If scaling of the teeth is indicated before polishing, who is responsible for performing the scaling?

The responsibility for performing scaling before polishing falls to either the Doctor of Dental Surgery (DDS) or the Registered Dental Hygienist (RDH). This is because scaling is a therapeutic procedure that involves removing plaque, calculus, and other deposits from the teeth, ensuring that the surfaces are clean before the polishing process begins.

The DDS is qualified to perform both scaling and polishing as part of their comprehensive training in dental procedures. Similarly, the RDH is specifically trained in preventive dental care, including scaling, and plays a crucial role in maintaining oral health by performing such procedures. Given this dual capability, both professionals are legally and ethically responsible for performing scaling prior to polishing.

In a clinical setting, the choice of who performs the scaling might depend on the specific circumstances, such as the availability of staff or the complexity of the patient's condition. However, the core principle is that both DDS and RDH are authorized to perform the necessary scaling, which is fundamental for effective coronal polishing and overall oral health management.