Under general supervision, what are hygienists restricted from performing on non-ambulatory patients?

Under general supervision, dental hygienists are permitted to perform a variety of tasks; however, they face restrictions when it comes to specific procedures, particularly for non-ambulatory patients. In the context of this question, scaling and root planing are considered more advanced therapeutic procedures that often require direct supervision due to the complexity and potential risks involved.

Scaling and root planing involve deeper cleaning of the tooth surface and the periodontal structures. These procedures necessitate a thorough understanding of both the patient's medical and dental history and the ability to respond to any complications that may arise during treatment. Since non-ambulatory patients may present unique challenges, including difficulty during treatment or a heightened risk of adverse reactions, these procedures are restricted under general supervision to ensure that patients receive appropriate care and oversight.

While other options, such as oral exams, fluoride treatments, and gingival curettage, might be performed under general supervision, scaling and root planing are designated as procedures that require a higher level of supervision and assessment. This is particularly important for maintaining patient safety and ensuring the effectiveness of the treatment provided.