If you’re considering a career as a dental assistant, you may be curious about what procedures you’re allowed to perform, especially when it comes to dental fillings. The short answer is that most dental assistants cannot perform fillings independently. However, with additional training and certifications, Expanded Function Dental Assistants (EFDAs) can assist with certain parts of the process under a dentist’s direct supervision. Here’s a detailed breakdown of dental assistants' roles, types, training requirements, and state regulations to help you better understand this exciting career path.
What Do Dental Assistants Do During Fillings?
While dental assistants cannot place fillings themselves, they play a key role during filling procedures. They prepare treatment rooms, sterilize instruments, assist the dentist by handing tools and materials, and ensure patients remain comfortable. However, Expanded Function Dental Assistants (EFDAs) have advanced training that allows them to place and contour fillings after the dentist has prepared the tooth, but always under direct supervision.
If you’re ready to start training for a rewarding career in the dental field, our Dental Assisting Program can help you gain the skills you need to succeed in this critical role.
Regular Dental Assistant vs. Expanded Function Dental Assistant (EFDA)
Here’s how these two roles differ when it comes to dental fillings:
Regular Dental Assistant:
- Cannot place or contour fillings
- Assists the dentist during filling procedures
- Prepares equipment, sterilizes instruments, and ensures the correct materials are ready
- May take x-rays and provide post-procedure care instructions
Expanded Function Dental Assistant (EFDA):
- Can place and contour fillings after the dentist prepares the tooth
- Checks bite occlusion and ensures proper flossing after the filling
- Must work under direct supervision of a licensed dentist
- Plays an essential role in improving patient care efficiency
|
Task |
Regular Dental Assistant |
EFDA |
|
Place or contour fillings |
❌ Not allowed |
✅ Allowed under dentist supervision |
|
Assist during procedures |
✅ Yes |
✅ Yes |
|
Prepare and sterilize equipment |
✅ Yes |
✅ Yes |
|
Education requirements |
Certificate/Diploma |
Advanced training + State certification |
State-by-State Regulations for Dental Assistants and EFDAs
State laws clearly define the levels of practice and procedures dental assistants and Expanded Function Dental Assistants (EFDAs) can perform. Here’s an organized breakdown for California.
California
California categorizes dental assistants into three levels based on training and responsibilities:
1. Unlicensed Dental Assistants
- Perform basic supportive procedures under the direct supervision of a licensed dentist.
2. Registered Dental Assistants (RDAs)
- Must meet the following requirements:
- Graduate from a Board-approved RDA program or complete 15 months of supervised work experience.
- Complete mandatory courses in:
- Radiation safety
- Coronal polishing
- Dental Practice Act and infection control
3. Expanded Function Dental Assistants (EFDAs)
- Undergo specialized training to perform restorative functions:
- Place and contour fillings under a dentist's supervision.
Training Requirements for Dental Assistants
Whether you’re pursuing a role as a regular dental assistant or aiming to become an EFDA, understanding the educational requirements is essential.
For Basic Dental Assistants:
- High school diploma or GED
- Completion of a dental assisting certificate, diploma program, or associate degree
- On-the-job training under a licensed dentist’s supervision
For Expanded Function Dental Assistants (EFDAs):
- Completion of additional specialized training
- State-specific certification and licensing requirements
- Continuing education to maintain certification and stay updated with current practices
To stand out in the dental field, earning a recognized credential can make all the difference. Organizations like the Dental Assisting National Board (DANB) provide certifications such as the Certified Dental Assistant (CDA) and expanded function credentials. If you’re ready to take the next step, our Dental Assisting Program can help prepare you for a successful career with hands-on training and real-world experience.
Common Questions About Dental Assistants and Fillings
What can regular dental assistants do during a filling procedure?
Regular dental assistants provide critical support, such as:
- Preparing instruments and materials
- Assisting the dentist chairside during the procedure
- Sterilizing equipment
- Taking x-rays
Who supervises dental assistants during procedures?
A licensed dentist must provide direct supervision when dental assistants or EFDAs assist with fillings. The dentist remains responsible for the procedure and always performs the final quality check.
Why might you see an assistant working on fillings?
If you observe a dental assistant placing or contouring fillings, they are likely an EFDA. EFDAs are highly trained and certified to perform expanded functions under a dentist’s supervision. This practice improves efficiency in dental offices and increases access to care for patients.
Is it safe for an EFDA to place fillings?
Yes! EFDAs undergo rigorous training and are required to meet state certification standards. Many EFDAs place hundreds or even thousands of fillings annually, and the supervising dentist ensures the final result meets professional standards.
Why Choose Dental Assisting?
Even though regular dental assistants can’t perform fillings, they play a vital role in patient care and dental office efficiency. By pursuing additional education and certifications to become an EFDA, you can expand your skillset, take on more advanced responsibilities, and make an even bigger impact.
If you’re passionate about healthcare and ready to start a hands-on, dynamic career, a dental assisting program can set you on the path to success. With the right training, you’ll be prepared to help dental professionals deliver high-quality care while growing in a rewarding and in-demand field.
Ready to Launch Your Dental Assisting Career?
American Career College's comprehensive Dental Assisting Program prepares you with the hands-on skills, knowledge, and confidence needed to excel in this dynamic healthcare field. Our industry-experienced instructors, state-of-the-art facilities, and externship opportunities ensure you graduate ready to make an immediate impact.
Program Highlights:
- Program Length: Complete your dental assisting training in as little as 10 months.
- Program Type: Blended (2 days a week in class, the rest online) or Weekend (weekend classes, the rest online)
- Hands-On Training: Gain real-world experience with lab practice and clinical externships.
- Career Services Support: Get help with career planning, job placement, externship prep, and professional development through ACC Ready workshops and employer events.
- Three Campus Locations: Study at one of our convenient campuses in Los Angeles, Ontario, or Orange County.
- Certification Opportunities: Prepare to take the Registered Dental Assistant (RDA) exam, the Coronal Polishing Certification, and the Pit and Fissure Sealant Certification.
- Supportive Environment: Learn from experienced instructors in a collaborative, career-focused environment.
Don't wait to start building your future in dental healthcare. Take the first step today!
REQUEST INFO and complete our simple online form to learn more about the Dental Assisting Program at American Career College
