STANDARDS FOR CLINICAL DENTAL HYGIENE PRACTICE
SUPPLEMENTSTANDARDSFOR CLINICALDENTAL HYGIENEPRACTICEREVISED 2016Brought to you by an unrestrictededucational distribution grant by
TABLE OF CONTENTSREVISEDJUNE 2016History .3REPRINTEDSEPTEMBER 2014 WITH UPDATEDPOLICIES AND REFERENCESDefinition of Dental Hygiene Practice.4ADOPTEDMARCH 10, 2008ITEMSTANDARDS FOR CLINICAL DENTALHYGIENE PRACTICEACTIONADOPTED BY ADHA BOARD OFTRUSTEESIntroduction.3Educational Preparation .4Practice Settings.4Professional Responsibilities and Considerations .5Dental Hygiene Process of Care .5Standards of Practice.6Standard 1: Assessment .6Standard 2: Dental Hygiene Diagnosis .8Standard 3: Planning .8Standard 4: Implementation .8Standard 5: Evaluation .9Standard 6: Documentation .9Summary.10Key Terms .10References .11Resources .12Appendix A .13Appendix B .13Appendix C .14Appendix D .14Development and ValidationProcess for the Standards .15
STANDARDSFOR CLINICALDENTAL HYGIENEPRACTICEREVISED 2016HistoryOne hallmark of a true profession is its willingness to assume responsibility for the qualityof care that its members provide. In 1985,the American Dental Hygienists’ Association(ADHA) took a major step toward fulfillment of thatresponsibility with the development of Applied Standardsof Clinical Dental Hygiene Practice.1 This documentis the third revision2 to build on those Standards andpromote dental hygiene practice based on current andrelevant scientific evidence.IntroductionThe Standards for Clinical Dental Hygiene Practice outlined in this document guide the individual dental hygienist’s practice. Dental hygienistsremain individually accountable to the standardsset by the discipline and by applicable federal,state, and local statutes and regulations that define and guide professional practice.3 These Standards should not be considered as a substitutefor professional clinical judgment. In addition,they should not be confused with the Accreditation Standards for Dental Hygiene EducationPrograms, which are chiefly concerned with thestructure and operation of dental hygiene education programs.4Dental hygienists are valued members of thehealth care workforce. They have the knowledge,skills, and professional responsibility to provideoral health promotion and health protection strategies for all individuals as well as groups. As licensed professionals, they are accountable for thecare and services they provide.These Standards promote the knowledge, values, practices, and behaviors that support andenhance oral health with the ultimate goal of improving overall health. The primary purpose of theStandards for Clinical Dental Hygiene Practice isto assist dental hygiene clinicians in the provider-patient relationship. In addition, dental hygienists in other professional roles such as educator,researcher, entrepreneur, public health professional, and administrator — as well as those employed in corporate settings — can use theseStandards to facilitate the implementation of collaborative, patient-centered care in interprofessional teams of health professionals. This collaboration can occur in a variety of practice settingsincluding community and public health centers,hospitals, school-based programs, long-term carefacilities, outreach, and home care programs. Thesecondary purpose of these Standards is to educate other health care providers, policymakers,and the public about the clinical practice of dental hygiene. The purpose of medical and dentalscience is to enhance the health of individuals aswell as populations. Dental hygienists use scientific evidence in the decision-making process impacting their patient care. The dental hygienist isexpected to respect the diverse values, beliefs, andcultures present in individuals and communities.When providing dental hygiene care, dental hygienists must support the right of the individualto have access to the necessary information andprovide opportunities for dialogue to allow the individual patient to make informed care decisionswithout coercion. Facilitating effective communication might require an interpreter and/or translator based on the patient and practitioner’s needto communicate. Dental hygienists must realizeand establish their professional responsibilityin accordance with the rights of individuals andgroups. In addition, when participating in activities where decisions are made that have an imAccess Supplement 3
pact on health, dental hygienists are obligated toassure that ethical and legal issues are addressedas part of the decision-making process. Dentalhygienists are bound by the Code of Ethics of theAmerican Dental Hygienists’ Association.3The Standards for Clinical Dental Hygiene Practice provide a framework for clinical practice thatfocuses on the provision of patient-centered comprehensive care. The Standards describe a competent level of dental hygiene care1,2,4-7 as demonstrated by the critical thinking model known asthe dental hygiene process of care.7 As evidencedby ADHA policy6 and various dental hygiene textbooks,8-10 the six components of the dental hygiene process of care include assessment, dentalhygiene diagnosis, planning, implementation,evaluation, and documentation (Appendix A). Thedental hygiene process encompasses all significant actions taken by dental hygienists and formsthe foundation of clinical decision-making.Definition Of DentalHygiene PracticeDental hygiene is the science and practice of recognition, prevention and treatment of oral diseases and conditions as an integral componentof total health.11 The dental hygienist is a primarycare oral health professional who has graduatedfrom an accredited dental hygiene program in aninstitution of higher education, licensed in dental hygiene to provide education, assessment, research, administrative, diagnostic, preventive andtherapeutic services that support overall healththrough the promotion of optimal oral health.12In practice, dental hygienists integrate multipleroles to prevent oral diseases and promote health(Appendix B).Dental hygienists work in partnership with allmembers of the dental team. Dentists and dentalhygienists practice together as colleagues, eachoffering professional expertise for the goal of providing optimum oral health care to the public. Thedistinct roles of the dental hygienist and dentistcomplement and augment the effectiveness ofeach professional and contribute to a collaborative environment. Dental hygienists are viewed asexperts in their field; are consulted about appropriate dental hygiene interventions; are expected4 2016to make clinical dental hygiene decisions; andare expected to plan, implement, and evaluatethe dental hygiene component of the overall careplan.7-10 All states define their specific dental hygiene practice scope and licensure requirements.Educational PreparationThe registered dental hygienist (RDH) or licenseddental hygienist (LDH) is educationally preparedfor practice upon graduation from an accrediteddental hygiene program (associate, post-degreecertificate, or baccalaureate) within an institutionof higher education and qualified by successfulcompletion of a national written board examination and state or regional clinical examination forlicensure. In 1986, the ADHA declared its intentto establish the baccalaureate degree as the minimum entry level for dental hygiene practice (Appendix C).7,13-14Practice SettingsDental hygienists can apply their professionalknowledge and skills in a variety of work settingsas clinicians, educators, researchers, administrators, entrepreneurs, and public health professionals, and as employees in corporate settings.Working in a private dental office c ontinues t obe the primary place of employment for dentalhygienists. However, never before has there beenmore opportunity for professional growth. Clinicaldental hygienists may be employed in a variety ofhealth care settings including, but not limited to,private dental offices, schools, public health clinics,hospitals, managed care organizations, correctional institutions, or nursing homes.6One example of an innovative, interprofessional practice model was tested by Patricia Braun, MD,MPH, Associate Professor, Pediatrics and FamilyMedicine at the University of Colorado AnschultzSchool of Medicine. This project co-located a dental hygienist in the pediatrician’s office. Co-locating dental hygienists into medical practices is afeasible and innovative way to provide oral healthcare, especially for those who have limitedaccess to preventive oral health services. 14
Another innovative model exists in Oregon,where expanded practice dental hygienists (EPDHs) do not need a collaborative agreement witha dentist to initiate dental hygiene care for populations that qualify as having limited access tocare; however, some aspects do require a collaborative agreement.15EPDHs in Oregon are able to work in a varietyof settings,16 such as nursing homes and schools,and many are employed as private business owners.14 ProfessionalResponsibilities andConsiderations Dental hygienists are responsible and accountable for their dental hygiene practice, conduct,and decision-making. Throughout their professional career in any practice setting, a dental hygienist is expected to: Understand and adhere to the ADHA Code ofEthics. Maintain a current license to practice, including certifications as appropriate. Demonstrate respect for the knowledge, expertise, and contributions of dentists, dentalhygienists, dental assistants, dental officestaff, and other health care professionals. Articulate the roles and responsibilities ofthe dental hygienist to the patient, interprofessional team members, referring providers,and others. Apply problem-solving processes in decision-making and evaluate these processes. Demonstrate professional behavior. Maintain compliance with established infection control standards following the mostcurrent guidelines to reduce the risks ofhealth-care-associated infections in patients,and illnesses and injuries in health care personnel. Incorporate cultural competence17 in all professional interactions. Access and utilize current, valid, and reliableevidence in clinical decision-making throughanalyzing and interpreting the literature andother resources. Maintain awareness of changing trends indental hygiene, health, and society that impact dental hygiene care.Support the dental hygiene professionthrough ADHA membership.Interact with peers and colleagues to createan environment that supports collegialityand teamwork.Prevent situations where patient safety andwell-being could potentially be compromised.Contribute to a safe, supportive, and professional work environment.Participate in activities to enhance and maintain continued competence and address professional issues as determined by appropriate self-assessment.Commit to lifelong learning to maintain competence in an evolving health care system.Dental Hygiene Processof CareThe purpose of the dental hygiene process ofcare is to provide a framework where the individualized needs of the patient can be met; and toidentify the causative or influencing factors of acondition that can be reduced, eliminated, or prevented by the dental hygienist.8-10 There are sixcomponents to the dental hygiene process of care(assessment, dental hygiene diagnosis, planning,implementation and evaluation, and documentation; see Appendix A).7-10, 18The dental hygiene diagnosis is a key component of the process and involves assessment ofthe data collected, consultation with the dentistand other health care providers, and informeddecision-making. The dental hygiene diagnosisand care plan are incorporated into the comprehensive plan that includes restorative, cosmetic,and oral health needs that the patient values. Allcomponents of the process of care are interrelatedand depend upon ongoing assessments and evaluation of treatment outcomes to determine theneed for change in the care plan. These Standardsfollow the dental hygiene process of care to provide a structure for clinical practice that focuseson the provision of patient-centered comprehensive care.Access Supplement 5
STANDARDS OFPRACTICEStandard 1: AssessmentThe ADHA definition of assessment: The collectionand analysis of systematic and oral health data inorder to identify client needs.19I. HEALTH HISTORYA health history assessm
The registered dental hygienist (RDH) or licensed dental hygienist (LDH) educationally prepared is for practice upon graduation from an accredited dental hygiene program (associate, post-degree certificate, or baccalaureate) within an institution of higher education and qualified by successful completion of a national written board examina-
DEN 131 Dental Hygiene Clinic 1 3 credits . Summer 2022. DEN 125 Dental Office Emergencies 1 credit DEN 140 Dental Hygiene Theory 2 1 credit DEN 141 Dental Hygiene Clinic 2 2 credits DEN 222 General and Oral Pathology 2 credits . Fall 2022. DEN 123 Nutrition/Dental Health 2 credits DEN 220 Dental Hygiene Theory 3 2 credits DEN 221 Dental .
Central Carolina Community College Dental Hygiene Policy and Procedures Manual 2018-2019 9 dental hygiene component of the overall care plan. All states define their specific dental hygiene practice scope and licensure requirements. Dental hygienists are responsible and accountable for their dental hygiene practice, conduct,
hygienists, over 300 dental hygiene programs, and master's degree dental hygiene programs (2). Most graduate programs offer administration, education, or public health tracks. In 2004, a clinical track named the Advanced Dental Hygiene Practitioner (ADHP), was developed and supported by the American Dental Hygiene Association (ADHA) 3). The .
Contents P AGE 1 Canadian Dental Hygienists Association: Mission Statement 3 PART I. DEFINITION AND SCOPE 3 Introduction 3 Dental Hygiene Defined 4 Key Responsibility Areas 5 Practice Environments 7 PART II. PRACTICE STANDARDS 7 A Process Model to Guide Dental Hygiene Practice 8 Practice Standards 8 1. Professional Responsibilities 9 2. Dental Hygiene Process: Assessment
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DENTAL HYGIENE PROGRAM: PROFESSIONAL PHASE COURSES DHYG 2150: Pharmacology 2 credit hours DHYG 2210: Dental Hygiene Lecture IV 1 credit hours DHYG 2250: General and Oral Pathology 3 credit hours DHYG 2310: Dental Hygiene Clinic IV 4 credit hours Spring Semester Courses Credit Hours DHYG 2220: Dental Hygiene Lecture V 1 credit hours
Dental Hygiene Program Course Sequence Each course in the Dental Hygiene program builds upon the previous course in the previous semester. To successfully progress through the two-year program, students are required to pass dental hygiene courses at 75% or better. Each Dental Hygiene course is offered only once during the academic year.
Students interested in the Dental Hygiene Program are encouraged to call the Dental Hygiene . Students are encouraged to request the most recent update and college catalog. Tennessee State University . Dental Hygiene Department . Nashville, Tennessee . Dental Hygiene . Application Packet & Admissions Information . Application Packet 2 (615 .
