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Expanded Function Permits

The MDA does NOT handle any aspects of the rules, statutes or processing of EFDA permits. If you have any questions related to these matters, please contact the Missouri Dental Board (573-751-0040). The information on this page is being provided by the MDA in an effort to increase awareness about the statutes and rules that govern Expanded Functions delegation in Missouri. 

Permit Renewals

Beginning March 1, 2013, every expanded functions permit issued by the board shall be renewed every five (5) years. In order to renew an expanded functions permit, the dental assistant shall submit to the board:

  • A completed renewal application form 
  • The renewal fee ($10 per permit) 
  • Satisfactory evidence of completion of 16 hours of continuing education from board-approved sponsors during the five year period immediately preceding the expiration date. 
    • All 16 hours of continuing education for renewal must be directly related to the updating and maintaining of knowledge and skills in the treatment, health, and safety of the individual dental patient. 
    • Permit holders shall only be required to complete 16 hours of continuing education regardless of the number of permits the permit holder wishes to renew. 
    • Each permit holder shall maintain documentation of completion of the required continuing education hours for five years after the completion of the permit period in which the continuing education was earned. 
  • Evidence of current certification in the American Heart Association's Basic Life Support for the Healthcare Provider (BLS), or an equivalent certification approved by the Missouri Dental Board. Online only courses will not be accepted to satisfy the BLS requirement.

Permit Qualifications

To qualify for a board issued permit to perform expanded functions duties, the dental assistant must provide a completed permit application and appropriate fee to the Missouri Dental Board with the following:

  • Proof of EFDA certification (one of the following):
    • Proof of certification as a CDA from the Dental Assisting National Board (DANB) and proof of graduation from an accredited dental assisting program in which the appropriate expanded functions category was completed; or
    • Proof of certification as a CDA from the Dental Assisting National Board (DANB) and proof of completion of a board approved EFDA course; or
    • Proof of certification of passage of the Missouri Basic Skills Exam and proof of completion of a board approved EFDA course;
  • Evidence of current certification in the American Heart Association's Basic Life Support for the Healthcare Provider (BLS), or an equivalent certification approved by the Missouri Dental Board. Online only courses will not be accepted to satisfy the BLS requirement.

List of Expanded Functions

Functions delegable to a dental assistant possessing a board-issued permit to perform expanded functions are divided into five categories; restorative I, restorative II, removable prosthodontics, fixed prosthodontics, and orthodontics and are listed below by category.


Restorative I

  • Sizing and cementing of prefabricated crowns;
  • Placing, condensing, carving amalgam for Class I, V, and VI restorations;
  • Placing composite for Class I, V, and VI restorations; and
  • Minor palliative care of dental emergencies (place sedative filling).


Restorative II

  • Sizing and cementing of prefabricated crowns;
  • Placing, condensing, carving, finishing amalgam for Class I, II, III, IV, V and VI restorations;
  • Placing and finishing composite for Class I, II, III, IV, V and VI restorations; and
  • Minor palliative care of dental emergencies (place sedative filling)


Orthodontics

  • Preliminary bending of archwire;
  • Removal of orthodontic bands and bonds;
  • Final cementation of any permanent appliance or prosthesis;
  • Making impressions for the fabrication of any removable or fixed prosthesis/appliance; and
  • Placement and cementation of orthodontic brackets and/or bands


Prosthodontics (Fixed)

  • Place retraction cord in preparation for fixed prosthodontic impressions;
  • Extra-oral adjustments of fixed prosthesis;
  • Extra-oral adjustments of removable prosthesis during and after insertion;
  • Final cementation of any permanent appliance or prosthesis; and
  • Making impressions for the fabrication of any removable or fixed prosthesis/appliance


Prosthodontics (Removable)

  • Placement of temporary soft liners in a removable prosthesis;
  • Extra-oral adjustments of removable prosthesis during and after insertion;
  • Minor palliative care of dental emergencies (place sedative filling); and
  • Making impressions for the fabrication of any removable or fixed prosthesis/appliance