HONOLULU - In Hawaii, dental assistants are currently not required to be certified or regulated, but some believe there should be higher standards.

A state audit report was released Wednesday on a sunrise analysis on the effects of regulation of dental assistants, via the certification options for dental assistants offered by Kapiolani Community College's dental assisting program.

The summary found that some tasks performed by dental assistants in the state pose a risk of injury to patients and therefore should be regulated.

However, a number of tasks do not appear to pose a reasonable threat to patient health and safety.

For that reason, the auditor recommend that the State consider a tiered regulatory framework, where particular duties would be assigned to dental assistants with a higher level of education.