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Dental Hygiene Regulation: A Comparison - CDHA

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<strong>Dental</strong> <strong>Hygiene</strong> <strong>Regulation</strong>:<br />

A <strong>Comparison</strong><br />

March 2013<br />

~ 1 ~


<strong>Dental</strong> <strong>Hygiene</strong> <strong>Regulation</strong>: A <strong>Comparison</strong>—Table of Contents<br />

Basic Information<br />

Number of <strong>Dental</strong> Hygienists<br />

Liability and <strong>Regulation</strong><br />

Restorative<br />

Competencies<br />

Differences in Provincial Requirements<br />

Agreement on Internal Trade (AIT) Legitimate Objectives<br />

Services<br />

Grads<br />

~ 2 ~<br />

3-6<br />

7-8<br />

9<br />

10<br />

11-12<br />

13-15<br />

16-18<br />

19-21<br />

22-23


<strong>Dental</strong> <strong>Hygiene</strong> <strong>Regulation</strong>: A <strong>Comparison</strong>—Basic Information<br />

Province<br />

Licensing<br />

Body<br />

Alberta College of<br />

Registered <strong>Dental</strong><br />

Hygienists of<br />

Alberta<br />

British Columbia College of <strong>Dental</strong><br />

Hygienists of<br />

British Columbia<br />

(CDHBC)<br />

Manitoba College of <strong>Dental</strong><br />

Hygienists of<br />

Manitoba (CDHM)<br />

Year -<br />

<strong>Regulation</strong><br />

became<br />

mandatory<br />

Year - selfregulation<br />

was<br />

achieved<br />

Year<br />

- selfinitiation<br />

was<br />

achieved<br />

Details pertaining to<br />

dentists’ supervision<br />

~ 3 ~<br />

Legislation<br />

online<br />

1990 1960 2006 N/A http://www.qp.alberta.ca/1266.<br />

cfm?page=2006_255.cfm&leg_<br />

type=Regs&isbncln=0779751108<br />

1952 1993 1995 Clients must have been examined by a<br />

dentist within the previous 365 days for<br />

a dental hygienist to provide services<br />

(as of July 2012 new category for DH<br />

exemption).<br />

Administer local anaesthesia, but may<br />

only do so under the supervision of<br />

a dentist or other emergency-trained<br />

professionals.<br />

1952 2005 2008 Supervision restrictions: dental hygiene<br />

services must be provided under the<br />

supervision of a dentist, unless a<br />

dental hygienist has practised dental<br />

hygiene for more than 3000 h and the<br />

client does not present with a complex<br />

medical condition. However included<br />

practices can only be provided in<br />

certain settings.<br />

www.cdhbc.com/PDF-Files/<br />

Tab-6.aspx<br />

web2.gov.mb.ca/laws/<br />

statutes/2005/c05105e.php<br />

and<br />

http://web2.gov.mb.ca/<br />

bills/39-3/b018e.php<br />

Pending <strong>Regulation</strong><br />

Changes<br />

None Yes<br />

No<br />

No<br />

Mandatory<br />

<strong>CDHA</strong><br />

Membership


<strong>Dental</strong> <strong>Hygiene</strong> <strong>Regulation</strong>: A <strong>Comparison</strong>—Basic Information<br />

Province<br />

Licensing<br />

Body<br />

New Brunswick New Brunswick<br />

College of <strong>Dental</strong><br />

Hygienists / Ordre<br />

des hygienistes<br />

dentaires<br />

du Nouveau<br />

Brunswick<br />

Newfoundland and<br />

Labrador<br />

Newfoundland<br />

<strong>Dental</strong> Board is<br />

in place until the<br />

new DH college<br />

forms in response<br />

to the 2010<br />

legislation<br />

Year -<br />

<strong>Regulation</strong><br />

became<br />

mandatory<br />

Year - selfregulation<br />

was<br />

achieved<br />

Year<br />

- selfinitiation<br />

was<br />

achieved<br />

Details pertaining to<br />

dentists’ supervision<br />

1950s 2009 Still under full supervision – new rules<br />

pending (to no supervision), waiting<br />

for approval from Minister of Health.<br />

1969 2010 In<br />

progress<br />

~ 4 ~<br />

Legislation<br />

online<br />

www.gnb.ca/0062/acts/BBA-<br />

2009/Chap-10.pdf<br />

www.assembly.nl.ca/business/<br />

bills/Bill1017.htm<br />

Pending <strong>Regulation</strong><br />

Changes<br />

• IIncrease in continuing education<br />

credits (45 per 3 year cycle/60<br />

for 4 or 75 for 5 years- we will<br />

be staggering cycles) -as of<br />

January 2013.<br />

• Self initiation course - upon<br />

approvla of Rules- only those<br />

who wish to self-initiate.<br />

• CPR requirements - as January<br />

2013-Basic CPR once every three<br />

years.<br />

• Local Anesthiestics Module<br />

-(upon approval of Rules) only<br />

those who wish to include this<br />

scope.<br />

No<br />

Pending Yes<br />

Mandatory<br />

<strong>CDHA</strong><br />

Membership


<strong>Dental</strong> <strong>Hygiene</strong> <strong>Regulation</strong>: A <strong>Comparison</strong>—Basic Information<br />

Province<br />

Northwest<br />

Territories<br />

Licensing<br />

Body<br />

Northwest<br />

Territories<br />

Professional<br />

Licensing,<br />

Government<br />

of Northwest<br />

Territories<br />

Nova Scotia College of <strong>Dental</strong><br />

Hygienists of<br />

Nova Scotia<br />

Nunavut Government<br />

of Nunavut,<br />

Department of<br />

Health and Social<br />

Services<br />

Year -<br />

<strong>Regulation</strong><br />

became<br />

mandatory<br />

Year - selfregulation<br />

was<br />

achieved<br />

1990 Regulated by<br />

Government<br />

Year<br />

- selfinitiation<br />

was<br />

achieved<br />

Details pertaining to<br />

dentists’ supervision<br />

The scope of practice for a dental<br />

hygienists includes the:<br />

• performance of dental services<br />

of a preventative and educational<br />

nature;<br />

• performance of dental<br />

prophylaxes;<br />

• application on teeth of topical<br />

flouride or other anticariogenic<br />

agents;<br />

• rendering of first aid; and taking<br />

and developing x-rays.<br />

~ 5 ~<br />

Legislation<br />

online<br />

www.hlthss.gov.nt.ca/english/<br />

services/professional_<br />

licensing/dental_hygienists.<br />

htm<br />

1973 1990 1990 N/A http://www.qp.alberta.ca/1266.<br />

cfm?page=2006_255.cfm&leg_<br />

type=Regs&isbncln=0779751108<br />

N/A -<br />

regulated<br />

by gov’t due<br />

to small<br />

numbers of<br />

DHs<br />

<strong>Dental</strong> Auxiliaries Act<br />

<strong>Dental</strong> Mechanics Act<br />

<strong>Dental</strong> Profession Act<br />

Pending <strong>Regulation</strong><br />

Changes<br />

N/A Yes<br />

None Yes<br />

None No<br />

Mandatory<br />

<strong>CDHA</strong><br />

Membership


<strong>Dental</strong> <strong>Hygiene</strong> <strong>Regulation</strong>: A <strong>Comparison</strong>—Basic Information<br />

Province<br />

Licensing<br />

Body<br />

Ontario College of <strong>Dental</strong><br />

Hygienists of<br />

Ontario<br />

Prince Edward Island <strong>Dental</strong> Council of<br />

Prince Edward<br />

Island<br />

Quebec Ordre des<br />

hygiénistes<br />

dentaires du<br />

Québec<br />

Saskatchewan Saskatchewan<br />

<strong>Dental</strong> Hygienists<br />

Association<br />

Yukon Government of<br />

Yukon<br />

Year -<br />

<strong>Regulation</strong><br />

became<br />

mandatory<br />

Year - selfregulation<br />

was<br />

achieved<br />

Year<br />

- selfinitiation<br />

was<br />

achieved<br />

Details pertaining to<br />

dentists’ supervision<br />

1951 1994 2007 Since 2007 in Ontario, registrants who<br />

have been approved by the College<br />

of <strong>Dental</strong> Hygienists of Ontario can<br />

self-initiate their treatment; dental<br />

hygienists can now scale and root<br />

plane teeth and curettage surrounding<br />

tissues without an order from a dentist<br />

1974 Regulated by<br />

government.<br />

Under <strong>Dental</strong><br />

Act<br />

DH must be employed by or practice<br />

under contract with:<br />

a. an employer that employs or has<br />

established a formal referral or<br />

consultation process with a dentist;<br />

or<br />

b. a dentist. (If (a) means employed by<br />

the provincial government, it does<br />

apply, but not for other situations.<br />

(b) is the correct answer.<br />

1975 1975 N/A Before letting a DH perform an act,<br />

a dentist must ensure that the DH<br />

possesses sufficient knowledge and<br />

training to perform that act. A dentist<br />

must ensure the performance and<br />

quality of the act performed by a DH<br />

before the patient leaves his office.<br />

1950 1998 2000 DH must be employed by or<br />

practise under contract with:<br />

a. an employer that employs or has<br />

established a formal referral or<br />

consultation process with a dentist;<br />

or<br />

b. a dentist.”<br />

1958 Regulated by<br />

government<br />

~ 6 ~<br />

Legislation<br />

online<br />

www.hprac.org/en/projects/<br />

resources/HPRAC-Drug-<br />

CDHOsubmission2.pdf<br />

www.gov.pe.ca/law/statutes/<br />

pdf/d-06.pdf<br />

Pending <strong>Regulation</strong><br />

Changes<br />

Limited-prescribing, dispensing,<br />

compounding and selling of drugs.<br />

No<br />

None No<br />

www.ohdq.com <strong>Regulation</strong> respecting the legal<br />

authorization to practice the<br />

profession of dental hygiene outside<br />

Quebec that give access to the<br />

permit of the Ordre des Hygienistes<br />

du Quebec.<br />

www.qp.gov.sk.ca/documents/<br />

English/Statutes/Statutes/<br />

D4-1.pdf<br />

www.gov.yk.ca/legislation/<br />

acts/depr.pdf<br />

No<br />

N/A Yes<br />

N/A No<br />

Mandatory<br />

<strong>CDHA</strong><br />

Membership


<strong>Dental</strong> <strong>Hygiene</strong> <strong>Regulation</strong>: A <strong>Comparison</strong>—Number of <strong>Dental</strong> Hygienists<br />

Province<br />

Alberta Male:<br />

Female:<br />

Total: 2835<br />

British Columbia Male:<br />

Female:<br />

Total: 3,381<br />

Manitoba Male: 28<br />

Female: 739<br />

Total: 767 (715 RDH, 52 Students)<br />

New Brunswick Male: 5<br />

Female: 459<br />

Total: 464<br />

Newfoundland and Labrador Male: 9<br />

Female:160<br />

Total:169<br />

Northwest Territories Male: 3<br />

Female: 19<br />

Total: 22<br />

Nova Scotia Male: 15<br />

Female: 653<br />

Total: 668<br />

Nunavut Male:<br />

Female: 5<br />

Total: 5<br />

Ontario Male: 216<br />

Female: 10,909<br />

Total: 11,125<br />

Total no. of registered dental hygienists*<br />

(represents all individuals who are registered with<br />

the provincial regulating body. This count may<br />

include individuals in all registration categories<br />

(including active, inactive))<br />

Total no. of active registered dental hygienists**<br />

(represents all registered/licensed individuals<br />

who are legally able to work under the title of<br />

the dental hygienist in the province.)<br />

Male:<br />

Female:<br />

Total:2,638<br />

Male:<br />

Female:<br />

Total: 3,145<br />

Male: 18<br />

Female: 642<br />

Total: 660<br />

Male: 4<br />

Female: 439<br />

Total: 443<br />

Unavailable<br />

Male: 3<br />

Female: 19<br />

Total: 22<br />

Male: 15<br />

Female:608<br />

Total: unavailable: 623<br />

Unavailable<br />

Male: 196<br />

Female: 9,698<br />

Total: 9,894<br />

~ 7 ~<br />

Category of Membership<br />

Registered<br />

Restorative dental<br />

hygienists<br />

34<br />

N/A N/A<br />

N/A N/A<br />

Exempt from 365<br />

Day Rule


<strong>Dental</strong> <strong>Hygiene</strong> <strong>Regulation</strong>: A <strong>Comparison</strong>—Number of <strong>Dental</strong> Hygienists<br />

Province<br />

Prince Edward Island Male: 1<br />

Female: 97<br />

Total: 98<br />

Quebec Male: 117<br />

Female: 5,340<br />

Total: 5,457<br />

Saskatchewan Male: 11<br />

Female: 539<br />

Total: 550<br />

Yukon Male: 1<br />

Female: 22<br />

Total: 23<br />

Total Male: 406<br />

Female: 18942<br />

Total: 25,564<br />

Total no. of registered dental hygienists*<br />

(represents all individuals who are registered with<br />

the provincial regulating body. This count may<br />

include individuals in all registration categories<br />

(including active, inactive))<br />

Total no. of active registered dental hygienists**<br />

(represents all registered/licensed individuals<br />

who are legally able to work under the title of<br />

the dental hygienist in the province.)<br />

Male: 1<br />

Female: 97<br />

Total: 98<br />

Male: 117<br />

Female: 5,333<br />

Total: 5,450<br />

Male: 11<br />

Female: 539<br />

Total: 550<br />

Male: 1<br />

Female: 22<br />

Total: 23<br />

Male: 366<br />

Female: 17397<br />

Total: 23,526<br />

~ 8 ~<br />

Category of Membership<br />

Registered<br />

Restorative dental<br />

hygienists<br />

Exempt from 365<br />

Day Rule


<strong>Dental</strong> <strong>Hygiene</strong> <strong>Regulation</strong>: A <strong>Comparison</strong>—Liability and <strong>Regulation</strong><br />

Province Mandatory Professional Liability Coverage Amount ($)<br />

Alberta Yes $1 million per occurrence minimum<br />

British Columbia Yes $1 million per occurrence minimum<br />

Manitoba Yes $1 million per claim /$3 million yearly aggregate<br />

New Brunswick Yes $1 million per occurrence minimum (<strong>CDHA</strong> liability)<br />

Newfoundland and Labrador Pending regulations<br />

Northwest Territories N/A<br />

Nova Scotia Yes Minimum aggregate of $ 2 million<br />

Nunavut N/A<br />

Ontario Yes $1 million per occurrence with deductable of not more than $10 000.<br />

Prince Edward Island Yes $1 million<br />

Quebec Yes $1 milion<br />

Saskatchewan Yes $1 million per claim /$3 million yearly aggregrate<br />

Yukon N/A<br />

~ 9 ~


<strong>Dental</strong> <strong>Hygiene</strong> <strong>Regulation</strong>: A <strong>Comparison</strong>—Restorative<br />

Province ETP<br />

1. Restorative 2. Temporary Restorative<br />

In conjuction with a dentist In conjunction with a dentist Independent of a Dentist<br />

e.g. Amalgam/composite resin; adapt and cement stainless steel<br />

crown, permentent cementation of bridges, veneers, inlays and onlays<br />

With additional<br />

education<br />

e.g. Temporary Crowns, temporary bridges, veneers, inlays and onlays ART (Atraumatic Restorative Treatment)<br />

ETP<br />

~ 10 ~<br />

With additional<br />

education<br />

Alberta x x x<br />

British Columbia x x x<br />

Manitoba x x<br />

New Brunswick x x x<br />

Newfoundland and Labrador x<br />

Northwest Territories x x<br />

Nova Scotia x x x<br />

Nunavut x x<br />

Ontario x x x<br />

Prince Edward Island x n/a n/a<br />

Quebec x x<br />

Saskatchewan x x<br />

Yukon<br />

ETP<br />

With additional<br />

education


<strong>Dental</strong> <strong>Hygiene</strong> <strong>Regulation</strong>: A <strong>Comparison</strong>—Competencies<br />

Province<br />

Mandatory Continuing Competencies<br />

or<br />

Professional Development (PD)<br />

Points (pts) or hours (hrs) or credits<br />

Alberta PD - minimum 45 credits /3 year minimum 600 hrs/3yr<br />

British Columbia PD - 5 year cycle with online testing that determines PD requirements None<br />

Manitoba Program includes self-directed assessment, goal setting, activities and evaluation/reflection. No points/<br />

credits required. Two components of the program:<br />

• Educational Component: Each RDH will be required to set two goals each year (1 for the first year which is<br />

considered a learning year for everyone), and plan activities that help meet that goal; and<br />

• Professional Component: Each RDH will be required to participate in a professional activity (for example a<br />

CDHM or MDHA meeting, being a mentor, volunteering on boards, committees, volunteering at a community<br />

program, or providing a presentation/program in a professional or community setting, etc)<br />

Forms will be submitted by each RDH documenting their activities – both educational and professional and<br />

will be first due in April 2011, and yearly there after if audited.<br />

New Brunswick Increase to 45 in three years/60 in four years/75 in 5 years as of January 2013- we will be staggering<br />

reporting cycle for the next five years.<br />

Newfoundland and Labrador PD:<br />

30 credits /3 years<br />

2 categories:<br />

1. A. Scientific/Clinical (Courses)<br />

B. Scientific/Clincial (Hands On)<br />

2. Other courses, equivalents or clinical experiences not included in C. 1<br />

Northwest Territories N/A N/A<br />

Nova Scotia MCC- 45 credits/threeyear cycle : 3 categories N/A<br />

~ 11 ~<br />

600 hours /3yr<br />

N/A<br />

N/A<br />

Mandatory Clincial Practice Hours


<strong>Dental</strong> <strong>Hygiene</strong> <strong>Regulation</strong>: A <strong>Comparison</strong>—Competencies<br />

Province<br />

Mandatory Continuing Competencies<br />

or<br />

Professional Development (PD)<br />

Points or hours or credits<br />

Nunavut N/A N/A<br />

Ontario Quality assurance program includes portfolio maintenance N/A<br />

Prince Edward Island 12 hrs / year N/A<br />

Quebec 40 hours for 2 years with a minimum of 10 the first year N/A<br />

Saskatchewan 50 credits /3 year reporting period. Personal Learning Tools completed for each CC activity N/A<br />

Yukon N/A N/A<br />

~ 12 ~<br />

Mandatory Clincial Practice Hours


<strong>Dental</strong> <strong>Hygiene</strong> <strong>Regulation</strong>: A <strong>Comparison</strong>—Differences in Provincial Requirements<br />

Province of<br />

Origin<br />

British<br />

Columbia<br />

Alberta • Local<br />

anesthesia<br />

British<br />

Columbia<br />

Manitoba • Local<br />

anesthesia<br />

New<br />

Brunswick<br />

Newfoundland<br />

& Labrador<br />

Northwest<br />

Territories<br />

x • Hours of<br />

practice<br />

• CPR<br />

• Local<br />

anesthesia<br />

• Local<br />

anesthesia<br />

• Non-<br />

acredited<br />

program<br />

without<br />

clinical<br />

Province of Destination<br />

Alberta Saskatchewan Manitoba Ontario Quebec NFLD &L<br />

x • Local<br />

anesthesia<br />

• Hours of<br />

practice<br />

• CPR<br />

• Local<br />

Anesthesia<br />

• Hours of<br />

practice<br />

• CPR<br />

• Non-<br />

acredited<br />

program<br />

without<br />

clinical<br />

• Local<br />

anesthesia<br />

• Local<br />

anesthesia<br />

• Local<br />

anesthesia<br />

• Non-<br />

acredited<br />

program<br />

without<br />

clinical<br />

• Hours of<br />

practice<br />

• Hours of<br />

practice<br />

• Language<br />

• Restorative<br />

• Ortho<br />

• Language<br />

(1)<br />

• Restorative<br />

• Ortho (2)<br />

x • Language<br />

• Hours of<br />

practice<br />

• CPR<br />

• Local<br />

Anesthesia<br />

• Hours of<br />

practice<br />

• Non-<br />

acredited<br />

program<br />

without<br />

clinical<br />

• Non-<br />

accedited<br />

program<br />

without<br />

clinical<br />

• Language<br />

• Ortho?<br />

• Board Exam<br />

• Non-<br />

accedited<br />

program<br />

without<br />

clinical<br />

• Restorative<br />

• Ortho<br />

• Language<br />

~ 13 ~<br />

Nova<br />

Scotia<br />

• Hours of<br />

practice<br />

x • Non-<br />

accedited<br />

program<br />

without<br />

clinical<br />

PEI<br />

New<br />

Brunswick<br />

x<br />

• Non-<br />

acredited<br />

program<br />

without<br />

clinical<br />

Yukon NT Nunavut<br />

x


<strong>Dental</strong> <strong>Hygiene</strong> <strong>Regulation</strong>: A <strong>Comparison</strong>—Differences in Provincial Requirements<br />

Province of<br />

Origin<br />

British<br />

Columbia<br />

Nova Scotia • CE • Hours of<br />

practice<br />

Alberta Saskatchewan Manitoba Ontario Quebec<br />

• Board exam<br />

• Hours of<br />

practice<br />

• Board<br />

exam<br />

• Local<br />

anestesia<br />

Province of Destination<br />

~ 14 ~<br />

Newfoundland<br />

&<br />

Labrador<br />

Nova<br />

Scotia<br />

Prince<br />

Edward<br />

Island<br />

• Language x • Local<br />

anesthesia<br />

New<br />

Brunswick<br />

Yukon<br />

Northwest<br />

Territories<br />

Nunavut x<br />

Ontario • Local<br />

anesthesia<br />

Prince Edward<br />

Island<br />

• Local<br />

anesthesia<br />

• Hours of<br />

practice<br />

• CPR<br />

• Local<br />

anesthesia<br />

• Local<br />

anestesia<br />

• Hours of<br />

practice<br />

• Hours of<br />

practice<br />

• CPR<br />

x • Language Require<br />

individuals<br />

who<br />

graduated<br />

from nonaccredited<br />

programs<br />

who have<br />

not passed<br />

the national<br />

exam or<br />

equivalent<br />

to complete<br />

exam.<br />

• Language<br />

• Ortho<br />

x<br />

Nunavut<br />

Require<br />

individuals<br />

who<br />

graduated<br />

from nonaccredited<br />

programs<br />

who have not<br />

passed the<br />

national exam<br />

or equivalent<br />

to complete<br />

exam.


<strong>Dental</strong> <strong>Hygiene</strong> <strong>Regulation</strong>: A <strong>Comparison</strong>—Differences in Provincial Requirements<br />

Province of<br />

Origin<br />

British<br />

Columbia<br />

Quebec* 3 • Local<br />

anesthesia<br />

• Langauge<br />

Saskatchewan • Hours of<br />

practice<br />

• CPR<br />

Yukon • Board<br />

exam<br />

• Non-<br />

acredited<br />

program<br />

without<br />

clinical<br />

1 Not a barrier<br />

to intial<br />

licensure<br />

2 Not a barrier<br />

to intial<br />

licensure<br />

Alberta Saskatchewan Manitoba Ontario Quebec<br />

• Language • Language • Hours of<br />

practice<br />

• Language<br />

• Board<br />

exam<br />

• Non-<br />

acredited<br />

program<br />

without<br />

clinical<br />

x • Hours of<br />

practice<br />

• Board exam<br />

• Non-acredited<br />

program<br />

without<br />

clinical<br />

3 National Certification Exam (NDHCB)<br />

[BC, AB, SK, MB, ON, NL, and PEI]<br />

proficiency in English required in some<br />

jurisdictions<br />

• Board<br />

exam<br />

• Non-<br />

acredited<br />

program<br />

without<br />

clinical<br />

Province of Destination<br />

~ 15 ~<br />

Newfoundland<br />

&<br />

Labrador<br />

Nova<br />

Scotia<br />

Prince<br />

Edward<br />

Island<br />

New<br />

Brunswick<br />

Yukon<br />

Northwest<br />

Territories<br />

Nunavut<br />

• Language x • Language • Language • Language • Language • Language • Language • Language<br />

• Hours of<br />

practice<br />

• Board<br />

exam<br />

• Non-<br />

acredited<br />

program<br />

without<br />

clinical<br />

• Language<br />

• Restorative<br />

• Ortho<br />

• Board exam<br />

• Non-<br />

acredited<br />

program<br />

without<br />

clinical<br />

• Board<br />

exam<br />

• Non-<br />

acredited<br />

program<br />

without<br />

clinical<br />

• Board<br />

exam<br />

• Non-<br />

acredited<br />

program<br />

without<br />

clinical<br />

• Board<br />

exam<br />

• Non-<br />

acredited<br />

program<br />

without<br />

clinical<br />

• Board<br />

exam<br />

• Non-<br />

acredited<br />

program<br />

without<br />

clinical<br />

x


<strong>Dental</strong> <strong>Hygiene</strong> <strong>Regulation</strong>: A <strong>Comparison</strong>—Agreement on Internal Trade (AIT) Legitimate Objectives<br />

Province/Web link Exception<br />

Alberta<br />

www.ait-aci.ca/labour_en/<br />

exceptions_ab/<strong>Dental</strong>%20<br />

Hygienists%20-%20<br />

Anaesthetic.pdf<br />

Alberta<br />

www.ait-aci.ca/labour_en/<br />

exceptions_ab/<strong>Dental</strong>%20<br />

Hygienists%20Prescribing.pdf<br />

Province(s)/<br />

Territory(ies) whose<br />

workers are affected<br />

Anesthetic Ontario, Quebec, New Brunswick,<br />

Prince Edward Island,<br />

Newfoundland and Labrador,<br />

Yukon, and Northwest Territories<br />

Prescribing<br />

Under which<br />

legitimate objective(s)<br />

is the measure being<br />

filed<br />

~ 16 ~<br />

Rationale /<br />

Justification:<br />

Material Scope of<br />

Practice Difference<br />

Protection of human health The practice of dental<br />

hygiene in Alberta includes<br />

the administration of local<br />

anaesthesia (dental freezing) by<br />

injection. The administration of<br />

local anesthesia by injection is<br />

not in the scope of practice for<br />

dental hygienists in any other<br />

Canadian jurisdictions with the<br />

exception of British Columbia<br />

and Saskatchewan.<br />

Additional<br />

Requirement(s):<br />

Duration of<br />

the additional<br />

requirement(s):


<strong>Dental</strong> <strong>Hygiene</strong> <strong>Regulation</strong>: A <strong>Comparison</strong>—Agreement on Internal Trade (AIT) Legitimate Objectives<br />

Province/web link Exception<br />

Ontario<br />

www.ait-aci.ca/labour_en/<br />

exceptions_on/<strong>Dental</strong>%20<br />

Hygienists.pdf<br />

Newfoundland No application made.<br />

New Brunswick No application made.<br />

Province(s)/<br />

Territory(ies) whose<br />

workers are affected<br />

Under which<br />

legitimate objective(s)<br />

is the measure being<br />

filed<br />

<strong>Dental</strong> Hygienists Yukon and Nunavut Protection of human health and<br />

consumer protection.<br />

~ 17 ~<br />

Rationale /<br />

Justification:<br />

Material Scope of<br />

Practice Difference<br />

Graduation from an accredited<br />

<strong>Dental</strong> <strong>Hygiene</strong> program and/<br />

or successful completion of the<br />

national exam or equivalent<br />

demonstrates that an individual<br />

has the competencies required<br />

to perform to the Ontario dental<br />

hygiene scope of practice.<br />

Applicants from unaccredited<br />

programs who have not passed<br />

the national exam or equivalent<br />

have not demonstrated the<br />

integration of their knowledge<br />

into independent practice.<br />

Additional<br />

Requirement(s):<br />

Require individuals who<br />

graduated from non-accredited<br />

programs who have not passed<br />

the national exam or equivalent<br />

to complete exam.<br />

Duration of<br />

the additional<br />

requirement(s):<br />

Indefinite


<strong>Dental</strong> <strong>Hygiene</strong> <strong>Regulation</strong>: A <strong>Comparison</strong>—Agreement on Internal Trade (AIT) Legitimate Objectives<br />

Province/web link Exception<br />

Nova Scotia NL & Territories who allowed<br />

licences without Clinical exam<br />

from non-accredited programs<br />

PEI No application made.<br />

Quebec No application made.<br />

Saskatchewan<br />

www.ait-aci.ca/labour_en/<br />

exceptions_sk/<strong>Dental</strong>%20<br />

Hygienist.pdf<br />

Administration of local<br />

anesthesia by injection.<br />

Province(s)/<br />

Territory(ies) whose<br />

workers are affected<br />

Manitoba, Ontario, Quebec, New<br />

Brunswick, Nova Scotia, Prince<br />

Edward Island, Newfoundland<br />

and Labrador, Yukon, and<br />

Northwest Territories<br />

Under which<br />

legitimate objective(s)<br />

is the measure<br />

being filed<br />

~ 18 ~<br />

Rationale /<br />

Justification:<br />

Material Scope of<br />

Practice Difference<br />

Protection of human health The practice of dental hygiene<br />

in Saskatchewan includes<br />

the administration of local<br />

anesthesia (dental freezing) by<br />

injection. The administration of<br />

local anesthesia by injection is<br />

not in the scope of practice for<br />

dental hygienists in any other<br />

Canadian jurisdictions with the<br />

exception of British Columbia<br />

and Alberta.<br />

Additional<br />

Requirement(s):<br />

Duration of<br />

the additional<br />

requirement(s):


<strong>Dental</strong> <strong>Hygiene</strong> <strong>Regulation</strong>: A <strong>Comparison</strong>—Services<br />

Entry to Practice x x* Entry to<br />

Practice-<br />

Additional Education Required x<br />

Supervision<br />

until rules<br />

Dentist Rx required<br />

approved<br />

Residential Care<br />

Dentist must be onsite x Not<br />

Permitted<br />

Local anesthesia<br />

~ 19 ~<br />

x x x x x x x<br />

Entry to Practice x x x Not<br />

Not yet<br />

N/A N/A N/A x<br />

permitted permitted<br />

Additional Education Required x until Rules<br />

x x x N/A x<br />

Perform independent of Dentist<br />

Dentist Rx required<br />

Dentist must be onsite x<br />

Administration of nitrous oxide/oxygen conscious sedation<br />

Entry to Practice N/A N/A N/A N/A N/A<br />

Additional Education Required x x N/A N/A N/A x N/A x N/A N/A N/A<br />

Dentist Rx required<br />

Dentist must be onsite<br />

Alberta<br />

British Columbia<br />

Manitoba<br />

New Brunswick<br />

Newfoundland & Labrador<br />

Northwest Territories<br />

Nova Scotia<br />

Nunavut<br />

Ontario<br />

Prince Edward Island<br />

Quebec<br />

Saskatchewan<br />

Yukon


<strong>Dental</strong> <strong>Hygiene</strong> <strong>Regulation</strong>: A <strong>Comparison</strong>—Services<br />

Radiographs<br />

Entry to Practice x x x x x x x x x x<br />

Additional Education Required x N/A<br />

Dentist Rx required x x x<br />

Dentist must be onsite x<br />

Can prescribe independent of a dentist x<br />

Interpret/<br />

diagnose periodontal issues from radiographs<br />

interpret/<br />

diagnose caries from radiographs<br />

x x *<br />

Orthodontic<br />

Entry to Practice x x x x x x x x<br />

Additional Education Required x x x x x<br />

Independent of a dentist<br />

Under the written order of a dentist x x x<br />

Dentist must be onsite x<br />

Alberta<br />

British Columbia<br />

Manitoba<br />

New Brunswick<br />

~ 20 ~<br />

Newfoundland & Labrador<br />

Northwest Territories<br />

interpret<br />

Nova Scotia<br />

Nunavut<br />

Ontario<br />

Prince Edward Island<br />

Quebec<br />

Saskatchewan<br />

Yukon


<strong>Dental</strong> <strong>Hygiene</strong> <strong>Regulation</strong>: A <strong>Comparison</strong>—Services<br />

Prescribing<br />

Antimicrobial agents x x x Pending N/A x<br />

Antibiotics x N/A Pending N/A<br />

Desenstizing agents x x x Pending N/A x<br />

Anticariogenic agnents x x x Pending N/A x<br />

Entry to Practice x<br />

Additional Education Required x x x x x<br />

Independent of a dentist x<br />

Dentist Rx required<br />

Dentist must be onsite x<br />

Alberta<br />

British Columbia<br />

Lasers<br />

Sealants<br />

Apply Independent of dentist x x x x<br />

Manitoba<br />

Apply with a dentist’s Rx x x x x<br />

New Brunswick<br />

~ 21 ~<br />

Newfoundland & Labrador<br />

Northwest Territories<br />

Nova Scotia<br />

Nunavut<br />

Ontario<br />

Prince Edward Island<br />

Quebec<br />

Saskatchewan<br />

Yukon


Alberta<br />

*prescribing of schedule 1 drugs used in DH treatment, with a prescriber ID # &<br />

CRDHA course - http://www.crdha.ca/LinkClick.aspx?fileticket=wZumKWBsiYU%3d<br />

&tabid=56&mid=416<br />

British Columbia<br />

<strong>Dental</strong> hygienists providing orthodontic and prosthodontic services to<br />

their clients will have obtained education in their basic dental hygiene<br />

program or through a post-diploma formal education course for the<br />

services being provided. Based on client need, this may include<br />

placing and removing temporary restorations, including provisional<br />

prosthodontic restorations, and performing orthodontic procedures.<br />

Manitoba<br />

*Residential care: in order to work in residential care without a dentist<br />

Fluoride Varnish<br />

Apply Independent of Dentist x x x x x<br />

Apply with a Dentist’s Rx x x x<br />

Myofunctional Therapy<br />

Additional Education required x x<br />

denture reline - chair side<br />

With dentist or denturist supervision N/A N/A x<br />

No supervision required N/A<br />

Alberta<br />

British Columbia<br />

Manitoba<br />

New Brunswick<br />

Comments<br />

you must be on the Extended Practice Roster (must have worked at least<br />

3000 career hours)<br />

Although the educational institutions in Manitoba offer LA as ETP, the<br />

registrar does not force registrants from outside provinces to obtain this<br />

education.<br />

Ortho and restorative: not offered within the dental hygiene education in<br />

MB, but can be completed as an additional module.<br />

New Brunswick<br />

<strong>Regulation</strong> changes pending for lasers and sealants.<br />

Nova Scotia<br />

Use of lasers is under review, Nitrous oxide has not been reviewed by the<br />

CDHNS as of yet.<br />

~ 22 ~<br />

Newfoundland & Labrador<br />

Northwest Territories<br />

Nova Scotia<br />

Nunavut<br />

Ontario<br />

Prince Edward Island<br />

Nunavut<br />

Local anesthesia: Under very limited conditions<br />

Ontario<br />

The prescribing services may be altered in the new<br />

year pending the results of CDHO’s Drug <strong>Regulation</strong>.<br />

* DHs are trained to identify periodontal issues through radiographs and<br />

make apprirpatte referrals. Denture relining can be perofrmed under the<br />

supervision of a dentist or a dental technologists.<br />

Quebec<br />

Local anesthesia: Requirement for licensure<br />

Other: Bleaching and production of bleaching trays<br />

Quebec<br />

Saskatchewan<br />

Yukon


<strong>Dental</strong> <strong>Hygiene</strong> <strong>Regulation</strong>: A <strong>Comparison</strong>—Grads<br />

Province<br />

Accept registrants from<br />

non-accredited programs<br />

Procedures for grads of non-accredited DH programs<br />

(must have the following…)<br />

NDHCB Exam Required Clincal Exam<br />

~ 23 ~<br />

Must have Exisiting<br />

License in Another<br />

Province/ Territory<br />

Procedures for Grads from Accretited DH Programs<br />

NDHCB Examination<br />

Required<br />

Clinical Exam (?)<br />

Alberta Yes Yes Yes - Alberta Clinical Exam No Yes Yes - if applicants qualifications<br />

& competencies not deemed<br />

substantially equivent to<br />

qualifications & competencies<br />

required for graduation from the<br />

AB approved program - U of A<br />

British Columbia Yes Yes Yes - CDHBC Clinical Exam No Yes No<br />

Manitoba No (Not eligible; must be a grad from<br />

an accredited program)<br />

(Not eligible; must be a grad from<br />

an accredited program)<br />

(Not eligible; must be a grad from<br />

an accredited program)<br />

New Brunswick Yes Yes Yes (pending) No Yes No<br />

Newfoundland and<br />

Labrador<br />

Northwest<br />

Territories<br />

Program must be in the process of accreditation<br />

Yes Yes Yes Yes No<br />

Yes Yes No Yes Yes No<br />

Nova Scotia Yes Yes No No Yes<br />

Nunavut Yes Yes No Yes Yes No<br />

Ontario Yes Yes Yes (non-accredited) Yes Yes No<br />

Prince Edward<br />

Island<br />

Yes Yes From another province Yes Yes No<br />

Yes


<strong>Dental</strong> <strong>Hygiene</strong> <strong>Regulation</strong>: A <strong>Comparison</strong>—Grads<br />

Province<br />

Accept registrants from<br />

non-accredited programs<br />

Procedures for grads of non-accredited DH programs (must have the<br />

following…)<br />

NDHCB Exam Required Clincal Exam<br />

~ 24 ~<br />

Must have Exisiting<br />

License in Another<br />

Province/ Territory<br />

Quebec No No<br />

Saskatchewan Yes Yes Yes No Yes<br />

Procedures for Grads from Accretited DH Programs<br />

NDHCB Examination<br />

Required<br />

Yukon Yes Yes No Yes Yes No<br />

Alberta<br />

If applicants qualifications & competencies not deemed substantially<br />

equivent to qualifications & competencies required for graduation from<br />

the AB approved program - U of A<br />

Quebec<br />

Only graduates from accredited programs can register<br />

Notes<br />

Yukon<br />

One can be licensed as a DH in Yukon by:<br />

1) being licensed in another jurisdiction that is party to the Agreement on<br />

Internal Trade and supplying a copy of licence and letter of good standing<br />

from that jurisdicition<br />

2) certificate of qualification by NDHB – within past 2 years and a)<br />

graduate of accredited DH program or b) granduate of non-accredited DH<br />

Clinical Exam (?)<br />

program – but must provide proof that the program meets the eligibility<br />

requirements of NDHB (and we are told NDHB will not provide this)

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