Evolution of the Dental Hygiene Profession

Introducing myself as an Independent Dental Hygienist raises many questions and often some controversy. I hope to clarify some misunderstandings and concerns. The College of Dental Hygienists of Ontario (CDHO) was formed in 1994 with the approval of the Ministry of Health. [1] CDHO is the primary regulatory board of all dental hygienist in Ontario – they are our official boss. CDHP received government approval to allow Dental Hygienists to become independent in 2007 [2] to allow more choice with greater access to oral heath care. In order to become an Independent Dental Hygienist, strict educational criteria from the College of Dental Hygienists of Ontario (CDHO) must be met. After working as a registered Dental Hygienist for twenty years and having obtained an honours Science degree from Western University prior to that, I felt well-equipped to become independent. In 2008, I earned my “independent” status.

The Ministry of Health recognizes that preventative cares saves thousands of dollars per year in health care costs. [3] There is a definite link between periodontal disease and systemic conditions such as cardiovascular disease (Heart & Stroke) and diabetes. Research now indicates a possible link to the onset of Alzheimer’s [4] The most recent support of Health Canada for Independent Dental Hygienists has been shown by the addition of Independent Dental Hygienists as service providers to the national non-insured health benefit programs (NIHB) as of June 1, 2016.

I have the privilege and honour of working with some of the most talented dentists in our community. The notion that independent dental hygienists are in rebellion against general practice dentists is unwarranted; this is evolution, not revolution. Many patients who have a fear of dental offices feel more at ease introducing themselves first to an Independent Dental Hygiene Practice. Local dentists forging a good working relationship with an Independent Dental Hygiene Practice have patients referred to them who otherwise were not ready to go to a dental office. There are now at least 400 Independent Dental Hygienists in Canada. [5]

More interesting facts:

·        Dental Hygienists form the sixth largest regulated health profession in Canada.

·        Dental Hygiene is one of Canada’s top ten projected growth professions by 2020.

·        Practice is a variety of settings, including public health, private practice, hospitals, long term care facilities, educational institutions and research in the dental industry.

·        Practice entrepreneurship having established their own practice outside of a dentist’s office. [6]

No doubt, changes are always difficult. Today Independent Dental Hygienists are leading the way for what some day will be the norm. I am proud to be a part of such a forward thinking profession. Independent Dental Hygienists have earned the right to be an integral part of your health care.

Lorraine Vallee, H. BSC, RDH, is an Independent Dental Hygienist who practices with Norfolk Dental Hygiene in Simcoe, Ontario

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[1] Richardson, Fran, “Celebrating A Lifetime of Dental Hygiene” Milestones, June 2014. Web. April 11,        2016

[2] Sobie, Sherryll, Toronto Star, April 1, 2012. Web. April 10, 2016.

[3] Clavis, Joanne, “Let’s Put Our Money Where Our Mouth Is” PolicyAlternatives.ca, April 2011. Web.

[4] Kravitz, Charles D.D.S, “New Findings: Periodontal Spirochetes Definitely Linked to Alzheimers Disease” Advance Dental Consulting, November 10, 2011. Web. April 10, 2016.

[5] Sobie, Sherryll, “Dental Hygienists In Ontario: Their Changing Role and What it Means to You”

[6] Source: The Canadian Dental Hygienists Association