Direct access to treatment by dental hygienists in Ireland: a survey of dental practitioners’ perspectives

Objectives The public can directly access dental care by a dental hygienist (DH) in many countries internationally. Research has shown that allowing DHs to work under direct access (DA) improves oral health outcomes, increases service efficiency, and expands access to preventive care. Currently, DA to a DH in Ireland is not permitted. The purpose of this study was to gain a better knowledge of the views of dentists in Ireland in relation to the provision of treatment by DHs under DA in the future. Methods A cross-sectional survey was used on a convenience sample of Irish dentists. The quantitative data were analysed using descriptive and inferential statistics, and a thematic analysis was undertaken on the qualitative data. Results Seventy-five dentists completed the survey. Most had experienced working with a DH at some time (97%). Many respondents (65%) felt positive or very positive about the introduction of DA in Ireland. Overall, most respondents felt that all groups of the population (general population, children, people with disabilities, the elderly, people in nursing homes) would benefit from the introduction of DA; the highest perceived benefit was in nursing homes (71%). Conclusions While the concept of DA to DHs was broadly welcomed by dentists practising in Ireland, some reservations and concerns do exist. DA was seen as both an opportunity and a challenge. DA has potential to strengthen the dental care system in Ireland, but its success will depend on thoughtful implementation, updated training pathways, clear regulatory guidance, and alignment with broader workforce planning.