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ADVANCE Blog for PAs

New Mid-Level Provider?

Published February 22, 2008 10:52 AM by Stephen Cornell

A bill in the Minnesota legislature would create the Advanced Dental Hygiene Practitioner (ADHP). There's a hearing on the bill scheduled for Feb. 25. 

The Advanced Dental Hygiene Practitioner model was developed in response to the Surgeon General's call to action to increase access through increasing workforce flexibility and productivity. The new provider will work in collaboration with existing members of the oral health care team to provide services to patients unable to access a traditional dental office. ADHPs can bring a range of oral health services directly to patients in settings they have ready access to. ADHPs will perform the traditional range of preventive services currently administered by dental hygienists as well as therapeutic, palliative, prescriptive, diagnostic, and minimally invasive restorative services.

ADHP advocates are comparing the new provider to nurse practitioners and using the word "team" a lot. The also use the word "collaboration."

"The ADHP will serve as a mid-level provider in oral health akin to the nurse practitioner in medicine," says Mary Beth Kensek, RDH, RF, BS, MNDHA President. "ADHPs will provide direct access points to patients in currently under-utilized settings such as schools, nursing homes, hospitals, and public health clinics. The concept of the ADHP is certainly not to supplant the role of dentists, but to enhance the function of the oral health care team by providing oral health care services that so many are unable to obtain in a traditional dental office."

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1 comments

I feel sad that you were so misinformed about the ADHP.  This is a promotion of substandard care and the people practicing in this field are going to be undereducated to provide the services addressed in this bill.  Dentistry cannot be compared to medicine.  Once a tooth is drilled on, it can never grow back.  I am currently a dental student and we have gotten patients at our school that have been seen by the Community college that is setting up this program.  These patients have been given incorrect diagnoses and have been treatment planned in a way that would be considered substandard by a practicing dentist.

Kathryn Cargill, dentistry - student, University of MInnesota April 7, 2008 10:52 PM
Minneapolis MN

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