The American Dental Hygienists’ Association (ADHA) is advancing the profession through evidence-based research and policy analysis. These white papers provide in-depth, research-backed recommendations that inform policy decisions, advance professional practice, and demonstrate the critical role dental hygienists play in improving population health outcomes.

Cover of a white paper published by ADHA "Missed Potential"Missed Potential: How Expanding Dental Hygienists’ Roles Can Bridge America’s Oral Health Gaps

Published September 10, 2025

America’s oral health crisis is preventable. This white paper reveals how restrictive state laws block access to care for millions and provides the evidence-based roadmap to fix it.

Cover of a white paper published by ADHA "Dental Hygiene Self-Regulation"

Dental Hygiene Self-Regulation: How Self-Regulation Strengthens Public Protection and Expands Access to Care

Published December 22, 2025

In most states, dental hygienists are regulated by the same profession that employs them. This white paper examines that conflict of interest and provides a roadmap for the autonomy nursing secured long ago.

Cover of ADHA White Paper on Dental Hygiene DiagnosisDental Hygiene Diagnosis: Defining the Essential Role of Diagnostic Decision-Making in Dental Hygiene

Published February 10, 2026

Dental hygienists diagnose at every patient encounter — yet only three states explicitly recognize it. This white paper defines DHDx, examines its status across state practice acts, and presents a path forward.

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