Texas Statutes
Subchapter A. Delegation by Dentist
Section 258.001. Impermissible Delegations

Sec. 258.001. IMPERMISSIBLE DELEGATIONS. A dentist may not delegate:
(1) an act to an individual who, by board order, is prohibited from performing the act;
(2) any of the following acts to a person not licensed as a dentist or dental hygienist:
(A) the removal of calculus, deposits, or accretions from the natural and restored surfaces of exposed human teeth and restorations in the human mouth;
(B) root planing or the smoothing and polishing of roughened root surfaces or exposed human teeth; or
(C) any other act the delegation of which is prohibited by board rule;
(3) any of the following acts to a person not licensed as a dentist:
(A) comprehensive examination or diagnosis and treatment planning;
(B) a surgical or cutting procedure on hard or soft tissue;
(C) the prescription of a drug, medication, or work authorization;
(D) the taking of an impression for a final restoration, appliance, or prosthesis;
(E) the making of an intraoral occlusal adjustment;
(F) direct pulp capping, pulpotomy, or any other endodontic procedure;
(G) the final placement and intraoral adjustment of a fixed or removable appliance; or
(H) the placement of any final restoration; or
(4) the authority to an individual to administer a local anesthetic agent, inhalation sedative agent, parenteral sedative agent, or general anesthetic agent, including as a teledentistry dental service as that term is defined by Section 111.001, if the individual is not licensed as:
(A) a dentist with a permit issued by the board for the procedure being performed, if a permit is required;
(B) a certified registered nurse anesthetist licensed by the Texas Board of Nursing, only if the delegating dentist holds a permit issued by the board for the procedure being performed, if a permit is required; or
(C) a physician anesthesiologist licensed by the Texas Medical Board.
Acts 1999, 76th Leg., ch. 388, Sec. 1, eff. Sept. 1, 1999.
Amended by:
Acts 2007, 80th Leg., R.S., Ch. 889 (H.B. 2426), Sec. 37, eff. September 1, 2007.
Acts 2021, 87th Leg., R.S., Ch. 811 (H.B. 2056), Sec. 14, eff. September 1, 2021.