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National Board Dental Hygiene Examination Part B - Blogs Sample Questions

While treating this patient, you utilize your oral hygiene instruction time to inform the patient of her periodontal status and the prognosis of her dentition.  The dental hygienist in the next room approaches you at the conclusion of the appointment and informs you that you cannot provide a diagnosis for this patient as it is outside of the dental hygienists' scope of practice.   How would you respond in this scenario? 

Correct Answer:
inform her that a dental hygiene diagnosis is different from a dental diagnosis and that a dental hygienist is educationally qualified and licensed to analyze all assessment data and to use critical decision making skills in order to reach conclusions about the patient's dental hygiene treatment needs. 


in response to the dental hygienist’s concerns, it would be appropriate to politely clarify the scope of practice for dental hygienists, emphasizing the differences between a dental diagnosis and a dental hygiene diagnosis. you can explain that while dental hygienists are not licensed to make dental diagnoses, which typically involve identifying diseases such as cavities or advanced periodontal disease, they are indeed qualified to make dental hygiene diagnoses.

a dental hygiene diagnosis involves assessing the patient's oral health status, which includes evaluating periodontal conditions, plaque levels, and oral hygiene practices, among other factors. this type of diagnosis is essential to plan appropriate preventative and therapeutic care tailored to each patient's needs.

inform her that, as a dental hygienist, you are trained and licensed to collect and analyze patient health data, identify risk factors, and make evidence-based decisions regarding dental hygiene care. this process is crucial for informing patients about their oral health status and guiding them in effective self-care for the prevention of oral diseases.

you might also emphasize that dental hygienists employ critical decision-making skills to determine the needs relating to oral health and disease within the dental hygiene scope of practice. this approach not only helps in maintaining professional boundaries but also ensures that the patient receives comprehensive care based on a thorough understanding of their oral health condition.

it’s important to maintain a professional demeanor and foster a collaborative environment among the dental care team. if there remains a misunderstanding or disagreement about professional roles and responsibilities, it might be beneficial to suggest a team meeting with a supervising dentist to clarify scope of practice issues. this can help prevent future conflicts and ensure that all team members are aligned in their roles, ultimately benefiting patient care.