Harry N. Kamdar, MBA, Executive Director
The new system launched on August 22, 2016, all applications and renewals will need to be completed online. The Board no longer accepts paper applications or paper checks since the new elicensing system is active.
The Board has made every effort to include the information you need to apply for Coronal Polishing on this website. If you have questions or concerns about the licensure process, contact us at firstname.lastname@example.org or call 614-466-2580 and speak with our licensing coordinator.
Please provide the necessary information/documentation required for processing your license application. You will be notified if any information/documentation is missing or not accepted. Please allow up to 20 calendar days to process a complete application.
Coronal Polishing Certification - Ohio Revised Code 4715-11-03.1 One correction - Application fee is 19.00.
Before You Start: Make sure you have the following items, or the application will not allow you to advance. All applications must be complete before submission.
A Coronal Polishing applicant must be one of the following to apply:
I. A current Certified Dental Assistant (CDA) through the Dental Assisting National Board (DANB) THE UPLOAD TO YOUR ONLINE APPLICATION SHOULD INCLUDE YOUR DANB-CDA CERTIFICATE WITH EXPIRATION DATE. OR
II. A current Dental Assistant through the Commission on Ohio Dental Assistants Certification (CODA) THE UPLOAD TO YOUR ONLINE APPLICATION SHOULD INCLUDE YOUR OHIO COMMISSION ON DENTAL ASSISTANTS CERTIFICATION WITH EXPIRATION DATE.
Mailing / Public Address: The address should be the same for both and should be your home address. Only the city and state show up on the public look-up.
Education History - Type "Other" to enter education institutions that are not found.
Background Questions - Personal Statement (Brief explanation including date, and incident), and Court Documentation required for convictions.
Other Required Uploads:
Identification Photo: Must be a current, unobstructed, full face identification-type photo (color, forward-facing, head and shoulders only) – NO FILTERS
Hepatitis B Immunity:
I. Vaccination record showing full dates of all three (3) hepatitis B shots, OR
II. Blood titer test results. Acceptable results are: reactive; positive; or >10, OR
III. Proof that the first and second shots were administered (full dates of both), and the third shot (full date) scheduled on a doctor's letterhead, or script pad, or appointment reminder card, OR
IV. Hepatitis B Waiver Form
Proof of one of the following Qualifications for the Coronal Polishing Certificate:
I. Certificate of completion of board-approved coronal polishing course AND proof of passing the standardization exam within ninety (90) days of application, THE UPLOAD SHOULD INCLUDE A COPY OF YOUR CORONAL POLISHING COURSE CERTIFICATE OF COMPLETION, AND PROOF OF PASSING THE CORONAL POLISHING EXAM IF REPRSENTED SEPARATELY. OR
II. Proof of current license/certification/credential issued by another state AND a copy of transcripts and/or certificate issued by education institution - must include hours and course content regarding coronal polishing exam. THE UPLOAD SHOULD INCLUDE A COPY OF YOUR CURRENT LICENSE TO PERFORM CORONAL POLISHING DUTIES ISSUED BY ANOTHER STATE, AND A COPY OF YOUR TRANSCRIPTS AND/OR CERTIFICATE ISSUED BY THE EDUCATION INSTITUTION.
Valid Credit Card (MasterCard or Visa)
eLicense Ohio Portal- Apply Online
Fee: $19.00 / No Renewal (never expires) – however you must keep your CDA certificate current through either DANB or CODA to perform Coronal Polishing duties.
Coronal Polishing Certification - Please Review Section (B) Ohio Revised Code 4715-11-03.1
Initial Training - Approved Coronal Polishing Courses
Permitted Duties - Please Review Section (B) - Ohio Revised Code 4715.39
Dentists May Supervise Dental Auxiliaries, Basic Qualified Personnel, Certified Assistants, Expanded Function Dental Auxiliary - Please Review Section (C) - Ohio Revised Code 4715-11-01
Permissible Practices Documentation for Dental Assistants - Ohio Revised Code 4715-12-01
Basic Qualified Personnel
Monitoring of nitrous oxide-oxygen (N2O-Oc2) minimal sedation - Ohio Administrative Code 4715-11-02.1 Complete the Permissible Practices Documentation, and keep in the office where you work.
Dental Assistant Radiographer Certificate - Application Required - Ohio Administrative Code 4715-12-02
Certified Dental Assistant
Pit and fissure sealants - Ohio Administrative Code 4715-11-03 (B)(1) Complete the Permissible Practices Documentation, and keep in the office where you work.
Coronal Polishing Certificate – Application Required - Ohio Administrative Code 4715-11-03.1
Practice when the dentist is not physically present - Ohio Administrative Code 4715-11-03.2 Complete the Permissible Practices Documentation, and keep in the office where you work. Medical Emergencies Course