Hygienists could practice independently of dentists

Utah law currently requires dental hygienists to work under the supervision of dentists (see Utah Code Ann. ? 58-69-801(3)). There are some public policy arguments to support this model. However, it is a model that many states are moving away from for equally, if not more, compelling reasons.

Tooth decay and gum infection are the two most common human ailments. With just a little preventive care, children can avoid these ailments throughout their lives. Dental hygienists are in an excellent position to teach preventive care. In fact, hygienists specialize in prevention while dentists specialize in treating the diseases that result from poor oral care.

Unfortunately, some dentists see teaching and training as being unprofitable — after all, it is not covered by dental insurance plans ?— so hygienists are relegated to cleaning teeth as quickly as possible. They might be able to talk about the importance of personal home care while they are cleaning, but no time is provided for education and hands-on training.

At about 6 months of age, the first baby teeth usually begin to show themselves. It is important for parents to gently brush those teeth. As more teeth come in, if food gets caught between the teeth, parents should remove it with dental floss. But it is critical that parents use proper equipment and techniques, or they are very likely to damage their child's gums. Hygienists are the professionals who are best suited to offer guidance and advice.

Similarly, hygienists can help teach children to brush and floss their own teeth. Most children have the coordination to learn these skills by age 6. However, proper brushing and flossing are not simple matters. A good technique increases effectiveness, while a bad technique can damage gums and do more harm than good.

Hygienists can also apply sealant to a child's permanent teeth. Dental sealant is the best preventive product to come on the market since brushes and floss. It is simple to apply and does not require the involvement or supervision of a dentist.

It is very important that children learn — at an early age — the healthy behaviors that will prevent dental ailments. After all, an ounce of prevention is worth a pound of cure. Our children deserve the opportunity to be taught preventive skills by trained professionals, to receive preventive treatment and to enjoy the many wonderful benefits of oral health. To put it simply, a clean and sealed tooth will not decay and gum infection will not begin around clean teeth. The result, as Dr. Louis H. Mayo, M.D., has said, is that "daily plaque control can add 10 years to your life."