Dental Products: Standards, Technical Specifications and Technical Reports

The following is a list of current standards and technical reports from the ADA Standards Committee on Dental Products (SCDP). To purchase any document below, please visit the ADA Store.

List of Dental Products Standards, Technical Specifications and Technical Reports

ANSI/ADA Standard No. 15—Dentistry—Artificial Teeth for Dental Prostheses: 2021

This document specifies the classification, requirements, and test methods for artificial teeth such as ceramic teeth and polymer teeth that are industrially manufactured for use in dental prostheses. This standard is an identical adoption of ISO 22112:2017.


ANSI/ADA Standard No. 19—Elastomeric Impression Materials: 2017

This standard specifies the requirements and tests that the state-of-the art body of knowledge suggests for helping determine whether the elastomeric impression materials, as prepared for retail marketing, are of the quality needed for their intended purposes. This standard is a modified adoption of ISO 4823:2015, Dentistry — Elastomeric dental impression materials. This standard does not address possible biological hazards associated with the materials; therefore, interested parties are encouraged to explore ISO 7405[1], ISO 10993[2] and ANSI/ADA Standard No. 41[3] for assessment of such hazards.


ANSI/ADA Standard No. 25—Dentistry—Gypsum Products: 2015 (Reaffirmed 2021)

This standard gives a classification of, and specifies requirements for, gypsum products used for dental purposes such as making oral impressions, molds, casts, dies or model bases, and mounting models. It specifies the test methods to be employed to determine compliance with these requirements. It also includes requirements for the labelling of packaging and for adequate instructions to accompany each package. This standard does not apply to dental bone graft substitutes composed of calcium sulfate hemihydrate (or gypsum). This standard is an identical adoption of ISO 6873:2013, Dentistry — Gypsum products.


ADA Standard No. 26—Dental X-Ray Equipment: 1991

This standard applies to diagnostic x-ray equipment used for intraoral radiography.


ANSI/ADA Standard No. 27—Polymer-based Restorative Materials: 2016

This standard specifies requirements for dental polymer-based restorative materials supplied in a form suitable for mechanical mixing, hand-mixing, or intra-oral and extra-oral external energy activation, and intended for use primarily for the direct or indirect restoration of cavities in the teeth and for luting.
The polymer-based luting materials covered by this standard are intended for use in the cementation or fixation of restorations and appliances such as inlays, onlays, veneers, crowns and fixed partial prostheses. This standard does not cover those polymer-based luting materials that have an adhesive component within the structure of the material. This standard is a modified adoption of ISO 4049:2009, Dentistry — Polymer-based restorative materials.


ANSI/ADA Standard No. 28—Dentistry—Endodontic Instruments—Shaping and Cleaning Instruments: 2021

This document specifies requirements and test methods for hand-held and mechanically operated instruments used for shaping and cleaning root canals, and which are not specified in ANSI/ADA Standard No. 63, ANSI/ADA Standard No. 71, ANSI/ADA Standard No. 95, or ANSI/ADA Standard No. 101. This document specifies requirements for size, marking, product designation, safety considerations, labelling and packaging. This standard is an identical adoption of ISO 3630-5:2020, Dentistry-Endodontic requirements-Part 5:Shaping and cleaning instruments.


ANSI/ADA Standard No. 30—Dental Zinc Oxide - Eugenol and Zinc Oxide - Non-Eugenol Cements: 2013 (Reaffirmed 2018)

This standard specifies requirements for non-water-based zinc oxide/eugenol cements suitable for use in restorative dentistry for temporary cementation, for bases and as temporary restorations. It also specifies requirements for non-eugenol cements containing zinc oxide and aromatic oils suitable for temporary cementation.  This standard is an identical adoption of ISO 3107:1988, Dentistry – Zinc oxide/eugenol cements and zinc oxide/non-eugenol cements.


ANSI/ADA Standard No. 32—Orthodontic Wires: 2017

This standard specifies requirements and test methods for wires to be used in fixed and removable orthodontic appliances. It includes preformed orthodontic archwires but excludes springs and other preformed components. This standard gives detailed requirements concerning the presentation of the physical and mechanical properties of orthodontic wires, the test methods by which they can be determined, and packaging and labeling information. This standard is an identical adoption of ISO 15841:2014, Dentistry — Wires for use in orthodontics.


ANSI/ADA Standard No. 33—Dentistry—Vocabulary: 2021

This document defines terms used in dental product standards. This document aims to facilitate the standard development process and the comprehension of standards, and to improve communication with the FDI World Dental Federation, the World Health Organization and other organizations interested in standardization. This standard is an identical adoption of ISO 1942:2020.


ANSI/ADA Standard No. 34—Dental Cartridge Syringes: 2013

This standard specifies requirements and test methods for dental cartridge syringes which are reusable dental
syringes of the aspirating, non-aspirating and self-aspirating types using cartridges with dental local anesthetics.
This standard is not applicable to cartridge syringes having a mechanical-advantage action for creating high
pressure.This standard is an identical adoption of ISO 9997:1999, Dental cartridge syringes.


ANSI/ADA Standard No. 37—Dental Abrasive Powders: 1986 (Reaffirmed 2020)

This standard is for powdered abrasive materials used in dentistry for removing stains and gross scratches from natural tooth structures and prostheses but not including materials used in laboratory blasting processes. These materials are divided into types depending on the intended manner of use and further sub-divided into classes based upon the predominant abrasive agent present in the product.


ANSI/ADA Standard No. 38—Dentistry—Compatibility testing for metal-ceramic and ceramic-ceramic systems: 2020

This document specifies requirements and test methods to assess the thermomechanical compatibility between a veneering ceramic and a metallic or ceramic substructure material used for dental restorations. This document applies only to the materials used in combination. Conformity cannot be claimed for a single material.

For requirements for ceramic materials, see ANSI/ADA Standard No. 69 or ISO 6872. For requirements for metallic materials see ANSI/ADA Standard No. 134 or ISO 22674. This standard is an identical adoption of ISO 9693:2019.


ANSI/ADA Standard No. 39—Pit and Fissure Sealants: 2020

This standard specifies requirements and test methods for resin-based materials suitable for sealing pits and fissures in teeth. This standard covers both chemically cured and external-energy-activated materials. This standard is an modified adoption of ISO 6874:2015, Dentistry — Polymer-based pit and fissure sealants.


ANSI/ADA Standard No. 41—Evaluation of Biocompatibility of Medical Devices Used in Dentistry: 2020

This standard specifies test methods for the evaluation of biological effects of medical devices used in dentistry. It includes testing of pharmacological agents that are an integral part of the device under test. This document does not cover testing of materials and devices that do not come into direct or indirect contact with the patient's body. This standard is a modified adoption of ISO 7405:2018.


ANSI/ADA Standard No. 43—Mixing Machines for Dental Amalgam: 2020

This document specifies requirements for electrically-powered mixing machines for mixing dental amalgam alloy, and dental mercury in capsules to produce dental amalgam. This document specifies the test methods used to determine conformity with these requirements. This document refers to those machines that mix by an oscillating action and which are sold by the manufacturer for the purpose of mixing dental amalgam whether or not they are intended for mixing any other type of product. This document does not specify requirements for removable mixing-capsules, as are used in many machines to contain the material to be mixed, although considered as part of the machine when in use or under test. This standard is an identical adoption of ISO 7488:2018.


ADA Standard No. 44—Dental Electrosurgical Equipment: 1979

This standard covers the minimal requirements for dental electrosurgical devices that operate in the 1.5 to 4 MHz frequency range and have a maximum power output capability of 100 watts or less, but not less than a maximum capability of 50 watts, and are used principally in the oral cavity for performing clinical dental electrosurgery procedures by biterminal technique. The elements covered in this standard include: the electrosurgical high-frequency generator and directly related accessories such as the active cables and electrodes, dispersive electrode and cable, foot switches, and other operator-controlled mechanisms for activation of the generator output.


ANSI/ADA Standard No. 47-1—Dentistry—Stationary Dental Units and Patient Chairs – Part 1: General Requirements: 2021

This document specifies requirements and test methods for stationary dental units, dental patient chairs, and combinations of both regardless of whether they are or not electrically powered. This document also specifies requirements for the instructions for use, for the technical description, for marking and for packaging. Operator's stools, portable dental equipment and operating lights are not in the scope of this document. This standard is a modified adoption of ISO 7494-1:2018.


ANSI/ADA Standard No. 47-2—Dentistry—Stationary Dental Units and Patient Chairs – Part 2: Air, Water, Suction and Wastewater Systems: 2021

This document specifies requirements and test methods concerning:

a) the configuration of dental unit connections to the compressed air supply, water supply, suction supply, and wastewater drain plumbing,
b) the materials, design, and construction of the compressed air and water system within the dental unit,
c) the quality for incoming water and air, and
d) the performance of dental unit suction system.

This document also specifies requirements for instructions for use and technical description. This document is limited to dental units that are not used for life support treatment of ambulatory patients or for oral surgery treatment requiring sterile air and water supplies. Amalgam separators are not included in this document.

This standard is a modified adoption of ISO 7494-2:2015.


ANSI/ADA Standard No. 48—Curing Lights (Powererd Polymerization Activators): 2020

This document specifies requirements and test methods for powered polymerization activators in the 380 nm to 515 nm wavelength region intended for chairside use in polymerization of dental polymer-based materials.  This document applies to quartz-tungsten-halogen lamps and light-emitting diode (LED) lamps. Powered polymerization activators could have internal power supply (rechargeable battery powered) or be connected to external (mains) power supply. Lasers or plasma arc devices are not covered by this standard. This document does not cover powered polymerization activators used in laboratory fabrication of indirect restorations, veneers, dentures or other oral dental appliances.

This standard is a identical adoption of ISO 10650:2018 Dentistry — Powered polymerization activators.


ANSI/ADA Standard No. 53—Polymer-Based Crown and Bridge Materials: 2020

This standard classifies polymer-based crown and veneering materials used in dentistry and specifies their requirements. It also specifies the test methods to be used to determine conformity to these requirements. This standard is applicable to polymer-based crown and veneering materials for laboratory-fabricated permanent veneers or crowns. It also applies to polymer-based dental crown and veneering materials for which the manufacturer claims adhesion to the substructure without macro-mechanical retention such as beads or wires. This standard is a modified adoption of ISO 10477:2018, Dentistry – Polymer-based crown and veneering materials.


ANSI/ADA Standard No. 54—Double-Pointed, Parenteral, Single Use Needles for Dentistry: 1986 (Reaffirmed 2014)

This standard covers sterile, single-use, individually-packaged, double-pointed needles with a means of secure attachment to cartridge-type syringes used for dental, regional, anesthetic injections.


ANSI/ADA Standard No. 57—Dentistry—Endodontic Sealing Materials: 2021

This standard specifies requirements and test methods for endodontic sealing materials, which set with or without the assistance of moisture and are used for permanent obturation of the root canal with or without the aid of obturating points/cones. It covers materials intended for orthograde use i.e. a root filling placed from the coronal aspect of a tooth. Additionally, the methods can be used to test retrograde materials.

This standard is a modified adoption of ISO 6876:2012, Dentistry – Root canal sealing materials.


ANSI/ADA Standard No. 62—Dental Abrasive Pastes: 2005 (Reaffirmed 2020)

This standard is for in-office abrasive pastes used in dentistry for removing stains and other exogenous materials from natural tooth structures and prostheses.


ANSI/ADA Standard No. 63—Endodontic Instruments—Auxiliary: 2020

This standard specifies requirements and test methods for hand-held or mechanically operated instruments for performing root canal procedures not cited in ANSI/ADA Standard Nos. 28, 71, 95 or 101. It also specifies requirements for size, product designation, safety considerations, instructions and labelling.

This standard is a modified adoption of ISO 3630-4:2009 Dentistry – Root canal instruments – Part 4: Auxiliary instruments.


ANSI/ADA Standard No. 69—Dental Ceramic: 2020

This standard specifies the requirements and the corresponding test methods for dental ceramic materials for fixed all-ceramic and metal-ceramic restorations and prostheses.

This standard is an identical adoption of ISO 6872:2015, Dentistry – Ceramic materials and ISO 6872:2015/Amd. 1: 2018.


ANSI/ADA Standard No. 71—Root Canal Filling Condensers (Pluggers and Spreaders): 2008 (Reaffirmed 2013)

This standard is for root canal instruments for finger, hand, or mechanical operation used to compact root canal filling materials. This standard is a modified adoption of ISO 3630–3:1994, Condensers, pluggers and spreaders.


ANSI/ADA Standard No. 73—Dental Absorbent Points: 2008 (Reaffirmed 2020)

This standard specifies requirements and test methods for nonmedicated absorbent points used in endodontic procedures. For the purposes of this document, points refer to dental absorbent points. The requirements apply to points which have been sterilized once in a manner approved by the manufacturer. Points include standard and taper sized points. This standard does not specify requirements or test methods for sterility and/or freedom from biological hazard of points.

This standard is a modified adoption of ISO 7551:1996, Dental absorbent points.


ANSI/ADA Standard No. 74—Dental Operator's Stool: 2010 (Reaffirmed 2015)

This standard sets forth requirements, recommendations and test methods for the operator's stool in the dental office as well as requirements for the manufacturer's instructions for use and for marking and packaging. It also covers recommendations to manufacturers on the design of operator's stools. This standard is a modified adoption of ISO 7493:2006, Dentistry-Operator's stool.


ANSI/ADA Standard No. 75—Soft Lining Materials for Removable Dentures—Part 1: Short-Term Materials: 2020

This document specifies requirements for the physical properties, test methods, packaging, marking and manufacturer's instructions for soft denture lining materials suitable for short-term use, including functional impression taking using existing removable prosthesis. This document is an identical adoption of ISO 10139-1:2018.

ANSI/ADA Standard No. 78—Dental Obturating Cones: 2013 (Reaffirmed 2020)

This standard specifies the dimensions and requirements for prefabricated metallic or polymeric-based cones suitable for use in the obturation of a root canal system restoration. It also specifies numerical systems and color-coding system for designating sizes.  This standard is a modified adoption of ISO 6877:2006 Dentistry — Root canal obturating points.

ANSI/ADA Standard No. 80—Dental Materials - Determination of Color Stability: 2001 (Reaffirmed 2020)

This standard specifies a procedure for determining the color stability of dental materials after exposure to light or water. This standard is an identical adoption of ISO 7491:2000, Dental Materials—Determination of Color Stability.


ANSI/ADA Standard No. 87—Dental Impression Trays: 1995 (Reaffirmed 2014)

This standard applies to reusable and disposable impression trays used in dentistry for delivering impression materials into the oral cavity for the purpose of making impressions (negative copies) of teeth and oral tissues. It applies to trays made of plastic, aluminum, stainless steel and nickel or chrome plated brass for the purposes of full arch dentulous or edentulous, partially edentulous, partial arch and water cooled impressions.

ANSI/ADA Standard No. 88—Dental Brazing Alloys: 2019

This standard specifies requirements and test methods for brazing materials suitable for use in metallic restorations. This standard is an identical adoption of ISO 9333:2006, Dental brazing materials.

ANSI/ADA Standard No. 89—Dental Operating Lights: 2017

This standard specifies requirements and test methods for operating lights used in the dental office and intended for illuminating the oral cavity of patients. It also contains specifications on manufacturers' instructions for use, marking and packaging. This standard applies to operating lights, irrespective of the technology of the light source. This standard excludes auxiliary light sources, e.g. from dental handpieces and dental headlamps and also operating lights which are specifically designed for use in oral surgery. This standard is an identical adoption of ISO 9680:2014, Dentistry – Operating Lights.

ANSI/ADA Standard No. 94—Dentistry—Central Compressed Air Source Equipment: 2021

This document specifies requirements and test methods for central compressed air source equipment supplying dental air for dental units and various dental air consuming devices in the dental office. It also specifies quality requirements and test methods for the dental air produced by the central compressed air source equipment, such as requirements for the purity level of dental air. It also specifies requirements for information to be supplied by the manufacturer on the performance, installation, operation and maintenance of the central compressed air source equipment.

This document applies only to central compressed air source equipment located outside of the dental treatment room. This document does not apply to central compressed air source equipment located in the dental treatment room and facility piping. This document does not include requirements for dental laboratory applications (e.g. CAD/CAM systems). This standard is an identical adoption of ISO 22052:2020.

ANSI/ADA Standard No. 95—Endodontic Instruments—Enlargers: 2020

This standard specifies requirements for enlargers not cited in ANSI/ADA Standard No. 28, ANSI/ADA Standard No. 63, ANSI/ADA Standard No. 71, or ANSI/ADA Standard No. 101.

This standard specifies requirements for size, marking, product designation, safety considerations, and their labelling and packaging, including the instructions for use. This standard is a modified adoption of ISO 3630-2:2013 Dentistry – Endodontic instruments – Part 2: Enlargers.

ANSI/ADA Standard No. 96—Dental Water-based Cements: 2020

Part 1 of ADA Standard No. 96 specifies requirements and test methods for powder/liquid acid-base dental cements intended for permanent cementation, lining and restoration. Part 1 is applicable to both hand-mixed and capsulated cements for mechanical mixing. Part 1 specifies limits for each of the properties according to whether the cement is intended for use as a luting agent, a base or liner or as a restorative material. Part 1 of this standard is not intended to address resin-modified water-based cements, which are addressed in Part 2. This standard is a modified adoption of ISO 9917-1:2007, Dentistry — Water-based cements - Part 1: Powder/liquid acid-base cements and ISO 9917-2:2017, Dentistry – Water-based cements - Part 2: Resin-modified cements.

ANSI/ADA Standard No. 97—Corrosion Test Methods for Metallic Materials: 2020

This standard provides test methods and procedures to determine the corrosion behavior of metallic materials used in the oral cavity. It is intended that the test methods and procedures in this standard be referred to in the individual standards specifying such metallic materials. This standard is not applicable to instruments and dental amalgam and appliances for orthodontics.

This standard is an identical adoption of ISO 10271:2011.

ANSI/ADA Standard No. 99—Athletic Mouth Protectors and Materials: 2001 (Reaffirmed 2013)

This specification is for thermoplastic or thermosetting polymeric materials, with or without a polymeric shell, that are capable of being formed into an athletic mouth protector, either on a model of the teeth or in the mouth directly on the teeth. It lists the types and classes of mouth protectors and lists requirements for physical properties along with tests specified for determining compliance with those requirements It also specifies requirements for manufacturer's instructions and for packaging, labeling, and marking.

ANSI/ADA Standard No. 100—Dentistry—Orthodontic Brackets and Tubes: 2020

This document specifies requirements and test methods to compare the functional dimensions of orthodontic brackets and tubes and their chemical ion release, as well as packaging and labelling information.

This document is applicable to brackets and tubes for use in fixed orthodontic appliances. This standard is an identical adoption of ISO 27020:2019 Dentistry – Brackets and tubes for use in orthodontics.

ANSI/ADA Standard No. 101—Dentistry—Endodontic Instruments—General Requirements: 2021

This document specifies general requirements and test methods for endodontic instruments used for endodontic purposes, e.g. enlargers, compactors, accessory instruments, shaping and cleaning instruments, and a numeric coding system. In addition, it covers general size designations, color-coding, packaging, and identification symbols. This standard is an identical adoption of ISO 3630-1:2019, Dentistry — Endodontic Instruments — Part 1: General Requirements.

ANSI/ADA Standard No. 105—Dentistry—Elastomeric Auxiliaries for Use in Orthodontics: 2021

This standard is applicable to all elastomeric auxiliaries including orthodontic elastics, elastomeric bands, chains, links, thread and ligatures used for orthodontics both inside and outside the mouth, in conjunction with fixed and removable appliances.

This standard is a modified adoption of ISO 10271:2011.

ANSI/ADA Standard No. 108—Amalgam Separators: 2009

This standard specifies requirements and test methods for amalgam separators used in connection with dental equipment in the dental treatment center. It specifies the efficiency of the amalgam separators in terms of the level of retention of amalgam based on a laboratory test and the test procedure for determining this efficiency. It also includes requirements for the safe functioning of the amalgam separator, for marking, and for instructions for use, operation and maintenance. All tests described in this standard are type tests. This standard is an identical adoption of ISO 11143:2008, Dentistry – Amalgam separators.

ANSI/ADA Standard No. 108:2009—Addendum: 2011

This Technical Addendum addresses inconsistencies in ISO 11143-2008 Amalgam Separators by providing corrections to the wording in Paragraph 9.3.2.3.3 and an alternate test method corresponding to Paragraph 9.3.2.6.1 in the ANSI/ADA 108-2009 document.

ANSI/ADA Standard No. 109—Procedures for Storing Dental Amalgam Waste and Requirements for Amalgam Waste Storage/Shipment Containers: 2006 (Reaffirmed 2018)

This standard describes procedures for storing, and preparing amalgam waste for delivery to recyclers or their agents for recycling. In addition, it gives requirements for the containers for storing and/or shipping amalgam waste.

ANSI/ADA Standard No. 111—Adhesion Test Methods to Tooth Structure: 2019

This standard gives guidance on substrate selection, storage, and handling as well as essential characteristics of different test methods for quality testing of the adhesive bond between restorative dental materials and tooth structure, i.e. enamel and dentine. It includes a tensile bond strength measurement test, a test for measurement of marginal gaps around fillings, a microleakage test, and gives guidance on clinical usage tests for such materials. Some specific test methods for bond strength measurements are given for information in Annex A. This standard does not include requirements for adhesive materials and their performance.

ANSI/ADA Standard No. 113—Periodontal Curettes, Dental Scalers and Excavators: 2015

This standard specifies the general material, performance, and dimensional requirements for periodontal curettes, dental scalers and excavators. This standard is a modified adoption of ISO 13397-1:1995, Periodontal curettes, dental scalers and excavators – Part 1: General requirements; ISO 13397-2:2005, Dentistry – Periodontal curettes, dental scalers and excavators – Part 2: Periodontal curettes of Gr-type; and ISO 13397-2/Amendment 1:2012, Color coding.

ANSI/ADA Standard No. 116—Oral Rinses: 2020

This standard defines physical and chemical requirements and test methods for oral rinses. It also specifies the accompanying information such as manufacturer's instructions for use, marking and/or labeling requirements. This standard is not applicable to other delivery systems (e.g. mouthsprays, foams, powders). It is not intended to describe regulatory aspects, e.g. methods of prescription. This standard is not applicable to oral rinses available by prescription only. This standard is a modified adoption of ISO 16408:2015, Dentistry – Oral hygiene products – Oral rinses.

ANSI/ADA Standard No. 117—Dentistry—Fluoride Varnishes: 2021

This document specifies requirements and test methods for total digestible fluoride content and a minimum soluble fluoride release potential in dental varnishes containing fluoride, intended for use in the oral cavity directly on the outer surfaces of teeth and fillings. It also specifies packaging and labelling requirements, including the instructions for use. This document covers fluoride varnishes to be applied by dental health care workers.

This standard is an identical adoption of ISO 17730:2020.

ANSI/ADA Standard No. 119—Dentistry—Manual Toothbrushes: 2021

This standard describes requirements and test methods for the physical properties of manual toothbrushes in order to promote the safety of these products for their intended use. Also specified is a test method for determining the resistance of the tufted portion of manual toothbrushes to deflection. This test method is applicable to toothbrushes having a conventional, flat trim design and may not be applicable to toothbrushes with other designs. Specifically excluded from this standard are manual interdental brushes and powered oral hygiene devices as these instruments are covered by separate standards. 

This standard is a modified adoption of ISO 20126:2012, Dentistry — Manual toothbrushes—General requirements and test methods (including ISO 20126:2012 Amd1:2018); and ISO 22254:2005, Dentistry – Manual toothbrushes — Resistance of tufted portion to deflection.

ANSI/ADA Standard No. 120—Dentistry—Physical Properties of Powered Toothbrushes: 2021

This document specifies requirements and test methods for the physical properties of powered toothbrushes in order to promote the safety of these products for their intended use.

There are different technologies of powered toothbrushes. Common features of those powered toothbrushes to which this document applies are:
— a battery;
— a motor;
— a mechanical or magnetic drive system;
— a moving brush head with tufted filaments.

Powered toothbrushes can have a moving brush head with different motions (e.g. oscillating-rotating, side-by-side), frequencies and velocities. The requirements listed in this document apply to all types of powered toothbrushes. However, there is a possibility that some requirements are not applicable for all types, for example brush head plate retention can only be applied if the brush has a head portion that might get detached from the brush shaft. This document is not applicable to other types of powered oral hygiene devices (such as powered interdental brushes) or manual toothbrushes

This standard is an identical adoption of ISO 20127:2020.

ANSI/ADA Standard No. 122—Dental Casting and Baseplate Waxes: 2007 (Reaffirmed 2019)

This Specification is applicable to dental casting wax and to dental baseplate wax. It specifies the classification of, and requirements for, dental casting wax and baseplate wax together with the test methods to be employed to determine compliance with these requirements. This standard is an identical adoption of ISO 15854:2005, Dentistry – Casting and baseplate waxes.

ANSI/ADA Standard No. 125—Manual Interdental Brushes: 2018

This standard specifies requirements and test methods for performance criteria for manual interdental brushes with a round cross-section of the brush head and consisting of a wired stem with inserted filaments. It also specifies the accompanying information such as manufacturer’s instructions for use and labeling of the packaging. Excluded are interdental brushes with a plastic core. This standard is not applicable to powered interdental brushes, manual toothbrushes, dental floss, tapes, and strings and to interdental cleaners that do not include filaments. This standard is an identical adoption of ISO 16409:2016 Dentistry – Oral Care Products – Manual Interdental Brushes.


ANSI/ADA Standard No. 126—Casting Investments and Refractory Die Materials: 2018

This standard gives requirements and test methods for determining the compliance of dental casting investment, dental brazing investment, dental pressable-ceramic investment and dental refractory die materials used in the dental laboratory, regardless of the composition of the refractory powder, the composition of the binder, or the particular application.

This standard classifies such products into types and classes, according to their intended use and the burn-out procedure recommended by the manufacturer. It also gives requirements for marking, labelling and manufacturer’s instructions. It specifies requirements for the essential physical and mechanical behaviors of the products and the test methods to be used for determining them. This standard is an identical adoption of ISO 15912:2016.

ANSI/ADA Standard No. 127—Dynamic Loading Test for Endosseous Dental Implants: 2018

This standard specifies a method of dynamic testing of single post endosseous dental implants of the transmucosal type in combination with their premanufactured prosthetic components. It is most useful for comparing endosseous dental implants of different designs or sizes. This International Standard is not a test of the fundamental fatigue behavior of the materials from which the endosseous implants and prosthetic components are made. This standard is not applicable to dental implants with endosseous lengths shorter than 8 mm nor to magnetic attachments. This standard is an identical adoption of ISO 14801:2016, Dentistry - Implants - Dynamic loading test for endosseous dental implants. 

ANSI ADA Standard No. 128 Hydrocolloid Impression Materials 2015

This standard specifies the requirements and tests for helping determine whether the elastic aqueous agar and alginate hydrocolloid dental impression materials, as prepared for retail marketing, are of the quality needed for their intended purposes. It also specifies requirements for labeling and instructions for use.This standard is an identical adoption of ISO 21563:2013, Dentistry-Hydrocolloid Impression Materials.

ANSI/ADA Standard No. 130—Dentifrices-Requirements, Test Methods and Marking: 2020

This document specifies requirements for the physical and chemical properties of dentifrices and provides guidelines for suitable test methods. It also specifies requirements for the marking, labelling and packaging of dentifrices. This document applies to dentifrices, including toothpastes, destined to be used by the consumers on a daily basis with a toothbrush to promote oral hygiene.

ANSI/ADA Standard No. 131—Dental CAD/CAM Machinable Zirconia Blanks: 2015 (Reaffirmed 2020)

This standard specifies the requirements and test methods for partially stabilized zirconia materials used for the fabrication of dental fixed restorations.

ANSI/ADA Standard No. 132—Scanning Accuracy of Dental Chairside and Laboratory CAD/CAM Systems: 2015

This standard describes test methods used to evaluate the repeatability, reproducibility and accuracy of dental devices for 3D metrology. The standard is applicable to dental chairside and dental laboratory CAD/CAM systems. The scope of this document is not intended to include unique systems with other specific applications of 3D metrology in the dental field such as 3D computed tomography, magnetic resonance imaging and stereophotogrammetry.

ADA Technical Report No. 133—Guide to Dental Lasers and Related Light-Based Technologies: Technology, Science and Safety Considerations: 2020

Presently, the number of devices emitting light energy, and the range of procedures they are performing, is expanding at an extraordinary rate. The focus of this technical report is to provide basic information on the use of lasers in dentistry and to facilitate the appropriate selection of the necessary equipment. This report further seeks to provide scientific information and a fundamental understanding on how light energy in the visible and thermal ranges of the electromagnetic spectrum interacts with biologic structures.

Additionally, this technical report provides an elementary understanding of potential hazards and laser safety considerations that need to be addressed when lasers are used in the dental environment. Laser safety is comprehensively addressed in the American National Standard Z136 documents on laser safety. It is strongly recommended that all dental facilities using lasers and light based treatment modalities, or are planning to, obtain the most current version of the American National Standard Z136.1 for the Safe Use of Lasers and the American National Standard Z136.3 for the Safe Use of Lasers in Healthcare available from the Laser Institute of America (LIA) at www.LIA.org.

ANSI/ADA Standard No. 134—Metallic Materials for Fixed and Removable Restorations and Appliances: 2018

This standard classifies metallic materials that are suitable for the fabrication of dental restorations and appliances, including metallic materials recommended for use either with or without a ceramic veneer, or recommended for both uses, and specifies their requirements. Furthermore, it specifies requirements with respect to packaging and marking the products and to the instructions to be supplied for the use of these materials, including products delivered for sale to a third party.

This standard does not apply to alloys for dental amalgam (ISO 24234), dental brazing materials (ANSI/ADA Standard No. 88), or metallic materials for orthodontic appliances (ANSI/ADA Standard No. 32) (e.g. wires, brackets, bands and screws)./p>

This standard is an identical adoption of ISO 22674:2016.

ANSI/ADA Standard No. 135—Denture Adhesives: 2015 (Reaffirmed 2020)

This standard classifies denture adhesives used by wearers of removable dentures; it also specifies requirements, test methods and instructions to be supplied for the use of such products. This standard classifies denture adhesives used by wearers of removable dentures; it also specifies requirements, test methods and instructions to be supplied for the use of such products. This standard is an identical adoption of ISO 10873:2010, Denture adhesives.

ANSI/ADA Standard No. 136—Products for External Tooth Bleaching: 2015 (Reaffirmed 2020)

This standard specifies requirements and test methods for external tooth bleaching products. These products are intended for use in the oral cavity, either by professional application (in-office tooth bleaching products) or consumer application (professional or non-professional home use of tooth bleaching products), or both. It also specifies requirements for their packaging, labeling and instructions for use.


This Standard is not applicable to tooth bleaching products:
  • specified in ISO 11609;
  • those intended to change color perception of natural teeth by mechanical methods (e.g. stain removal) or using restorative approaches, such as veneers or crowns;
  • auxiliary or supplementary materials (e.g. tray materials) and instruments or devices (e.g. lights) that are used in conjunction with the bleaching products.

This Standard does not specify biological safety aspects of tooth bleaching products.  This standard is an identical adoption of ISO 28399:2011, Dentistry — Products for external tooth bleaching.

ANSI/ADA Standard No. 139—Dental Base Polymers: 2020

This standard is a modified adoption of ISO 20795-1:2013 Dentistry — Base polymers — Part 1:Denture base polymers and ISO 20795-1:2013 Dentistry — Base polymers — Part 2: Orthodontic base polymers.

The standard is presented in two parts: 1) Denture-base polymers and 2) Orthodontic-base polymers. Part 1 classifies denture base polymers and copolymers and specifies their requirements. It also specifies the test methods to be used in determining compliance with these requirements. It further specifies requirements with respect to packaging and marking the products and to the instructions to be supplied for use of these materials. Furthermore, it applies to denture base polymers for which the manufacturer claims that the material has improved impact resistance. It also specifies the respective requirement and the test method to be used. Part 2 is applicable to orthodontic base polymers and copolymers used in the construction of both active and passive orthodontic appliances and specifies their requirements. It also specifies test methods to be used in determining compliance with these requirements. It further specifies requirements with respect to packaging and marking the products and to the instructions to be supplied for use of these materials.

ANSI/ADA Standard No. 141—Dental Duplicating Material: 2013 (Reaffirmed 2018)

This standard specifies requirements and tests for the duplicating materials used in dentistry which are primarily intended for forming flexible molds needed to produce positive refractory investment copies of properly blocked-out master models. This standard is an identical adoption of ISO 14356:2003, Dentistry – Duplicating material.

ANSI/ADA Standard No. 144—Alloy for Dental Amalgam: 2018

the user in capsules, pre-dosed with dental amalgam alloy and dental mercury in quantities suitable for the creation of a single dental restoration. This document specifies the requirements and test methods for dental amalgam alloys that are suitable for the preparation of dental amalgam and the capsule, together with the requirements and test methods for that dental amalgam and the requirements for packaging and marking. This standard is an identical adoption of ISO 20749:2017, Dentistry —Pre-capsulated dental amalgam.

ANSI/ADA Standard No. 145—Interoperability of CAD/CAM Systems in Dentistry: 2020

This document specifies an extensible markup language (XML) format to facilitate the transfer of dental case data and CAD/CAM data between software systems.

This standard is an identical adoption of ISO 18618:2018.

ANSI/ADA Standard No. 146—CAD/CAM Abutments in Dentistry: 2018

CAD/CAM abutments have an anatomically correct emergence profile and restoration substructure specific to the patient (i.e. patient specific). This technical report provides references for test methods that can be used for assessing reliability, accuracy and reproducibility of patient specific CAD/CAM abutments designed for use with a manufacturer’s own implants or for use with implants from other manufacturers; as well as guidelines for standardization of future products. The abutment is individually designed by a laboratory or doctor to be attached to an implant by means of an abutment screw, dental cement or friction fit. This document provides on abutments where milling is done at a central milling facility, a dental lab, or by an in-office milling machine.

ADA Technical Specification No. 150—Method for Determination of Polymerization Shrinkage Stress of Polymer-Based Restorative Materials: 2019

This standard specifies a test method using a constraint-variable instrument, designed based on first principles of mechanics for the necessary accuracy and sensitivity of the instrument to the presence of shrinkage, for the measurement of polymerization shrinkage stress (PSS) of external- or internal-energy activated polymer-based restorative materials such as composites and core materials. The instrument provides the measurement carried out under various instrumental compliances that are comparable to the compliances of clinically prepared tooth cavities. This standard specifies a test method using a constraint-variable instrument, designed based on first principles of mechanics for the necessary accuracy and sensitivity of the instrument to the presence of shrinkage, for the measurement of polymerization shrinkage stress (PSS) of external- or internal-energy activated polymer-based restorative materials such as composites and core materials. The instrument provides the measurement carried out under various instrumental compliances that are comparable to the compliances of clinically prepared tooth cavities.

ANSI/ADA Standard No. 151—Screening Method for Erosion Potential of Oral Rinses on Dental Hard Tissues: 2015 (Reaffirmed 2020)

This standard specifies a screening method for the erosion potential of non-fluoridated oral rinses on dental hard tissues. The results of the screening method are intended for use in enamel and/or dentine erosion models. This standard is an identical adoption of ISO 28888:2013, Dentistry — Screening method for erosion potential of oral rinses on dental hard tissues.

ANSI/ADA Standard No. 157—Powered Dental Scaler Handpieces and Tips: 2020

This standard specifies requirements and test methods for air-powered and electrical-powered scaler handpieces and scaler tips, including piezo, ferrostrictive and magnetostrictive type ultrasonic scalers, operated as stand-alone items or connected to dental units, for use on patients. It also contains specifications on manufacturers’ instructions, marking and packaging.

This standard is a modified adoption of ISO 18397:2016 Dentistry — Powered scaler.

ANSI/ADA Standard No. 158—Coupling Dimensions for Handpiece Connectors: 2020

This standard specifies the coupling between handpieces and motors connected to dental units. This standard specifies the nominal dimensions, tolerances and the extraction force of coupling systems for use between handpiece and motor which supply the handpiece with water, air and light and rotation energy.

This standard is a modified adoption of ISO 3964:2016, Dentistry – Coupling dimensions for handpiece connectors and ISO 3964:2016/Amendment 1:2018.

ANSI/ADA Standard No.159—Coiled Springs for Use in Orthodontics: 2018

This standard applies to coiled springs for use in orthodontic appliances. This standard gives details of methods to compare the physical and mechanical behavior of coiled springs, the test methods by which they can be determined, as well as packaging and labelling requirements. This standard is an identical adoption of ISO 17254:2016, Dentistry — Coiled springs for use in orthodontics.

ANSI/ADA Standard No. 160—Soft Lining Materials for Removable Dentures – Materials For Long-Term Use: 2020

This standard specifies requirements for softness, adhesion, water sorption and water solubility, as well as for packaging, marking and manufacturer's instructions for soft denture lining materials suitable for long-term use. These materials may also be used for maxillofacial prostheses.

This standard is an identical adoption of ISO 10139-2:2016. 

ANSI/ADA Standard No. 161—Guidance on Color Measurement in Dentistry: 2018

This standard identifies three types of topics related to shade conformity and interconvertibility of monochromatic and polychromatic tissues and materials related to the discipline of dentistry; it describes visual and instrumental methods for assessment of these topics. This standard suggests interpretation of the findings through color difference thresholds and provides guidelines for future standardization related to dental shade conformity and interconvertibility. It also includes guidelines related to color vision of persons undertaking visual color assessments and instructions for reporting of color and color difference assessments. This standard is an identical adoption of ISO/TR 28642:2016, Dentistry — Guidance on colour measurement.

ANSI/ADA Standard No. 163— Dental Furnace Test Method for Temperature Measurement with Seperate Thermocouple: 2018

This standard specifies a test method for the calibration of dental furnaces that are suitable for the heat treatment of silica-based dental ceramic restorations in the temperature range between 600 °C and 1,050 °C. This standard does not include furnaces intended to sinter zirconium oxide-frameworks (in the temperature range of 1 350°C or higher). Identical adoption of ISO 13078:2013 Dentistry—Dental furnace - Test method for temperature measurement with separate thermocouple. 

ANSI/ADA Standard No. 164— Dental Furnace, Part 2: Test Method for Evaluation of Furnace Program via Firing Glaze: 2018

This document determines a degree of firing to be implemented by the user. It represents a test method for adapting the firing program of a dental furnace by determining the degree of firing of fired test specimens for a dental ceramic. The test method is suitable for powdered dental ceramics, according to ISO 6872, Type I. The test method enables monitoring of the temperature control in the dental furnace by evaluating the firing degree of a dental ceramic. The test method is also suitable for evaluating the reproducibility of the firings in a dental furnace or for comparing several dental furnaces. This standard is an identical adoption of ISO 13078-2:2016 Dentistry —  Dental furnace - Part 2: Test method for evaluation of furnace programme via firing glaze. 

ANSI/ADA Standard No. 167—Test Methods for Dental Unit Waterline Biofilm Treatment: 2020

This document provides type test methods for evaluating the effectiveness of treatment methods intended to prevent or inhibit the formation of biofilm or to remove biofilm present in dental unit procedural water delivery systems under laboratory conditions.

This document does not apply to devices intended to deliver sterile procedural water or sterile solution. It also does not apply to lines, tubing, or hoses that deliver compressed air within the dental unit.

This document does not establish specific upper limits for bacterial contamination or describe test methods to be used in clinical situations. It also does not establish test methods for evaluating any deleterious side effects potentially caused by treatment methods.

The test methods provided in this document can be used to test other dental equipment that delivers non-sterile water to the oral cavity and products intended for the prevention, inhibition or removal of biofilm that may not be provided by dental unit manufacturers.

This standard is a modified adoption of ISO 16954:2015 Dentistry — Test methods for dental unit waterline biofilm treatment. 

ADA Technical Report No. 168—Guidance on Method Development and Validation of Cleaning Processes for Dental Instruments: 2020

This technical report provides guidance on the development of cleaning processes for dental instruments, and their validation, as one of the steps in a multi-step instrument reprocessing procedure. It applies to cleaning prior to initial use as well as reuse. Validated cleaning processes are important in achieving consistently clean and biocompatible instruments, thereby mitigating the risk of cross contamination. 

This technical report does not address the disinfection, inspection and sterilization steps of reprocessing dental instruments.

ANSI/ADA Standard No. 169 — Periodontal Probes: General Requirements: 2019

This standard specifies general requirements and test methods for periodontal probes. This standard specifies general requirements and test methods for periodontal probes. It is not applicable to periodontal probes with working ends made completely of plastics, nor to HAUER probes and periodontal probes with a defined probing force. This standard is an identical adoption of ISO 21672-1:2012, Dentistry — Periodontal probes - Part 1: General requirements.

ANSI/ADA Standard No. 170 — Periodontal Probes — Dental Excavators — Discoid Type: General Requirements: 2019

This standard specifies the dimensions for dental excavators with discoid working ends. This standard is an identical adoption of ISO 13397 - 4: 1997, Periodontal curettes, dental scalers and excavators - Part 4: Dental excavators - Discoid type. 

ANSI/ADA Standard No. 171 — Analysis of Fluoride Concentration in Aqueous Solutions by Use of Fluoride Ion-Selective Electrode: 2019

This document specifies test methods for the quantification of fluoride concentrations in dental products including dentifrices, gels, oral rinses, fluoride releasing varnishes, and other fluoride containing products. The methods are based on fluoride ion-selective electrode technology for the analysis of fluoride in aqueous samples derived from dental products. This standard is an identical adoption of ISO 19448:2018, Dentistry — Analysis of fluoride concentration in aqueous solutions by use of fluoride ion-selective electrode.

ANSI/ADA Standard No. 172 — Minimal Dental Implant Data Set for Clinical Use: 2019

This standard specifies the minimal data set to be recorded for a patient receiving dental implant treatment. This will comprise the locations and types of dental implant bodies, connecting components and adjunctive devices, including grafting materials, placed in a patient’s jaw(s). This information will be recorded by the responsible clinician in the patient's file and should be made available to the patient by the clinician(s) who provided the care. This standard is an identical adoption of ISO 16498:2013, Dentistry — Minimal dental implant data set for clinical use.

ANSI/ADA Standard No. 173 — Designation System for Dental Implants: 2019

This standard provides a system for designating the location of an implant body within a jaw, and is intended for use with the scheme described in ISO 3950. It does not in itself indicate whether the device is visible within the oral cavity or the presence of transmucosal components or implant restorations. Since the system describes location but not restoration form, it is not necessary to use the quadrant designation numbers 5 to 8 which are employed when indicating a primary tooth.This information should be recorded by the responsible clinician in the patient’s file and made available to the patient by the clinician(s) who provided the care.  This standard is an identical adoption of ISO 19429:2015, Dentistry — Designation system for dental implants.

ANSI/ADA Standard No. 177 — Central Suction Source Equipment: 2020

This standard specifies requirements and test methods for stationary, electrically powered central suction source equipment, including centrally located amalgam separators and air water separators. It also specifies requirements for information to be supplied by the manufacturer on the performance, installation, operation and maintenance of the central suction source equipment as part of the complete dental suction system. This standard specifies requirements for central suction source equipment used to provide vacuum pressure and flow at the facility pipeline connection point. This standard does not apply to portable suction source equipment, air/water venturi suction source equipment, or to suction source equipment located in the treatment room. It also does not apply to suction source equipment used for life support or for scavenging halogenated anaesthetic gases. This standard is an identical adoption of ISO 10637:2018, Dentistry — Central suction source equipment. 

ANSI/ADA Standard No. 178 — Orthodontic Anchor Screws: 2019

This document specifies requirements and test methods for orthodontic anchor screws used in orthodontic treatment. This document gives details of methods to compare physical and mechanical properties of orthodontic anchor screws together with test methods and packaging and labelling information. This standard is an identical adoption of ISO 19023:2018, Dentistry — Orthodontic anchor screws. 

ANSI/ADA Standard No. 179 — Shanks for Rotary and Oscillating Instruments: 2020

This document specifies the requirements for dimensions and material properties of shanks used in dentistry for rotary or oscillating instruments. It describes the measurement methods for the verification of the requirements. This document is not applicable to tips fixed to the handpiece with a screw, e.g. scaler tips. This standard is an identical adoption of ISO 1797:2017, Dentistry — Shanks for rotary and oscillating instruments. 

ANSI/ADA Standard No. 182 — Dentistry — Bonding Test Between Polymer Teeth and Denture Base Materials: 2021

This document specifies a test method for bonding of polymer teeth to denture base materials. This test method is not designed to prove the properties of polymer teeth and denture base materials. This standard is an identical adoption of ISO/TS 19736:2017.

ANSI/ADA Standard No. 183 — Reprocessable Cartridge Syringes for Intraligamentary Injections: 2020

This document specifies requirements and test methods for reprocessable cartridge syringes intended for intraligamentary injections.

It specifies requirements for cartridge syringes with ISO metric thread sizes, and only intended for intraligamentary injections. However, attention is drawn to the existence of a variety of syringes with imperial thread sizes.

This document is an identical adoption of ISO 21533:2018.

ANSI/ADA Standard No. 184 — Laser Welding and Filler Materials in Dentistry: 2020

This document specifies requirements and test methods for laser welding and the filler materials thereto used in the dental laboratory for welding of metallic restorations and appliances.

For filler materials used in laser welding, this document also specifies the information given in the instructions for use, marking and labelling.

This document is an identical adoption of ISO 28319:2018.


ANSI/ADA Standard No. 185 — Integrated Dental Floss and Handles: 2020

This document specifies the requirements and test methods for integrated dental floss and handles used for home care, community care, professional care of oral health or a part of dental treatment.

This document is applicable to integrated dental floss and handles for manual use. It does not include dental floss and handles which contain a continuous supply of dental floss, or handles to which the floss is subsequently added.

This document is an identical adoption of ISO 28158:2018.

ANSI/ADA Standard No. 190 — Single-Use Dental Cartridges for Local Anesthetics: 2020

This standard gives specific performance requirements for single-use dental cartridges of 10 ml, 1.7 ml, 1.8 ml and 2.2 ml nominal capacity for use with local anaesthetics.

It specifies tests for leakage, plunger movement, extractable volume and underfilling, and lists general overall dimensions to ensure that the cartridge will fit dental cartridge syringes complying with ANSI/ADA Standard No. 34 and ANSI/ADA Standard No. 183. Labelling requirements are also specified.

This document is an identical adoption of ISO 11499:2014.
ANSI/ADA Standard No. 191 — Intra-Oral Mirrors: 2020

This document specifies requirements and test methods for reusable intra-oral mirrors with a coated glass reflecting surface used for dental purposes in the oral cavity.

In addition, specific requirements for metallic casing and metallic handles are given.

This document is an identical adoption of ISO 9873:2019.

ANSI/ADA Standard No. 192 — Dental Explorer: 2020

This document specifies the dimensions and performance requirements for dental explorers. This document is not applicable to endodontic explorers.

This document is an identical adoption of ISO 7492:2019.

ANSI/ADA/AAMI Standard ST-40—Table-Top Dry Heat (Heated Air) Sterilization and Sterility Assurance in Health Care Facilities: 2004 (Reaffirmed 2021)

This recommended practice provides guidelines for decontamination and dry heat sterilization procedures used in dentists’ and physicians’ offices, laboratories, ambulatory care clinics, and other health care facilities. These guidelines are intended to promote the assurance of sterility by identifying the special considerations that apply to this method of sterilization and by providing recommendations on the proper use of table-top dry heat sterilization processing equipment. This recommended practice also covers facility design considerations, personnel considerations, work practices, and other variables that affect sterility assurance. This standard is an identical adoption of ANSI/AAMI ST40:2004/R2010, Table-top dry heat (heated air) sterilization and sterility assurance in health care facilities.

ANSI ADA AAMI Standard ST-55—Table-top Steam Sterilizers 2010

This standard applies to steam sterilizers that are intended for use in health care facilities and that have a volume less than or equal to 56.63 liters (2 cubic feet [ft3]).

NOTE—For purposes of this standard, health care facilities refers to hospitals, nursing homes, extended-care facilities, freestanding surgical centers, clinics, and medical and dental offices. For convenience, the term hospital is sometimes used in this standard; in all instances, this term should be taken to encompass all other health care facilities. This standard is an identical adoption of ANSI/AAMI ST55:2010, Table-top steam sterilizers.