Prohibited services.

20-04-01-02. Prohibited services. A dental hygienist may not perform the following services: 1. Diagnosis and treatment planning. 2. Surgery on hard or soft tissue. 3 3. Administer anesthetics, except topical and local anesthetic, as permitted under section 20-04-01-03, or titrate local anesthetics, sedation or general anesthesia drugs as permitted under section 20-03-01-01.2. 4. Unless acting as a trained dental sedation staff member or authorized by permit in accordance with section 20-04-01-03.1, monitor a patient who has been induced to moderate sedation, deep sedation, or general anesthesia until the dentist authorized by permit to administer sedation or anesthesia determines the patient may be discharged for recovery. 5. Any irreversible dental procedure or procedures which require the professional judgment and skill of a dentist. 6. Adjust a crown which has been permanently cemented. 7. Activate any type of orthodontic appliance or fabricate impressions for an individual who is not a patient of record. 8. Cement or bond orthodontic bands or brackets that have not been previously placed by a dentist. 9. Place bases or cavity liners. 10. Use a high-speed handpiece inside the mouth, unless authorized to do so through a permit issued pursuant to section 20-03-01-01.2. History: Effective February 1, 1992; amended effective October 1, 1993; July 1, 2004; January 1, 2011; April 1, 2015; April 1, 2021; July 1, 2022; April 1, 2026. General Authority: NDCC 43-20-10 Law Implemented: NDCC 43-20-03; 43-20-11, 43-20-12, 43-20-12.3