Which procedure is included in irreversible acts that requires dentist presence during delegation?

The involvement of a dentist during irreversible acts is crucial due to the potential for significant outcomes and the need for professional judgment that cannot be delegated. Among the options presented, the intraoral use of laser for whitening processes exemplifies a procedure that is irreversible. This means that once the procedure is performed, it cannot be undone, and there are risks involved that require the dentist's expertise to manage appropriately.

This procedure often includes the potential for permanent changes to tooth structure and soft tissue, necessitating a thorough understanding of both dental and laser technology principles, which are typically part of a dentist's education and training. Because of these factors, a dentist’s presence during the delegation of this procedure is essential to ensure patient safety and to confirm that the treatment is performed correctly.

In comparison, patient education, taking patient dental history, and applying topical fluoride are generally considered reversible procedures or tasks that do not pose the same level of risk and complexity as the use of lasers in the mouth. These tasks can typically be delegated to dental assistants or hygienists without the necessity for the dentist to be present.