1. (a) Any dental hygienist, or certified or graduate dental assistant as defined in Den 401.02, shall be considered qualified to place, contour and adjust direct restorative materials within the oral cavity after successfully completing an expanded function dental auxiliary (EFDA) course in dental restorations, as follows:

   1. (1) The direct dental restorations course shall have the following prerequisites:

      1. a. Course candidates shall be a registered dental hygienist, or a dental assistant who is certified by the Dental Assistant National Board or is a graduate of a CODA accredited school of dental assisting;
      2. b. All candidates shall have a minimum of 4,500 hours of dental clinical experience;
      3. c. All candidates shall be recommended for the course by a dentist with an active NH dental license;
      4. d. Dental assistants, other than graduate dental assistants, shall be qualified to perform a preliminary inspection of the oral cavity, pursuant to Den 302.05 (d); and
      5. e. All candidates shall be currently certified in BLS-HCP; and

   2. (2) The EFDA course in direct dental restorations shall:

      1. a. Be offered by an institution accredited by CODA;
      2. b. Be a minimum of 50 didactic hours and 100 hours of pre-clinical training in a curriculum approved by the board;

      3. c. Include at least the following subjects:

         1. 1. Dental materials;
         2. 2. Use of the low speed hand piece and high speed hand piece;
         3. 3. Placement and finishing of amalgams, and composite resins;
         4. 4. Dental occlusion; and
         5. 5. Dental jurisprudence;
      4. d. Include assessment certifying successful course completion and provide written evidence signed by the course provider and given to the hygienist or dental assistant; and
      5. e. Be followed by 6 weeks, minimum of 120 hours, of training in a dental office under the direct supervision and monitoring by the faculty of a school accredited by CODA or its designate.

2. (b) The following shall apply to all EFDA's:

   1. (1) The EFDA shall register with the board and submit proof of the required EFDA training and experience, as well as a fee to obtain an EFDA permit from the board;
   2. (2) The EFDA shall renew the EFDA permit in odd numbered years before May 1st, if EFDA employment is continued;
   3. (3) The EFDA shall prominently display the permit where the EFDA works;
   4. (4) A maximum of 2 EFDA’s shall be employed in a dental practice regardless of the number of dentists;
   5. (5) Dentists shall inform the board of EFDA’s employed within 10 days of employment;
   6. (6) EFDA’s shall complete 10 CEU’s each biennium in restorative dentistry;
   7. (7) A dental auxiliary who has qualified in the placement, contouring and adjustment of direct dental restorations in another jurisdiction may qualify for endorsement by the board to perform that function by presenting written documentation of training equivalent to (a) above and a letter from a supervising dentist attesting to the auxiliary’s experience with direct restorations within the previous 2 years; and
   8. (8) EFDA’s shall practice under the direct supervision of a New Hampshire licensed dentist.

Source. #10991, eff 12-9-15; ss by #12428, eff 12-6-17 (formerly Den 302.06)