the hepatitis B virus, unless a waiver has been granted.

    Learn more about DANB's Certified Dental Assistant (CDA) certification

    Learn more about DANB's Coronal Polish (CP) exam

  • Expanded Function Dental Auxiliary (EFDA)

    To perform expanded functions under the direct supervision of a licensed dentist in the state of Ohio, a dental assistant must qualify as an Expanded Function Dental Auxiliary (EFDA). To qualify as an EFDA, one must:

    1.  Complete an Ohio Board-approved EFDA training course that is accredited by either the Commission on Dental Accreditation (CODA) or the North Central Association of Colleges and Schools’ Higher Learning Commission (course may require proof of DANB CDA certification for entry), AND

    2.  Pass the EFDA exam administered by the Commission on Dental Testing in Ohio or an exam accepted by the Ohio State Dental Board, AND

    3.  Hold a current cardiopulmonary resuscitation (CPR) certification, AND

    4.  Apply to the Ohio State Dental Board for registration as an EFDA. (Proof of immunity or immunization against the hepatitis B virus is required.)

    NOTE: All dental health care workers in Ohio must show evidence of immunity to or immunization against the hepatitis B virus, unless a waiver has been granted.

    CODA-Accredited Dental Assisting Programs