A dental assistant may perform pit and fissure sealants if:

In Texas, dental assistants are permitted to perform pit and fissure sealants under specific circumstances, particularly when there is a clinical need that aligns with public health goals. When a dentist provides Medicaid services, it reflects a commitment to serving populations that might have limited access to dental care.

Additionally, in areas categorized as underserved, there is often a greater prevalence of dental decay among children and a pressing need for preventive services such as sealants. In these situations, allowing dental assistants to apply sealants can enhance access to preventive care and support the dentist in extending services to a larger population.

Consequently, both the provision of Medicaid services and the designation of an area as underserved create a framework in which dental assistants can legally and ethically perform this procedure. This dual requirement helps ensure that the services offered are meeting the needs of vulnerable populations while also operating within the guidelines set forth by state regulations.