Vol. 25 Iss. 16 - April 13, 2009

Chapter 20
Final Regulation

REGISTRAR'S NOTICE: The Board of Dentistry is claiming an exemption from Article 2 (§ 2.2-4006 et seq.) of the Administrative Process Act in accordance with § 2.2-4006 A 4 a of the Code of Virginia, which excludes regulations that are necessary to conform to changes in Virginia statutory law where no agency discretion is involved. The Board of Dentistry will receive, consider and respond to petitions from any interested person at any time with respect to reconsideration or revision.

Title of Regulation: 18VAC60-20. Regulations Governing the Practice of Dentistry and Dental Hygiene (amending 18VAC60-20-190).

Statutory Authority: § 54.1-2400 of the Code of Virginia.

Effective Date: May 13, 2009.

Agency Contact: Sandra Reen, Executive Director, Board of Dentistry, 9960 Mayland Drive, Suite 300, Richmond, VA 23233-1463, telephone (804) 367-4538, FAX (804) 527-4428, or email


The amendments conform the regulation to Chapter 858 of the 2006 Acts of Assembly by adding language that allows a dentist to authorize a dental hygienist under his direction to administer Schedule VI local anesthesia to persons 18 years of age or older.

Part VI
Direction and Delegation of Duties

18VAC60-20-190. Nondelegable duties; dentists.

Only licensed dentists shall perform the following duties:

1. Final diagnosis and treatment planning;

2. Performing surgical or cutting procedures on hard or soft tissue;

3. Prescribing or parenterally administering drugs or medicaments, except a dental hygienist, who meets the requirements of 18VAC60-20-81, may parenterally administer Schedule VI local anesthesia to patients 18 years of age or older;

4. Authorization of work orders for any appliance or prosthetic device or restoration to be inserted into a patient's mouth;

5. Operation of high speed rotary instruments in the mouth;

6. Performing pulp capping procedures;

7. Administering and monitoring general anesthetics and conscious sedation except as provided for in § 54.1-2701 of the Code of Virginia and 18VAC60-20-108 C, 18VAC60-20-110 F, and 18VAC60-20-120 F;

8. Condensing, contouring or adjusting any final, fixed or removable prosthodontic appliance or restoration in the mouth;

9. Final positioning and attachment of orthodontic bonds and bands;

10. Taking impressions for master casts to be used for prosthetic restoration of teeth or oral structures;

11. Final cementation of crowns and bridges; and

12. Placement of retraction cord.

VA.R. Doc. No. R09-1815; Filed March 25, 2009, 2:39 p.m.