Ohio State Requirements

  • Print
  • E-mail a Friend

    You may enter up to five e-mail addresses, separated by a comma.

    Close and Submit Buttons

Radiography Requirements

To legally operate dental x-ray equipment and perform dental radiographic procedures in Ohio under the direct supervision of a dentist, 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.)

    A dental assistant radiographer may perform radiologic procedures when the supervising dentist is not physically present at the location where the radiologic procedures are performed if the supervising dentist examined the patient not more than one year prior to the date the dental assistant radiographer performs the radiologic procedures and the supervising dentist has ordered the radiologic procedures.

    *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 from 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: Dental assistants who hold DANB CDA certification or OCDAC certification may perform specified functions when the supervising dentist is not physically present (for not more than 15 consecutive business days), subject to the conditions listed below.

    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 the Commission on Dental Competency Assessments, AND

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

    4.  Apply to the Ohio State Dental Board for registration as an EFDA.

    Note: An EFDA may not perform coronal polishing unless he or she has met the requirements described above for dental assistants holding DANB Certified Dental Assistant (CDA) certification or OCDAC Certified Ohio Dental Assistant certification and received a state certificate in coronal polishing from the Ohio State Board of Dentistry.

    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

  • Conditions for Performing Functions When Dentist Is Not Present

    A dental assistant holding DANB Certified Dental Assistant (CDA) certification or OCDAC Certified Ohio Dental Assistant certification, or an Expanded Function Dental Auxiliary (EFDA), may perform specified functions when the supervising dentist is not physically present, for not more than 15 consecutive business days, under the following conditions:

    • The dental assistant or EFDA has at least 2 years/3,000 hours experience as a dental assistant or EFDA
    • The dental assistant or EFDA successfully completes a board-approved course in identification and prevention of potential medical emergencies
    • The supervising dentist has evaluated the skills of the dental assistant or EFDA
    • The supervising dentist examined the patient not more than one year prior to the date that the dental assistant or EFDA provides the services to the patient
    • The supervising dentist has established written protocols or written standing orders for the dental assistant or EFDA to follow during and in the absence of an emergency
    • The supervising dentist completed and evaluated a medical and dental history of the patient not more than one year prior to the date that the dental assistant or EFDA provides services to the patient, and the supervising dentist determines that the patient is in a medically stable condition
    • The patient is notified, in advance of the appointment for services, that the supervising dentist will be absent from the location and that the dental assistant or EFDA cannot diagnose the patient's dental health care status
    • The dental assistant or EFDA is employed by, or under contract with, the supervising dentist, a government entity that employs the dental assistant to provide services in a public school or in connection with other programs the government entity administers, or a dentist licensed under this chapter who is one of the following:

    (i) The employer of the supervising dentist

    (ii) A shareholder in a professional association formed under Chapter 1785. of the Revised Code of which the supervising dentist is a shareholder

    (iii) A member or manager of a limited liability company formed under Chapter 1705. of the Revised Code of which the supervising dentist is a member or manager

    (iv) A shareholder in a corporation formed under division (B) of section 1701.03 of the Revised Code of which the supervising dentist is a shareholder

    (v) A partner or employee of a partnership or a limited liability partnership formed under Chapter 1775. or 1776. of the Revised Code of which the supervising dentist is a partner or employee

    A dental assistant holding DANB Certified Dental Assistant (CDA) certification or OCDAC Certified Ohio Dental Assistant certification, or an Expanded Function Dental Auxiliary (EFDA), may perform application of pit and fissure sealants prior to the dentist examining the patient and rendering a diagnosis under the following additional conditions:

    • The certified assistant or EFDA is providing the service as part of a program operated through any of the following: a school district board of education or the governing board of an educational service center; the board of health of a city or general health district or the authority having the duties of a board of health; a national, state, district, or local dental association; or any other public or private entity recognized by the state dental board
    • The supervising dentist for the program is employed by or a volunteer for, and the patients are referred by, the entity through which the program is operated and is available for consultation by telephone, videoconferencing, or other means of electronic communication 
    • The application of sealants is limited to erupted permanent posterior teeth without suspicion of dentinal cavitation
    • For minor patients, a parent or other person responsible for the patient is notified that a dentist will not be present and that the dental assistant is not trained to diagnose or treat other serious dental concerns that could exist