Proposed Changes to Duties Delegable to Dental Hygienists

On March 20th, representatives of your professional association, the Nevada Dental Hygienists’ Association (NDHA), met with the Committee on Dental Hygiene of the Nevada State Board of Dental Examiners (NSBDE) to propose changes to the Nevada Administrative Code (NAC) 631.210. Changes proposed by the NDHA would make it permissible for hygienists to, 1) expose radiographs, 2) assess the oral health of patients through medical and dental histories, radiographs, risk assessments and intraoral and extraoral procedures that analyze and identify the oral health needs and problems of patients, 3) develop a dental hygiene care plan to address the oral health needs and problems of patients described in subparagraph (I), and 4) take impressions for the preparation of diagnostic models prior to examination by a dentist. Other changes proposed by the NDHA would affect the amount of supervision required by dental hygienists for the administration of local anesthesia and nitrous oxide. After discussion, the Committee on Dental Hygiene voted to take the proposed changes forward to the full NSBDE for consideration.

On May 22nd, the Committee on Dental Hygiene recommended the proposed changes to the full board, and after discussion, the NSBDE agreed that there was sufficient merit to the recommendations to schedule a public workshop. The public workshop has been scheduled for Friday, September 18th, at 9:00 AM at the NSBDE office in Las Vegas, and videoconferenced to the Medical Board office in Reno. The purpose of the workshop is to receive comments (positive or negative) from all interested persons and to consider the review of Nevada Administrative Code Chapter 631 and regulation changes and amendments. The NSBDE has posted public notice of the workshop scheduled for September 18th which includes current wording of NAC 631.210 as well as the proposed changes, and detailed instructions for submitting written comment.  Click here to download the section pertaining to proposed changes to duties delegable to dental hygienists. The complete public notice is posted on the NSBDE website at http://dental.nv.gov/Public_Info/Meetings/2015/2015_Meetings/.

It is the position of the Nevada Dental Hygienists’ Association that the proposed changes will afford greater efficiency in the use of dental practice resources while maintaining the highest level of patient safety. The proposed changes also mimic medical practice models where trained and educated personnel gather data and perform assessments on patients prior to the physician’s examination of the patient for the purpose of aiding the physician in the diagnostic process. Further, NDHA believes the proposed changes will improve delivery of dental hygiene services to the public and afford greater public access with full patient protection.

The NDHA strongly encourages all interested parties (hygienists, dentists, dental assistants, and patients) to attend the public workshop and offer verbal comments in person. Comments may also be submitted in writing on or prior to the deadline of September 11th.  (Click here to download a sample letter.)  The more input and public comment the NSBDE receives on these changes the stronger the argument for change becomes. I encourage you all to solicit your employers to submit comment as well. This is an opportunity for dentists and hygienists to work together to improve the delivery of dental care. I hope you will all join me in submitting comments to the NSBDE regarding these important changes.  You can fax to NSBDE:  (702) 486-7046  or email to This e-mail address is being protected from spambots. You need JavaScript enabled to view it


Annette Lincicome, BS, RDH

President, NDHA

President's Message

Happy, healthy New Year to you and yours!  As I usher in my new year with family and friends, I cannot help but think about our proud past as a dental hygiene profession and the professional association I have the honor to be a member of, Nevada Dental Hygienists’ Association.  The way I practice dental hygiene today is because of the passion and foresight of my predecessors.  First and foremost, I want to personally thank all leaders who changed dental hygiene for the better.

Today, I look to the future of what dental hygiene will become,and with excitement for those changes in Nevada.  I ask the question, “What If?”  Will administration of Botox just be a small addition to the duties dental hygienists will be able to perform?  Will dental hygienists be licensed to be mid-level practitioners and practice in medical and dental settings, much like a nurse practitioner,to meet the growing health care and dental care needs?  Will local anesthesia and nitrous oxide administration be an issue of the past and changed under general supervision to the Nevada Revised Statutes?Will dental hygiene diagnosis and treatment be recognized as the first step towards oral systemic health?  Will dental hygienists be able to bridge the gap between medical and dental fields?  Will dental hygienists have more choicesto practice in medical offices, dental offices, hospital settings, and retirement homes with advanced educationaldegrees and licensure?  Will graduating with a BS degree be the standard as an entry-level degree?  Will there be more clinically based Masters and PhD programs to emerge for the dental hygienists who desire to practice in these settings?  Will there be a State Board of Dental Hygiene Examiners whose interests are to protect the public in the specialty of dental hygiene?  If you asked yourself the “What If” question, what are your possibilities?  I would have to say, they are endless and have no limits.

I invite you to visit ADHA.org.  There are so many resources at your fingertips.  I encourage you to read the official White Paper from ADHA.  It is a position paper about the dental hygiene profession.   While you’re online as a member, look at the travel discounts for hotels, car rentals, and cruises, too.  Mercer offers affordable medical insurance as well as malpractice insurance for dental hygienists.  If you have always thought about being a part of this great organization, start today!  NDHA wants you to be a part of us!  It is as simple as paying a one-time annual dues fee or quarterly payments.  It is less than $1 dollar a day.  By this simple act, it sends a clear message that we band together as dental hygienists.

In closing, great things occur when a group of passionate and focused individuals collaborate to bring about incredible results!  Be a part this powerful synergy.  Be a part of NDHA!

Xuan-Thu Failing, BSDH

Laura Webb Wins the Alfred Fones Award!

NDHA is pleased to announce that Laura Webb, CDA, RDH, MS, has been selected to receive the Alfred Fones Award at the 2012 ADHA Annual Session in Phoenix.

Alfred Fones Award

This award recognizes hygienists with 25 years of ADHA membership, achievement in education, and leadership.
One recipient will be selected. Recipient will receive the following:

  •      Engraved plaque
  •      Recognition in an ADHA publication
  •      Free Yearly Membership to ADHA
  •      Recognition at Annual Session
  •      2 Days Per Diem at Annual Session
  •      Air Travel to Annual Session
  •      2 Nights Lodging at Annual Session
  •      $1,000 Cash Award

Congratulations Laura!


Click here to visit Future Smiles and make a donation

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Click to register for the fundraiser.


President's Message - April 2012

Educapalooza or Bust!

Dear Fellow Hygienists,

This is a very serious message I’m sending out tonight.  I want to start with thanking all of you members who have belonged in the past with conviction, passion, and no question for how valuable membership in your professional association is for you and your families.  We cajole and plead for new membership and forget to thank those of you who are providing the fuel that keeps the ship going.  Thank you so much for your contribution and commitment.  I will always remember you.

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