Coronal Polishing & Topical Fluoride ($420)

A dental assistant holding this expanded duty permit may polish coronal surfaces of teeth, or prepare teeth for band cementation or bonding of brackets utilizing a slow speed rotary handpiece and rubber cup or brush (examination for calculus and scaling must be done by a dentist or dental hygienist), and apply topical fluoride and desensitizing agents.

Applications are located at the bottom of the page, but you must read the following information before enrolling. Failure to do so could potentially delay or void your enrollment.

Course Schedule (click Here)

Requirements: (Each of the below requirements must be met.)

Before Enrolling

  • Please use the "Mail-In Payment" link if your school is paying for this course or you work for a state, government, or tribal agency that does not allow you to pay electronically.
  • All other applications require online payment at the time of enrollment and must be submitted by credit/debit card or eCheck (i.e. entering the information from your check into the designated fields).  All major credit/debit cards are accepted.
  • Applications received without payment will be deleted and must be re-submitted with payment.
  • SPACE IS LIMITED. If the form says it is no longer taking submissions, then the course is full.
  • You will need to provide a patient (and potentially a stand-in patient) for this course.  Please refer to the Course Requirements link below for more details.

View the General FAQ and the Coronal Polishing FAQ for any questions.

Wait List form (Please note transfer fees and/or late fees will apply if a spot becomes available.)

Forms & Information

Enrollment Requirements
How to Upload Documents

Patient Requirements

Employment Verification Form (MUST be signed by both the employing dentist and the applicant) The Employment Verification Form is NOT the application.

Application Links

View Course Schedule (click here)

Mail in Payment (Click to view the application)

  • Designed for those who must pay by CHECK or DIRECT DEPOSIT (i.e. schools or state, government, or tribal agencies) but can be used by anyone who prefers to mail in their payment.
  • Spot in course is NOT reserved until payment is received.

Pay Online (Click to view the applications)

  • Requires online payment at the time of enrollment (credit/debit or eCheck)
  • Immediately reserves spot in course.

Tulsa course dates will be added by mid-January 2017.  Please check back.