North Dakota Code § 43-20-12

Dental hygienist - Scope of permitted practice
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A licensed dentist may delegate to a competent dental hygienist those procedures over 
which the dentist exercises full responsibility, except those procedures that require professional 

judgment and skill in diagnosis , treatment planning, or the cutting of hard or soft tissue. The 
board of dental examiners may adopt rules governing the scope of practice of dental hygienists.

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