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What Is Legislative Advocacy?


Advocacy is the deliberate process of influencing legislators who make decisions on issues that affect you, your family and your profession.  If NCDHA members spend time introducing themselves to their local Representative and Senator, the strength of the profession would grow significantly! 

Now is the time to speak up about the benefits and needs of our profession! 


Public Hearing Scheduled

Important Information Regarding Public Hearing

October 10, 2019

The NC State Board of Dental Examiners will hold a public hearing to consider changes to its rules concerning Public Health Hygienists. The hearing will be held at the Board’s office, 2000 Perimeter Park Drive, Suite 160, Morrisville, NC.

The Board is proposing amendments to Rule 21 NCAC 16W, .0101, which defines the direction of public health dental hygienists in North Carolina. The proposed amendments to this rule include:

Section (b) The specific clinical procedures delegated to the hygienist shall be completed in accordance with a written order from the dentist, within 120 270 days of the dentist’s in-person evaluation of the patient. 

Section (d) A public health hygienist may provide educational information, such as instruction in brushing and flossing, without the Direction direction of a licensed dentist is not required for public health hygienists who provide only educational information, such as instruction in brushing and flossing.dentist. 

The Board is also considering a new rule for adoption that addresses dental access to underserved areas. Proposed Rule 21 NCAC 16W .0104 reads as follows:

(a) Public health hygienists who are practicing under Rule .0101(a) of this Section and who perform procedures in 6 public schools, nursing homes, rest homes, long-term care facilities, and rural and community clinics operated by federal, State, county, or local governments in areas identified by the Office of Rural Health in the Department of Health and Human Services as dental access shortage areas may: 

(1) perform clinical hygiene procedures as described in G.S. 90-221 under the direction of a dentist 10 based on a written standing order, rather than an in-person evaluation by the dentist as set forth in Rule .0101(c) of this Section; and

(2) supervise a Dental Assistant who assists the public health hygienists in the procedures described in 13 Subparagraph (a)(1) of this Rule.

(b) Public health hygienists working under supervision of a dentist in accordance with G.S. 90-233(a) and providing services at facilities identified in Paragraph (a) of this Rule who are performing services pursuant to a written order from the dentist must complete the procedures ordered within 270 days.

(c) Dentists providing services at facilities pursuant to Paragraph (a) of this Rule are providing public health services and may supervise more than two public health hygienists at the same time who are performing dental hygiene functions.

We encourage you to read all the information related to these proposed rule changes and proposed amendments and support your profession by attending the public hearing, providing written testimonies and verbal testimonies at the hearing.

Written testimonies should be e-mailed to Mr. Bobby White  by November 15, 2019. 

Learn More…

The North Carolina Oral Health Collaborative (NCOHC) convenes diverse stakeholders to identify and resolve consumer-level and systemic barriers to good oral health and to accelerate implementation of policies and practices that reduce oral health disparities and promote improved oral health for all North Carolinians. 

North Carolina Licensure Information

FAQ Regarding Dental Hygiene Licensure

The following provides reference information about requirements and procedures related to obtaining a dental hygiene license in North Carolina.

Application Forms and Information: Application Forms and Information

Fees for License: Fees for License

Under North Carolina Law, § 90-233, A dental hygienist may practice only under the supervision of one or more licensed dentists.

Eligibility to Practice Dental Hygiene Outside Direct Supervision: Eligibility to Practice Dental Hygiene Outside Direct Supervision

Continuing Education 

Dental hygienists are required to complete 6 hours of continuing education every year. In addition, dental hygienists area required to maintain current CPR certification received from a “hands on” course.

Dental hygienists may obtain any or all of their required hours through correspondence or online courses which have post-tests and issue certificates of completion.

Dental hygienists with a limited supervision license must complete 6 hours of continuing education every year in dental office medical emergencies, in addition to the minimum 6 hours of continuing education as required for license renewal.

Appropriate course subjects: Courses must be related to patient care. Courses stressing practice management or self-improvement, for example, could not count, while courses in sterilization and infection control, pharmacology, dental materials and dental procedures are acceptable. The Board will accept some risk management courses.

Approved Sponsors for CE Hours: providers who are recognized by the American Dental Association’s Continuing Education Recognition Program, courses sponsored the Academy of General Dentistry, the American Dental or American Dental Hygienists’ Association, or components of such organizations, the North Carolina Area Health Education Centers, educational institutions with dental or dental hygiene schools or departments, and national, state, or local societies or associations. (Study clubs are considered “associations”.)

Reporting CE Hours: The number of hours completed each year is reported on the license renewal form and no documentation of course work should be sent to the Board’s office. Each person is responsible for maintaining his/her own documentation for at least two years of CE courses completed and must show evidence of completing CE when requested by the Board.

License Renewal

The online renewal system is open from November 1 to March 31 each year. A $50 late penalty will be assessed to those renewing after January 31. Licensees may use the online system to update their address and phone information throughout the year.

All licenses that are not renewed by March 31 become void and continuing to practice without a valid renewal certificate is a Class I misdemeanor. Each day’s violation is a separate offense.

Licenses not renewed by March 31 must be reinstated by the Board. Reinstatement involves submitting an application and paying a reinstatement fee ($225 for dentists; $60 for dental hygienists) along with the current year’s renewal fee.

North Carolina State Board of Dental Examiners

The North Carolina State Board of Dental Examiners is responsible for the professions of dental hygienists, dentists and dental assistants. The purpose of the North Carolina State Board of Dental Examiners is to ensure that the dental profession merit and receive the confidence of the public and that only qualified persons be permitted to practice dentistry and dental hygiene in the state of North Carolina. The board members include 6 dentists, 1 dental hygienist and 1 consumer member.