“Instructional requirements save lives,” and “Elevate requirements, don’t erase them,” learn the indicators carried by about 50 dental hygienists who gathered in Washington, D.C., on Oct. 25.
The demonstration, organized by the non-profit Oral Well being Consciousness Projec (OHAP), befell through the American Dental Affiliation’s SmileCon and 2025 Home of Delegates assembly to convey wider consideration to the problem. The group, formally shaped in June 2025 after gaining traction on social media, goals to oppose efforts they are saying would decrease or bypass the Fee on Dental Accreditation (CODA)’s almost 3,000-hour instructional requirement for dental hygienists—sometimes accomplished by way of a two-year affiliate’s or four-year bachelor’s diploma.
Though the rally was primarily made up of dental hygienists, numerous dentists and public coverage college students additionally attended, in line with organizers.
“We even had dentists come out to fulfill with us,” mentioned Lisandra Maisonet, BS, RDH, PHDHP, EFDA, government director of OHAP. “They informed us they’re on our facet in terms of defending instructional requirements.”
“OHAP started as a motion — hygienists from throughout the U.S. coming collectively on-line to defend instructional requirements and shield sufferers,” Maisonet added. “We’re not a union or an affiliation; we’re a collective voice saying, ‘our sufferers deserve care from totally educated professionals.’”
Maisonet mentioned OHAP’s objective is to coach each legislators and the general public on the preventive and diagnostic experience dental hygienists convey to affected person care.
“We weren’t created to compete with the American Dental Hygienists’ Affiliation,” she mentioned. “OHAP exists to guard sufferers — to ensure the folks caring for them have the best schooling and coaching. The ADHA represents our occupation; we’re targeted on defending the general public.”
Office components behind the so-called scarcity
Each the American Dental Affiliation (ADA) and the ADHA have acknowledged a scarcity of practising dental hygienists in the USA. The ADHA’s 2024 workforce place assertion notes that 24.7 million People dwell in dental-care scarcity areas, whereas 1.7 million can’t entry care inside a 30-minute drive, and that periodontal illness prices $154 billion yearly in misplaced productiveness.
Final yr, the ADA handed a decision permitting foreign-trained dentists to work as dental hygienists — a transfer rejected by the ADHA, which submitted written testimony to CODA opposing modifications that may let internationally skilled suppliers bypass accredited applications.
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Proposals have continued. Nevada’s Senate Invoice 495, which might have permitted licensure with out CODA accreditation, failed earlier this yr following opposition from the ADHA and the Nevada Dental Hygienists’ Affiliation. In October, the ADHA’s board reaffirmed assist for CODA-accredited schooling and rejected any “preceptor coaching” or Alabama Dental Hygiene Program (ADHP)-type pathways that circumvent these necessities. The ADHP stays the one non-CODA path to licensure within the U.S.
Maisonet mentioned such proposals miss the actual challenge.
“I don’t imagine we’re going through a real scarcity of dental hygienists — we’re going through a scarcity of excellent working circumstances,” she mentioned. “If extra practices provided advantages, paid trip and a supportive surroundings, we’d see many hygienists return to the chair.”
“There are greater than 200,000 licensed dental hygienists within the U.S.,” she added. “The issue isn’t numbers — it’s that many depart personal observe as a result of they don’t obtain advantages, paid break day or respect for his or her medical experience. If dental workplaces improved working environments and handled hygienists as integral members of the care group, we’d resolve a lot of the so-called scarcity in a single day.”
The danger of inconsistency
Anne O. Rice, RDH, BS, FAAOSH, CDP, a member of OHAP’s 22-member process drive, mentioned affected person security is on the coronary heart of the group’s issues.
“When different licensing fashions for dental hygienists are launched, the best dangers to affected person care typically come from inconsistency,” Rice mentioned. “Our occupation was constructed on a robust basis of schooling, medical competency and licensure requirements designed to guard the general public. If these benchmarks are diluted or differ extensively from state to state, we danger creating confusion for sufferers — and even amongst suppliers — about what providers can safely be delivered.”
She added that insufficient coaching pathways may result in “fragmentation of care,” affecting accountability and continuity in analysis and prevention.
“Why spend money on the schooling, debt and duty of changing into a licensed dental hygienist if anybody can carry out the identical providers with much less preparation?” she requested. “Excessive requirements entice excessive expertise. If we would like sustainable practices, we have to shield the worth {of professional} schooling — not undermine it.”
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‘Entrance line of preventive medication’
One other OHAP board member Melissa Obrotka, BA, RDH, ICP Coach, mentioned the motion underscores how dental hygiene is central to whole-body well being.
“Dental hygiene is the entrance line of preventive medication,” Obrotka mentioned. “Within the chair, we don’t simply scrape and polish enamel; we detect irritation, an infection and early indicators of systemic illness that may change the course of somebody’s well being. That duty calls for accredited schooling, evidence-based coaching and medical excellence. Diluting these requirements dangers greater than public belief — it dangers lives.”
Maisonet mentioned the D.C. rally marks only the start.
“We’re constructing a military of hygienists prepared to talk to legislators, educate their sufferers and arise for the requirements that shield public well being,” she mentioned. “This isn’t about competitors — it’s about collaboration and integrity in affected person care.”