Kentucky proposes new dental hygiene regulations for independent practice

Kentucky's House Bill 223, introduced on February 7, 2025, aims to expand the scope of practice for dental hygienists, allowing them to provide certain services without direct supervision from a dentist. This legislative move is designed to address the growing demand for dental care, particularly in underserved communities where access to dental professionals is limited.

Key provisions of the bill include permitting dental hygienists to perform procedures such as dental health education, nutritional counseling, fluoride application, and oral hygiene demonstrations in volunteer community health settings without the oversight of a dentist. Additionally, the bill allows experienced dental hygienists to offer services for up to 15 consecutive business days in the absence of a supervising dentist, provided they meet specific qualifications, including a minimum of two years of experience and completion of a medical emergency prevention course.

The bill has sparked notable discussions among stakeholders in the dental community. Proponents argue that this legislation will enhance access to essential dental services, particularly in rural areas where dentists are scarce. They emphasize that empowering dental hygienists can alleviate some of the burdens on dentists and improve overall public health outcomes.

However, the bill has faced opposition from some dental associations concerned about the potential risks of unsupervised practice. Critics argue that while dental hygienists are trained professionals, certain procedures should always be performed under the guidance of a dentist to ensure patient safety and quality of care.

The implications of House Bill 223 extend beyond the dental profession. By improving access to dental hygiene services, the bill could lead to better oral health outcomes for Kentucky residents, potentially reducing the long-term costs associated with untreated dental issues. As the bill progresses through the legislative process, its supporters remain optimistic about its potential to transform dental care delivery in the state.

In conclusion, House Bill 223 represents a significant shift in the practice of dental hygiene in Kentucky, aiming to enhance access to care while navigating the complexities of professional oversight. As discussions continue, the outcome of this bill could set a precedent for similar legislative efforts in other states, reflecting a growing recognition of the vital role dental hygienists play in public health.