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Home
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Open Navigation
 * Membership
   * Overview
   * Professionals
   * Students
   * Membership Benefits Overview
   * Leadership Opportunities
   * Dues Calculator
   * Member Directory
 * Education & Resources
   * Overview
   * Go to CE Smart Catalog
   * About CE Smart Online Learning
   * Become a Dental Hygienist
   * Maintain Your Licensure
   * Scholarships + Grants
   * Professional Resources
   * Student Resources
   * National Board Review
   * Professional Fellows Program
   * Research
   * CE Smart California Subscription
 * Advocacy
   * Overview
   * Innovative Workforce Models
   * Scope of Practice
   * Advocacy Efforts
   * License Portability
 * Events
   * ADHA23 Annual Conference
   * Student Proud 2023
   * Heartland Dental Events
   * Philips|ADHA Education Tour
   * ADHA 2023 Awards
   * National Children’s Dental Health Month
   * National Dental Hygiene Month
   * ADHA Celebrates 100
 * Join ADHA

 * IOH Foundation
 * Journal of Dental Hygiene
 * Store
 * Podcast
 * Sign In

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 1. Advocacy
 2. Scope of Practice
 3. Direct Access


DIRECT ACCESS


RELATED LINKS

 * Scope of Practice
 * License Portability
 * Innovative Workforce Models
 * Advocacy Efforts

 * Scope of Practice
 * License Portability
 * Innovative Workforce Models
 * Advocacy Efforts




Access to oral health care is one of the highest priorities of ADHA. Direct
Access refers to the ability of a dental hygienist to initiate treatment based
on their assessment of a patient’s needs without the specific authorization of a
dentist, treat the patient without the presence of a dentist, and maintain a
provider-patient relationship.

It is the position of ADHA that oral health care—a fundamental component of
total health care—is the right of all people. Lack of access to oral health care
is a critical issue in the United States due to disparities in the health care
delivery system. Dental hygienists must play a vital role in the solution to
eliminate these disparities and assure quality oral health care for all.

VIEW THE DIRECT ACCESS CHART


THE PROGRESSION OF DIRECT ACCESS

 * Direct Access 2008
   
   28 States
   
   
   
   

 * Direct Access 2011
   
   34 States
   
   
   
   

 * Direct Access 2017
   
   40 States
   
   
   
   

 * Direct Access 2021
   
   42 States
   
   
   
   

 * States that permit direct access to dental hygienists


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