Technical Exhibit 5 - Contract Worker Standard Qualifications 9 Feb 2026 IDIQ 5 Dental Services.pdf

Exhibit 5 – IDIQ #5 Dental Services

Contract Worker Standard Qualifications

The standard qualifications listed in this exhibit are the labor category standard qualifications.

Task Order Contracting Officers (TOCOs) shall use the minimum qualifications as minimum requirements, but may modify the core duties in the Task Order Performance Work Statement

(PWS) to meet their specific requirements. Bullets under the “Minimum Qualifications” section of each labor category will NOT be modified to a lesser degree than the requirements outlined in the DHA PM 6025.13, vol. 4 or Service-specific requirements where the DHA PM is silent.

Service specific guidelines may apply in areas where the DHA PM is silent. Bullets under the

“Core Duties” section of each labor category may be modified in the Task Order PWS.

LABOR CATEGORIES

Dental Assistant

Minimum Qualifications:

• Degree: Certificate.

• Education: Successful completion of one of the following:

o Certificate or Associate Degree as a dental assistant/technician from a program accredited by the Commission on Dental Accreditation (CODA) of the American Dental Association (ADA) and 12 months experience within the preceding 24 months.

o Certification from a military dental technician or dental assistant school and 12 months experience within the preceding 24 months.

o Certification from a Red Cross Dental Assistant course and 12 months experience within the preceding 24 months.

o 36 months experience within the preceding 48 months as a dental assistant in a private practice or a military clinic.

o Membership in good standing with the American Association of Dental Assistants with required continuing education and 12 months experience within the preceding 24 months.

• All training must have included a course in radiation physics; radiation biology; radiation health, safety, and protection; X-ray films and radiographic film quality; radiographic techniques; darkroom and processing techniques; film mounting; and, digital radiographic processing techniques.

• Certification: Certified in radiography as required by 42 CFR Part 75.

Core Duties:

• Performs duties in providing assistance in one or more phases of complex/difficult restorative, prosthodontic, oral surgical, endodontic, or periodontal treatment. Receives and schedules patients for treatment.

• Obtains and records related medical history of patient. Charts examination and treatment information. Records information on prescriptions.

• Sterilizes instruments, materials, and equipment; prepares surgical trays. Maintains dental equipment in a clean and operative condition.

• Assists dentist at chair side. Performs intra-oral procedures as directed by dentist. Takes preliminary impressions for study models, removes sutures, places and removes rubber dams, perio-packs, matrix bands, and wedges.

• Relays dentist’s instructions to patient for post-treatment care. Instructs patient in proper dental techniques, care of appliances, and causes of dental decay.

• Operates dental X-ray equipment to take intra and extra oral radiographs. Maintains, cleans, and performs minor repairs on X-ray equipment and materials.

• Pours and trims models from impressions, and constructs custom impression trays.

Maintains a variety of recurring reports related to dental activities.

Registered Dental Hygienist

• Degree: Associates Degree or Bachelor’s Degree depending on the program.

• Education: Successful completion of a dental hygiene program accredited by the

Commission on Dental Accreditation (CODA) of the American Dental Association

(ADA).

• Successfully pass the National Board Dental Hygiene Examination (NBDHE). In rare circumstances at MTFs in foreign countries, foreign trained RDHs who have not completed the NBDHE can be credentialed on a case-by-case basis based on demonstrated evidence of current competency.

• Certification: Certified in radiography as required by 42 CFR Part 75.

• Experience: As required to meet clinical competency requirements specified in the credentialing instructions.

• License: Current, full, active, and unrestricted license as a Dental Hygienist.

Core Duties:

• Examine patient's oral cavity to include mouth, throat, and pharynx, and record conditions of teeth and surrounding tissues. Refer patients to dentist who have abnormalities to include cavities, defective fillings, suspicious growths, or periodontal disease.

• Apply desensitizing and other topical agents to treat abnormalities to include caries prevention, gingivitis and oral ulceration.

• Instruct patients, individually and in groups, in proper oral hygiene care using materials to include teeth models, displays, slides, toothbrushes, dental floss, disclosing tablets and mirrors. Demonstrate proper techniques of brushing, flossing, and use of necessary periodontal aids. Explain the common causes of tooth decay and its relationship to general diet.

• Take impressions and construct sports/safety mouth guards and soft night guards for vital bleaching.

• Polish restorations and apply pit and fissure sealants.

• Chair side dental assisting when directed by the Officer-In-Charge of the dental clinic.

• Record patients treated. Check and maintain instruments to insure working condition.

Clean, sharpen, and sterilize instruments.

• Patient Workload, Readiness, and Scheduling. Utilizes the Corporate Dental Application to enter patient specific workload and readiness status and also for patient scheduling.

Dental Laboratory Technician

• Degree: Associates Degree or Certificate depending on the program – or - Certificate from Army, Air Force, or Navy Dental Laboratory Training (METC) - or - Evidence of 2 or more years as a lab technician accompanied by a letter of recommendation from a licensed dentist or previous dental laboratory employer.

• Education: Successful completion of a 2-year program of study and training in dental lab techniques approved by the Commission on Dental Accreditation (CODA) of the

American Dental Association (ADA) – or – High School diploma if certified through an

Army, Air Force, or Navy Dental Laboratory Training (METC) program.

• Experience: Two years within the last three years of dental laboratory experience in the any of the following dental laboratory sections: General Laboratory, Removable

Prosthodontics, Porcelain application (ceramist), Prosthesis finishing (metal and ceramic), and CAD-CAM (Computer Assisted Design/Computer Assisted

Manufacturing) Design and Milling.

Core Duties:

• All laboratory technicians shall read, interpret, and apply requirements prescribed and described in a dental prosthetic prescription (DD Form 2322). The work performed by the technician shall be at the quality level described by his/her quality control inspector.

Since these inspectors evaluate the work under microscopic magnification, the technician shall fabricate their units under provided microscopes with fiber optic light source. All technicians are responsible for the maintenance of their work environment. Three monthly correction rates in excess of 5% annually shall not be exceeded.

• A general laboratory technician will be able to pour or cast all types of impressions; trim, mount and articulate casts with or without a face bow and jaw relation records to include orthodontic models; duplicate casts; fabricate impression trays, bleaching trays, athletic mouth guards and orthodontic retainers from thermoplastic materials; fabricate fixed and removable prosthodontic templates from thermoplastic or silicone materials; and fabricate surgical stents or guides from thermoplastic or light-cured materials. This technician will also be responsible for maintaining the cleanliness of the plaster bench and associated areas.

• A removable prosthodontic laboratory technician will be able to fabricate custom trays, base plates and occlusion rims, set denture teeth according to prescription (to include balanced set-ups), invest or flask complete and partial removable prostheses (to include flexible RPDs), finish and ready for insertion. This technician will be able to do relines, rebases, repairs, orthodontic retainers, and any other work prescribed for the use of acrylic resin; fabricate TAP appliances, surgical guides, athletic mouth guards, occlusal orthotics, and occlusal guards; and wax and design bars for implant supported restorations.

• A porcelain application laboratory technician (ceramist) will be able to apply colorants and porcelain to fabricate tooth or implant supported crowns, fixed partial dentures, fixed complete dentures from metal, milled or pressed ceramic and refractory models in accordance with instructions, written or photographic, from the prescribing dentist. The technician will use recommended stones, diamond burs, wheels, and disks to cut, carve, shape, contour, and polish units to simulate natural dentition. Technician shall use stains and modifiers as required to characterize porcelain to match natural tooth shade and imperfections as prescribed. The technician will also be able to modify metal or ceramic frameworks in order to optimize the biomechanical, functional and esthetic outcome of the prosthesis.

• A prosthesis finishing laboratory technician will be able to apply and sculpt wax to proper anatomical form and design or modify a metal-ceramic framework for support of porcelain. It may be necessary in some situations to diagnostically wax to full contour and cutback the design. Framework designs may include survey crowns, non-rigid connectors and attachments that are inclusive to the units. This technician will sprue and invest, cast or press, wax-ups properly to minimize miscasts, cut and solder frameworks to correct fit discrepancies and finish all types of frameworks with recommended stones, diamond burs, wheel, and disks to cut, carve, shape, contour, and surface framework to a point that it is ready, without further modification, to apply porcelain.

• A CAD-CAM milling and designing technician will be able to fabricate crowns and bridges from pressed or milled ceramic, which includes the ability to use software and hardware to upload digital impressions and/or designs, scan casts, and design and mill restorations from software manipulation.

Dentist

Includes, but not limited to: General and Specialty Dentists

Minimum Qualifications:

• Degree: Doctor of Medical in Dentistry (DMD) or Doctor of Dental Surgery (DDS).

• Education: Graduate from an accredited dental school approved by the Commission on

Dental Accreditation (CODA) of the American Dental Association (ADA). Specialty

Dentist must be a graduate of a dental specialty training program that is accredited by the

CODA of the ADA.

• Certification: Board eligible or board certified as required in the TO. Dental specialists shall have a certificate of training in their specialty area from an ADA-accredited residency training program.

• Internship/Residency: Specialty Dentist: Completed a clinical post-doctoral program approved by the ADA in the specialty identified in the TO.

• Experience: As required to meet clinical competency requirements specified in the

Service-specific credentialing instructions.

• Licensure: Current, full, active, and unrestricted license to practice as a dentist.

Core Duties:

• General Dentist. Performs a full range of professional dental tasks including treatment of commonly encountered dental diseases or dental health problems requiring standard corrective, restorative or preventive measures such as single and multiple teeth extractions, restoration of simple and compound cavities with standard and prescribed material, taking mouth impressions for crowns, jackets, dentures and bridges and fitting and inserting the finished appliances. Ensures correct patient identification through the use of at least two unique patient identifiers and perform site verification, as required.

Enters workload production data into reporting system.

• Comprehensive Dentist. Performs corrective and restorative measures on difficult cases, using extensive professional knowledge of dentistry; possesses a thorough knowledge and skill level sufficient to diagnose and treat difficult cases with an understanding and knowledge of the relationships and applications of the basic sciences; exhibits advanced skill in handling patients with behavioral problems. Manages a dento-alveolar surgery practice, which would include: exodontia, biopsy of intraoral lesions, pre-prosthetic surgery, evaluation and management of oral surgery complications to include treatment of dental infections, treatment of cellulitis secondary to varying dental etiologies, and evaluation, treatment, and/or referral of oral and maxillofacial trauma cases. Performs endodontic procedures to include, but not limited to: diagnosis of difficult endodontic cases, treatment of the majority of teeth presenting for endodontic treatment, evaluation and retreatment of selected endodontic cases, and management of endodontic complications. Performs a full spectrum of complex restorative procedures to include:

operative dentistry plus fixed and removable prosthodontic care inclusive of fabrication of complete and partial dentures, crowns, and bridges.

• Periodontist. Perform diagnoses and treatments for the full range of cases and problems encountered in periodontics and implant dentistry, including the most difficult.

Experienced in working in consultation and guidance with other dental specialists in the treatment planning and surgical phases of complex, multi-disciplinary therapy. Deliver periodontics beyond the scope of general dentistry core privileges including: non-surgical and surgical care of periodontal disease from osseous surgery to guided tissue regeneration; mucogingival therapies for root coverage and augmentation to include connective tissue grafts, allografts, pedicle grafts, and free epithelialized soft tissue grafts; occlusal adjustments; minor splinting; site development (guided bone regeneration and sinus augmentation); and placement of endosseous dental implants.

• Endodontist. Examines, and provides differential diagnosis and treatment of oral pains of pulpal and/or periraducular origin. Performs vital pulp therapy, such as pulp capping and pulpotomy; nonsurgical treatment of root canal systems with or without periradicular pathosis of pulpal origin and the obturation of these root canal systems. Performs selective surgical removal of pathologic tissues resulting from pulpal pathosis. Performs repair procedures related to such surgical removal of pathologic tissues; Performs intentional replantation and replantation of avulsed teeth. Performs surgical removal of tooth structure, such as root-end resection, bicuspidization and root resection. Places root-end fillings. Performs bleaching of discolored dentin and enamel; nonsurgical and surgical retreatment of teeth previously treated endodontically; and, treatment procedures related to coronal restorations by means of post and/or cores involving the root canal space.

• Prosthodontist. Diagnoses, treatment plans, and rehabilitates the oral function, comfort, appearance, and health of patients with clinical conditions associated with missing teeth, severely worn dentitions, malocclusions, unesthetic oral conditions, complete or partial edentulism, and/or loss of contiguous oral structures associated with traumatic, acquired, and congentital defects. Treatment of these conditions can be accomplished with fixed, removable, and/or implant supported /retained dental prostheses. Treatment may range from single tooth replacement to full mouth reconstruction. TMD therapy as well as sleep disorders are supported with various modalities to include removable appliances.

• Public Health. Monitors status to identify oral health problems within a community.

Diagnoses and investigates problems and hazards. Mobilizes partnerships to identify and solve oral health problems. Develops policies and plans that support individual and community oral health efforts. Enforces laws and regulations that protect oral health and/or ensures safety. Links people to needed services and assures the provision of care when otherwise unavailable. Promotes the development and sustainment of a competent oral health workforce. Evaluates the effectiveness, accessibility, and quality of oral health services. Researches new insights and innovative solutions to oral health problems.

Serves as an oral health consultant to other dentists.

• Pediatric Dentist. Applies knowledge of child psychology, oral pathology, pharmacology, radiology, pediatric specific restorative and surgical techniques, interceptive orthodontic diagnosis and procedures, and child development to provide comprehensive treatment and therapeutic oral health care for infants and children through adolescence. Performs advanced diagnostic and surgical procedures to include appropriate restorative techniques such as stainless steel crowns, pulp therapy to include pulpotomy, pulpectomy, and apexigenesis, fixed and removable space maintainer design, fabrication, and insertion, early interceptive orthodontic appliance design, fabrication, and insertion of appliances such as TPA’s, RPE’s, LLA’s, W appliances, and Quad-

Helix, appliance treatment for habits such as digit sucking and tongue thrusting, and frenectomy and mucocoele surgical treatment Manages oral/facial trauma. Cares for patients with special needs to include mental, physical, and emotional handicaps.

Administers oral conscious sedation, inhalation analgesia, and provides dental care with general anesthesia administered by qualified personnel. Provide dental services for child patients undergoing medical procedures such as chemotherapy or bone marrow transplant that require dental involvement in the multidisciplinary medical care of the patient.

Provides dental expertise to multidisciplinary medical treatment teams, and provides appliance design, fabrication, and insertion for craniofacial anomaly patients to include cleft palate patients.

• Orthodontist. Responsible for the diagnoses, prevention and treatment of dental and facial irregularities. Diagnoses, prevents, intercepts and corrects malocclusion and neuromuscular/skeletal abnormalities of the developing or mature orofacial structures.

Applies knowledge of orthodontics and dentofacial orthopedics to straighten teeth and align jaws.

• Oral Surgeon. Performs dentoalveolar surgery (surgery to remove impacted teeth, difficult tooth extractions, dental extractions on medically compromised patients, bone grafting and preprosthetic surgery for the placement of implants, dentures, or other dental prostheses). Treats disorders of the craniomaxillofacial complex (mouth, jaws, neck, face, skull) to include benign pathology (cysts, tumors etc.), cutaneous malignancy (skin cancer), lip reconstruction, congenital craniofacial malformations (cleft lip and palate), cranial vault malformations, chronic facial pain disorders, temporomandibular joint

(TMJ) disorders, dysgnathia (incorrect bite), surgical correction of facial asymmetry, soft and hard tissue trauma of the oral and maxillofacial region (jaw fractures, cheek bone fractures, nasal fractures, LeFort fracture, and eye socket fractures). Performs surgical treatment of sleep apnea, maxillomandibular advancement, and genioplasty. Conducts surgery to insert dental implants and maxillofacial implants to support craniofacial prostheses. Services will be rendered in the clinic, the hospital emergency room, and operating room. Surgeries will be performed under local, moderate/deep sedation, and general anesthesia.

• Oral Pathologist. Investigates the causes, processes and effects of oral and maxillfacial diseases. Researches diseases using clinical, radiographic, microscopic, biochemical or other examinations. Provide biopsy and radiograph consultation services for dental professionals. Perform histopathologic diagnosis, compose surgical pathology reports and prepare tissues/slides for analysis. When necessary, consults with appropriate specialists. Serves as the responsible officer and primary point of contact for planning, organizing, and executing forensic dentistry support within the DENTAC’s, geographic area of responsibility.