Dental Assisting National Board, Inc. Measuring Dental Assisting Excellence®

Certified Dental Assistant™ (CDA®) Exam Blueprint and Suggested References for Exam Preparation CDA component exams General Chairside Assisting (GC) Page 2 Radiation Health and Safety (RHS®) Page 9 Infection Control (ICE®) Page 13 DANB’s RHS exam is also a component of the DANB National Entry Level Dental Assistant (NELDA™) certification. ICE is also a component of the DANB NELDA and Certified Orthodontic Assistant (COA®) certifications.

PLEASE NOTE: DANB uses “image receptor” when referring to either conventional film or sensors used for digital imaging.

Note that each state’s dental board implements regulations and establishes rules for delegating legally allowable duties to dental assistants. Passing one or more of the DANB component exams or earning DANB certification only conveys authority to perform these duties in those states that recognize these exams or this certification as meeting state dental assisting requirements. This information is at www.danb.org/Meet-State-Requirements.aspx. © 2015 Dental Assisting National Board, Inc. (DANB). Permission is granted to individuals to photocopy this document or transmit it by electronic mail in its entirety, without alteration, for noncommercial use in government and educational settings. All other rights reserved.

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Dental Assisting National Board, Inc. Measuring Dental Assisting Excellence®

General Chairside Assisting (GC) Exam Blueprint (10%)

I.

(45%)

II. CHAIRSIDE DENTAL PROCEDURES Four-Handed Dentistry Techniques 1. Describe how to prepare the treatment room for a patient. 2. Describe how to prepare appropriate treatment trays with armamentarium in sequence of use and delivery position. 3. Describe how to seat and prepare a patient, including how to position and adjust equipment. 4. Describe how to implement four-handed dentistry concepts in all treatment procedures, including but not limited to: access and visibility for treatment procedures. correct positioning for prescribed dental treatment.

COLLECTION AND RECORDING OF CLINICAL DATA Demonstrate an understanding of basic oral and dental anatomy, physiology and development, including but not limited to: 1. blood vessels. 2. bones. 3. glands/lymphatics. 4. muscles. 5. nerves. 6. oral cavity. 7. teeth. Preliminary Physical Examination 1. Describe how to record the purpose of patient’s visit and/or chief complaint. 2. Describe how to assess patient’s general physical condition (e.g., skin, gait) and any abnormal characteristics (e.g., evidence of eating disorders, substance abuse or physical abuse, age-related changes). 3. Demonstrate an understanding of how to take, record, observe and measure vital signs. 4. Demonstrate how to recognize and describe any abnormal findings in the head and neck region. Charting 1. Identify the permanent and primary teeth according to the Universal numbering system. 2. Identify the surfaces of the tooth. 3. Describe how to chart conditions in the patient’s oral cavity and how to accurately transcribe the record. Diagnostic Aids 1. Describe how to prepare for and assist with the collection of diagnostic data. 2. Describe how to take impressions and pour models for diagnostic study casts. Treatment Documentation 1. Describe how to record treatment and prescriptions (e.g., medication, instructions) on patient’s chart. 2. Describe how to record recommended treatment and patient’s acceptance or refusal of recommended treatment. 3. Describe how to record patient’s compliance.

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instrument transfers. Select and Prepare Armamentarium 1. Select and describe how to prepare and/or modify impression trays for appropriate uses. 2. Select and describe how to prepare tray setups and all necessary armamentaria for chairside dentistry and dental emergency procedures, including but not limited to: amalgam restorations. anesthetics. bleaching. composite restorations. crown and bridge preparation/cementation. dental dam application. desensitization of the teeth. endodontic therapy. extractions. fluoride application. immediate dentures. impactions. implants. incision and drainage. initial/secondary impressions. interceptive orthodontics. occlusal equilibration/adjustment. oral examination. oral prophylaxis. periodontal procedures. periodontal surgical dressing placement/removal. removable partial or full dentures. root planing and curettage. rotary instruments. sealant application. stainless steel crown placement/removal. suture placement/removal. temporary cementation. temporary restoration. treatment of dry socket. Describe how to perform and/or assist with intraoral procedures, including but not limited to: 1. maintain field of operation during dental procedures (e.g., through the use of retraction, suction, irrigation, drying). 2. place and remove cotton rolls. 3. assist with and/or polish teeth. 4. assist with and/or apply topical fluoride. 5. assist with and/or perform a vitality test. 6. assist with and/or control minor bleeding after any surgical procedure. 7. assist with, place and/or remove temporary cement. 8. assist with and/or remove excess cement from the coronal surfaces of teeth, restorations and appliances. 9. assist with and/or apply and remove the dental dam. 10. prepare, assist with, and/or apply and remove matrix bands. 11. assist with and/or apply topical anesthetic to site of injection. 12. assist with and/or monitor the administration of nitrous oxide/oxygen analgesia. 13. identify and change rotary instruments in dental handpieces. Certified Dental Assistant – EXAM BLUEPRINTS AND SUGGESTED REFERENCES © 2015 Dental Assisting National Board, Inc. – Effective 01/01/2015

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14. use the concepts of four-handed dentistry to describe how to assist with general dentistry and dental emergency procedures, including but not limited to: administration of anesthetics. cavity preparation and restoration. crown and bridge restoration, preparation, temporization and cementation. desensitization of the teeth. endodontic therapy. fabrication of removable partial or full dentures. fluoride application. implants. occlusal equilibration/adjustment. occlusal registration. oral examination and data collection. oral prophylaxis. oral surgery. periodontal procedures. placement of sealants. placement of stainless steel crowns. post-operative treatment and complications. suture placement and removal. taking initial/secondary impressions. Patient Management 1. Demonstrate understanding of how to calm and reassure apprehensive patients. 2. Describe how to manage patients, including patients with special needs, during routine clinical procedures. 3. Describe how to monitor and record patient’s response to drugs/medications. (9%)

III. CHAIRSIDE DENTAL MATERIALS (PREPARATION, MANIPULATION, APPLICATION) Impression 1. Describe how to prepare, mix, deliver and store the following materials for impressions: alginate (e.g., irreversible hydrocolloid). elastomerics. waxes. Restorative 1. Describe how to prepare, mix, deliver and store restorative materials, including but not limited to: amalgam. cements. composites. dentin bonding materials. glass ionomers. temporary restorative materials. varnishes, bases and liners. 2. Prepare and/or seat temporary crowns. Sedative/Palliative 1. Describe how to prepare, mix and store sedative/palliative materials, including but not limited to: periodontal surgical dressings. post-extraction dressings. sedative dressings. Other Dental Materials

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1. Select and describe how to manipulate the various finishing, polishing and cleaning agents. 2. Describe how to prepare, mix, deliver and store other dental materials, including but not limited to: bleaching agents. bonding agents. endodontic materials. etchants. pit and fissure sealants. (4%)

IV. LABORATORY MATERIALS AND PROCEDURES Select and describe how to manipulate and store materials, including but not limited to: 1. acrylic products or acrylic substitutes. 2. dental waxes. 3. gypsum products. Demonstrate an understanding of laboratory procedures, including but not limited to: 1. fabricate custom impression trays. 2. fabricate custom occlusal appliances and bleaching trays. 3. fabricate diagnostic casts (e.g., trimming and finishing). 4. polish fixed appliances and prostheses. 5. polish removable appliances and prostheses.

(10%)

V. PATIENT EDUCATION AND ORAL HEALTH MANAGEMENT Oral Health Information 1. Describe how to implement patient dental health education presentations, including but not limited to: advantages and disadvantages of various restorative materials or procedures. causes of dental diseases. classifications and importance of occlusion. effect of systemic disease on the healing process. functions of saliva. functions of the primary and permanent teeth and the relationship of the supporting structures. personal oral habits that may compromise general health. stages of the eruption and exfoliation of the teeth. special dental health needs (e.g., due to physical status or age). 2. Explain and clarify the procedures and services being delivered. 3. Explain the effects of all types of fluoride, the advantages of the various methods of administration, and the dangers and results of overdosage. Pre-/Post-Treatment Instruction 1. Describe how to provide oral and written pre- and post-treatment instructions (e.g., prescribed medications). 2. Describe how to care for removable and non-removable appliances and prostheses. Demonstrate an understanding of plaque control techniques, including but not limited to: 1. appropriate toothbrush selection and brushing techniques. 2. evaluate oral healthcare status and habits. 3. evaluate response to home-care therapy. 4. provide preventive oral healthcare information based on individual needs. 5. select and use oral hygiene devices (e.g., brushes, floss, interdental aids, oral rinses, irrigating aids).

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6. select and use plaque disclosing aids. Nutrition 1. Describe how to provide instruction and evaluate basic nutritional needs of individual patients as they relate to dental health. 2. Explain the relationship of diet to the development of dental caries. (12%)

VI. PREVENTION AND MANAGEMENT OF EMERGENCIES Medical Conditions/Emergencies 1. Identify medical conditions that can cause medical emergencies in patients, including but not limited to: alcohol/substance abuse. allergies. asthma. blood dyscrasias. cancer. cardiovascular disease. diabetes mellitus or hypoglycemia. emphysema. epilepsy. hypertension or hypotension. kidney or liver problems. pregnancy. prosthetic replacements. respiratory infection. rheumatic fever. ulcers. 2. Recognize medications related to the patient’s present and/or past medical/dental history. 3. Demonstrate understanding of preventive measures to be used following drug administration to avoid drug-induced emergencies. 4. Describe how to respond to and assist in the management of the signs and symptoms related to specific medical conditions/emergencies likely to occur in the dental office, including but not limited to: airway obstruction. allergic reactions. blood loss. cardiovascular or cerebrovascular irregularities. contagious diseases. diabetes- or epilepsy-related incidents. fainting. metabolic or neurologic disease. reactions to drugs, anesthetics. respiratory irregularities (e.g., hypo- or hyperventilation, asthma). shock. 5. Describe how to assemble, maintain and recognize the use of drugs, appropriate emergency supplies, and equipment in the prevention and/or effective management of an emergency. 6. Describe how to prepare and post a listing of emergency support personnel. Dental Conditions/Emergencies 1. Recognize the signs and symptoms related to specific dental conditions/emergencies likely to occur in the office, including but not limited to: oral contagious diseases. soft tissue inflammations of the oral cavity.

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2. Describe how to implement and/or assist with appropriate procedures for the management of dental emergencies. (10%)

VII. OFFICE OPERATIONS Supply and Inventory Control 1. Describe how to maintain and control supplies, including but not limited to: manage backorders according to the inventory control system. order supplies, instruments and equipment to maintain specified levels. record and inventory items used. rotate expendable supplies according to the expiration date. rotate nonexpendable supplies according to the inventory control system. 2. Describe how to maintain security and necessary records of controlled substances. Maintenance of Equipment/Instruments 1. Describe how to perform preventive maintenance on the equipment and instruments in the treatment room, as per manufacturers’ instructions. 2. Describe how to provide appropriate care and storage of supplies (e.g., sterile disposable products, nitrous oxide, oxygen). Demonstrate understanding of patient reception, communication and accounting, including but not limited to: 1. appointment control process. 2. basic concepts of third-party payment. 3. communicate effectively and establish good working relationships with patients and with other members of the dental care team. 4. explain fees charged to a patient as directed by the dentist. 5. financial management of a dental office. 6. initiate referral procedures for the patient as directed. 7. receive and dismiss patients and visitors. Legal Aspects of Dentistry 1. Demonstrate understanding of legal records, including but not limited to: file items (e.g., radiographic images, histories, correspondence) into individual patient records. items included as part of a legally documented patient record. legal significance of medical and dental histories. precautions necessary in lending records to another dental office. record patient telephone communication and professional dental and medical consultations. various types of patient data in the dental office. 2. Demonstrate understanding of legal responsibilities and regulations, including but not limited to: action that a dental assistant should take after a threat to sue for malpractice. consent for routine and emergency office dental care. factors and precautions necessary to prevent lawsuits against dental personnel. legal responsibilities of the dental assistant in relation to the state dental practice act. patient refusal of recommended routine, surgical and emergency treatment. patient’s right to privacy according to Health Insurance Portability and Accountability Act (HIPAA) regulations. responsibilities and/or obligations of the dentist and patients in the dentistpatient relationship. updates in Occupational Safety and Health Administration (OSHA) and Centers for Disease Control and Prevention (CDC) guidelines to maintain office compliance.

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Dental Assisting National Board, Inc. Measuring Dental Assisting Excellence®

General Chairside Assisting (GC) Suggested References for Exam Preparation DANB’s GC exam is a component of the DANB Certified Dental Assistant (CDA®) certification.

DANB exam committees use the following textbooks and reference materials to develop this exam. This list does not include all of the available textbooks and materials for studying for this exam; these are simply the resources that exam committee subject matter experts determined as providing the most up-to-date information needed to meet or surpass a determined level of competency for this exam. This list is intended to help prepare for this exam. It is not intended to be an endorsement of any of the publications listed. You should prepare for DANB® certification and component exams using as many different study materials as possible. 1. Bird, Doni L., and Debbie S. Robinson. Modern Dental Assisting. 10th and 11th ed. St. Louis, MO: Elsevier/Saunders, 2012 and 2015. 2. Phinney, Donna J., and Judy H. Halstead. Dental Assisting: A Comprehensive Approach. 3rd and 4th ed. Clifton Park, NY: Delmar, 2008 and 2013. 3. Hatrick, Carol D., and W. S. Eakle. Dental Materials: Clinical Applications for Dental Assistants and Dental Hygienists. 3rd ed. St. Louis, MO: Elsevier/Saunders, 2016. 4. Bird, Doni L., and Debbie S. Robinson. Essentials of Dental Assisting. 5th ed. St. Louis, MO: Elsevier/Saunders, 2013. 5. Little, James W., Donald A. Falace, Craig S. Miller and Nelson L. Rhodus. Dental Management of the Medically Compromised Patient. 8th ed. St. Louis, MO: Elsevier/Mosby, 2013. 6. Malamed, Stanley F. Medical Emergencies in the Dental Office. 7th ed. St. Louis, MO: Elsevier/Mosby, 2015. 7. Gaylord, Linda J. The Administrative Dental Assistant. 3rd ed. St. Louis, MO: Elsevier/Saunders, 2012. 8. “General Chairside Assisting: A Review for a National Chairside Exam” (Course #613). www.dentalassistant.org

Note that each state’s dental board implements regulations and establishes rules for delegating legally allowable duties to dental assistants. Passing one or more of the DANB component exams or earning DANB certification only conveys authority to perform these duties in those states that recognize these exams or this certification as meeting state dental assisting requirements. This information is at www.danb.org/Meet-State-Requirements.aspx. Certified Dental Assistant – EXAM BLUEPRINTS AND SUGGESTED REFERENCES © 2015 Dental Assisting National Board, Inc. – Effective 01/01/2015

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Dental Assisting National Board, Inc. Measuring Dental Assisting Excellence®

Radiation Health and Safety (RHS) Exam Blueprint (26%)

I.

EXPOSE AND EVALUATE A. Assessment and Preparation 1. Describe patient preparation for radiographic exposures (e.g., inspect the patient’s head and neck for removable appliances and foreign objects). 2. Select appropriate radiographic technique. a. Describe use and purpose of various intraoral and extraoral radiographic images. b. Select appropriate radiographic survey to examine or view conditions, teeth or landmarks. c. Describe technique modifications based on anatomical variations. 3. Select appropriate equipment for radiographic techniques. a. Describe purpose or advantage of accessories for radiographic techniques. b. Select appropriate image receptor size depending on patient characteristics and exposure technique indicated. c. Describe purpose and advantage of double (dual) film packets. B. Acquire 1. Describe how to acquire radiographic images using various techniques. a. Define radiographic exposure concepts. b. Intraoral i. Define factors that influence quality of the radiographic image. ii. Compare paralleling and bisecting angle techniques, including advantages and disadvantages. iii. Describe the parts of a radiographic film packet, the different types of digital image receptors, and the functions of both. c. Extraoral i. Identify function and maintenance of film cassettes and intensifying screens. ii. Describe appropriate technique for exposing (i.e., patient positioning): a) panoramic radiography. b) cephalometric radiography. iii. Demonstrate basic understanding of CBCT (cone-beam computed tomography). 2. Demonstrate basic knowledge of digital radiography. a. Advantages/disadvantages of digital radiography. b. Handling errors. c. Image receptors. 3. Demonstrate basic knowledge of conventional film processing. a. Describe functions of processing solutions. b. Describe how to process exposed intra- and extraoral films using automatic processors. c. Identify optimum procedures for processing films. C. Evaluate 1. Evaluate radiographic images for diagnostic value. a. Describe features of a diagnostically acceptable radiographic image. b. Identify and describe how to correct errors related to acquiring intraoral radiographic images.

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c. Identify and correct errors related to radiographic processing. d. Identify and describe how to correct errors due to improper film handling. e. Identify and describe how to correct errors related to acquiring panoramic radiographic images 2. Mount and label a. Describe how to mount radiographic images using facial (buccal and labial) view. i. Identify anatomical landmarks that aid in mounting. ii. Match tooth views to tooth mount windows. iii. Demonstrate understanding of appropriate techniques for optimum radiographic image viewing. b. Identify anatomical structures, dental materials and patient information observed on radiographic images (e.g., differentiating between radiolucent and radiopaque areas). D. Patient Management 1. Describe techniques for patient management before, during and after radiographic exposure, including patients with special needs. 2. Describe techniques for patients with a severe gag reflex. (21%)

II. QUALITY ASSURANCE AND RADIOLOGY REGULATIONS A. Quality Assurance 1. Evaluate film storage areas. 2. Identify and describe how to correct errors related to improperly storing exposed and unexposed radiographic film. 3. Describe how to prepare, maintain and replenish radiographic solutions for automatic processors. 4. Identify optimum conditions for film processing. 5. Describe how to implement quality assurance procedures. B. Radiology Regulations 1. Describe how to prepare radiographic images for legal requirements, viewing, duplication and transfer. 2. Describe how to properly store chemical agents used in dental radiography procedures according to regulatory agencies, in compliance with the Occupational Safety and Health Administration (OSHA) Hazard Communication Standard. 3. Describe how to properly dispose of all chemical agents and other materials used in dental radiography procedures.

(31%)

III. RADIATION SAFETY FOR PATIENTS AND OPERATORS A. Identify current American Dental Association (ADA) guidelines for frequency of exposure to radiation. B. Apply the principles of radiation protection and hazards in the operation of radiographic equipment. 1. Demonstrate knowledge of the factors affecting x-ray production (e.g., kVp, mA, exposure time). 2. Describe the characteristics of x-radiation. 3. Demonstrate understanding of x-ray machine factors that influence radiation safety (e.g., concepts of filtration, shielding, collimation, PID [cone] length). 4. Demonstrate understanding of x-radiation physics: a. primary radiation. b. scatter (secondary) radiation. 5. Describe protocol for suspected x-ray machine malfunctions. C. Demonstrate knowledge of patient safety measures to provide protection from xradiation.

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1. Identify major causes of unnecessary x-radiation exposure. 2. Demonstrate an understanding of x-radiation biology: a. short- and long-term effects of x-radiation on cells and tissues. b. concepts of x-radiation dose and effective dose. 3. Identify ways to reduce x-radiation exposure to patients (ALARA). D. Address patient concerns about radiation, including informed consent or patient refusal of radiography. E. Demonstrate understanding of operator safety measures to provide protection from x-radiation. 1. Identify sources of x-radiation to operators/other staff while exposing image receptors. 2. Identify safety measures to reduce operator x-radiation exposure. 3. Demonstrate an understanding of x-radiation physics and biology pertaining to operator exposure. F. Describe techniques for monitoring individual x-radiation exposure. (22%)

IV. INFECTION CONTROL A. Standard Precautions for Equipment 1. Demonstrate an understanding of infection control techniques to minimize crosscontamination during radiographic procedures according to ADA, Centers for Disease Control and Prevention (CDC) and OSHA guidelines for conventional and digital radiography. 2. Demonstrate an understanding of barriers to minimize cross-contamination during radiographic procedures according to ADA, CDC and OSHA guidelines for conventional and digital radiography. B. Standard Precautions for Patients and Operators 1. Demonstrate an understanding of infection control for radiographic procedures according to ADA, CDC and OSHA guidelines for conventional and digital radiography. 2. Describe infection control techniques used during radiographic processing, following ADA, CDC and OSHA guidelines.

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Dental Assisting National Board, Inc. Measuring Dental Assisting Excellence®

Radiation Health and Safety (RHS®) Suggested References for Exam Preparation DANB’s RHS exam is a component of the DANB National Entry Level Dental Assisting (NELDA™) and Certified Dental Assistant (CDA®) certifications.

DANB exam committees use the following textbooks and reference materials to develop this exam. This list does not include all of the available textbooks and materials for studying for this exam; these are simply the resources that exam committee subject matter experts determined as providing the most up-to-date information needed to meet or surpass a determined level of competency for this exam. This list is intended to help prepare for this exam. It is not intended to be an endorsement of any of the publications listed. You should prepare for DANB certification and component exams using as many different study materials as possible.

1. Johnson, Orlen N., and Evelyn M.Thomson. Essentials of Dental Radiography for Dental Assistants and Hygienists. 9th ed. Upper Saddle River, NJ: Pearson Education, 2012. 2. Ianucci, Joan M., and Laura J. Howerton. Dental Radiography Principles and Techniques (with CD-ROM). 4th ed. St. Louis, MO: Elsevier/Saunders, 2012. 3. Bird, Doni L., and Debbie S. Robinson. Modern Dental Assisting. 10th and 11th ed. St. Louis, MO: Elsevier/Saunders, 2012 and 2015. 4. Frommer, Herbert H., and Jeanine J. Stabulas-Savage. Radiology for the Dental Professional. 9th ed. St. Louis, MO: Elsevier/Mosby, 2011. 5. Bird, Doni L., and Debbie S. Robinson. Essentials of Dental Assisting. 5th ed. St. Louis, MO: Elsevier/Saunders, 2013. 6. Miles, Dale A., Margot L. Van Dis, Gail F. Williamson, and Catherine W. Jensen. Radiographic Imaging for the Dental Team. 4th ed. St. Louis, MO: Elsevier/Saunders, 2009. 7. Phinney, Donna J., and Judy H. Halstead. Dental Assisting: A Comprehensive Approach. 3rd and 4th ed. Clifton Park, NY: Delmar Cengage Learning, 2008 and 2013. 8. “An Introduction to Basic Concepts in Dental Radiography,” Course #715. American Dental Assistants Association. www.dentalassistant.org 9. Miller, Chris H. Infection Control and Management of Hazardous Materials for the Dental Team. 5th ed. St. Louis, MO: Elsevier/Mosby, 2014.

Note that each state’s dental board implements regulations and establishes rules for delegating legally allowable duties to dental assistants. Passing one or more of the DANB component exams or earning DANB certification only conveys authority to perform these duties in those states that recognize these exams or this certification as meeting state dental assisting requirements. This information is at www.danb.org/Meet-State-Requirements.aspx. Certified Dental Assistant – EXAM BLUEPRINTS AND SUGGESTED REFERENCES © 2015 Dental Assisting National Board, Inc. – Effective 01/01/2015

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Infection Control (ICE) Exam Blueprint Referencing the 2003 Centers for Disease Control and Prevention (CDC) Guidelines for Infection Control in Dental Health-Care Settings and Occupational Safety and Health Administration (OSHA) Standards

(10%)

I.

(20%)

II. STANDARD/UNIVERSAL PRECAUTIONS AND THE PREVENTION OF DISEASE TRANSMISSION A. Prevent cross-contamination and disease transmission. 1. Demonstrate understanding of proper hand hygiene as used during intraoral and oral surgery procedures. 2. Demonstrate the appropriate protocols for single-use disposable (SUD) items. 3. Describe how to protect the patient and operator through the use of barrier techniques, personal protective equipment (PPE), dental dam, and other safety items. B. Maintain aseptic conditions. 1. Identify the modes of disease transmission. 2. Describe how to dispose of biohazardous and other waste generated in the dental office according to federal regulations. 3. Describe how to store sterile instruments. C. Demonstrate an understanding of instrument processing. 1. Describe how to prepare dental instruments for sterilization. 2. Select the appropriate method for sterilization of dental instruments and supplies. 3. Select the appropriate system for sterilization monitoring. D. Demonstrate an understanding of asepsis procedures. 1. Select proper methods of disinfection, including for the following, but not limited to: a. darkrooms. b. dental instruments. c. equipment. d. equipment areas. e. impressions. f. instrument processing. g. laboratories. h. materials. i. supplies. j. treatment rooms. 2. Maintain dental unit water lines. 3. Prepare and use chemical agents according to manufacturer’s instructions.

(10%)

(15%)

(15%)

PATIENT AND DENTAL HEALTHCARE WORKER EDUCATION A. Demonstrate an understanding of infectious diseases and their relationship to patient safety and occupational risk. B. Demonstrate an understanding of the procedures and services being delivered and their consequences to the patient, family, other patients, and oral healthcare personnel. C. Demonstrate an understanding of the need for immunization against infectious diseases (e.g., hepatitis B).

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(30%)

III. OCCUPATIONAL SAFETY A. Demonstrate an understanding of the standards and guidelines of occupational safety for dental office personnel, including but not limited to: 1. regulations described in the OSHA Bloodborne Pathogens Standard. 2. engineering and work practice controls. 3. regulations described in the OSHA Hazard Communication Standard. 4. appropriate first aid procedures, documentation and reporting of all incidents, such as cuts/punctures from instruments, needlesticks, or chemical exposures as described in the OSHA Bloodborne Pathogens and Hazard Communication Standards. B. Demonstrate an understanding of all safety measures for chemical and physical hazards, including but not limited to: 1. airborne particles and contaminants. 2. bonding materials. 3. caustic agents and other chemicals. 4. curing light. 5. lasers. 6. mercury. 7. nitrous oxide. C. Demonstrate an understanding of how to maintain and document a quality assurance (quality improvement) program for infection control and safety throughout the dental office.

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Dental Assisting National Board, Inc. Measuring Dental Assisting Excellence®

Infection Control (ICE) Exam Suggested References for Exam Preparation DANB’s ICE exam is a component of the DANB National Entry Level Dental Assisting (NELDA™), Certified Dental Assistant (CDA®) and Certified Orthodontic Assistant (COA®) certifications. DANB exam committees use the following textbooks and reference materials to develop this exam. This list does not include all of the available textbooks and materials for studying for this exam; these are simply the resources that exam committee subject matter experts determined as providing the most up-to-date information needed to meet or surpass a determined level of competency for this exam. This list is intended to help prepare for this exam. It is not intended to be an endorsement of any of the publications listed. You should prepare for DANB certification and component exams using as many different study materials as possible. 1. Miller, Chris H. Infection Control and Management of Hazardous Materials for the Dental Team. 5th ed. St. Louis, MO: Elsevier/Mosby, 2014. 2. Bird, Doni L., and Debbie S. Robinson. Modern Dental Assisting. 10th and 11th ed. St. Louis, MO: Elsevier/Saunders, 2012 and 2015. 3. Molinari, John A., and Jennifer A. Harte. Cottone’s Practical Infection Control in Dentistry. 3rd ed. Philadelphia, PA: Lippincott, 2010. 4. “Guidelines for Infection Control in Dental Health-Care Settings 2003.” Vol. 52, RR 17. www.cdc.gov. 5. U.S. Department of Labor, Occupational Safety and Health Administration, www.osha.gov. • “Hazard Communication Guidelines for Compliance” (Publication 3111) • “Hazard Communication Standard” (Code of Federal Regulations #29, Part 1910) • “Bloodborne Pathogens Standard” (1910.1030) 6. Phinney, Donna J., and Judy H. Halstead. Dental Assisting: A Comprehensive Approach. 3rd and 4th ed. Clifton Park, NY: Delmar, 2008 and 2013. 7. From Policy to Practice: OSAP’s Guide to the Guidelines. Organization for Safety, Asepsis and Prevention (OSAP). www.osap.org. 8. Bird, Doni L., and Debbie S. Robinson. Essentials of Dental Assisting. 5th ed. St. Louis, MO: Elsevier/Saunders, 2013. 9. U.S. Public Health Service. Guidelines for Post Exposure Management. • www.osha.gov • www.cdc.gov/mmwr/preview/mmwrhtml/00052722.htm • www.cdc.gov/oralhealth/infectioncontrol 10. Infection Control in the Dental Office: A Review for a National Infection Control Exam Course #0906. American Dental Assistants Association (ADAA). www.dentalassistant.org. 11. Guidelines for Infection Control in Dental Health Care Settings, Course #1305. American Dental Assistants Association. Note that each state’s dental board implements regulations and establishes rules for delegating legally allowable duties to dental assistants. Passing one or more of the DANB component exams or earning DANB certification only conveys authority to perform these duties in those states that recognize these exams or this certification as meeting state dental assisting requirements. This information is at www.danb.org/Meet-StateRequirements.aspx. Certified Dental Assistant – EXAM BLUEPRINTS AND SUGGESTED REFERENCES © 2015 Dental Assisting National Board, Inc. – Effective 01/01/2015

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