What type of restorative procedures is a Dental Hygienist not allowed to perform?

A Dental Hygienist's scope of practice typically includes tasks focused on preventive care, patient education, and certain limited restorative procedures, depending on the regulations of the state or practice setting. Although many tasks, like removing orthodontic bands or performing restorative procedures on primary teeth, can fall within the hygienist's scope, contouring stainless steel crowns is generally considered a more advanced restorative procedure that usually requires a dentist's training and expertise.

Contouring crowns involves not just simple adjustments but the ability to assess occlusion, aesthetics, and the overall function of the dental restoration, which extends beyond the foundational training of a dental hygienist. Therefore, this task typically requires a dentist’s intervention, making it clear that contouring stainless steel crowns is not an allowed procedure for dental hygienists.

The other options—placing class I composite restorations, removing orthodontic bands, and performing restorative procedures on primary teeth—are often permitted depending on specific state laws and the individual's training and certifications. This differentiation helps ensure that patients receive appropriate and safe dental care.