Clinical Expanded Function Dental Assistant

The Dental Assistant assists the dentist in many aspects of direct patient care and performs other clinical and clerical functions independently of direct supervision. The Dental Assistant receives and prepares patients for dental treatment and assists the Dentist at chairside, bedside or in the operating room.

This is an open-continuous announcement. Positions will be filled as they become available. The first cut-off date to consider applications for referral to the selecting official will be Nov 18, 2026, the remaining cut-off dates will be at 2-week intervals.

Functions:

• Chairside Assisting Sets up operatory for planned dental procedure and cleans dental unit for timely turnover
• Passes instruments safely, accurately, and efficiently
• Keeps operative field clear of debris and retracts oral tissues effectively and comfortably
• Prepares dental medicaments and impression materials per manufacturer's instructions
• Accomplishes all intra-operative procedures within standard infection control protocols
• Assists in routine general dental procedures using concepts of four-handed Dentistry Assists in specialized dental procedures, such as oral surgery, endodontics, periodontics, prosthodontics, implant placement and restoration
• Maintains both routine and specialty dental equipment per manufacturer instructions and dental service standard
• Monitors patient vital signs (BP, pulse, pulse oximeter) and condition during invasive treatment and during recovery period following procedure
• Applies topical anesthetic at the injection site
• Applies topical fluoride Makes impressions for diagnostic casts and preliminary impressions for prosthetic fabrication
• Removes plaque and soft debris from removable prostheses
• Provides patient preventative education and oral hygiene instruction
• Provides post-operative and other appropriate patient education
• Suture Removal Re-cement and fabricate temporary crowns EFDA only
• Coronal polishing of teeth
• Place rubber dams

Dental Laboratory Functions:

• Pours impressions and prepares study models
• Makes final denture impression trays and prepares bite rims
• Fabricates occlusal guards and bleaching trays
• Performs other dental laboratory functions as time and skill levels allow

Dental Imaging:

• Exposes both standard and specialty dental imaging (i.e. TMJ, ceph, cone beam) in digital formats
• Modifies settings to achieve the images as requested by the provider
• Images are characterized by diagnostic quality, accurately oriented and exposed
• Dental imaging safety techniques are utilized, and retakes are minimized
• Imaging requests are accomplished within the desired time frame
• Shares comprehensive working knowledge of imaging techniques and provides instruction to others
• Demonstrates proper infection control procedures in exposing images

Preferred Experience - Expanded Function Dental Assistant (EFDA for 2 years)

Work Schedule: Clinic hours of Operation - Monday-Friday 7:00am - 5:00pm (PST)
Compressed Work Schedule: Available
Recruitment/Relocation Incentives (Sign-on Bonus): Not Authorized.
Permanent Change of Station (Relocation Assistance): Not Authorized.
Pay: Competitive salary and regular salary increases When setting pay, a higher step rate of the appropriate grade may be determined after consideration of higher or unique qualifications or special needs of the VA (Above Minimum Rate of the Grade).
Paid Time Off: 37-50 days of annual paid time offer per year (13-26 days of annual leave, 13 days of sick leave, 11 paid Federal holidays per year)
Selected applicants may qualify for credit toward annual leave accrual, based on prior [work experience] or military service experience.
Parental Leave: After 12 months of employment, up to 12 weeks of paid parental leave in connection with the birth, adoption, or foster care placement of a child.
Child Care Subsidy: After 60 days of employment, full time employees with a total family income below $144,000 may be eligible for a childcare subsidy up to 25% of total eligible childcare costs for eligible children up to the monthly maximum of $416.66.
Retirement: Traditional federal pension (5 years vesting) and federal 401K with up to 5% in contributions by VA
Insurance: Federal health/vision/dental/term life/long-term care (many federal insurance programs can be carried into retirement)
Telework: This is not a Telework position.
Virtual: This is not a virtual position.
Permanent Change of Station (PCS): Not Authorized
PCS Appraised Value Offer (AVO): Not Authorized

Applicants pending the completion of educational or certification/licensure requirements may be referred and tentatively selected but may not be hired until all requirements are met.

Basic Requirements:

• United States Citizenship: Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy.
• Experience and Education (1) Experience. Six months experience that demonstrates the applicant's ability to perform the work, or provides familiarity with the work. OR, (2) Education. Successful completion of a 1-year dental assistant program accredited by the American Dental Association's Commission on [Dental] Accreditation [(CODA)].
• Experience/Education Combination. Equivalent combinations of experience and 2 education are qualifying.
• Certification. Public Law 97-35 requires that persons who administer radiologic procedures meet the credentialing standards in 42 CFR Part 75. Essentially, they must have successfully completed an educational program that meets or exceeds the standards described in that regulation, and is accredited by an organization recognized by the Department of Education, and be certified as radiographers in their field.

May qualify based on being covered by the Grandfathering Provision as described in the VA Qualification Standard for this occupation (only applicable to current VHA employees who are in this occupation and meet the criteria).

Grade Determinations: In addition to the basic requirements for employment, the following criteria must be met when determining the grade of candidates.

GS-7:Clinical Expanded Function Dental Assistant or Lead Dental Assistant. At this level, dental assistants serve either as a Clinical Expanded Function Dental Assistant or Lead Dental Assistant. For all positions above the full performance level, duties must be assigned to the position at least 25% of the time.

Clinical Expanded Function Dental Assistant

1.Experience. At least 1 year of experience at the next lower grade level or equivalent that demonstrates the core competencies described at that level. In addition, the candidate must demonstrate the following technical KSAs:
2. Demonstrated Knowledge, Skills, and Abilities:
a. Ability to perform dental assisting expanded functions.
b. Comprehensive working knowledge of advanced imaging techniques in order to provide instruction (e.g. cone beam, cephalometric, advanced panoramic imaging, TMJ, etc).

3. Assignment: In this position, the employee performs a higher level, scope, complexity and variety representing the clinical assignment, and applies advanced clinical skills. Representative duties at this level include, but are not limited to: gathering diagnostic information, pulp vitality testing, charting of existing conditions, placing of rubber dam and matrices, selecting shades, placing retraction cord, placing and removing temporary restorations, fabricating temporary crowns and removing permanent cement from supragingival surfaces. In addition, the expanded function assistant may place and remove surgical dressing, monitor nitrous oxide analgesia, and perform coronal polishing and the cleaning and polishing of removable prostheses.

Reference: For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/.

The full performance level of this vacancy is GS-7.

Note: Only education or degrees recognized by the U.S. Department of Education from accredited colleges, universities, schools, or institutions may be used to qualify for Federal employment. You can verify your education here: http://ope.ed.gov/accreditation/. If you are using foreign education to meet qualification requirements, you must send a Certificate of Foreign Equivalency with your transcript in order to receive credit for that education. For further information, visit: https://sites.ed.gov/international/recognition-of-foreign-qualifications/.

• You must be a U.S. Citizen to apply for this job.
• All applicants tentatively selected for VA employment in a testing designated position are subject to urinalysis to screen for illegal drug use prior to appointment. Applicants who refuse to be tested will be denied employment with VA.
• Selective Service Registration is required for males born after 12/31/1959.
• Must be proficient in written and spoken English.
• Subject to background/security investigation.
• Selected applicants will be required to complete an online onboarding process. Acceptable form(s) of identification will be required to complete pre-employment requirements (https://www.uscis.gov/i-9-central/form-i-9-acceptable-documents). Effective May 7, 2025, driver's licenses or state-issued identification cards that are not REAL ID compliant cannot be utilized as an acceptable form of identification for employment.
• Participation in the seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP).
• Complete all application requirements detailed in the "Required Documents" section of this announcement.

As a condition of employment for accepting this position, you will be required to serve a 1 or 2-year trial period during which we will evaluate your fitness and whether your continued employment advances the public interest. In determining if your employment advances the public interest, we may consider:

• your performance and conduct;
• the needs and interests of the agency;
• whether your continued employment would advance organizational goals of the agency or the Government; and
• whether your continued employment would advance the efficiency of the Federal service.

Upon completion of your trial period, your employment will be terminated unless you receive certification, in writing, that your continued employment advances the public interest.