Dental Hygiene Regulation: A Comparison - CDHA
Dental Hygiene Regulation: A Comparison - CDHA
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)