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Local anesthesia administration by dental hygienists
Sean G Boynes1, Jayme Zovko, Robert M Peskin
1Department of Anesthesiology, University of Pittsburgh School of Dental Medicine, Pittsburgh, PA 15261, USA. sebst54@pitt.edu
Dental hygienists now administer local anesthesia, a role expanded over 30 years. While accepted, the delegation of these pain control procedures by dental hygienists remains a topic of debate.
Area of Science:
- Oral health
- Dental hygiene practice
- Anesthesiology
Background:
- The scope of dental hygiene practice has evolved significantly over the past three decades.
- Dental hygienists are increasingly authorized to administer local anesthesia in many jurisdictions.
- This expansion aims to improve patient access to pain management during dental procedures.
Purpose of the Study:
- To review the current literature on local anesthesia administration by dental hygienists.
- To assess the practice characteristics and effectiveness of expanded dental hygiene roles.
- To address the ongoing controversy surrounding the delegation of pain control procedures.
Main Methods:
- Systematic review of existing studies.
- Analysis of state licensure regulations regarding dental anesthesia administration.
- Evaluation of practice-based evidence and reported outcomes.
Main Results:
- Findings indicate widespread acceptance of expanded dental hygiene roles in administering local anesthesia.
- Evidence suggests effectiveness in managing pain during dental treatments.
- Despite acceptance, the delegation of these procedures remains a point of contention.
Conclusions:
- The administration of local anesthesia by dental hygienists is an accepted and effective component of modern dental care.
- Further research and policy discussion are needed to resolve controversies surrounding delegation.
- Continued evaluation of scope of practice is essential for optimal patient care.
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