Summary Dental assistants at this level serve as expanded-function dental assistants independently performing advanced clinical duties in assigned specialties at least 25% of the time. Higher-level assignments cover greater scope, complexity and variety and require advanced clinical skills. Responsibilities The incumbent also performs the full range of duties for routine patient care. Incumbents must maintain current Dental Assisting National Board (DANB) certification. The clinical expanded-function dental assistant assists the general dentist and dental specialist in many aspects of direct patient care and performs other clinical and clerical functions independently of direct supervision. Functions: a. Expanded Function Duties: Performs mouth mirror inspection of the oral cavity; Gathers diagnostic information; Performs pulp vitality testing; Charts existing restoration and conditions; Selects shades for fixed and removable prostheses; Places and removes rubber dams and matrix bands; Places and removes retraction cord; Places and removes intracoronal temporary restoration; Removes temporary crown/bridge and clean tooth preparation of debris; Fabricates, adjusts and cements temporary crowns; Removes permanent cement from supragingival surfaces; Removes sutures;Places and removes surgical dressings; Monitors nitrous oxide/oxygen analgesic; Performs coronal polishing of teeth; Removes hard accretions from and polishes removable prostheses. b. Customer Service: Shows courtesy, respect, and a positive attitude for patients, co-workers and the public; Assists customers with questions or concerns and provides service recovery. c. Chairside Assisting: Sets up operatory and/or surgery suite for planned dental procedure and cleans dental unit for timely turnover; Possesses advanced knowledge of instruments, materials, and standardized dental procedures used in all phases of restorative, surgical, endodontic and periodontal care; Monitors, and performs basic interpretation of, patient vital signs (BP, pulse, pulse oximeter) and condition during invasive treatment and during recovery period following procedure; Assists in routine general dental procedures using concepts of four-handed dentistry; Prepares dental medicaments and impression materials per manufacturer's instructions; Accomplishes all intra-operative procedures within standard infection control protocols; Assists in routine general dental procedures using concepts of four-handed dentistry; Assists in specialized dental procedures, such as oral surgery, endodontics, periodontics, prosthodontics, implant placement and restoration; Maintains both routine and specialty dental equipment per manufacturer instructions and dental service standards; Monitors patient vital signs (BP, pulse, pulse oximeter) and condition during invasive treatment and during recovery period following procedure; Applies topical anesthetic at the injection site; Takes impressions for diagnostic casts and preliminary impressions for prosthetic fabrication; Provides procedure-specific, patient-preventative education and oral hygiene instruction; Assists in specialized dental procedures, such as oral surgery, endodontics, periodontics, prosthodontics, implant placement and restoration; Maintains both routine and specialty dental equipment per manufacturer instructions and dental service standards; Relays patient concerns to treating dentist. d. Dental Imaging: Possesses comprehensive knowledge of advanced imaging techniques in order to provide instruction (e.g. cone beam, cephalometric, advanced panoramic imaging, TMJ, etc.);Possesses ability to identify anatomy; Exposes both standard and specialty dental imaging (i.e. TMJ, cephalometric, cone beam) in traditional and/or digital formats; Modifies settings to achieve the images as requested by the provider; Captures images characterized by diagnostic quality and accurately oriented and exposed; Utilizes dental-imaging safety techniques and retakes are minimized; Accomplishes imaging requests within desired time frame. e. Information Management: Maintains patient confidentiality per HIPAA with written and verbal information; Follows computer security regulations. f. Employee Education: Complies with Employee Education requirements; Completes mandatory annual training sessions; Maintains DANB certification as required for above full-performance-level dental assisting positions. g. Information Management: Maintains patient confidentiality per HIPAA with written and verbal information. h. Patient Safety: Modifies care as necessitated by patient's age and abilities (patient transfer and position). i. Employee Education: Completes mandatory annual training sessions; Maintains DANB certification as required for above full-performance-level dental assisting positions. j. Dental laboratory functions: Pours impressions and prepares study models; Performs other dental laboratory functions as needed and requested. Work Schedule: M-F, 7:30am-5:00pm Telework: Not Authorized Virtual: This is not a virtual position. Functional Statement #: 00000 Relocation/Recruitment Incentives: Not Authorized Financial Disclosure Report: Not required Requirements Conditions of Employment You must be a U.S. Citizen to apply for this job. All applicants tentatively selected for VA employment in a testing designated position are subject to urinalysis to screen for illegal drug use prior to appointment. Applicants who refuse to be tested will be denied employment with VA. Selective Service Registration is required for males born after 12/31/1959. Must be proficient in written and spoken English. You may be required to serve a probationary period. Subject to background/security investigation. Selected applicants will be required to complete an online onboarding process. Must pass pre-employment physical examination. Participation in the seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP). Participation in the Coronavirus Disease 2019 (COVID-19) vaccination program is a requirement for all Veterans Health Administration Health Care Personnel (HCP) - See "Additional Information" below for details. Successfully pass the E-Verify employment verification check. To learn more about E-Verify, including your rights and responsibilities, visit e-verify.gov Qualifications Applicants pending the completion of educational or certification/licensure requirements may be referred and tentatively selected but may not be hired until all requirements are met. Basic Requirements: Basic Requirements: United States Citizenship: Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy. Education/Experience - Experience. (1) Six months experience that demonstrates the applicant's ability to perform the work, or provides familiarity with the work. OR, (2) Education. Successful completion of a 1-year dental assistant program accredited by the American Dental Association's Commission on Dental Accreditation (CODA). OR, (3) Experience/Education Combination. Equivalent combinations of experience and education are qualifying. Certification - Public Law 9735 requires that persons who administer radiologic procedures meet the credentialing standards in 42 CFR Part 75. Essentially, they must have successfully completed an educational program that meets or exceeds the standards described in that regulation; and is accredited by an organization recognized by the Department of Education, and be certified as radiographers in their field. Alternative Provisions for Certification of Radiologic Competence. Successful completion of the Dental Radiation Health and Safety Examination administered by the Dental Assisting National Board, Inc; OR Successful completion of the Principles and Practice of Dental Radiology and Radiographic Safety courses and examinations developed by the Assistant Under Secretary for Health for Dentistry. OR, Successful completion of a radiation health and safety program or examination approved by a state board of dentistry or the Department of Defense (DoD). Dental Assisting National Board (DANB) Certification - Required for all position above the Full Performance level Certification by the Dental Assisting National Board (DANB). Verification of the certification can be made by going to https://www.danb.org/. The American Dental Association (ADA) recognizes DANB as the national certification for Dental Assistants. English Language Proficiency - Candidates must be proficient in spoken and written English. May qualify based on being covered by the Grandfathering Provision as described in the VA Qualification Standard for this occupation (only applicable to current VHA employees who are in this occupation and meet the criteria). Grade Determinations: In addition to the basic requirements for employment, the following criteria must be met for a Dental Assistant - Clinical Expanded Functions. Experience: At least 1 year of experience at the next lower grade level or equivalent that demonstrates the core competencies described at that level. In addition, the candidate must demonstrate the following technical KSAs: Demonstrated Knowledge, Skills, and Abilities: a. Ability to perform dental assisting expanded functions. b. Comprehensive working knowledge of advanced imaging techniques in order to provide instruction (e.g. cone beam, cephalometric, advanced panoramic imaging, TMJ, etc). 3. Assignment: In this position, the employee performs a higher level, scope, complexity and variety representing the clinical assignment, and applies advanced clinical skills. Representative duties at this level include, but are not limited to: gathering diagnostic information, pulp vitality testing, charting of existing conditions, placing of rubber dam and matrices, selecting shades, placing retraction cord, placing and removing temporary restorations, fabricating temporary crowns and removing permanent cement from supragingival surfaces. In addition, the expanded function assistant may place and remove surgical dressing, monitor nitrous oxide analgesia, and perform coronal polishing and the cleaning and polishing of removable prostheses. References: VHA 5005, Appendix G36, Dental Assistant Qualification Standard. Physical Requirements: See VA Directive and Handbook 5019, Employee Occupational Health Services. Education IMPORTANT: A transcript must be submitted with your application if you are basing all or part of your qualifications on education. Note: Only education or degrees recognized by the U.S. Department of Education from accredited colleges, universities, schools, or institutions may be used to qualify for Federal employment. You can verify your education here: http://ope.ed.gov/accreditation/. If you are using foreign education to meet qualification requirements, you must send a Certificate of Foreign Equivalency with your transcript in order to receive credit for that education. For further information, visit: https://sites.ed.gov/international/recognition-of-foreign-qualifications/. Additional Information Receiving Service Credit or Earning Annual (Vacation) Leave: Federal Employees earn annual leave at a rate (4, 6 or 8 hours per pay period) which is based on the number of years they have served as a Federal employee. Selected applicants may qualify for credit toward annual leave accrual, based on prior work experience or military service experience. This credited service can be used in determining the rate at which they earn annual leave. Such credit must be requested and approved prior to the appointment date and is not guaranteed. This job opportunity announcement may be used to fill additional vacancies. This position is in the Excepted Service and does not confer competitive status. VA encourages persons with disabilities to apply. The health-related positions in VA are covered by Title 38, and are not covered by the Schedule A excepted appointment authority. Pursuant to VHA Directive 1193.01, VHA health care personnel (HCP) are required to be fully vaccinated against COVID-19 subject to such accommodations as required by law (i.e., medical, religious or pregnancy). VHA HCPs do not include remote workers who only infrequently enter VHA locations. If selected, you will be required to be fully vaccinated against COVID-19 and submit documentation of proof of vaccination before your start date. The agency will provide additional information regarding what information or documentation will be needed and how you can request a legally required accommodation from this requirement using the reasonable accommodation process. If you are unable to apply online or need an alternate method to submit documents, please reach out to the Agency Contact listed in this Job Opportunity Announcement.