If passed, HB 411 will amend existing regulations to enable dental auxiliaries to perform prophylaxis under the general supervision of licensed dentists. The bill specifies that only certified dental assistants may undertake this task and only on medically healthy children under the age of 12, which is a significant shift intended to maximize the workforce available for basic oral health services. This change is expected to expand the ability of healthcare providers to deliver dental care, particularly in underserved areas where access to dentists is limited.
Summary
House Bill 411 introduces important changes to the practice of dentistry in Montana by allowing certified dental auxiliaries to perform oral prophylaxis, which is a basic dental cleaning procedure. This legislation addresses the challenges posed by labor shortages in dental services and highlights the role of dental assistants, who are often well-trained yet underutilized in the field. The intent is to enhance access to dental care, especially for children, and to streamline the qualifications and responsibilities of dental auxiliaries under specific conditions set forth in the bill.
Contention
The bill has generated discussions regarding the supervision and the scope of practice of dental auxiliaries. Proponents argue that this change will improve oral health outcomes among children by making dental services more accessible. Critics, however, express concerns about the adequacy of training and whether it is safe for dental assistants, who are not licensed hygienists, to perform such procedures. There is concern that insufficient oversight might compromise patient safety and the standing of dental hygienists in the workforce. Consequently, discussions are focused on balancing increased access to care with the necessity of maintaining high standards in dental practices.