Dental Assistant Skills Check List

Proficiency Scale & Legend

1 Have Done Many Times

2 Need More Experience

3 Have Done Few Times

4 Have Never Done

X-ray Procedures:

1

2

3

4

Periapical

Bite Wings

Full Mouth

Develop X-Rays

Evaluate X-Rays

Mount X-Rays

Rinn Radiographic Technique

X-ray Equipment:

1

2

3

4

Pour/trim Models:

1

2

3

4

Dental Equipment:

1

2

3

4

Anesthetic Procedures/equipment:

1

2

3

4

Fabricate And Cement Temporary Crowns:

1

2

3

4

Insurance Billing:

1

2

3

4

Please List Any Additional Skills/training/equipment:

1

2

3

4

I have filled out this skills checklist to the best of my knowledge and agree that all the information provided is correct, and that any misrepresentation or falsification of fact may be considered sufficient cause for immediate dismissal from the agency.

Personal Information